Resumen
Introducción: El síndrome de burnout (SB) está compuesto por el agotamiento emocional, despersonalización y baja realización personal. Es frecuente, pero a menudo es pasada por alto. La pandemia COVID-19 impactó la salud mental debido al aislamiento preventivo y pudo haber impactado o modificado factores adicionales que podrían afectar su prevalencia. Objetivo: Determinar la prevalencia y factores asociados a la presentación de SB durante la pandemia por COVID-19 Metodología: Estudio observacional, entre 416 estudiantes de medicina, datos sociodemográficos, académicos, personales y relacionados a COVID-19, se utilizó el cuestionario Maslach Burnout Inventory- Student Survey para determinar el SB en una cohorte durante la pandemia y 6 meses al finalizar el aislamiento, se realizó una regresión logística para cada subesacala y por el diagnostico de SB bidimensional y las variables con asociación significativa y estimaron sus odds ratio (OR). Resultados: La prevalencia de SB fue del 48,08 %, entre los 18 y 24 años, de VI y IX semestre y la mayoría fueron mujeres. La pandemia por COVID 19 no pareció significativamente en el diagnóstico de SB global, aunque entre los periodos de pandemia y postpandemia hubo un descenso del 9,13% (82,12% vs 72,99%, p= 0,029) en la subescala de agotamiento emocional y hubo aumento 12,07% (55,86% vs 67,93%) en la baja eficiencia personal percibida por los estudiantes (p= 0,033). Conclusión: El SB es prevalente en estudiantes de medicina y está asociado con cursar semestres de prácticas clínicas, consumo de alcohol y tabaco.
Citas
1 Wurm W, Vogel K, Holl A, Ebner C, Bayer D, Mörkl S, et al. Depression-Burnout Overlap in Physicians. PLoS One. 2016; 11(3): e0149913. doi: https://doi.org/10.1371/journal.pone.0149913
2. Neufeld A, Malin G. How medical students cope with stress: a cross-sectional look at strategies and their sociodemographic antecedents. BMC Med Educ. 2021; 25; 21(1): 299. doi: https://doi.org/10.1186/s12909-021-02734-4
3. Zuin DR, Peñalver F, Zuin MP. Síndrome de burnout o de agotamiento profesional en la Neurología argentina. Resultados de una encuesta nacional. Neurología Argentina. 2020; 12(1): 4–12. doi: https://doi.org/10.1016/j.neuarg.2019.09.005
4. Symonds C. Unipolar depression and dysthymia. Medicine (Abingdon). 2020; 48(11): 713–6. doi: https://doi.org/10.1016/j.mpmed.2020.08.002
5. Pradas-Hernández L, Ariza T, Gómez-Urquiza JL, Albendín-García L, De la Fuente EI, Cañadas-De la Fuente GA. et al. Prevalence of burnout in paediatric nurses: A systematic review and meta-analysis. PLoS One. 2018; 13(4): e0195039. doi: https://doi.org/10.1371/journal.pone.0195039
6. Hederich-Martínez C. Caballero-Domínguez CC. Validación del cuestionario Maslach Burnout Inventory-Student Survey (MBI-SS) en contexto académico colombiano. CES Psicología. 2016; 9(1): 1–15. doi: https://doi.org/10.21615/cesp.9.1.1
7. Al Tunaiji H, Al Qubaisi M, Dalkilinc M, Campos LA, Ugwuoke NV, Alefishat E, et al. Impact of COVID-19 Pandemic Burnout on Cardiovascular Risk in Healthcare Professionals Study Protocol: A Multicenter Exploratory Longitudinal Study. Front Med (Lausanne). 2020; 7. doi: https://doi.org/10.3389/fmed.2020.571057
8. Alameri F, Aldaheri N, Almesmari S, Basaloum M, Albeshr NA, Simsekler MCE, et al. Burnout and Cardiovascular Risk in Healthcare Professionals During the COVID-19 Pandemic. Front Psychiatry. 2022; 13. doi: https://doi.org/10.3389/fpsyt.2022.867233
9. López‐López IM, Gómez‐Urquiza JL, Cañadas GR, De la Fuente EI, Albendín‐García L, Cañadas‐De la Fuente GA. Prevalence of burnout in mental health nurses and related factors: a systematic review and meta‐analysis. Int J Ment Health Nurs. 2019; 28(5): 1035–44. doi: https://doi.org/10.1111/inm.12606
10. Brown SD, Goske MJ, Johnson CM. Beyond substance abuse: stress, burnout, and depression as causes of physician impairment and disruptive behaviorBeyond substance abuse: stress, burnout, and depression as causes of physician impairment and disruptive behavior. J Am Coll Radiol. 2009; 6(7): 479-485. doi: https://doi.org/10.1016/j.jacr.2008.11.029
11. Mian A, Kim D, Chen D, Ward WL. Medical Student and Resident Burnout: A Review of Causes, Effects, and Prevention. J Fam Med Dis Prev. 2018; 4(4). doi: https://doi.org/10.23937/2469-5793/1510094
12. Rodrigues H, Cobucci R, Oliveira A, Cabral JV, Medeiros L, Gurgel K, et al. Burnout syndrome among medical residents: A systematic review and meta-analysis. PLoS One. 2018; 13(11): e0206840. doi: https://doi.org/10.1371/journal.pone.0206840
13. Suárez Cadavid E, Lemos M, Ruiz González EP, Krikorian A. Relación entre empatía, compasión y Burnout en estudiantes de medicina, residentes y profesionales médicos de Medellín. Revista Logos Ciencia & Tecnología. 2022; 14(3): 59–72. doi: https://doi.org/10.22335/rlct.v14i3.1644
14. Hill MR, Goicochea S, Merlo LJ. In their own words: stressors facing medical students in the millennial generation. Med Educ Online. 2018; 23(1): 1530558. doi: https://doi.org/10.1080/10872981.2018.1530558
15. Mollica RF, Fernando DB, Augusterfer EF. Beyond Burnout: Responding to the COVID-19 Pandemic Challenges to Self-care. Curr Psychiatry Rep. 2021; 23(4): 21. doi: https://doi.org/10.1007/s11920-021-01230-2
16. Amor E, Baños JE, Sentí M. Prevalencia del síndrome de burnout entre los estudiantes de medicina y su relación con variables demográficas, personales y académicas. Revista de la Fundación Educación Médica. 2020; 23(1): 25. doi: https://dx.doi.org/10.33588/fem.231.1036
17. Soares DS, Chan L. Stress and wellbeing of junior doctors in Australia: a comparison with American doctors and population norms. BMC Med Educ. 2016; 16(1): 183. doi: https://doi.org/10.1186/s12909-016-0693-2
18. Goh J, Pfeffer J, Zenios SA. The Relationship Between Workplace Stressors and Mortality and Health Costs in the United States. Manage Sci. 2016; 62(2): 608–28. doi: http://dx.doi.org/10.1287/mnsc.2014.2115
19. Duncan S, & Pond R. Effective burnout prevention strategies for counsellors and other therapists: a systematic review and meta-synthesis of qualitative studies. Counselling Psychology Quarterly. 2024; 1–30. doi: https://doi.org/10.1080/09515070.2024.2394767
20. Mirza AA, Baig M, Beyari GM, Halawani MA, Mirza AA. Depression and Anxiety Among Medical Students: A Brief Overview. Adv Med Educ Pract. 2021; 12: 393–8. doi: https://doi.org/10.2147/AMEP.S302897
21. Hou Y, Fu H. Job Burnout and Its Relevant Factors among Medical Interns. SHS Web of Conferences. 2021; 96: 02002. doi: https://doi.org/10.1051/shsconf/20219602002
22. Serrano FT, Calderón Nossa LT, Gualdrón Frías CA, Mogollón G JD, Mejía CR. Síndrome de burnout y depresión en estudiantes de una escuela médica colombiana, 2018. Rev Colomb Psiquiatr. 2023; 52(4): 345–51. doi: https://doi.org/10.1016/j.rcp.2021.09.001
23. Gómez-Ospina JC, García-Perdomo HA. Prevalencia y factores asociados al síndrome de burnout y engagement en estudiantes de ciencias de la salud en una universidad pública (2019). Rev Colomb Psiquiatr. 2022: 53(3): 310-317. doi: https://doi.org/10.1016/j.rcp.2022.10.002
24. González Arteta I del C, Rocha Carrascal M, Álvarez Barboza FM. Prevalencia de síndrome de Burnout en estudiantes de medicina de una institución universitaria de Cartagena-Colombia. Revista Médica de Risaralda. 2023; 29(1): 27-37. doi: https://doi.org/10.22517/25395203.25088
25. Frajerman A, Morvan Y, Krebs MO, Gorwood P, Chaumette B. Burnout in medical students before residency: A systematic review and meta-analysis. European Psychiatry. 2019; 55: 36–42 doi: https://doi.org/10.1016/j.eurpsy.2018.08.006
26. Zis P, Artemiadis A, Bargiotas P, Nteveros A, Hadjigeorgiou GM. Medical Studies during the COVID-19 Pandemic: The Impact of Digital Learning on Medical Students’ Burnout and Mental Health. Int J Environ Res Public Health. 2021; 18(1): 349. doi: https://doi.org/10.3390/ijerph18010349
27. Gil-Calderón J, Alonso-Molero J, Dierssen-Sotos T, Gómez-Acebo I, Llorca J. Burnout syndrome in Spanish medical students. BMC Med Educ. 2021; 21(1): 231. doi: https://doi.org/10.1186/s12909-021-02661-4
28. Thun-Hohenstein L, Höbinger-Ablasser C, Geyerhofer S, Lampert K, Schreuer M, Fritz C. Burnout in medical students. neuropsychiatrie. 2021; 35(1): 17–27. doi: https://doi.org/10.1007/s40211-020-00359-5
29. Jezzini-Martinez S, Martinez-Garza JH, Quiroga-Garza A, Quiroz-Perales XG, Gil-Flores L, de la Fuente-Villarreal D, et al. Assessment of burnout syndrome and associated factors among medical students during the COVID-19 pandemic. J Affect Disord Rep. 2023; 14: 100616. doi: https://doi.org/10.1016/j.jadr.2023.100616
30. Liu H, Yansane AI, Zhang Y, Fu H, Hong N, Kalenderian E. Burnout and study engagement among medical students at Sun Yat-sen University, China. Medicine. 2018; 97(15): e0326. doi: https://doi.org/10.1097/MD.0000000000010326
31. Mion G, Hamann P, Saleten M, Plaud B, Baillard C. Psychological impact of the COVID-19 pandemic and burnout severity in French residents: A national study. Eur J Psychiatry. 2021; 35(3): 173–80. doi: https://doi.org/10.1016/j.ejpsy.2021.03.005
32. Macía-Rodríguez C, Andreu-Ansola J, Alejandre de Oña A, Martín-Iglesias D, Montaño-Martínez A, Moreno-Díaz J. Aumento del síndrome de burnout en los adjuntos de Medicina Interna durante la pandemia de COVID-19. Rev Clin Esp. 2023; 223(5): 316–9. doi: https://doi.org/10.1016/j.rce.2022.12.009
33. Muaddi MA, El-Setouhy M, Alharbi AA, Makeen AM, Adawi EA, Gohal G, et al. Assessment of Medical Students Burnout during COVID-19 Pandemic. Int J Environ Res Public Health. 2023; 20(4): 3560. doi: https://doi.org/10.3390/ijerph20043560
34. Abedini NC, Stack SW, Goodman JL, & Steinberg, K. P. “it’s not just time off”: A framework for understanding factors promoting recovery from burnout among internal medicine residents. Journal of Graduate Medical Education. 2018; 10(1): 26–32. doi: https://doi.org/10.4300/JGME-D-17-00440.1
35. Benavides Mora VK, Palacios Díaz AJ, Zambrano Guerrero CA. Relación entre el Burnout Académico y la Autoestima, en estudiantes de pregrado de Medicina. Informes psicológicos. 2020; 20(1): 19–31. doi: https://doi.org/10.18566/infpsic.v20n1a02
36. Ong RSR, Wong RSM, Chee RCH, Quek CWN, Burla N, Loh CYL, et al. A systematic scoping review moral distress amongst medical students. BMC Med Educ. 2022; 22(1): 466. doi: https://doi.org/10.1186/s12909-022-03515-3
37. Khalifah W, Abu-Yusef M, Abed-Elhadi A, Barq A, Yassen M, Hanani A, et al. Exams-related stress and the pattern of substance use and misuse among Palestinian medical and health sciences students. Discover Psychology. 2023; 3(1): 36. doi: https://doi.org/10.1007/s44202-023-00098-y
38. Xia L, Jiang F, Rakofsky J, Zhang Y, Zhang K, Liu T, et al. Cigarette Smoking, Health-Related Behaviors, and Burnout Among Mental Health Professionals in China: A Nationwide Survey. Front Psychiatry. 2020; 11. doi: https://doi.org/10.3389/fpsyt.2020.00706
39. Ilic I, Ilic M. Cigarette Smoking and Burnout Syndrome among Medical Students at University of Kragujevac, Serbia. In: The 3rd International Electronic Conference on Brain Sciences. Basel Switzerland: MDPI; 2022: 19(1): 2. doi: https://doi.org/10.3390/IECBS2022-12941
40. Zheng Y, Tang PK, Lin G, Liu J, Hu H, Wu AMS, et al. Burnout among healthcare providers: Its prevalence and association with anxiety and depression during the COVID-19 pandemic in Macao, China. PLoS One. 2023; 18(3): e0283239. doi: https://doi.org/10.1371/journal.pone.0283239
41. Zuniga LM, Schuh A, Schwartz A, Seo-Mayer P, Cramton R, Sieplinga K, et al. Burnout During the COVID-19 Pandemic: A Report on Pediatric Residents. Acad Pediatr. 2023; 23(8): 1620–7. doi: https://doi.org/10.1016/j.acap.2023.05.004
42. Turhan D, Schnettler T, Scheunemann A, Gadosey CK, Kegel LS, Bäulke L, et al. University students’ profiles of burnout symptoms amid the COVID-19 pandemic in Germany and their relation to concurrent study behavior and experiences. Int J Educ Res. 2022; 116: 102081. doi: https://doi.org/10.1016/j.ijer.2022.102081
43. Smallwood N, Bismark M, Willis K. Burn-out in the health workforce during the COVID-19 pandemic: opportunities for workplace and leadership approaches to improve well-being. BMJ Leader. 2023; 7(3): 178–81. doi: https://doi.org/10.1136/leader-2022-000687
44. Zúñiga D, Torres-Sahli M, Nitsche P, Echeverría G, Pedrals N, Grassi B, et al. Reduced burnout and higher mindfulness in medical students after a self-care program during the COVID-19 pandemic. Rev Med Chil. 2021; 149(6): 846–55. doi: https://doi.org/10.4067/s0034-98872021000600846
45. Martelo Gómez RJ, Franco Borré DA, Muñoz Rojas D. Burnout académico causado por la virtualidad como modalidad de aprendizaje, derivada de la pandemia de Covid-19. Revista Boletín Redipe. 2022; 10(13): 312–20. doi: https://doi.org/10.36260/rbr.v10i13.1747
46. Montoya-Restrepo IA, Rojas-Berrío SP, Montoya-Restrepo LA. Burnout estudiantil por covid-19. Un estudio en universidades colombianas. PANORAMA. 2022; 16(30). doi: https://revistas.poligran.edu.co/index.php/panorama/article/view/3131

Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
Derechos de autor 2025 Andrés F Salazar-Urbano, Mariana Sanchez, Carolina Alcalá, Magally Escobar, Jonathan A Güezgüan
