{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T12:05:01Z","timestamp":1774958701962,"version":"3.50.1"},"reference-count":40,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T00:00:00Z","timestamp":1751241600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Care Global Partners Brasil"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Mental disorders are prevalent among medical professionals, significantly impacting their well-being and resilience, especially during the COVID-19 pandemic. The effort\u2013reward imbalance (ERI) model indicates that an imbalance between work efforts and rewards, coupled with overcommitment, can lead to increased stress and mental health issues.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>This research aims to analyse the association between psychosocial factors, assessed through the ERI model, and symptoms of depression, anxiety and stress among physicians working in occupational health services in Brazil during the COVID-19 pandemic.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A cross-sectional study was conducted with 431 physicians in Brazil between October and December 2020. Participants completed a questionnaire covering sociodemographic characteristics, occupational aspects mental health assessments using the DASS-21 and the ERI questionnaire. Statistical analyses, including univariate and multiple ordinal logistic regression models, were performed to determine the association between ERI dimensions and mental health symptoms.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The sample included 58% female physicians (mean age 46.3 years) and 42% male physicians (mean age 53.8 years). The study found that 49% of female and 42% of male participants reported depressive symptoms, with high overcommitment to work significantly associated with increased odds ratio of mild to severe depressive symptoms in both sexes. Similar trends were observed for anxiety (36% of women, 31% of men) and stress (54% of women, 42% of men).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>These findings highlight the need for targeted interventions and organizational support to address mental health among physicians working in occupational services in Brazil, especially considering the ongoing challenges posed by public health crises.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/occmed\/kqaf048","type":"journal-article","created":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T13:01:16Z","timestamp":1751288476000},"page":"348-355","source":"Crossref","is-referenced-by-count":1,"title":["Work overcommitment during COVID-19 pandemic and mental illness among occupational physicians"],"prefix":"10.1093","volume":"75","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7541-5946","authenticated-orcid":false,"given":"J S","family":"Silva-Junior","sequence":"first","affiliation":[{"name":"Department of Medicine, Centro Universit\u00e1rio S\u00e3o Camilo , S\u00e3o Paulo, S\u00e3o Paulo 04263-200 ,","place":["Brazil"]},{"name":"Department of Legal Medicine, Bioethics, \u00a0Occupational Medicine, and Physical Medicine and Rehabilitation,\u00a0Faculdade de Medicina da Universidade de S\u00e3o Paulo , S\u00e3o Paulo, S\u00e3o Paulo 01246-903 ,","place":["Brazil"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7730-879X","authenticated-orcid":false,"given":"V D","family":"Roviello","sequence":"additional","affiliation":[{"name":"Department of Medicine, Centro Universit\u00e1rio S\u00e3o Camilo , S\u00e3o Paulo, S\u00e3o Paulo 04263-200 ,","place":["Brazil"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5538-3852","authenticated-orcid":false,"given":"R B","family":"Demarch","sequence":"additional","affiliation":[{"name":"Hospital Israelita Albert Einstein , S\u00e3o Paulo, S\u00e3o Paulo 05651-901 ,","place":["Brazil"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1364-7981","authenticated-orcid":false,"given":"A J N","family":"Ogata","sequence":"additional","affiliation":[{"name":"S\u00e3o Paulo School of Management Administration, Funda\u00e7\u00e3o Getulio Vargas , S\u00e3o Paulo, S\u00e3o Paulo 01313-902 ,","place":["Brazil"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,6,30]]},"reference":[{"key":"2025091923310337400_CIT0001","doi-asserted-by":"crossref","first-page":"e061945","DOI":"10.1136\/bmjopen-2022-061945","article-title":"Prevalence of burnout 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