Burnout and Fear of COVID-19 among Medical Students in Japan

Impact of infection history, gender, and social support

https://doi.org/10.56741/jphs.v3i01.466

Authors

Keywords:

Burnout, Gender, Good health , Medical students, Social support, Well-being

Abstract

The COVID-19 pandemic caused significant changes in medical students' lives and study methods, with online learning replacing in-person classes and limited opportunities for clinical practice. However, there are few studies about burnout and fear of COVID-19 among medical students, especially in East Asia, and a need for research investigating the impact of gender, a history of COVID-19 infection, and social support. In March 2022, we conducted a cross-sectional web-based survey of 4th/5th year medical students who completed a clinical clerkship in Japan. Our survey included the Japan Burnout Scale (JBS, range 5-85, comprising of emotional exhaustion, depersonalization and reduced personal accomplishment), fear of COVID-19 scale (range, 1-4), gender, school year, COVID-19 history, household composition, online education use, and financial burden. There were 343 respondents and 42.4% were women. Multivariable adjusted linear regression analyses showed that students with a COVID-19 infection history had significantly higher overall burnout, depersonalization, reduced personal accomplishment, and lower fear of COVID-19. Students with low social support (living alone and greater financial burden) had higher overall burnout, emotional exhaustion, and depersonalization. Gender had no significant effect on burnout (mean JBS among women was 38.6 versus 39.3 among men). Gender significantly predicted fear of COVID-19, with women scoring higher (1.60 versus 1.50). The findings of the present study have implications that medical schools should provide pastoral care for their students according to students’ circumstances, especially those who live alone, have a high financial burden, and/or were infected with COVID-19.

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Author Biographies

Misa Tomono, The Jikei University Hospital

is a final-year bachelor of medicine student at Jikei University School of Medicine. Besides the school curriculum, she devotes herself to public health research. Her previous research about the mental well-being of employees during the COVID-19 pandemic received the top cited articles of 2021-2022 in a journal.   

Shinto Ando, Minami Seikyo Hospital

is an medical trainee at the general hospital, Minami Seikyo Hospital. He is also under MBA cource at Graduate School of Management, GLOBIS University.

Dr. Caroline Kamau-Mitchell, University of London

completed her BSc and PhD at the University of Kent, is a Fellow of the Higher Education Academy, a Fellow of the Royal Society of Medicine, and is a Reader (equivalent to Associate Professor) in Occupational Health at Birkbeck, University of London.

Shiichi Ihara, Tokyo Bay Urayasu Ichikawa Medical Center

is a doctor of general internal medicine at Chiba University Hospital, Japan. He graduated from Chiba University School of Medicine with an MD degree. His research interests encompass public health, social epidemiology, and the social determinants of health. 

Ayana Isobe, MD., Sado General Hospital

is a clinician at Sado General Hospital, Niigata, Japan and a graduate from the Medical School at Kyoto Prefectural University of Medicine, Kyoto, Japan, obtaining her degree in 2022. Her academic focus has been on emerging infectious diseases and the management of healthcare resources.

Hatsune Kido, Kumamoto University School of Medicine

is affiliated with Kumamoto University School of Medicine, Japan. (email: 165m1038@st.kumamoto-u.ac.jp).

Shohei Sanji, National Center for Global Health and Medicine Hospital

is linked to the National Center for Global Health and Medicine Hospital, Japan. (email: ssanji@hosp.ncgm.go.jp)

Taisei Watanabe, International University of Health and Welfare

 is affiliated with the International University of Health and Welfare, Japan. (email: 18a1138@g.iuhw.ac.jp).

Haruka Tokuda, Ryukyus School of Medicine

Haruka Tokuda is associated with the University of the Ryukyus School of Medicine, Japan. (email:  haruka.loves.to.travel@gmail.com)

David Itokazu, Okinawa Asia Clinical Investigation Synergy

is linked to Okinawa Asia Clinical Investigation Synergy, Japan. (email: itokazudavid@icloud.com).

Dr. Yasuharu Tokuda, MD, MPH, PhD., Tokyo Foundation for Policy Research

completed his MPH at the Harvard Chan School of Public Health, is the Director of the Muribushi Okinawa Center for Teaching Hospitals, Adjunct Professor of four universities (Tsukuba University, University of Ryukyus, St. Marianna University, and Dokkyo University), and International Consultant of the Taiwan Society of Hospital Medicine.

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Published

2024-01-26

How to Cite

Tomono, M., Ando, S., Kamau-Mitchell, C., Ihara, S., Isobe, A., Kido, H., Sanji, S., Watanabe, T., Tokuda, H., Itokazu, D., & Tokuda, Y. (2024). Burnout and Fear of COVID-19 among Medical Students in Japan : Impact of infection history, gender, and social support . Journal of Public Health Sciences, 3(01), 26–38. https://doi.org/10.56741/jphs.v3i01.466

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