{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,25]],"date-time":"2026-10-25T00:02:34Z","timestamp":1792886554292,"version":"4.5.0"},"reference-count":67,"publisher":"MDPI AG","issue":"20","license":[{"start":{"date-parts":[[2022,10,20]],"date-time":"2022-10-20T00:00:00Z","timestamp":1666224000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>There is scant evidence on the impact of the COVID-19 pandemic on burnout in front-line military personnel and how working time may influence on this condition. We aimed to determine the association between working time and Burnout syndrome in military personnel. A cross-sectional study was conducted using secondary data among 576 military personnel from Lambayeque, Peru during the second wave of COVID-19 in 2021. We used the Maslach Burnout Inventory instrument to measure Burnout Syndrome. We evaluated its association with work time, measured as the number of months that the military member worked during the pandemic. The prevalence of burnout syndrome was 9%. Of the total sample, 39.1% and 10.3% presented depersonalization and emotional exhaustion, respectively. Military personnel working for more than 18 months had a 104% higher prevalence of Burnout syndrome (PR: 2.04, 95%CI: 1.02\u20134.10). Exposure to a prolonged work time during the pandemic increased the prevalence of Burnout syndrome in military personnel. This information helps to understand the potential effects of the pandemic on this population and provides insight into the time the military members would need rest to prevent Burnout syndrome.<\/jats:p>","DOI":"10.3390\/ijerph192013614","type":"journal-article","created":{"date-parts":[[2022,10,20]],"date-time":"2022-10-20T22:49:46Z","timestamp":1666306186000},"page":"13614","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Association between Working Time and Burnout Syndrome in Peruvian Military during the Second Epidemic Wave of COVID-19"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0839-2419","authenticated-orcid":false,"given":"Mario J.","family":"Valladares-Garrido","sequence":"first","affiliation":[{"name":"South American Center for Education and Research in Public Health, Universidad Norbert Wiener, Lima 15046, Peru"},{"name":"Oficina de Epidemiolog\u00eda, Hospital Regional Lambayeque, Chiclayo 14012, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9811-1857","authenticated-orcid":false,"given":"Luis Eduardo","family":"Zapata-Castro","sequence":"additional","affiliation":[{"name":"Escuela de Medicina, Universidad Nacional de Piura, Piura 20002, Peru"},{"name":"Scientific Society of Medical Students, Universidad Nacional de Piura, Piura 20002, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cinthia Karina","family":"Pic\u00f3n-Reategui","sequence":"additional","affiliation":[{"name":"Escuela de Medicina, Universidad de San Mart\u00edn de Porres, Chiclayo 15011, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6153-9128","authenticated-orcid":false,"given":"Ana Paula","family":"Mesta-Pintado","sequence":"additional","affiliation":[{"name":"Escuela de Medicina, Universidad de San Mart\u00edn de Porres, Chiclayo 15011, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8813-1632","authenticated-orcid":false,"given":"Ronald Alberto","family":"Pic\u00f3n-Reategui","sequence":"additional","affiliation":[{"name":"Escuela de Medicina, Universidad de San Mart\u00edn de Porres, Chiclayo 15011, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariana","family":"Huaman-Garcia","sequence":"additional","affiliation":[{"name":"Escuela de Medicina, Universidad Cesar Vallejo, Piura 13001, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1700-2638","authenticated-orcid":false,"given":"C\u00e9sar Johan","family":"Pereira-Victorio","sequence":"additional","affiliation":[{"name":"School of Medicine, Universidad Continental, Lima 15046, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danai","family":"Valladares-Garrido","sequence":"additional","affiliation":[{"name":"Escuela de Medicina, Universidad Cesar Vallejo, Piura 13001, Peru"},{"name":"Unidad de Epidemiolog\u00eda y Salud Ambiental, Hospital de Apoyo II Santa Rosa, Piura 20008, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virgilio E.","family":"Failoc-Rojas","sequence":"additional","affiliation":[{"name":"Research Unit for Generation and Synthesis Evidence in Health, Universidad San Ignacio de Loyola, Lima 15024, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,10,20]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Polizzi, C., Giordano, G., Burgio, S., Lavanco, G., and Alesi, M. (2022). Maternal Competence, Maternal Burnout and Personality Traits in Italian Mothers after the First COVID-19 Lockdown. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19169791"},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Valladares-Garrido, M.J., Pic\u00f3n-Re\u00e1tegui, C.K., Zila-Velasque, J.P., and Grados-Espinoza, P. (2022). Prevalence and Factors Associated with Insomnia in Military Personnel: A Retrospective Study during the Second COVID-19 Epidemic Wave in Peru. Healthcare, 10.","DOI":"10.3390\/healthcare10071199"},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Rwafa-Ponela, T., Price, J., Nyatela, A., Nqakala, S., Mosam, A., Erzse, A., Lalla-Edward, S.T., Hove, J., Kahn, K., and Tollman, S. (2022). \u201cWe Were Afraid\u201d: Mental Health Effects of the COVID-19 Pandemic in Two South African Districts. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19159217"},{"key":"ref_4","first-page":"0200870","article-title":"Factores Asociados al Afrontamiento Psicol\u00f3gico Frente a La COVID-19 Durante El Periodo de Cuarentena","volume":"49","author":"Ponce","year":"2020","journal-title":"Rev. Cuba. Med. Mil."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Fernandez-Canani, M.A., Burga-Cachay, S.C., and Valladares-Garrido, M.J. (2022). Association between Family Dysfunction and Post-Traumatic Stress Disorder in School Students during the Second COVID-19 Epidemic Wave in Peru. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19159343"},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Hern\u00e1ndez-D\u00edaz, Y., Genis-Mendoza, A.D., Ramos-M\u00e9ndez, M.\u00c1., Ju\u00e1rez-Rojop, I.E., Tovilla-Z\u00e1rate, C.A., Gonz\u00e1lez-Castro, T.B., L\u00f3pez-Narv\u00e1ez, M.L., and Nicolini, H. (2022). Mental Health Impact of the COVID-19 Pandemic on Mexican Population: A Systematic Review. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19116953"},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Schmits, E., Dekeyser, S., Klein, O., Luminet, O., Yzerbyt, V., and Glowacz, F. (2021). Psychological Distress among Students in Higher Education: One Year after the Beginning of the COVID-19 Pandemic. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18147445"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1016\/j.bpa.2020.07.008","article-title":"Occupational Burnout Syndrome and Post-Traumatic Stress among Healthcare Professionals during the Novel Coronavirus Disease 2019 (COVID-19) Pandemic","volume":"34","author":"Urits","year":"2020","journal-title":"Best Pract. Res. Clin. Anaesthesiol."},{"key":"ref_9","first-page":"436","article-title":"Burnout Syndrome and Sleep Quality among Military Police Officers in Piaui","volume":"16","author":"Shimizu","year":"2020","journal-title":"Rev. Bras. Med. Trab."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"109972","DOI":"10.1016\/j.mehy.2020.109972","article-title":"Burnout Syndrome in Romanian Medical Residents in Time of the COVID-19 Pandemic","volume":"144","author":"Dimitriu","year":"2020","journal-title":"Med. Hypotheses"},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"G\u00f3mez-Gal\u00e1n, J., L\u00e1zaro-P\u00e9rez, C., Mart\u00ednez-L\u00f3pez, J.\u00c1., and del Fern\u00e1ndez-Mart\u00ednez, M.M. (2020). Burnout in Spanish Security Forces during the COVID-19 Pandemic. Int J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17238790"},{"key":"ref_12","unstructured":"(2022, May 26). Lambayeque: Ministra de Defensa y Autoridades Articulan Esfuerzos Para Evitar Rebrote del Covid. Available online: https:\/\/elperuano.pe\/noticia\/112037-lambayeque-ministra-de-defensa-y-autoridades-articulan-esfuerzos-para-evitar-rebrote-del-covid."},{"key":"ref_13","first-page":"usab389","article-title":"Reducing Stress and Burnout in Military Healthcare Professionals through Mind\u2013Body Medicine: A Pilot Program","volume":"186","author":"Ram","year":"2021","journal-title":"Mil. Med."},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Garc\u00eda-Rivera, B.R., Olgu\u00edn-Tiznado, J.E., Aranibar, M.F., Ram\u00edrez-Bar\u00f3n, M.C., Camargo-Wilson, C., L\u00f3pez-Barreras, J.A., and Garc\u00eda-Alcaraz, J.L. (2020). Burnout Syndrome in Police Officers and Its Relationship with Physical and Leisure Activities. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17155586"},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Mart\u00ednez-Cuazitl, A., Mart\u00ednez-Salazar, I.N., Maza-De La Torre, G., Garc\u00eda-D\u00e1vila, J.A., Montelongo-Mercado, E.A., Garc\u00eda-Ru\u00edz, A., Noyola-Villalobos, H.F., Garc\u00eda-Araiza, M.G., Hern\u00e1ndez-D\u00edaz, S., and Villegas-Tapia, D.L. (2022). Burnout Syndrome in a Military Tertiary Hospital Staff during the COVID-19 Contingency. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19042229"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"e331","DOI":"10.1093\/milmed\/usz236","article-title":"Burnout in Military Emergency Medicine Resident Physicians: A Cross-Sectional Study With Comparisons to Other Physician Groups","volume":"185","author":"Williams","year":"2020","journal-title":"Mil. Med."},{"key":"ref_17","first-page":"1","article-title":"S\u00edndrome de burnout y satisfacci\u00f3n de vida en polic\u00edas ministeriales mexicanos","volume":"3","year":"2015","journal-title":"Arch. Criminol. Segur. Priv. Y Crim."},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Paterlini, M., Neri, E., Nicoli, A., Genova, F., Villani, M.T., Santi, S., and Agostini, F. (2022). Emotions, Stress and Coping among Healthcare Workers in a Reproductive Medicine Unit during the First and Second COVID-19 Lockdowns. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19105899"},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Seda-Gombau, G., Montero-Al\u00eda, J.J., Moreno-Gabriel, E., and Tor\u00e1n-Monserrat, P. (2021). Impact of the COVID-19 Pandemic on Burnout in Primary Care Physicians in Catalonia. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18179031"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"29","DOI":"10.17151\/rlef.2022.14.1.3","article-title":"Percepci\u00f3n de la afectaci\u00f3n atribuida a la pandemia por COVID-19 en padres y madres de Colombia","volume":"14","author":"Neme","year":"2022","journal-title":"Revlatinofamilia"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"612007","DOI":"10.3389\/fpsyg.2021.612007","article-title":"Problematic Social Media Usage and Anxiety Among University Students During the COVID-19 Pandemic: The Mediating Role of Psychological Capital and the Moderating Role of Academic Burnout","volume":"12","author":"Jiang","year":"2021","journal-title":"Front. Psychol."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1483","DOI":"10.2147\/PRBM.S325092","article-title":"Influence of Digital Competence on Perceived Stress, Burnout and Well-Being Among Students Studying Online During the COVID-19 Lockdown: A 4-Country Perspective","volume":"14","author":"Aslan","year":"2021","journal-title":"Psychol. Res. Behav. Manag."},{"key":"ref_23","first-page":"e1","article-title":"Impacto del SARS-COV-2 (COVID-19) en la Salud Mental de los Profesionales Sanitarios: Una Revisi\u00f3n Sistem\u00e1tica","volume":"94","year":"2020","journal-title":"Rev. Esp. Salud P\u00fablica"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"136","DOI":"10.7205\/MILMED-D-14-00449","article-title":"Health Care Provider Burnout in a United States Military Medical Center During a Period of War","volume":"181","author":"Sargent","year":"2016","journal-title":"Mil. Med."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1016\/j.jpsychores.2005.08.011","article-title":"Association between Obesity and Depressive Symptoms among U.S. Military Active Duty Service Personnel, 2002","volume":"60","author":"Kress","year":"2006","journal-title":"J. Psychosom. Res."},{"key":"ref_26","unstructured":"Enr\u00edquez, A., and S\u00e1enz, C. (2021). Primeras Lecciones y Desaf\u00edos de la Pandemia de COVID-19 Para Los Pa\u00edses del SICA, CEPAL."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"72","DOI":"10.35563\/rmp.v9i2.322","article-title":"El Personal de salud en la Pandemia por COVID-19","volume":"9","year":"2020","journal-title":"Rev. M\u00e9dica Panacea"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"424","DOI":"10.6018\/eglobal.489281","article-title":"Prevalencia Del S\u00edndrome de Burnout En Personal Militar Del Instituto Geogr\u00e1fico Nacional Del Per\u00fa","volume":"21","year":"2022","journal-title":"Enfermer\u00eda Glob."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"587","DOI":"10.3389\/fpsyg.2020.00587","article-title":"Burnout and Stress Measurement in Police Officers: Literature Review and a Study With the Operational Police Stress Questionnaire","volume":"11","author":"Passos","year":"2020","journal-title":"Front. Psychol."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"e214972","DOI":"10.1001\/jamanetworkopen.2021.4972","article-title":"Association of Symptoms of Posttraumatic Stress Disorder With Posttraumatic Psychological Growth Among US Veterans During the COVID-19 Pandemic","volume":"4","author":"Pietrzak","year":"2021","journal-title":"JAMA Netw. Open"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"179","DOI":"10.24265\/liberabit.2019.v25n2.04","article-title":"Adaptaci\u00f3n y Validaci\u00f3n Del Inventario de Burnout de Maslach En Profesionales Argentinos de La Salud Mental","volume":"25","author":"Gilla","year":"2019","journal-title":"Liberabit"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"207","DOI":"10.4067\/S0717-92272016000300005","article-title":"S\u00edndrome de Burnout y factores asociados en estudiantes de medicina. Estudio multic\u00e9ntrico en siete facultades de medicina peruanas","volume":"54","author":"Mejia","year":"2016","journal-title":"Rev. Chil. Neuropsiquiatr\u00eda"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"241","DOI":"10.17843\/rpmesp.2016.332.2170","article-title":"Prevalencia Del S\u00edndrome de Burnout En M\u00e9dicos y Enfermeras Del Per\u00fa, ENSUSALUD 2014","volume":"33","author":"Beas","year":"2016","journal-title":"Rev. Peru. Med. Exp. Y Salud Publica"},{"key":"ref_34","first-page":"44","article-title":"Evidencia de validez factorial del Maslach Burnout Inventory y estudio de los niveles de burnout en profesionales sanitarios","volume":"46","author":"Vargas","year":"2014","journal-title":"Rev. Latinoam. Psicol."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1590\/S0034-89102005000100001","article-title":"Factorial Validity of the Maslach Burnout Inventory (MBI-HSS) among Spanish Professionals","volume":"39","year":"2005","journal-title":"Rev. Saude Publica"},{"key":"ref_36","unstructured":"Santiago Prado, A.F., and Paredes Jara, F.A. (2022, September 10). Dimensiones del S\u00edndrome de Burnout y Estilos de Afrontamiento en Militares Profesionales del Ej\u00e9rcito Peruano de la S\u00e9ptima Brigada de Infanteria en Lambayeque, 2015. Available online: http:\/\/repositorio.upagu.edu.pe\/handle\/UPAGU\/409."},{"key":"ref_37","first-page":"119","article-title":"S\u00edndrome de Burnout","volume":"32","year":"2015","journal-title":"Med. Leg. Costa Rica"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"1537","DOI":"10.1007\/s11469-020-00270-8","article-title":"The Fear of COVID-19 Scale: Development and Initial Validation","volume":"20","author":"Ahorsu","year":"2022","journal-title":"Int. J. Ment. Health Addict."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"746","DOI":"10.1123\/jpah.5.5.746","article-title":"Validation of the International Physical Activity Questionnaire-Short among Blacks","volume":"5","author":"Wolin","year":"2008","journal-title":"J. Phys. Act. Health"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"S86","DOI":"10.1016\/j.ypmed.2014.10.014","article-title":"Overcoming the Challenges of Conducting Physical Activity and Built Environment Research in Latin America: IPEN Latin America","volume":"69","author":"Salvo","year":"2014","journal-title":"Prev Med."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"846","DOI":"10.1123\/jpah.2011-0412","article-title":"Agreement between the IPAQ and Accelerometer for Detecting Intervention-Related Changes in Physical Activity in a Sample of Latina Women","volume":"11","author":"Nicaise","year":"2014","journal-title":"J. Phys. Act. Health"},{"key":"ref_42","doi-asserted-by":"crossref","unstructured":"Casta\u00f1eda-Babarro, A., Arbillaga-Etxarri, A., Guti\u00e9rrez-Santamar\u00eda, B., and Coca, A. (2020). Physical Activity Change during COVID-19 Confinement. Int J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17186878"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"406","DOI":"10.1177\/0032258X20946805","article-title":"Reducing Work-Related Burnout among Police Officers: The Impact of Job Rewards and Health-Oriented Leadership","volume":"94","author":"Wolter","year":"2021","journal-title":"Police J."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1016\/j.hlpt.2020.08.014","article-title":"Responses to COVID-19 in Five Latin American Countries","volume":"9","author":"Velasco","year":"2020","journal-title":"Health Policy Technol."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"15514","DOI":"10.1038\/s41598-020-72611-5","article-title":"Second Wave COVID-19 Pandemics in Europe: A Temporal Playbook","volume":"10","author":"Cacciapaglia","year":"2020","journal-title":"Sci Rep."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1108\/IJES-06-2018-0033","article-title":"Psychological Distress Constructs in Police with Different Roles","volume":"8","author":"Sheard","year":"2019","journal-title":"Int. J. Emerg. Serv."},{"key":"ref_47","unstructured":"(2022, April 19). Ministra De Defensa Destaca El Trabajo Articulado Del Plan Sip\u00e1n Para Superar La Pandemia. Available online: https:\/\/www.gob.pe\/institucion\/mindef\/noticias\/500975-ministra-de-defensa-destaca-el-trabajo-articulado-del-plan-sipan-para-superar-la-pandemia."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"21","DOI":"10.3138\/jmvfh-2020-0048","article-title":"Military Mental Health and COVID-19","volume":"6","author":"Wynn","year":"2020","journal-title":"J. Mil. Veteran Fam. Health"},{"key":"ref_49","doi-asserted-by":"crossref","unstructured":"Mart\u00ednez-L\u00f3pez, J.\u00c1., L\u00e1zaro-P\u00e9rez, C., G\u00f3mez-Gal\u00e1n, J., and del Fern\u00e1ndez-Mart\u00ednez, M.M. (2020). Psychological Impact of COVID-19 Emergency on Health Professionals: Burnout Incidence at the Most Critical Period in Spain. JCM, 9.","DOI":"10.3390\/jcm9093029"},{"key":"ref_50","doi-asserted-by":"crossref","unstructured":"Morgantini, L.A., Naha, U., Wang, H., Francavilla, S., Acar, \u00d6., Flores, J.M., Crivellaro, S., Moreira, D., Abern, M., and Eklund, M. (2020). Factors Contributing to Healthcare Professional Burnout during the COVID-19 Pandemic: A Rapid Turnaround Global Survey. PLoS ONE, 15.","DOI":"10.1101\/2020.05.17.20101915"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"e253","DOI":"10.1016\/S2468-2667(20)30074-8","article-title":"The Italian Health System and the COVID-19 Challenge","volume":"5","author":"Armocida","year":"2020","journal-title":"Lancet Public Health"},{"key":"ref_52","doi-asserted-by":"crossref","unstructured":"Kijima, S., Tomihara, K., and Tagawa, M. (2020). Effect of Stress Coping Ability and Working Hours on Burnout among Residents. BMC Med. Educ, 20.","DOI":"10.1186\/s12909-020-02134-0"},{"key":"ref_53","doi-asserted-by":"crossref","unstructured":"Wang, L., Seelig, A., Wadsworth, S.M., McMaster, H., Alcaraz, J.E., and Crum-Cianflone, N.F. (2015). Associations of Military Divorce with Mental, Behavioral, and Physical Health Outcomes. BMC Psychiatry, 15.","DOI":"10.1186\/s12888-015-0517-7"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1002\/smi.2940","article-title":"\u201cDivorce Burnout\u201d among Recently Divorced Individuals","volume":"36","author":"Hald","year":"2020","journal-title":"Stress Health"},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"1213","DOI":"10.1097\/JOM.0b013e31829f2f5c","article-title":"The Association Between Body Mass Index Status and Sick Leave and the Role of Emotional Exhaustion\u2014A Mediation Analysis Among a Representative Sample of Dutch Employees","volume":"55","author":"Proper","year":"2013","journal-title":"J. Occup. Environ. Med."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1038\/ijo.2009.252","article-title":"The Association between Obesity and Anxiety Disorders in the Population: A Systematic Review and Meta-Analysis","volume":"34","author":"Gariepy","year":"2010","journal-title":"Int. J. Obes."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1001\/archgenpsychiatry.2010.2","article-title":"Overweight, Obesity, and Depression: A Systematic Review and Meta-Analysis of Longitudinal Studies","volume":"67","author":"Luppino","year":"2010","journal-title":"Arch. Gen. Psychiatry"},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"2051","DOI":"10.1093\/jn\/nxab089","article-title":"Association between Food Insecurity, Mental Health, and Intentions to Leave the US Army in a Cross-Sectional Sample of US Soldiers","volume":"151","author":"Beymer","year":"2021","journal-title":"J. Nutr."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"1684","DOI":"10.3389\/fpsyg.2020.01684","article-title":"The Psychological Impact of the COVID-19 Outbreak on Health Professionals: A Cross-Sectional Study","volume":"11","author":"Giusti","year":"2020","journal-title":"Front. Psychol."},{"key":"ref_60","doi-asserted-by":"crossref","unstructured":"Gasparro, R., Scandurra, C., Maldonato, N.M., Dolce, P., Bochicchio, V., Valletta, A., Sammartino, G., Sammartino, P., Mariniello, M., and di Lauro, A.E. (2020). Perceived Job Insecurity and Depressive Symptoms among Italian Dentists: The Moderating Role of Fear of COVID-19. Int J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17155338"},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"640","DOI":"10.1093\/pubmed\/fdaa079","article-title":"COVID-19 in Peru: The Need to Pay Attention to the High Number of Police Deaths Due to the Pandemic","volume":"42","year":"2020","journal-title":"J. Public Health"},{"key":"ref_62","unstructured":"(2022, April 19). Mininter: Polic\u00eda Es La Instituci\u00f3n P\u00fablica Con M\u00e1s Fallecidos a Causa Del COVID-19|Noticias|Agencia Peruana de Noticias Andina. Available online: https:\/\/andina.pe\/agencia\/noticia-mininter-policia-es-institucion-publica-mas-fallecidos-a-causa-del-covid19-853721.aspx."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"1058","DOI":"10.3389\/fpsyg.2017.01058","article-title":"The Relationship between the Physical Activity Environment, Nature Relatedness, Anxiety, and the Psychological Well-Being Benefits of Regular Exercisers","volume":"8","author":"Lawton","year":"2017","journal-title":"Front. Psychol."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"20140040","DOI":"10.1098\/rsfs.2014.0040","article-title":"Biological Mechanisms Underlying the Role of Physical Fitness in Health and Resilience","volume":"4","author":"Silverman","year":"2014","journal-title":"Interface Focus."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"1436","DOI":"10.1177\/1359105314555169","article-title":"The Relationship between Nature Relatedness and Anxiety","volume":"21","author":"Martyn","year":"2016","journal-title":"J. Health Psychol"},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"702678","DOI":"10.3389\/fpsyg.2021.702678","article-title":"Elevating Subjective Well-Being Through Physical Exercises: An Intervention Study","volume":"12","author":"Iwon","year":"2021","journal-title":"Front. Psychol."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1176\/appi.ps.201400430","article-title":"Prevalence of Professional Burnout Among Military Mental Health Service Providers","volume":"67","author":"Kok","year":"2016","journal-title":"Psychiatr. 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