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Work overcommitment during COVID-19 pandemic and mental illness among occupational physicians
J S Silva-Junior1,2, V D Roviello1, R B Demarch3
1Department of Medicine, Centro Universitário São Camilo, São Paulo, São Paulo 04263-200, Brazil.
Occupational Medicine (Oxford, England)
|June 30, 2025
Summary
Physicians experiencing effort-reward imbalance and high work overcommitment reported more depression, anxiety, and stress during the COVID-19 pandemic. These findings underscore the need for interventions to support physician mental health.
Area of Science:
- Occupational Health
- Psychiatry
- Epidemiology
Background:
- Mental health disorders are common among healthcare professionals, exacerbated by the COVID-19 pandemic.
- The effort-reward imbalance (ERI) model links work-related stress to mental health issues.
Purpose of the Study:
- To analyze the association between psychosocial factors (ERI model) and symptoms of depression, anxiety, and stress.
- Focus on physicians in occupational health services in Brazil during the COVID-19 pandemic.
Main Methods:
- Cross-sectional study of 431 physicians in Brazil (Oct-Dec 2020).
- Utilized questionnaires for sociodemographics, occupational aspects, DASS-21 (mental health), and ERI.
- Employed univariate and multiple ordinal logistic regression for statistical analysis.
Main Results:
- High work overcommitment was significantly associated with increased odds of depressive symptoms in both male and female physicians.
- Prevalence of depressive symptoms: 49% female, 42% male.
- Similar associations observed for anxiety and stress symptoms across genders.
Conclusions:
- Findings indicate a significant impact of effort-reward imbalance and overcommitment on physician mental health.
- Highlights the need for targeted interventions and organizational support for physicians in occupational health.
- Emphasizes the importance of addressing physician well-being during public health crises.
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