{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T12:20:56Z","timestamp":1771935656703,"version":"3.50.1"},"reference-count":48,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:00:00Z","timestamp":1756425600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Merck Sharp &amp; Dohme Brazil (MSD Brazil)","award":["7200255149"],"award-info":[{"award-number":["7200255149"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Veterinary Sciences"],"abstract":"<jats:p>Veterinary professionals are exposed to intense emotional and occupational demands that can compromise mental health. This nationwide cross-sectional study surveyed 1992 Brazilian veterinarians to assess their psychological distress, well-being, and coping strategies. Logistic regression identified that women, early-career professionals, and individuals with low income were more likely to experience psychological distress. Long working hours and professional dissatisfaction were significant risk factors. In contrast, adaptive coping behaviors, such as spending time with the family, sleeping at least eight hours per night, and engaging in leisure activities, were associated with better mental health outcomes. Institutional wellness programs tailored to the veterinary profession should incorporate strategies to mitigate stress and promote resilience. Although the cross-sectional design limits causal inference, the large sample size and use of validated measures provide robust insights. Future research should adopt longitudinal and interventional designs to refine the strategies that support veterinarians\u2019 mental well-being.<\/jats:p>","DOI":"10.3390\/vetsci12090835","type":"journal-article","created":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T16:42:21Z","timestamp":1756485741000},"page":"835","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Risk Factors and Protection Associated with Well-Being and Psychological Distress of Veterinarians in Brazil"],"prefix":"10.3390","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4227-5232","authenticated-orcid":false,"given":"Bianca S.","family":"Gresele","sequence":"first","affiliation":[{"name":"Graduate Program in Clinical Psychology, Department of Clinical Psychology, Pontif\u00edcia Universidade Cat\u00f3lica de S\u00e3o Paulo (PUC), S\u00e3o Paulo 05015-901, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7610-467X","authenticated-orcid":false,"given":"Jefferson L.","family":"Pereira","sequence":"additional","affiliation":[{"name":"Graduate Program in Clinical Psychology, Department of Clinical Psychology, Pontif\u00edcia Universidade Cat\u00f3lica de S\u00e3o Paulo (PUC), S\u00e3o Paulo 05015-901, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4683-3107","authenticated-orcid":false,"given":"Anderson da S.","family":"Rosa","sequence":"additional","affiliation":[{"name":"Collective Health Department, Escola Paulista de Enfermagem, Universidade Federal de S\u00e3o Paulo (UNIFESP), S\u00e3o Paulo 04024-002, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0638-4063","authenticated-orcid":false,"given":"Helena C.","family":"Lyrio-Carvalho","sequence":"additional","affiliation":[{"name":"Graduate Program in Clinical Psychology, Department of Clinical Psychology, Pontif\u00edcia Universidade Cat\u00f3lica de S\u00e3o Paulo (PUC), S\u00e3o Paulo 05015-901, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7128-3672","authenticated-orcid":false,"given":"Sofia M. 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Suicide Res."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1088","DOI":"10.1111\/jasp.13000","article-title":"The moderating role of different forms of empathy on the association between performing animal euthanasia and career sustainability","volume":"53","author":"Crane","year":"2023","journal-title":"J. Appl. Soc. Psychol."},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Moreira Bergamini, S., Uccheddu, S., Riggio, G., de Jesus Vilela, M.R., and Mariti, C. (2024). The emotional impact of patient loss on brazilian veterinarians. Vet. Sci., 11.","DOI":"10.3390\/vetsci11010003"},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Knesl, O., Hart, B.L., Fine, A.H., Cooper, L., Patterson-Kane, E., Houlihan, K.E., and Anthony, R. (2017). Veterinarians and humane endings: When is it the right time to euthanize a companion animal?. Front. Vet. Sci., 4.","DOI":"10.3389\/fvets.2017.00045"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"950","DOI":"10.2460\/javma.24.02.0135","article-title":"Work-life balance is essential to reducing burnout, improving well-being","volume":"262","author":"Volk","year":"2024","journal-title":"J. Am. Vet. Med. Assoc."},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Jansen, W., Lockett, L., Colville, T., Uldahl, M., and De Briyne, N. (2024). Veterinarian\u2014Chasing a dream job? A comparative survey on wellbeing and stress levels among European veterinarians between 2018 and 2023. Vet. Sci., 11.","DOI":"10.3390\/vetsci11010048"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1547","DOI":"10.2460\/javma.22.03.0134","article-title":"Executive summary of the Merck animal health veterinarian wellbeing study III and veterinary support staff study","volume":"260","author":"Volk","year":"2022","journal-title":"J. Am. Vet. Med. Assoc."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"e3311","DOI":"10.1002\/vetr.3311","article-title":"Mental wellbeing and psychosocial working conditions of autistic veterinary surgeons in the UK","volume":"193","author":"Smits","year":"2023","journal-title":"Vet. Rec."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"537","DOI":"10.2460\/javma.257.5.537","article-title":"Factors associated with job satisfaction and engagement among credentialed small animal veterinary technicians in the United States","volume":"257","author":"Liss","year":"2020","journal-title":"J. Am. Vet. Med. Assoc."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1111\/avj.13278","article-title":"Relieving veterinarians\u2019 workloads and stress: Leveraging Australia\u2019s veterinary technologists and nurses","volume":"101","author":"Clarke","year":"2023","journal-title":"Aust. Vet. J."},{"key":"ref_11","first-page":"166","article-title":"A survey of veterinarian mental health and resilience in Ontario, Canada","volume":"61","author":"Best","year":"2020","journal-title":"Can. Vet. J."},{"key":"ref_12","unstructured":"Wouk, A.F.P., Martins, C.M., Mondadori, R.G., Pacheco, M.H.d.S., Molina, T.G., Silveira, M.B.G.d., and Ferreira, F. (2023). Demographics of Veterinary Medicine in Brazil 2022, Editora Guar\u00e1."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"100626","DOI":"10.1016\/j.ssmph.2020.100626","article-title":"Psychological distress inequality between employed men and women: A gendered exposure model","volume":"11","author":"Bilodeau","year":"2020","journal-title":"SSM Popul. Health"},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Steffey, M.A., Griffon, D.J., Risselada, M., Buote, N.J., Scharf, V.F., Zamprogno, H., and Winter, A.L. (2023). A narrative review of the physiology and health effects of burnout associated with veterinarian-pertinent occupational stressors. Front. Vet. Sci., 10.","DOI":"10.3389\/fvets.2023.1184525"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"489","DOI":"10.5271\/sjweh.3968","article-title":"Psychosocial work exposures and health outcomes: A meta-review of 72 literature reviews with meta-analysis","volume":"47","author":"Niedhammer","year":"2021","journal-title":"Scand. J. Work Environ. Health"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"608","DOI":"10.1287\/mnsc.2014.2115","article-title":"The relationship between workplace stressors and mortality and health costs in the United States","volume":"62","author":"Goh","year":"2016","journal-title":"Manag. Sci."},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Nogueira, M.J.C., and Sequeira, C.A. (2024). Positive and Negative Correlates of Psychological Well-Being and Distress in College Students\u2019 Mental Health: A Correlational Study. Healthcare, 12.","DOI":"10.3390\/healthcare12111085"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1186\/s13620-022-00220-x","article-title":"Stress and strain among veterinarians: A scoping review","volume":"75","author":"Pohl","year":"2022","journal-title":"Ir. Vet. J."},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Neubauer, V., Dale, R., Probst, T., Pieh, C., Janowitz, K., Br\u00fchl, D., and Humer, E. (2024). Prevalence of mental health symptoms in Austrian veterinarians and examination of influencing factors. Sci. Rep., 14.","DOI":"10.1038\/s41598-024-64359-z"},{"key":"ref_20","unstructured":"Lazarus, R.S., and Folkman, S. (1984). Stress, Appraisal, and Coping, Springer Publishing Company."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"104","DOI":"10.2460\/javma.254.1.104","article-title":"Suicide among veterinarians in the United States from 1979 through 2015","volume":"254","author":"Tomasi","year":"2019","journal-title":"J. Am. Vet. Med. Assoc."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Stetina, B.U., and Krouzecky, C. (2022). Reviewing a decade of change for veterinarians: Past, present and gaps in researching stress, coping and mental health risks. Animals, 12.","DOI":"10.3390\/ani12223199"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1231","DOI":"10.2460\/javma.252.10.1231","article-title":"Executive summary of the Merck animal health veterinary wellbeing study","volume":"252","author":"Volk","year":"2018","journal-title":"J. Am. Vet. Med. Assoc."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"e068465","DOI":"10.1136\/bmj-2021-068465","article-title":"Effectiveness of physical activity interventions delivered or prompted by health professionals in primary care settings: Systematic review and meta-analysis of randomised controlled trials","volume":"376","author":"Kettle","year":"2022","journal-title":"BMJ"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"e62","DOI":"10.1002\/vro2.62","article-title":"Links between pet ownership and exercise on the mental health of veterinary professionals","volume":"10","author":"Smith","year":"2023","journal-title":"Vet. Rec."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1001\/archpsyc.60.2.184","article-title":"Screening for serious mental illness in the general population","volume":"60","author":"Kessler","year":"2003","journal-title":"Arch. Gen. Psychiatry"},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Dyrbye, L.N., Szydlo, D.W., Downing, S.M., Sloan, J.A., and Shanafelt, T.D. (2010). Development and preliminary psychometric properties of a well-being index for medical students. BMC Med. Educ., 10.","DOI":"10.1186\/1472-6920-10-8"},{"key":"ref_28","unstructured":"DeVellis, R.F. (2017). Scale Development: Theory and Applications, SAGE Publications, Inc.. [4th ed.]."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1111\/eip.13460","article-title":"The performance of K6 as a screening tool for mood disorders: A population-based study of the S\u00e3o Paulo metropolitan area","volume":"18","author":"Bruzeguini","year":"2024","journal-title":"Early Interv. Psychiatry"},{"key":"ref_30","doi-asserted-by":"crossref","unstructured":"Mocanu, E., Mohr, C., Pouyan, N., Thuillard, S., and Dan-Glauser, E.S. (2018). Reasons, years and frequency of yoga practice: Effect on emotion response reactivity. Front. Hum. Neurosci., 12.","DOI":"10.3389\/fnhum.2018.00264"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"508","DOI":"10.4103\/ijcm.IJCM_554_20","article-title":"Effect of long-term regular yoga on physical health of yoga practitioners","volume":"46","author":"Gohel","year":"2021","journal-title":"Indian J. Community Med."},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Brscic, M., Contiero, B., Schianchi, A., and Marogna, C. (2021). Challenging suicide, burnout, and depression among veterinary practitioners and students: Text mining and topics modelling analysis of the scientific literature. BMC Vet. Res., 17.","DOI":"10.1186\/s12917-021-03000-x"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1016\/j.jveb.2020.02.003","article-title":"Burnout, somatic complaints, and suicidal ideations among veterinarians: Development and validation of the veterinarians stressors inventory","volume":"37","author":"Andela","year":"2020","journal-title":"J. Vet. Behav."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"90","DOI":"10.12968\/vetn.2023.14.2.90","article-title":"Burnout, compassion fatigue and moral distress in veterinary professionals","volume":"14","author":"Foote","year":"2023","journal-title":"Vet. Nurse"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"e1547","DOI":"10.1002\/vms3.1547","article-title":"Workplace stressor factors, profiles and the relationship to career stage in UK veterinarians, veterinary nurses and students","volume":"10","author":"Spendelow","year":"2024","journal-title":"Vet. Med. Sci."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"249","DOI":"10.3138\/jvme.2020-0119","article-title":"What factors influence the perceptions of job satisfaction in registered veterinary nurses currently working in veterinary practice in the United Kingdom?","volume":"49","author":"Vivian","year":"2022","journal-title":"J. Vet. Med. Educ."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"e2","DOI":"10.1002\/vetr.2","article-title":"Why do veterinarians leave clinical practice? A qualitative study using thematic analysis","volume":"188","author":"Hazel","year":"2021","journal-title":"Vet. Rec."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1111\/avj.13215","article-title":"Mental health in the veterinary profession: An individual or organisational focus?","volume":"101","author":"Hilton","year":"2023","journal-title":"Aust. Vet. J."},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Podpe\u010dan, O., Hlebec, V., Kuhar, M., Kubale, V., and Jakovac Strajn, B. (2025). Predictors of Burnout and Well-Being Among Veterinarians in Slovenia. Vet. Sci., 12.","DOI":"10.3390\/vetsci12040387"},{"key":"ref_40","doi-asserted-by":"crossref","unstructured":"Mudry, A., Truchot, D., and Andela, M. (2025). Development and longitudinal validation of the Veterinary Stressors Questionnaire. Sci. Rep., 15.","DOI":"10.1038\/s41598-025-05965-3"},{"key":"ref_41","doi-asserted-by":"crossref","unstructured":"Connolly, C.E., Norris, K., Dawkins, S., and Martin, A. (2022). Barriers to mental health help-seeking in veterinary professionals working in Australia and New Zealand: A preliminary cross-sectional analysis. Front. Vet. Sci., 9.","DOI":"10.3389\/fvets.2022.1051571"},{"key":"ref_42","doi-asserted-by":"crossref","unstructured":"Campbell, M., Hagen, B.N.M., Gohar, B., Wichtel, J., and Jones-Bitton, A. (2023). A qualitative study exploring the perceived effects of veterinarians\u2019 mental health on provision of care. Front. Vet. Sci., 10.","DOI":"10.3389\/fvets.2023.1064932"},{"key":"ref_43","doi-asserted-by":"crossref","unstructured":"Alharbi, T.A.F., Alqurashi, A.A.B., Mahmud, I., Alharbi, R.J., Islam, S.M.S., Almustanyir, S., Maklad, A.E., AlSarraj, A., Mughaiss, L.N., and Al-Tawfiq, J.A. (2023). COVID-19: Factors Associated with the Psychological Distress, Fear and Resilient Coping Strategies among Community Members in Saudi Arabia. Healthcare, 11.","DOI":"10.3390\/healthcare11081184"},{"key":"ref_44","first-page":"2686","article-title":"Personal Resources for Psychological Well-Being in University Students: The Roles of Psychological Capital and Coping Strategies","volume":"14","author":"Freire","year":"2024","journal-title":"Eur. J. Investig. Health Psychol. Educ."},{"key":"ref_45","doi-asserted-by":"crossref","unstructured":"Emikpe, B.O., Asare, D.A., Emikpe, A.O., Botchway, L.A.N., and Bonney, R.A. (2022). Prevalence and associated risk factors of burnout amongst veterinary students in Ghana. PLoS ONE, 17.","DOI":"10.1371\/journal.pone.0271434"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1080\/00480169.2019.1669504","article-title":"Current insights in veterinarians\u2019 psychological wellbeing","volume":"68","author":"Moir","year":"2020","journal-title":"N. Z. Vet. J."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"e49772","DOI":"10.2196\/49772","article-title":"Association Between Physical Activity and the Risk of Burnout in Health Care Workers: Systematic Review","volume":"10","author":"Mincarone","year":"2024","journal-title":"JMIR Public Health Surveill."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"1203","DOI":"10.1136\/bjsports-2022-106195","article-title":"Effectiveness of physical activity interventions for improving depression, anxiety and distress: An overview of systematic reviews","volume":"57","author":"Singh","year":"2023","journal-title":"Br. J. 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