Universität zu Köln

Clemens, Vera, Beschoner, Petra, Jarczok, Marc N. ORCID: 0000-0002-6055-385X, Weimer, Katja, Kempf, Maximilian, Morawa, Eva, Geiser, Franziska ORCID: 0000-0002-4212-9692, Albus, Christian, Steudte-Schmiedgen, Susan, Guendel, Harald, Fegert, J. M. and Jerg-Bretzke, Lucia (2021). The mediating role of COVID-19-related burden in the association between adverse childhood experiences and emotional exhaustion: results of the egePan - VOICE study. Eur. J. Psychotraumatol., 12 (1). ABINGDON: TAYLOR & FRANCIS LTD. ISSN 2000-8066

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Abstract

Background Adverse childhood experiences (ACEs) increase the risk for mental health problems. However, there is a lack of data targeting the role of ACEs for one of the most prevalent mental health problems in health-care professionals: burnout. Objective We aimed to assess the relationship between ACEs and the core burnout dimension 'emotional exhaustion' (EE). As health-care professionals have been facing particular challenges during the COVID-19 pandemic, we furthermore aimed to assess the role of COVID-19 associated burden in the interplay between ACEs and EE. Methods During the first lockdown in Germany, a total of 2500 medical healthcare professionals were questioned in a cross-sectional online survey. Questions targeted, among others, sociodemographics, ACEs, COVID-19-associated problems (e.g. increase of workload, worries about relatives and patients) and emotional exhaustion, measured by the respective dimension of the Maslach Burnout Inventory (MBI). Results In German health-care professionals, ACEs were associated with a higher EE score. The number of experienced ACEs was associated with the majority of assessed COVID-19-associated problems. An increasing number of ACEs predicted higher EE scores, controlling for gender. The association between ACEs and EE was mediated significantly by COVID-19-associated problems. These included maladaptive coping strategies such as increased smoking, drinking and use of antidepressants/tranquilizers, feeling less protected by measures of the employee or the state, a greater feeling of being burdened by COVID-19-associated problems and greater exhaustion and sleep problems. Conclusion Our findings suggest ACEs as significant risk factor for EE in German health-care professionals. The current pandemic means a significant burden that further pronounces this risk.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Clemens, Vera UNSPECIFIED UNSPECIFIED UNSPECIFIED Beschoner, Petra UNSPECIFIED UNSPECIFIED UNSPECIFIED Jarczok, Marc N. UNSPECIFIED orcid.org/0000-0002-6055-385X UNSPECIFIED Weimer, Katja UNSPECIFIED UNSPECIFIED UNSPECIFIED Kempf, Maximilian UNSPECIFIED UNSPECIFIED UNSPECIFIED Morawa, Eva UNSPECIFIED UNSPECIFIED UNSPECIFIED Geiser, Franziska UNSPECIFIED orcid.org/0000-0002-4212-9692 UNSPECIFIED Albus, Christian UNSPECIFIED UNSPECIFIED UNSPECIFIED Steudte-Schmiedgen, Susan UNSPECIFIED UNSPECIFIED UNSPECIFIED Guendel, Harald UNSPECIFIED UNSPECIFIED UNSPECIFIED Fegert, J. M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Jerg-Bretzke, Lucia UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-593612
DOI:	10.1080/20008198.2021.1976441
Journal or Publication Title:	Eur. J. Psychotraumatol.
Volume:	12
Number:	1
Date:	2021
Publisher:	TAYLOR & FRANCIS LTD
Place of Publication:	ABINGDON
ISSN:	2000-8066
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language BURNOUT; RESIDENTS; ADULTS; IMPACT; CARE Multiple languages Psychology, Clinical; Psychiatry Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/59361