Predicting mental burnout among Israeli Home Front Command soldiers during the COVID-19 pandemic

Author:

Antonovsky Avishai1ORCID,Danon Roey1,Schiff Miriam2,Shelef Leah1ORCID

Affiliation:

1. Department of Health and Well-Being, Israel Defense Forces Medical Corps, Ramat Gan 5262000, Israel

2. Paul Baerwald School of Social Work and Social Welfare, The Hebrew University of Jerusalem, Mount Scopus, Jerusalem 91905, Israel

Abstract

Background The present study examined personality, situational and organizational predictors of burnout during COVID-19 in a military setting, based on the salutogenic theory of health (Antonovsky, 1987). Method Questionnaires were completed by 116 reserve Israeli Home Front Command medical staff (71% males). Background variables (e.g., gender), personality variables (self-efficacy and sense of coherence - SOC), situational variables (state-anxiety, self-rated health and sense of threat) and organizational variables (satisfaction with military’s and government’s handling of the COVID-19 crisis) were measured as predictors of burnout. Results Females had higher levels of state anxiety and burnout compared to males. Females also reported a lower level of satisfaction with the military’s handling of the COVID-19 crisis than males. SOC and state anxiety were the only statistically significant predictors of burnout after controlling for sociodemographic variables. The entire model explained 59.4% of the burnout variance. Conclusion In accordance with salutogenic theory, SOC is associated with active adaptation through use of generalized and specific resistance resources to avoid burnout in a stressful milieu. Psychological support, psychoeducation and simulation training are offered to increase manageability in crisis situations. Limitations Following a large dropout rate due to being quarantined, the final sample size was much smaller than planned. Also, although previous longitudinal studies have found SOC to be a causal factor in burnout, the present cross-sectional design limits such conclusions.

Publisher

Oxford University Press (OUP)

Subject

Public Health, Environmental and Occupational Health,Health (social science)

Reference80 articles.

1. Breakdown: a needed fourth step in the conceptual armamentarium of modern medicine;Antonovsky;Social Science & Medicine,1972

2. The salutogenic model as a theory to guide health promotion;Antonovsky;Health Promotion International,1996

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