Prevalence of Burnout Syndrome and Its Related Risk Factors among Healthcare Workers of Prasat Neurological Institute during Coronavirus (COVID-19) Pandemic

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Pilaipat Chutchaikulsiri


Objective : To investigate the prevalence of burnout syndrome and related risk factors among healthcare workers (HCWs) of Neurological Institute of Thailand during the pandemic of coronavirus disease 2019 (COVID-19).

Methods : A cross-sectional survey was conducted among 312 healthcare workers between June 25 and September 13, 2020. The data was collected by using four sets of Google form questionnaire including demographic and job-related data, Thai version of Maslach Burnout Inventory (MBI) consisting of the three subscales of emotional exhaustion (EE), depersonalization (DP) and personal accomplishment (PA), effects of COVID-19 and types of support needs. Multivariate logistic regression analysis was applied to identify factors associated with burnout syndrome.

Results : Of 594 HCWs, 312 (52.5 %) responded to the survey. Majority of participants was female (84.9%), nursing staff (48.7%), and average age of 37.2±10.4 years (mean ± SD). Overall, participants had no burnout syndrome, but 38.1% of them experienced high level of EE. Thus, 84% of participants had low level of DP and the percentage of the participants who scored high in PA was 97.1. After adjusting for potential covariates, the risk factors of high EE were high weekly working hours (OR =3.05, 95% CI 1.09-8.50, P=0.033), concern of being COVID-19 carrier (OR =3.03, 95% CI 1.18-7.77, P=0.021) and financial problem (OR =2.88, 95% CI 1.34-6.22, P=0.007). The protective factors for EE were high level of job satisfaction (OR =0.42,95%CI 0.29-0.60, P<0.001) and supports from their supervisors. (OR =2.22,95%CI 1.28-3.83, P=0.004).

Conclusions : Healthcare workers did not have burnout syndrome, althrough 38.1% of them had high score of EE due to high working hours, worried about being the COVID-19 carrier and severe financial problem. The protective factors were high level of job satisfaction and supports from their supervisors.

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How to Cite
Chutchaikulsiri, P. (2021). Prevalence of Burnout Syndrome and Its Related Risk Factors among Healthcare Workers of Prasat Neurological Institute during Coronavirus (COVID-19) Pandemic . Journal of the Psychiatric Association of Thailand, 66(4), 439–454. Retrieved from
Original Articles


Shah K, Chaudhari G, Kamrai D, Lail A, Patel RS. How Essential Is to Focus on Physician’s Health and Burnout in Coronavirus (COVID-19) Pandemic? Cureus 2020; 12(4): e7538.

Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open 2020; 3(3): e203976.

Cai H, Tu B, Ma J, Chen L, Fu L, Jiang Y, et al. Psychological Impact and Coping Strategies of Frontline Medical Staff in Hunan Between January and March 2020 During the Outbreak of Coronavirus Disease 2019 (COVID19) in Hubei, China. Med Sci Monit 2020; 26: e924171.

Kang L, Ma S, Chen M, Yang J, Wang Y, Li R, et al. Impact on mental health and perceptions of psychological care among medical and nursing staff in Wuhan during the 2019 novel coronavirus disease outbreak: A cross-sec¬tional study. Brain Behav Immun 2020; 87: 11-17

Reith TP. Burnout in United States Healthcare Professionals: A Narrative Review. Cureus 2018; 10(12): e3681.

Lo D, Wu F, Chan M, Chu R. A systematic review of burnout among doctors in China: a cultural perspective. Asia Pac Fam Med 2018;17: 3.

Matsuo T, Kobayashi D, Taki F, Sakamoto F, Uehara Y, Mori N, et al. Prevalence of health care worker burnout during the coronavirus disease 2019 (COVID-19) pandemic in Japan. JAMA Netw Open 2020; 3(8): e2017271.

Barello S, Palamenghi L, Graffigna G. Burnout and somatic symptoms among frontline healthcare professionals at the peak of the Italian COVID-19 pandemic. Psychiatry Res 2020; 290: 113129.

Zerbini G, Ebigbo A, Reicherts P, Kunz M, Messman H. Psychosocial burden of healthcare professionals in times of COVID-19–a survey conducted at the University Hospital Augsburg. Ger Med Sci 2020; 18: Doc05.

Luceño-Moreno L, Talavera-Velasco B, García-Albuerne Y, Martín-García J. Symptoms of posttraumatic stress, anxiety, depression, levels of resilience and burnout in spanish health personnel during the COVID-19 Pandemic. Int J Environ Res Public Health 2020; 17(15): 5514.

Al-Haddad A, Al-Omar F, Al-Khaleel A, Al-Khalaf A. Prevalence of burnout syndrome and its related risk factors among physicians working in primary health care centers of the Ministry of Health, Al Ahsa region, Saudi Arabia, 2018-2019. J Family Med Prim Care 2020; 9(2): 571-9.

Rotenstein L. S, Torre M, Ramos M. A, Rosales R. C, Guille C, Sen S. Prevalence of burnout among physicians: a systematic review. JAMA 2018; 320(11): 1131-50.

Amanullah S, Ramesh Shankar R. The Impact of COVID-19 on Physician Burnout Globally: A Review. Healthcare (Basel). 2020; 8(4): 421. doi: 10.3390/healthcare8040421. PubMed PMID: 33105757; PubMed Central PMCID: PMC7712764.

Wu Y, Wang J, Luo C, Hu S, Lin X, Anderson AE, et al. A comparison of burnout frequency among oncology physicians and nurses working on the frontline and usual wards during the COVID-19 epidemic in Wuhan, China. J Pain Symptom Manage2020; 60(1): e60-e65.

Dimitriu MC, Pantea-Stoian A, Smaranda AC, Nica AA, Carap AC, Constantin VD, et al. Burnout syndrome in Romanian medical residents in time of the COVID-19 pandemic. Med Hypotheses 2020; 144: 109972.

Giusti EM, Pedroli E, D’Aniello GE, Stramba Badiale C, Pietrabissa G, Manna C, et al. The Psychological Impact of the COVID-19 Outbreak on Health Professionals: A Cross- Sectional Study. Front Psychol2020; 11: 1684.

Khalafallah AM, Lam S, Gami A, Dornbos DL 3rd, Sivakumar W, Johnson JN, Mukherjee D. Burnout and career satisfaction among attending neurosurgeons during the COVID-19 pandemic. Clin Neurol Neurosurg 2020; 198: 106193.

Santarone K, McKenney M, Elkbuli A. Preserving mental health and resilience in frontline healthcare workers during COVID-19. Am J Emerg Med 2020; 38(7): 1530-1.

Leskovic L, Erjavec K, Leskovar R, Vukovič G. Burnout and job satisfaction of healthcare workers in Slovenian nursing homes in rural areas during the COVID-19 pandemic. Ann Agric Environ Med 2020 ; 27(4): 664-71.