THE BURNOUT SYNDROME OF MEDICAL STUDENTS DURING THE WAR AND THE FACTORS THAT DETERMINE IT

Authors

DOI:

https://doi.org/10.11603/m.2414-5998.2023.3.14276

Keywords:

medical students, Russian aggression, emotional exhaustion, burnout syndrome

Abstract

Full-scale Russian aggression affected the psycho-emotional state of the population and Ukrainian youth was especially affected by the war. Loss of loved ones, separation from relatives, financial difficulties, uncertainty about the future, changes in the educational environment, constant threats to life and health, which are associated with military actions, missile strikes affect negatively on mental health. Participants of the educational process overcome the trials of war: forced breaks during classes, transition to distance or mixed form of education, power failures. The full-scale war worsened access to education and deepened educational inequality, negatively affected on the quality of educational process and success of students, and emotional state of students and teachers. Such psycho-emotional experiences led to increased prevalence of occupational burnout among medical students.

The aim of this investigation was to study the prevalence of burnout syndrome among students of medical faculty of Ternopil National Medical University and related factors during the Russian-Ukrainian war.

An online study was conducted among medical students. Burnout was assessed using the Maslach Burnout Inventory-Student Survey tool. Comparison of frequency scores between groups was performed using Pearson's chi-squared (χ 2) test. Quantitative parameters of the observation groups were compared by determining Student's t-test. Logistic regression analysis was used to assess the prognostic association between occupational burnout and related factors.

During this study 776 medical students with an average age of 22.03±1.8 years were analyzed. According to the results of the study 50.1 % of students noted a high level of emotional exhaustion, 53.1 % of students noted a high level of depersonalization and 38.1 % of students noted decrease in personal achievements.

An independent influence on the development of professional burnout has a training period that is associated with the course of preclinical or clinical disciplines (exp (B) = 0.452, 95 % DI = 0.141–0.763, p = 0.001), as well as the age of students (exp (B) = 0.104, 95 % DI = 0.059–0.167, p-value = 0.03).

In order to reduce the severity of the manifestations of burnout syndrome, it is necessary to apply practical and prosperous methods of overcoming or develop an effective strategy to minimize the level of burnout among medical students during the war.

Author Biographies

А. Г. Шульгай, I. Horbachevsky Ternopil National Medical University

Scopus Author ID 6506445523

N. O. Fedchyshyn, I. Horbachevsky Ternopil National Medical University

Scopus Author ID 57202833382

O. M. Shulhai, I. Horbachevsky Ternopil National Medical University

Scopus Author ID 57208186406

References

Erschens, R., Loda, T., Herrmann-Werner, A., Keifenheim, K.E., Stuber, F., Nikendei, C., … Junne, F. (2018). Behaviour-based functional and dysfunctional strategies of medical students to cope with burnout. Med. Educ. Online, 23(1). DOI 10.1080/10872981.2018.1535738. DOI: https://doi.org/10.1080/10872981.2018.1535738

Shrestha, D.B., Katuwal, N., Tamang, A., Paudel, A., Gautam, A., Sharma, M., … Budhathoki, P. (2021). Burnout among medical students of a medical college in Kathmandu; A cross-sectional study. PLoSOne, 16(6). DOI 10.1371/journal.pone.0253808. DOI: https://doi.org/10.1371/journal.pone.0253808

Frajerman, A., Morvan, Y., Krebs, M.O., Gorwood, P., & Chaumette, B. (2019). Burnout in medical students before residency: A systematic review and meta-analysis. Eur. Psychiatry, 55, 36-42. DOI 10.1016/j.eurpsy.2018.08.006. DOI: https://doi.org/10.1016/j.eurpsy.2018.08.006

Alqifari, A., Alghidani, M., Almazyad, R., Alotaibi, A., Alharbi, W.A., Aljumail, E., … Alqifari, H. (2021). Burnout in medical undergraduate students in Qassim, Saudi Arabia. Middle East Curr. Psychiatry, 28, 47. DOI 10.1186/s43045-021-00128-2. DOI: https://doi.org/10.1186/s43045-021-00128-2

Galán, F., Sanmartín, A., Polo, J., & Giner, L. (2011). Burnout risk in medical students in Spain using the Maslach Burnout Inventory-Student Survey. Int. Arch. Occup. Environ. Health, 84(4), 453-459. DOI 10.1007/s00420-011-0623-x. DOI: https://doi.org/10.1007/s00420-011-0623-x

Costa, E.F., Santos, S.A., Santos, A.T., Melo, E.V., & Andrade, T.M. (2012). Burnout Syndrome and associated factors among medical students: a cross-sectional study. Clinics (Sao Paulo), 67(6), 573-580. DOI 10.6061/clinics/2012(06)05. DOI: https://doi.org/10.6061/clinics/2012(06)05

Scholz, M., Neumann, C., Steinmann, C., Hammer, C.M., Schröder, A., Eßel, N., … Burger, P.H. (2015). Entwicklung und Zusammenhang von Arbeitsverhalten, Burnout-Beschwerden und Lebensqualität bei Studierenden der Humanmedizin vom Studienstart bis zum ersten Staatsexamen. Psychother. Psychosom. Med. Psychol., 65(3-4), 93-98. DOI 10.1055/s-0034-1375630. DOI: https://doi.org/10.1055/s-0034-1375630

Osokina, O., Silwal, S., Bohdanova, T., Hodes, M., Sourander, A., & Skokauskas, N. (2023). Impact of the Russian Invasionon Mental Health of Adolescents in Ukraine. J. Am. Acad. Child Adolesc. Psychiatry, 62(3), 335-343. DOI 10.1016/j.jaac.2022.07.845. DOI: https://doi.org/10.1016/j.jaac.2022.07.845

Madigan, D.J., & Curran, T. (2021). Does Burnout Affect Academic Achievement? A Meta-Analysis of over 100,000 Students. Educ. Psychol. Rev., 33, 387-405. DOI 10.1007/s10648-020-09533-1. DOI: https://doi.org/10.1007/s10648-020-09533-1

Maslach, C., & Jackson, S.E. (1986). Maslach burnout inventory manual. (2nd ed.). Palo Alto, CA: Consulting Psychologists Press.

Kaggwa, M.M., Kajjimu, J., Sserunkuma, J., Najjuka, S.M., Atim, L.M., Olum, R., … Bongomin, F. (2021). Prevalence of burnout among university students in low- and middle-income countries: A systematic review and meta-analysis. PLoSOne, 16(8). DOI 10.1371/journal.pone.0256402. DOI: https://doi.org/10.1371/journal.pone.0256402

Daryanto, B., Kurniawan, J., Wiranigitasari, Hioe, F., Nurhadi, P., & Yudhantara, D.S. (2023). Prevalence of burnout and its associated factors among medical students during COVID-19 pandemic in Indonesia: A cross-sectional study. PLoSOne, 18(6). DOI 10.1371/journal.pone.0285986. DOI: https://doi.org/10.1371/journal.pone.0285986

Kurapov, A., Danyliuk, I., Loboda, A., Kalaitzaki, A., Kowatsch, T., Klimash, T., & Predko, V. (2023). Six months into the war: a first-wave study of stress, anxiety, and depression among in Ukraine. Front. Psychiatry, 14. DOI 10.3389/fpsyt.2023.1190465. DOI: https://doi.org/10.3389/fpsyt.2023.1190465

Published

2023-12-05

How to Cite

Шульгай, А. Г., Fedchyshyn, N. O., & Shulhai, O. M. (2023). THE BURNOUT SYNDROME OF MEDICAL STUDENTS DURING THE WAR AND THE FACTORS THAT DETERMINE IT. Medical Education, (3), 104–111. https://doi.org/10.11603/m.2414-5998.2023.3.14276

Issue

Section

QUALITY IMPROVEMENT IN HIGHER MEDICAL EDUCATION