Moderating effect of work fatigue on the association between resilience and posttraumatic stress symptoms: a cross-sectional multi-country study among pharmacists during the COVID-19 pandemic.

Journal: BioPsychoSocial medicine

Volume: 18

Issue: 1

Year of Publication: 

Affiliated Institutions:  Department of Pharmaceutical Sciences, Faculty of Pharmacy, Lebanese International University, Beirut, Lebanon. School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box , Jounieh, Lebanon. Department of Restorative Dentistry, School of Dentistry, Federal University of Pelotas, Pelotas, Brazil. Institut National de Santé Publique, d'Épidémiologie Clinique et de Toxicologie-Liban (INSPECT- LB), Beirut, Lebanon. Eating Behavior Laboratory (EAT Younes et al. BioPsychoSocial Medicine, Institute of Psychology, University of Wroclaw, Wroclaw, Poland. Federal Medical Centre, Makurdi Benue State, Makurdi, Nigeria. Faculty of Pharmaceutical Sciences, University of Nigeria, Nsukka, Nigeria. Department of Research & Development, Children's Hospital Karachi, Karachi, Pakistan. Department of Pharmacy, Faculty of Medicine, University of Novi Sad, Hajduk Veljkova , Novi Sad, , Serbia. Department of Medicinal Sciences, Faculty of Medicine, Lebanese University, Beirut, Lebanon. Department of Psychiatry "Ibn Omrane", Razi Hospital, Manouba, , Tunisia. Department of Pharmaceutical Sciences, Faculty of Pharmacy, Lebanese International University, Beirut, Lebanon. katia_iskandar@hotmail.com.

Abstract summary 

In the context of the COVID-19 pandemic, pharmacists, despite their vital contributions, have faced significant challenges that have impacted their mental well-being, potentially leading to the development of Post-Traumatic Stress symptoms (PTSS). The aim of this study was to investigate the role of work-related fatigue as a potential moderator in the relationship between pharmacists' resilience and their likelihood of experiencing PTSS during the COVID-19 pandemic.A cross-sectional survey was conducted online in eight countries from January to December 2021, including Brazil, Lebanon, Nigeria, Pakistan, Poland, Serbia, and Tunisia. The mediation analysis was conducted using PROCESS MACRO (an SPSS add-on) v3.4 model 1, taking work fatigue as a moderator in the association between resilience and PTSS.A total of 442 pharmacists were enrolled in this study (mean age = 33.91 ± 10.36 years) with 59.5% of them being females. The results were adjusted over country, gender, working in contact with COVID-19, working patients, working mandatory hours, working voluntary hours, age, household crowding index and number of months engaged in COVID-19. The interactions resilience by physical (Beta = 0.02; p = .029), mental (Beta = 0.02; p = .040) and emotional (Beta = 0.03; p = .008) work fatigue were significantly associated with PTSS; for pharmacists with low to moderate levels of physical (Beta = - 0.33; p < .001 and Beta = - 0.21; p = .001), mental (Beta = - 0.29; p < .001 and Beta = - 0.18; p = .006) and emotional (Beta = - 0.31; p < .001 and Beta = - 0.17; p = .008) work fatigue, higher resilience was significantly related to lower PTSS levels. However, for pharmacists with high levels of physical/mental/emotional work fatigue, the association between resilience and PTSS became non-significant.This study highlights the complex relationship between work-related fatigue, resilience, and PTSS in pharmacists. It emphasizes the need to address work-related fatigue for pharmacists' psychological well-being during crises, offering insights for tailored support and interventions.

Authors & Co-authors:  Younes Samar S Hallit Souheil S Mohammed Irfan I El Khatib Sarah S Brytek-Matera Anna A Eze Shadrach Chinecherem SC Egwu Kenneth K Jabeen Rawshan R Pavlović Nebojša N Salameh Pascale P Cherfane Michelle M Akel Marwan M Haddad Chadia C Choueiry Randa R Fekih-Romdhane Feten F Iskandar Katia K

Study Outcome 

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Statistics
Citations :  Cadogan CA, Hughes CM. On the Frontline against COVID-19: community pharmacists’ contribution during a Public Health Crisis. Res Social Adm Pharm. 2021;17:2032–5. doi: 10.1016/j.sapharm.2020.03.015.
Authors :  16
Identifiers
Doi : 4
SSN : 1751-0759
Study Population
Male,Female
Mesh Terms
Other Terms
COVID-19;Multi-country study;Pharmacists;Posttraumatic stress disorder;Resilience;Work fatigue
Study Design
Cross Sectional Study
Study Approach
Country of Study
Niger
Publication Country
England