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Prevalence of Health Care Worker Burnout During the Coronavirus Disease 2019 (COVID-19) Pandemic in Japan

Educational Objective
To understand the prevalence of Health Care Worker burnout during the COVID-19 pandemic
1 Credit CME

The coronavirus disease 2019 (COVID-19) pandemic has placed considerable psychological strain on frontline health care workers (HCWs).1 Although the problem of burnout, which overlaps with the symptoms of depression,2 remains urgent, few studies have addressed it comprehensively. The objective of this study was to evaluate the prevalence of burnout among frontline HCWs during the COVID-19 pandemic in Japan based on job categories and other factors.

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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.

Article Information

Accepted for Publication: July 8, 2020.

Published: August 4, 2020. doi:10.1001/jamanetworkopen.2020.17271

Open Access: This is an open access article distributed under the terms of the CC-BY License. © 2020 Matsuo T et al. JAMA Network Open.

Corresponding Author: Takahiro Matsuo, MD, Department of Infectious Diseases, St Luke’s International Hospital, 9-1, Akashi-cho, Chuo-ku, Tokyo, Japan (tmatsuo@luke.ac.jp).

Author Contributions: Dr Matsuo had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.

Concept and design: All authors.

Acquisition, analysis, or interpretation of data: Matsuo, Kobayashi, Uehara.

Drafting of the manuscript: Matsuo, Kobayashi, Sakamoto.

Critical revision of the manuscript for important intellectual content: Kobayashi, Taki, Uehara, Mori, Fukui.

Statistical analysis: Matsuo, Kobayashi.

Administrative, technical, or material support: Matsuo.

Supervision: Kobayashi, Taki, Sakamoto, Uehara, Mori, Fukui.

Conflict of Interest Disclosures: None reported.

Additional Contributions: We are grateful to Torahiko Jinta, MD, PhD (Department of Respiratory Medicine, St Luke’s International Hospital), Ui Yamada, MD, PhD (Department of Psychosomatic Medicine, St Luke’s International Hospital), Hiroko Arioka, MD, PhD (Department of General Internal Medicine, St Luke’s International Hospital), Shosei Ro, MD (Department of Respiratory Medicine, St Luke’s International Hospital), and Kazuyo Kitaoka, RN, PhD (Faculty of Health Sciences, Komatsu University), for their helpful comments, discussion, and supervision. They were compensated for their time. We appreciate the significant contributions made by the participants from St Luke’s International Hospital.

References
1.
Lai  J , Ma  S , Wang  Y ,  et al.  Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019.   JAMA Netw Open. 2020;3(3):e203976. doi:10.1001/jamanetworkopen.2020.3976PubMedGoogle Scholar
2.
Oquendo  MA , Bernstein  CA , Mayer  LES .  A key differential diagnosis for physicians—major depression or burnout?   JAMA Psychiatry. 2019;76(11):1111-1112. doi:10.1001/jamapsychiatry.2019.1332PubMedGoogle ScholarCrossref
3.
Kitaoka  K , Masuda  S .  Academic report on burnout among Japanese nurses.   Jpn J Nurs Sci. 2013;10(2):273-279. doi:10.1111/j.1742-7924.2012.00221.xPubMedGoogle ScholarCrossref
4.
Rafferty  Y , Friend  R , Landsbergis  PA .  The association between job skill discretion, decision authority, and burnout.   Work Stress 2001;15(1):73–85. doi:10.1080/02678370120791Google ScholarCrossref
5.
Dewey  C , Hingle  S , Goelz  E , Linzer  M .  Supporting clinicians during the COVID-19 pandemic.   Ann Intern Med. 2020;172(11):752-753. doi:10.7326/M20-1033PubMedGoogle ScholarCrossref
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