The Impact of COVID-19 on Fatigue in Multiple Sclerosis.

BACKGROUND: Although the COVID-19 quarantine required everyone to make lifestyle changes, it may have had especially profound implications for individuals who experience multiple sclerosis (MS)-related fatigue. Individuals with MS who suffer from fatigue are at risk of worsening symptoms and already predisposed to inactivity and social isolation. The objective of this study was to examine the impact of the COVID-19 national quarantine and related restrictions on mental, emotional, and physical fatigue in persons with MS in the United States. METHODS: We conducted a survey open to all adults (>18 years) with MS within the United States. The survey gathered demographic information and asked how the COVID-19 pandemic impacted their physical, mental, and emotional fatigue. RESULTS: The survey was completed by 600 individuals, 478 with relapsing MS and 122 with progressive MS. There was a significant 2-way interaction of time by fatigue type; both physical and emotional fatigue significantly increased during the pandemic (P <.01) and remained significantly higher after the pandemic than prior to the pandemic (P <.01). Mental fatigue increased significantly during the pandemic (P <.01) and although it remained higher, on average, after the pandemic, it was not significantly different from the level before the pandemic. CONCLUSIONS: Individuals with MS experienced increases in physical, mental, and emotional fatigue over the course of the COVID-19 quarantine. Even after the lifting of quarantine restrictions, these levels have not returned to baseline. To adequately address fatigue, it is critical that health care professionals inquire about all types of fatigue in persons with MS.

Identificación de dimensiones del síndrome de burnout en estudiantes de Contaduría y Finanzas / Identification of dimensions of burnout syndrome in Accounting and Finance students / Identificação das dimensões da síndrome de burnout em estudantes de Contabilidade e Finanças

El síndrome de burnout, también conocido como síndrome del desgaste o agotamiento físico y mental, constituye un problema de gran repercusión social en nuestros días. Objetivo. Identificar las dimensiones del síndrome de Burnout en estudiantes universitarios de la Carrera de Contaduría y Finanzas. Materiales y Método. Se desarrolló bajo un diseño observacional de corte transversal. En este sentido, un total de 161 estudiantes participaron en la investigación. Se utilizó el Maslach Burnout Inventory for Educators. Resultados. Los participantes al ser clasificados en las diferentes dimensiones del síndrome burnout mostraron como regularidad diferencias significativas (p<1.056e-06), (p<1.199e-10), (p<1.309e-13) con 74 (46%) y 57 (35%), 85 (53%) y 47 (29%) y 91 (56%) y 39 (24%) para los niveles bajo y alto de las dimensiones agotamiento emocional, cinismo e ineficacia profesional, respectivamente. No se encontraron asociaciones estadísticas entre las dimensiones del síndrome y las variables edad, género y estado civil de los participantes. Conclusión. Existen diferencias significativas entre los valores de las dimensiones del síndrome de burnout en estudiantes de la Carrera de Contaduría y Finanzas; la mayor cantidad de participantes clasifican en los niveles bajo y alto de las tres dimensiones. Por otro lado, no se observaron asociaciones estadísticas al clasificar a los participantes según edad, género y estado civil. Estos hallazgos brindan información relevante sobre la prevalencia de las dimensiones del síndrome de burnout en estudiantes, lo que puede ser útil para el desarrollo de estrategias de prevención y apoyo.

Burnout syndrome, also known as burnout syndrome or physical and mental exhaustion, is a problem of great social repercussion nowadays. Objective. To identify the dimensions of burnout syndrome in university students of Accounting and Finance. Materials and Method. The study was developed under a cross-sectional observational design. In this sense, a total of 161 students participated in the research. The Maslach Burnout Inventory for Educators was used. Results. The participants when classified in the different dimensions of burnout syndrome showed as regularity significant differences (p<1.056e-06), (p<1.199e-10), (p<1.309e-13) with 74 (46%) and 57 (35%), 85 (53%) and 47 (29%) and 91 (56%) and 39 (24%) for the low and high levels of the dimensions emotional exhaustion, cynicism and professional inefficacy, respectively. No statistical associations were found between the dimensions of the syndrome and the variables age, gender and marital status of the participants. Conclusion. There are significant differences between the values of the dimensions of burnout syndrome in Accounting and Finance students; most participants are classified in the low and high levels of the three dimensions. On the other hand, no statistical associations were observed when classifying participants according to age, gender and marital status. These findings provide relevant information on the prevalence of the dimensions of burnout syndrome in students, which may be useful for the development of prevention and support strategies.

A síndrome de burnout, também conhecida como síndrome de esgotamento ou exaustão física e mental, é um problema com grandes repercussões sociais nos dias de hoje. Objetivos. Identificar as dimensões da Síndrome de Burnout em estudantes universitários de Contabilidade e Finanças. Material e Método. O estudo foi realizado através de um desenho observacional transversal. Participaram da pesquisa 161 estudantes. Foi utilizado o Maslach Burnout Inventory for Educators. Resultados. Os participantes quando classificados nas diferentes dimensões da síndrome de burnout apresentaram regularmente diferenças significativas (p<1,056e-06), (p<1,199e-10), (p<1,309e-13) com 74 (46%) e 57 (35%), 85 (53%) e 47 (29%) e 91 (56%) e 39 (24%) para os níveis baixo e alto das dimensões exaustão emocional, cinismo e ineficácia profissional, respetivamente. Não foram encontradas associações estatísticas entre as dimensões da síndrome e as variáveis idade, género e estado civil dos participantes. Conclusões. Existem diferenças significativas entre os valores das dimensões da síndrome de burnout em estudantes de Contabilidade e Finanças; a maioria dos participantes está classificada nos níveis baixo e alto das três dimensões. Por outro lado, não foram observadas associações estatísticas ao classificar os participantes de acordo com a idade, o género e o estado civil. Estes resultados fornecem informações relevantes sobre a prevalência das dimensões da síndrome de burnout em estudantes, o que pode ser útil para o desenvolvimento de estratégias de prevenção e apoio.

Multidisciplinary analysis of cancer-related fatigue at the time of diagnosis: preliminary results of the BIOCARE FActory cohort.

PURPOSE: Cancer-related fatigue (CRF) is a common side effect of cancer and cancer treatment that significantly impairs the quality of life and can persist for years after treatment completion. Although fatigue is often associated with cancer treatment, it is also a result of the disease itself, even before intervention. CRF at the time of diagnosis may affect treatment timing or completion and is a consistent predictor of post-treatment fatigue at any time. The mechanisms underlying CRF are multidimensional and not well understood, particularly at the time of diagnosis. METHODS: Sixty-five breast cancer patients at the time of diagnosis were included. The participants completed self-assessment questionnaires about CRF, sleep disturbances, and emotional symptoms and wore an accelerometer to assess levels of spontaneous physical activity and sleep quality. During the experimental session, the participants underwent cognitive, neuromuscular, and exercise metabolism evaluations. RESULTS: Using augmented backward elimination regression, this study found that emotional symptoms and perceived sleep disturbances were the strongest predictors of CRF (adjusted r2 = 0.51). Neuromuscular fatigability and sleep disturbance were also associated with physical dimensions, whereas cognitive performance was associated with cognitive dimensions. CONCLUSION: At the time of diagnosis, emotional and cognitive dimensions are over-represented compared to the general population, and specific subdimensions have specific predictors that support the idea of distinct mechanisms. Evaluating CRF subdimensions and their potential mechanisms at the time of diagnosis would be particularly relevant for identifying high-risk patients and offering them appropriate interventions. TRIAL REGISTRATION: This study was registered at ClinicalTrials.gov (NCT04391543) in May, 2020.

Prevalencia de Síndrome de Burnout en estudiantes de medicina de una institución universitaria de Cartagena-Colombia

Introducción: Los estudiantes universitarios se ven envueltos en situaciones de estrés y ansiedad que afectan su proceso académico y calidad de vida. Sin el acompañamiento adecuado, el estrés puede desencadenar en problemas psicológicos mayores, tales como el Síndrome de Burnout. Objetivo: Identificar la prevalencia del Síndrome de Burnout en estudiantes de medicina de una institución universitaria en Cartagena durante el primer período del año 2019. Materiales y Métodos: Estudio descriptivo de tipo cuantitativo, la población fueron estudiantes del programa de medicina de una institución universitaria de Cartagena, matriculados en el primer período del año 2019, se aplicó el test de Maslach Burnout Inventory Student Survey (MBI-SS-1981), el cual mide tres parámetros indicadores de Síndrome de Burnout. Resultados: Se realizaron 383 encuestas, el 63% fueron de género femenino, el 91,7% son solteros, el 53% está entre los 20 y los 25 años, la prevalencia del Síndrome de Burnout fue de 30.8%. Conclusión: El Síndrome de Burnout en los estudiantes del programa de medicina de la institución Universitaria de la ciudad de Cartagena presenta una prevalencia importante, por tanto, es necesario diseñar estrategias que permitan su prevención.

Introduction: University students are involved in situations of stress and anxiety that affect their academic process and quality of life. Without the proper accompaniment, stress can trigger major psychological problems, such as Burnout Syndrome. Objective: To identify the prevalence of Burnout Syndrome in medical students of a university institution in Cartagena during the first period of 2019. Materials and Methods: Descriptive quantitative study, the population were students of the medicine program of a university institution in Cartagena, enrolled in the first period of 2019, the Maslach Burnout Inventory Student Survey (MBI-SS-1981) test was applied, which measures three indicator parameters of Burnout Syndrome.. Results: 383 surveys were carried out, 63% were female, 91.7% are single, 53% are between 20 and 25 years old, the prevalence of Burnout Syndrome was 30.8%. Conclusion: The Burnout Syndrome in the students of the medicine program of the University institution of the city of Cartagena presents an important prevalence, therefore, it is necessary to design strategies that allow its prevention.

"It's your Liangxin that tells you what to do": Interpreting workplace-induced emotions in a Chinese nursing home.

How Direct Care Workers (DCWs) interpret their work and perform care activities undeniably impacts the well-being of institutionalized older adults. Despite the emotionally charged nature of paid care work, little is known about how Chinese DCWs talk about their work and construct meaning within China's unique social context of a burgeoning institutional care market and changing cultural expectations for long-term care. This study qualitatively explored Chinese DCWs' emotion work as they navigate among institutional pressures and low social recognition in an urban government-sponsored nursing home in central China. Results revealed that DCWs used Liangxin (the good heart/mind) - a ubiquitous Chinese moral notion emphasizing the unity of feeling, thought, and action - as an interpretive framework, including its four dimensions (ceyin, xiue, cirang, and shifei), to inform care practice, manage emotions, and find dignity within what can be personally demeaning and socially devalued work. Our study delineated the processes through which DCWs sympathized with the pain and struggles of the older adults in their care (ceyin xin), shamed unjust attitudes and behaviors embedded in institutional care (xiue xin), delivered family-like relational care (cirang xin), and formed and reinforced principles of good (versus bad) care (shifei xin). We also revealed the nuanced role that the cultural value of xiao (filial piety), working in tandem with liangxin, both shaped the emotional terrain of the institutional care setting and impacted how DCWs engaged in emotion work. While recognizing the effect of liangxin for incentivizing DCWs to provide relational care and renegotiate their role status, we were also alerted to the risks of overburdening and exploiting DCWs who relied solely on their liangxin to meet complex care needs.

Coping With Students' Stress and Burnout: Learners' Ambiguity of Tolerance.

In the learning milieu, academic stress is deemed as the most general mental condition that learners encounter throughout their educational process, and it has been viewed as one of the most central issues not only in general education but also specifically in language learning. Likewise, burnout has been the main point in this situation. The comprehensive sources of stress and the reasons for burnout are pinpointed in the literature so realizing their association with other aspects such as coping strategies, namely tolerance of uncertainty, are at the center of attention as it may help reduce burnout and decrease the level of stress. To this end, the goal of the present study is to prove the influence of the tolerance of ambiguity in explaining the role of stress and burnout. Briefly, some implications are set forth for the educational stakeholders.

Síndrome de Burnout en psiquiatras de Pinar del Río / Burnout syndrome in Psychiatrists from Pinar del Río Province

Introducción: Las frecuentes quejas expresadas por profesionales de diferentes especialidades vinculadas a las tensiones generadas por el trabajo favorecen conductas que expresan agotamiento emocional, pérdida de interés en el trabajo y actitudes indiferentes ante las personas a las cuales atiende, lo que ha sido llamado síndrome de burnout. La apreciable frecuencia en que estas manifestaciones son expresadas por los colegas motivó la realización de la investigación. Objetivo: Identificar la presencia del síndrome de burnout en un grupo de psiquiatras de la provincia de Pinar del Río. Métodos: Se realizó una investigación transversal mediante la aplicación del Maslach Burnout Inventory a 35 psiquiatras de la provincia Pinar del Río, se utilizó el método porcentual de cálculo. Resultados: Se identificaron 12 profesionales (34,2 por ciento) que se les diagnosticó síndrome de burnout o en riesgo, así como una baja incidencia de casos en los 10 primeros años de graduado como médico, no así en los psiquiatras en que sí se diagnosticó mayoritariamente en los primeros años de ejercer la especialidad. La relación mental estable presupone un mayor riesgo de padecer el síndrome o estar en riesgo. Conclusiones: El síndrome de burnout o el riesgo de padecerlo se diagnosticó en poco más de un tercio de los psiquiatras, la relativa alta frecuencia del síndrome en los que tienen pareja estable pudiera atribuirse a otros factores que gravitan junto a los vinculados al trabajo y no a este solamente(AU)

Introduction: Complaints frequently expressed by professionals from different specialties and related to the tensions produced by work may provoke behaviors consistent with emotional exhaustion, loss of interest in work and indifferent attitudes towards the people they attend. This has been called burnout syndrome. The appreciable frequency in which these manifestations are expressed by colleagues motivated this research. Objective: To identify the presence of burnout syndrome in a group of psychiatrists in Pinar del Río Province. Methods: A cross-sectional research was carried out through the application of the Maslach Burnout Inventory to 35 psychiatrists from Pinar del Río Province. The percentage method of calculation was used. Results: Twelve professionals (34.2 percent) were identified as diagnosed with burnout syndrome or at risk of it, together with a low incidence of cases in the first ten years after graduating as a medical doctor; but not among psychiatrists, in which it was diagnosed mostly in the first years of practicing the specialty. The stable mental relationship presupposes a greater risk for suffering from the syndrome or for being at risk. Conclusions: Burnout syndrome or the risk of suffering from was diagnosed in just over one third of psychiatrists. The relative high frequency of the syndrome in those with a stable partner could be attributed to other factors together with those related to work and not to this alone(AU)

Work-Family Conflict, Emotional Intelligence, and General Self-Efficacy Among Medical Practitioners During the COVID-19 Pandemic.

PURPOSE: In Pakistan, medical professionals face multiple challenges comprising long, fixed working hours and workload overburdening, which leads to emotional fatigue. These conflicts in work-life scenarios, brought about by high work demands causing emotional exhaustion, can create a state of distress among the medical professionals. The present study investigates the association between work-family conflict (WFC), emotional intelligence (EI), and self-efficacy (SE) among medical practitioners during COVID-19 in Pakistan. PATIENTS AND METHODS: The study sample included 140 medical professionals from Rawalpindi and Islamabad. Cross-section correlational research design was used, and information was gathered employing online surveys through a purposive sampling technique. The scales utilized were the WFC, EI, and SE Scale. RESULTS: The current study hypothesized a significant relationship between work-family conflict, general self-efficacy (GSE) and emotional intelligence among medical practitioners during COVID-19 in Pakistan. The results showed that those with more family-to-work conflict had less EI and GSE. Furthermore, findings uncovered that there is a significant positive relationship between EI and GSE. CONCLUSION: The findings propose that it is important for medical professionals to have a high level of EI and GSE to navigate through the WFC more healthily. In future, awareness seminars could be arranged related to EI and its significance to stimulate the psychological well-being of medical professionals. Future studies could also consider other healthcare workers, including nurses and internees doing house jobs and other medical staff, as they are also exposed to several stresses due to the workload and family demands.

[Psychological vulnerability of teams working with displaced Syrians in Lebanon]. / Vulnérabilité psychique des équipes, expérience libanaise auprès des déplacés syriens.

In the context of the humanitarian crisis of Syrian refugees in Lebanon, a team of young Lebanese social workers attempted to identify the most economically vulnerable people. These professionals have themselves sometimes been exposed to social and economic difficulties, having in their own past experienced war and deprivation. They were confronted with experiences of war, poverty, inter-community conflicts, the recollection of their own family trauma or guilt. Support in the form of psychological care was provided to them.

El Síndrome de Burnout: un riesgo permanente en el trabajo de enfermería / Burnout syndrome: a permanent risk in the nursing work

Los psicólogos hablan del Síndrome de Burnout desde los años 70. Este hace referencia al desgaste profesional y estrés producido por el desgaste que se da entre las expectativas de cada profesional y la realidad misma del trabajo. Cuando no se consiguen los resultados y objetivos propuestos, a pesar de haberse intentado por todos los medios y de acuerdo con sus posibilidades, hace su aparición el sentimiento que puede desencadenar el & quot; estar quemado & quot; o síndrome de Burnout. De El Burnot se trata de un Síndrome clínico descrito en 1974 por Freudemberg, Psiquiatra que trabajaba en una clínica para toxicómanos en Nueva York. Observó que al año de trabajar, la mayoría de los voluntarios sufría una progresiva pérdida de energía, hasta llegar al agotamiento, síntomas de ansiedad y de depresión, así como desmotivación en su trabajo y agresividad con los pacientes. Cuando se trabaja sin ilusión, e incluso en desagrado, con frecuencia se debe a la aparición del síndrome de Burnout o síndrome del quemado. Este mal afecta, sobre todo a aquellos cuyo trabajo tiene una repercusión directa sobre la vida de otras personas Profesores, médicos o Enfermeras son algunos de los profesionales que padecen este tipo de síndrome.

Psychologists have been speaking about Burnout Syndrome since 1970s. This refers to professional erasion and stress, produced by maladjustment given among each professional´s expectancies and the job reality itself. When the proposed results and proposssals are not achieved, desite having attempted in all ways and within all possibilities, the frustration feeling appears and could unchain the sense of "being burned" or the Burnout syndrome. The "burnout" is aclinical syndrome described in 1974 by Freudemberg, psychiatrist, who worked at a drugaddiction clinic in New York. When he had worked there for a year, he observed that most volunteers suffered a progressive energy loss up to the exhaustion, and presented sympotorns such as anxiety and depression, as well as a decrease in motivation for their work, and aggressiveness with the patients. When someone works without illusion, and even with disgust, frequently it is due to the beginning of Burnout syndrome or the burnt syndrome. This illness affects mostly those whose work has a direct repercussion on other people lives: teachers, doctors or nurses, are some of the professiionals affected by this kind of syndrome.