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Peer-reviewedCC BY 4.0Turkish Journal of Anaesthesiology and Reanimation

Anaesthesiologists Under Strain: Burnout and Its Associated Factors in a Conflict-affected Context, a Cross-sectional Study

  • Vanda Yazbeck Karam1,2
  • Zeina Akiki1,3
  • Wael Salame1
  • Georges Assaf1,2
  • Carole Serhal1,2
  • Samantha Succar1,2
  • Rony Al Nawwar1,2
  • Sandra Elias1,2
  • Jessy Abou Nader2
  • Charbel Gerges1,2
  • Micheline Boukhalil1,2
  • Hanane Barakat1,2
  1. 1Gilbert and Rose-Marie Chagoury Faculty of Medicine, Lebanese American University, Byblos, Lebanon
  2. 2Gilbert and Rose-Marie Chagoury Faculty of Medicine, Department of Anaesthesiology, Lebanese American University, Byblos, Lebanon
  3. 3INSPECT-LB (Institut National de Santé Publique, d'Épidémiologie Clinique et de Toxicologie-Liban), Beirut, Lebanon
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Abstract

Objective: Anaesthesiologists are particularly vulnerable to burnout due to extended working hours, high-pressure situations, limited patient interactions, multiple responsibilities, and inherent tensions in relationships with surgeons and administrators. The study aimed to explore burnout levels and the factors associated with them among anaesthesiologists in a conflict-affected setting.

Methods: A cross-sectional study was carried out between May 2024 and August 2025 using a voluntary, anonymous, and electronic survey. The Copenhagen Burnout Inventory, demographics, and practice environment questions were included. Statistical analyses were conducted to identify factors associated with personal, work-related, and client-related burnout. A significance threshold of 0.05 was applied.

Results: Among the 82 anaesthesiologists, 57% experienced personal burnout, 51% experienced work-related burnout, and 28% experienced client-related burnout. Positive and significant associations were observed between working longer hours and personal burnout (adjusted β [95% confidence interval (CI)]=15.6 (0.88; 30.3); P=0.04) and work-related burnout [adjusted ß (95% CI)=17.7 (3.68; 31.7); P=0.01], as well as between covering five or more night shifts per month and client-related burnout [adjusted ß (95% CI)=15.3 (3.86; 26.7); P=0.009].

Conclusion: The findings reveal concerning levels of burnout among anaesthesiologists in conflict-affected regions, which is particularly important given the ongoing regional conflict and limited conflict-specific data, and highlight the potential role of modifiable predictors and associated factors. Targeted interventions are essential to support anaesthesiologists’ well-being and ensure the effective functioning of healthcare institutions in such settings. Future studies with larger, randomly selected samples are warranted to further explore this issue.

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Cite

BibTeXRIS
BibTeX
@article{karam2026anaesthesiologists,
  title = {{Anaesthesiologists Under Strain: Burnout and Its Associated Factors in a Conflict-affected Context, a Cross-sectional Study}},
  author = {Vanda Yazbeck Karam and Zeina Akiki and Wael Salame and Georges Assaf and Carole Serhal and Samantha Succar and Rony Al Nawwar and Sandra Elias and Jessy Abou Nader and Charbel Gerges and Micheline Boukhalil and Hanane Barakat},
  journal = {Turkish Journal of Anaesthesiology and Reanimation},
  year = {2026},
  month = oct,
  doi = {10.4274/tjar.2026.262471},
  url = {https://doi.org/10.4274/tjar.2026.262471},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Anaesthesiologists Under Strain: Burnout and Its Associated Factors in a Conflict-affected Context, a Cross-sectional Study
AU  - Vanda Yazbeck Karam
AU  - Zeina Akiki
AU  - Wael Salame
AU  - Georges Assaf
AU  - Carole Serhal
AU  - Samantha Succar
AU  - Rony Al Nawwar
AU  - Sandra Elias
AU  - Jessy Abou Nader
AU  - Charbel Gerges
AU  - Micheline Boukhalil
AU  - Hanane Barakat
PY  - 2026
DA  - 2026/10/30
JO  - Turkish Journal of Anaesthesiology and Reanimation
DO  - 10.4274/tjar.2026.262471
UR  - https://doi.org/10.4274/tjar.2026.262471
AB  - Objective: Anaesthesiologists are particularly vulnerable to burnout due to extended working hours, high-pressure situations, limited patient interactions, multiple responsibilities, and inherent tensions in relationships with surgeons and administrators. The study aimed to explore burnout levels and the factors associated with them among anaesthesiologists in a conflict-affected setting.  Methods: A cross-sectional study was carried out between May 2024 and August 2025 using a voluntary, anonymous, and electronic survey. The Copenhagen Burnout Inventory, demographics, and practice environment questions were included. Statistical analyses were conducted to identify factors associated with personal, work-related, and client-related burnout. A significance threshold of 0.05 was applied.  Results: Among the 82 anaesthesiologists, 57% experienced personal burnout, 51% experienced work-related burnout, and 28% experienced client-related burnout. Positive and significant associations were observed between working longer hours and personal burnout (adjusted β [95% confidence interval (CI)]=15.6 (0.88; 30.3); P=0.04) and work-related burnout [adjusted ß (95% CI)=17.7 (3.68; 31.7); P=0.01], as well as between covering five or more night shifts per month and client-related burnout [adjusted ß (95% CI)=15.3 (3.86; 26.7); P=0.009].  Conclusion: The findings reveal concerning levels of burnout among anaesthesiologists in conflict-affected regions, which is particularly important given the ongoing regional conflict and limited conflict-specific data, and highlight the potential role of modifiable predictors and associated factors. Targeted interventions are essential to support anaesthesiologists’ well-being and ensure the effective functioning of healthcare institutions in such settings. Future studies with larger, randomly selected samples are warranted to further explore this issue.
SN  - 2667-677X
SN  - 2667-6370
ER  -