Signs and Symptoms of Burnout Syndrome in Health Providers working at the Infulene Psychiatric Hospital, in the first semester of 2025: Descriptive Cross-Sectional Study

Signs and Symptoms of Burnout Syndrome in Health Providers working at the Infulene Psychiatric Hospital, in the first semester of 2025: Descriptive Cross-Sectional Study | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Signs and Symptoms of Burnout Syndrome in Health Providers working at the Infulene Psychiatric Hospital, in the first semester of 2025: Descriptive Cross-Sectional Study Umme Aymanah Abacar N’zé, Háchimo Cassamo Chagane This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-9130955/v1 This work is licensed under a CC BY 4.0 License Status: Under Review Version 1 posted 12 You are reading this latest preprint version Abstract Burnout syndrome is an important occupational health problem among professionals who work in contexts of high emotional demand, such as specialized mental health services. This study aimed to evaluate the signs and symptoms of burnout syndrome among health providers working at the Infulene Psychiatric Hospital, in Maputo, in the first half of 2025. Methods: A descriptive cross-sectional study with a quantitative approach was carried out,between the months of May and June 2025, 106 health professionals from different categories were included, selected by census sampling. A sociodemographic questionnaire and the Burnout Questionnaire in Health Professionals were used, including dimensions of emotional exhaustion, depersonalization, and personal fulfillment. Data were analyzed using descriptive statistics, Pearson correlation and ANOVA, with a significance level of p<0.05. Results: The sample was predominantly female (68.9%), aged between 30 and 49 years (74.6%) and with more than five years of service (70.8%). The most prevalent signs were: tiredness before starting work (42.9%), tiredness after work (36.4%) and emotional exhaustion during work (25.2%). There was a significant positive correlation between occupational stress and pre-work fatigue (r=0.298; p=0.002), mechanical task performance (r=0.295; p=0.002) and negative discourse about work (r=0.320; p=0.001). The ability to manage the workload showed significant differences between groups (p=0.003). Conclusions: The results show the presence of moderate signs of burnout among the professionals of the Infulene Psychiatric Hospital, particularly associated with occupational stress and the perception of work overload. The need for institutional strategies aimed at promoting mental health and emotional support for workers is reinforced. Stress Burnout Signs and symptoms Health providers Mental hospital Contextualization Psychological stress can be defined as a physical or behavioral response to an adverse circumstance, which disturbs the individual's homeostasis [ 10 ], so stress is associated in various ways with all types of work, harming not only the health, but also the performance of workers. [ 5 ] Not to mention the fact that occupational stress can compromise the quality of performance, increase absenteeism and generate physical and emotional symptoms [ 8 ]. The concept of burnout was described in 1974 by Herber Freudenberger as a state of fatigue or frustration motivated by the dedication to a cause, a way of life or a relationship that did not meet expectations [ 3 ]. It is defined as a set of physical and/or emotional symptoms that are directly related to the way each individual deals with stressful events in the work environment [ 1 ]. This condition is especially prevalent in professionals who have direct contact with other people, as occurs in the health area. Subsequently, [ 7 ] they systematized the concept, defining it as a syndrome characterized by three fundamental dimensions: emotional exhaustion, depersonalization and reduction of personal and professional fulfillment, constituting a clinical picture that compromises both the well-being of the professional and the quality of the care offered, among the factors that favor the development of Burnout, the burden of work, the lack of autonomy, the lack of appreciation of the psychologist and the absence of emotional support or regular supervision. These conditions significantly increase the emotional exhaustion of professionals [ 1 ]. In the Mozambican context, the Infulene Psychiatric Hospital is the main national reference in mental health, meeting a high demand of patients from different regions, thus, the systematic analysis of the signs and symptoms of burnout among the health providers of the Infulene Psychiatric Hospital is necessary, not only to understand the internal repercussions of this phenomenon, but also to support institutional strategies to promote well-being, prevent occupational illness and qualify mental health care. The lack of studies focused on the reality of the Infulene Psychiatric Hospital limits the understanding of the working conditions and mental health of its professionals. This study seeks to fill this gap by offering contextually relevant data. Methods Drawing and study configuration This is a descriptive cross-sectional study, with a quantitative approach, carried out at the Infulene Psychiatric Hospital, a national reference institution in mental health, located in the north of Maputo city in Zimpeto, Mozambique. The study was conducted during the first half of 2025, covering health professionals who work directly in the provision of clinical and psychosocial care. Participants and sampling The target population consisted of 106 health professionals, including nurses, doctors, psychologists, psychiatry technicians and clinical assistants, all of whom were working during the data collection period. The selection of participants occurred by census sampling, including all eligible professionals present in the service during the collection period, the inclusion criteria were: being linked to the institution during the period studied, performing direct care functions, voluntarily consenting to participate in the study and as exclusion criteria: professionals absent due to sick leave or vacation, professionals in a non-regularized administrative situation and professionals who did not consent to their participation in the study. Procedures and instruments The data collection began after the ethical approval of the Bioethics Committee of the Faculty of Medicine of the Eduardo Mondlane University and the authorization of the Infulene Psychiatric Hospital. Data collection was carried out with the support of three trained research assistants. The professionals were approached individually in their workplaces, and the objective of the study was explained. Those who agreed to participate signed the Informed Consent Form. The questionnaires were applied in private consultation offices, ensuring the confidentiality of the answers. The estimated time to fill out the questionnaire will be 10 to 15 minutes, over a period of one month. The data collection instrument was developed based on an adaptation carried out by the authors at the Psychology Laboratory of the Polytechnic University (Polytechnic), using scales previously validated in the international literature. The final version was organized into two sections: Sociodemographic Questionnaire and professional data : containing variables such as age, gender, length of service, professional category and working hours. Burnout Scale in Health Professionals : a standardized and validated instrument for care contexts, composed of indicators that assess the dimensions of emotional exhaustion, depersonalization, and personal fulfillment. The answers were auto-completed, with guidance from the research assistants for clarification when necessary. Data analysis The data were analyzed using descriptive statistics (frequencies, means and standard deviations), as well as Pearson's correlation to verify relationships between psychosocial variables and burnout symptoms, to verify differences between professional groups and workload variables, one-way ANOVA was applied. The level of significance adopted was p < 0.05, the analysis was performed using the IBM SPSS software, version 25. Ethical considerations The study was approved by the Bioethics Committee of the Faculty of Medicine of the Eduardo Mondlane University. It was conducted in accordance with the principles of the Declaration of Helsinque. Confidentiality, privacy and anonymity were guaranteed throughout the research process, all participants signed the Informed Consent Form, guaranteeing voluntariness, anonymity and the possibility of withdrawal without professional harm. Results Sociodemographic characteristics The sample consisted of 106 health providers, of which the majority were female (68.9%), predominantly in the age group of 30 to 49 years (74.6%), with the group of 30–39 years being the most representative (42.5%). In terms of training, a heterogeneous distribution was observed, with professionals with Medium Technical Level (37.7%) and Bachelor's Degree (24.5%) standing out. Regarding length of service, most participants had five or more years of professional activity (70.8%), indicating an experienced workforce already exposed, for long periods, to the demands of the care and institutional routine (Table 1 ). Table 1 Sociodemographic data (N = 106). Sex Fa % Female 73 68.9% Male 33 31.1% Total 106 100% Age Fa % 25–29 Years 14 13.2% 30–39 Years 45 42.5% 40–49 Years 34 32.1% 50 13 12.3% Total 106 100% Marital status Fa % Single 41 38.7% Lives Maritally 23 21.7% Married 35 33.0% Divorced/Separated 1 0.9% Widower 6 5.7% Total 106 100% Training Level Fa % Coach Medium 40 37.7% Graduate 26 24.5% Doctorate 1 0.9% Nurse 1 0.9% Training 1 0.9% High School 2 1.9% Other 24 22.6% Empty 10 9.4% Total 106 100% In the professional sphere, the majority of respondents (70.8%) have a length of service equal to or greater than 5 years, indicating an experienced workforce. The "Work Area" presents a great diversity, with the category "Other" being the most frequent (37.7%), followed by Nurses (18.9%). This heterogeneity reflects the multifunctional nature of a hospital institution (Table 2 ). Table 2 Professional Data (n = 106). Service Time Fa % 0–4 Years 28 26.4% 5–9 Years 21 19.8% 10–14 Years 26 24.5% 15–19 Years 12 11.3% ⩾20 Years 12 11.3% Missing 7 6.6% Total 106 100% Work area Fa % Psychologist 7 6.6% Psychiatrist 4 3.8% Psychiatry Technology 2 1.9% Nurse 20 18.9% Other 40 37.7% Empty 6 5.7% Maid 1 0.9% Administrative 6 5.7% Service Agent 5 4.7% APSS 1 0.9% Heritage 1 0.9% Pharmcy 1 0.9% Activist 1 0.9% Social Work 1 0.9% Accounting 1 0.9% UGEA 1 0.9% Human Resources 3 2.1% Hospital Maintenance 2 1.9% Missing 3 2.8% Total 106 100% How Stress Affects Work The results indicate that an overwhelming majority of professionals (78.3%) claim to have knowledge related to burnout syndrome. However, when asked about the impact of stress on their work, half of respondents (50.5%) report that stress affects their work "Always" or "Almost always", and 33% report that it occurs "Often". Only a minority (6.5%) say that stress "Never" or "Rarely" interferes. Symptomatologia of Burnout (burnout indicators) The analysis of the symptoms reveals worrying indicators of burnout . The most prevalent sign is tiredness even before arriving at work, reported by 42.9% of professionals. This is followed by tiredness after work (36.4%). A quarter of respondents (25.2%) feel "emotionally drained" during work. Other significant signs are performing tasks in a "mechanical" way (12.1%) and speaking "negatively about work" (11.2%). It should be noted that almost half (45.8%) still feel energetic for other activities after work, indicating that the phenomenon is not homogeneous. Risk Factors and Statistical Associations Analyses of variance (ANOVA) confirmed significant differences between groups in critical variables: The "ability to manage the amount of work" (p = 0.003) and the "ability to withstand pressure" (p = 0.009) vary significantly among professionals, indicating that the perception of workload is a differentiating factor in well-being. The "frequency of emotional exhaustion" also presents significant differences between groups (p = 0.019). Correlation analyses demonstrate statistically significant and positive relationships between occupational stress and various burnout symptoms: There is a moderate positive correlation between stress and tiredness before work (r = 0.298; p = 0.002). Stress is also correlated with speaking negatively about work (r = 0.320; p = 0.001) and performing tasks mechanically (r = 0.295; p = 0.002). A strong and highly significant correlation was found between "pre-work fatigue" and "emotional exhaustion" (r = 0.456; p < 0.001), suggesting that physical exhaustion is a potent precursor of psychological exhaustion. Discussion The data allowed the identification of the sociodemographic and professional profile of the participants, where a variety was observed in terms of gender, function and sex, highlighting the predominant profile being female and diversity in age mostly between 30 and 49 years old, as well as in relation to the length of service, in which most respondents have a length of service equal to or greater than 5 years, indicating an experienced workforce. The results of this study align with previous research conducted in the Mozambican context. For example [ 4 ], they conducted a study with health professionals in Nampula, also identified a greater presence of women in the provision of mental health care and significant levels of work overload. Similarly [ 6 ], when analyzing the vulnerability to burnout in professionals from a public hospital in northern Mozambique, they found a similar sociodemographic profile, with predominant ages between 25 and 50 years and time of professional practice of more than five years. The significant correlation between tiredness before starting work and perceived impact of stress on performance (r = 0.298; p = 0.002) confirms that workers recognize the negative effects of burnout element. However, there was also a negative correlation between tiredness and seeking psychological support (r = -0.291; p = 0.002), revealing a gap between awareness of the problem and the adoption of coping measures. This discrepancy is discussed by [ 9 ], who identified the same pattern in health professionals during the pandemic: even recognizing burnout, many do not implement self-care strategies or seek specialized support. The study showed that the most prevalent signs among HPI professionals are fatigue before the workday, emotional exhaustion and the negative impact of stress on performance. These results are in line with the study by [ 2 ], which identifies how principais Manifestations of the syndrome are physical exhaustion, mental fatigue and the feeling of loss of vital energy. Correlation analysis showed significant associations between reported symptoms and occupational factors. The positive relationship between fatigue and stress impact confirms that wear and tear is directly related to the perception of overload. This evidence is supported by the study by [ 9 ], which identified task overload and adverse working conditions as the main predictors of burnout in health professionals. Limitations The cross-sectional nature of the study prevents the establishment of direct causality between organizational factors and burnout symptoms. The data were self-reported, which may introduce individual perception biases. However, the results have internal consistency and practical relevance to the analyzed context Conclusões The results of this study showed the presence of moderate signs of burnout syndrome among the health providers of the Infulene Psychiatric Hospital, manifested mainly by physical and emotional fatigue, exhaustion during the exercise of functions and attitudes of distancing in relation to work. These findings confirm that the work context in mental health services presents high emotional demands and can contribute to the progressive exhaustion of professionals. The correlations observed between occupational stress, anticipatory fatigue and exhaustion show that organizational factors, such as workload and institutional dynamics, play a significant role in the development of burnout. These results reinforce the need for systematic actions to prevent and promote occupational well-being in the environment studied. It is concluded, therefore, that psychosocial support strategies, balanced management of workloads and strengthening of institutional policies for the care of workers are fundamental for mitigating the effects of burnout syndrome, contributing to the improvement of the mental health of professionals and the quality of care provided in the field of mental health in Mozambique. Conclusions The results of this study showed the presence of moderate signs of burnout syndrome among the health providers of the Infulene Psychiatric Hospital, manifested mainly by physical and emotional fatigue, exhaustion during the exercise of functions and attitudes of distancing in relation to work. These findings confirm that the work context in mental health services presents high emotional demands and can contribute to the progressive exhaustion of professionals. The correlations observed between occupational stress, anticipatory fatigue and exhaustion show that organizational factors, such as workload and institutional dynamics, play a significant role in the development of burnout. These results reinforce the need for systematic actions to prevent and promote occupational well-being in the environment studied. It is concluded, therefore, that psychosocial support strategies, balanced management of workloads and strengthening of institutional policies for the care of workers are fundamental for mitigating the effects of burnout syndrome, contributing to the improvement of the mental health of professionals and the quality of care provided in the field of mental health in Mozambique. Abbreviations OMS - World Health SPSS - IBM SPSS statistical analysis software Declarations Ethical approval and consent to participate The study was approved by the Bioethics Committee of the Faculty of Medicine of the Eduardo Mondlane University, Maputo, Mozambique. Written informed consent was obtained from all health care providers and assent from all participants. All methods were carried out in accordance with the relevant guidelines and regulations (Declaration of Helsinki). Consent to publicationNot applicable. Availability of data and materials The datasets used and/or analyzed during the present study are available upon reasonable request to the corresponding author. Conflict of interest The authors declare no conflict of interest. Funding This research has not received specific funding from public, commercial, or non-profit sector funding agencies. Authors' contributions [Author 1]: Conceptualization, data collection, analysis, and writing of the original draft. [Author 2]: Supervision, data analysis, validation, review and editing of the original draft. All authors have read and approved the final version of the manuscript. Acknowledgments We would like to thank the Board of Directors of the Infulene Psychiatric Hospital for the authorization to carry out the study and all the professionals who kindly participated in the research. References Araújo CG. (2008). A saúde mental está doente! A síndrome de burnout em psicólogos que trabalham em Unidades Básicas de Saúde [Dissertação de Mestrado, Universidade de São Paulo]. Instituto de Psicologia da Universidade de São Paulo. Batista TC et al. (2025). Burnout in nursing: causal factors and impacts on health. [Revisão sistemática]. RBMT (Revista Brasileira de Medicina do Trabalho) . v23n3e20251432.pdf. Delbrouck M. (2006). Síndrome de Exaustão (Burnout). (1ª ed.). Lisboa: Climepsi. Feliciano D, Langa C, Bauleth M, Brooke-Sumner C. The impact of COVID-19 on self-reported burnout and health and mental health services in Nampula, Mozambique. Front Public Health. 2022;10:951270. https://doi.org/10.3389/fpubh.2022.951270 . França ACL, Rodrigues ARL. Estresse e trabalho: uma abordagem psicossomática. 3 ed. São Paulo: Atlas; 2002. José CM, Aliante G, Abacar M. (2023). Vulnerabilidad al burnout en profesionales de la salud en un hospital público en el norte de Mozambique. Quaderns De Psicologia , 25 (2), e1921. https://doi.org/10.5565/rev/qpsicologia.1948 Maslach C, Jackson SE. The measurement of experienced Burnout. J Occup Behav. 1981;2:99–113. Paschoal T, Tamayo A. Validação da Escala de Estresse no trabalho. Estudos de Psicologia (Natal). 2004;9(1):45–52. https://doi.org/10.1590/S1413-294X2004000100006 . Soares JP et al. (2022). Burnout-related factors in health professionals during the COVID-19 pandemic. S & D / Saúde e Debate , 46 (espec.1), 385–398. https://www.scielosp.org/article/sdeb/2022.v46nspe1/385-398 Sousa MBC, de., Silva HPA, Galvão-Coelho NL. Resposta ao stress: I. Homeostase e teoria da alostase. Estudos De Psicologia (natal). 2015;20(1):2–11. https://doi.org/10.5935/1678-4669.20150002 . Additional Declarations No competing interests reported. Supplementary Files BURNOUTQUESTIONNAIREFORHEALTHCAREPROFESSIONALS.pdf Cite Share Download PDF Status: Under Review Version 1 posted Reviewers agreed at journal 30 Apr, 2026 Reviewers agreed at journal 30 Apr, 2026 Reviewers agreed at journal 28 Apr, 2026 Reviews received at journal 28 Apr, 2026 Reviewers agreed at journal 28 Apr, 2026 Reviews received at journal 27 Apr, 2026 Reviewers agreed at journal 02 Apr, 2026 Reviewers invited by journal 26 Mar, 2026 Editor assigned by journal 26 Mar, 2026 Editor invited by journal 26 Mar, 2026 Submission checks completed at journal 26 Mar, 2026 First submitted to journal 26 Mar, 2026 You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. 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Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-9130955","acceptedTermsAndConditions":true,"allowDirectSubmit":false,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":613121473,"identity":"736eecd7-a331-4620-94b0-3a309f7086e4","order_by":0,"name":"Umme Aymanah Abacar N’zé","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAA+ElEQVRIiWNgGAWjYHADHobDfyqANDNzA9FaGB/wnAFpYSReC7MBbxuIQUCLwbXTaRI/27bJm7OfPSYhOa82mr8dqOVHxTbcWm7nbpPsbbttuLMnL03CcNvx3BmHGRsYe87cxqtFgrftNuOGAzlmEonbjuU2ALUwM7bh1yL5t+22/Ybzb8wkDs45ljufGC3SQFsSN9zIMTZsbKjJ3UBIi+Tt3M3WMuduJ2+48cbwMcOxA7kbgVoO4vML3+3cjTfflN223XA+x+AwQ01d7rzzhw8++FGBWwsQsEgwssE5h8HkAXzqgYD5A8MfOKeOgOJRMApGwSgYiQAAaTdlo6be0nYAAAAASUVORK5CYII=","orcid":"","institution":"Eduardo Mondlane University","correspondingAuthor":true,"prefix":"","firstName":"Umme","middleName":"Aymanah Abacar","lastName":"N’zé","suffix":""},{"id":613121475,"identity":"b1e85e1b-2ba3-4821-afca-6ad2ce6a670f","order_by":1,"name":"Háchimo Cassamo Chagane","email":"","orcid":"","institution":"Universidade UNITIVA","correspondingAuthor":false,"prefix":"","firstName":"Háchimo","middleName":"Cassamo","lastName":"Chagane","suffix":""}],"badges":[],"createdAt":"2026-03-15 20:23:28","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-9130955/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-9130955/v1","draftVersion":[],"editorialEvents":[],"editorialNote":"","failedWorkflow":false,"files":[{"id":106959167,"identity":"fc72aa21-2081-438a-befc-698e09fece3f","added_by":"auto","created_at":"2026-04-15 08:51:30","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":744738,"visible":true,"origin":"","legend":"","description":"","filename":"manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-9130955/v1/24b7753b-e37c-4363-a47a-cfc18923dcbd.pdf"},{"id":105759745,"identity":"8242e471-184b-4cfd-876e-96f83ed75077","added_by":"auto","created_at":"2026-03-30 17:41:51","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"supplement","size":338462,"visible":true,"origin":"","legend":"","description":"","filename":"BURNOUTQUESTIONNAIREFORHEALTHCAREPROFESSIONALS.pdf","url":"https://assets-eu.researchsquare.com/files/rs-9130955/v1/741c4500bf4a5db9e135c72e.pdf"}],"financialInterests":"No competing interests reported.","formattedTitle":"Signs and Symptoms of Burnout Syndrome in Health Providers working at the Infulene Psychiatric Hospital, in the first semester of 2025: Descriptive Cross-Sectional Study","fulltext":[{"header":"Contextualization","content":"\u003cp\u003ePsychological stress can be defined as a physical or behavioral response to an adverse circumstance, which disturbs the individual's homeostasis [\u003cspan citationid=\"CR10\" class=\"CitationRef\"\u003e10\u003c/span\u003e], so stress is associated in various ways with all types of work, harming not only the health, but also the performance of workers. [\u003cspan citationid=\"CR5\" class=\"CitationRef\"\u003e5\u003c/span\u003e] Not to mention the fact that occupational stress can compromise the quality of performance, increase absenteeism and generate physical and emotional symptoms [\u003cspan citationid=\"CR8\" class=\"CitationRef\"\u003e8\u003c/span\u003e].\u003c/p\u003e \u003cp\u003eThe concept of burnout was described in 1974 by Herber Freudenberger as a state of fatigue or frustration motivated by the dedication to a cause, a way of life or a relationship that did not meet expectations [\u003cspan citationid=\"CR3\" class=\"CitationRef\"\u003e3\u003c/span\u003e]. It is defined as a set of physical and/or emotional symptoms that are directly related to the way each individual deals with stressful events in the work environment [\u003cspan citationid=\"CR1\" class=\"CitationRef\"\u003e1\u003c/span\u003e]. This condition is especially prevalent in professionals who have direct contact with other people, as occurs in the health area.\u003c/p\u003e \u003cp\u003eSubsequently, [\u003cspan citationid=\"CR7\" class=\"CitationRef\"\u003e7\u003c/span\u003e] they systematized the concept, defining it as a syndrome characterized by three fundamental dimensions: emotional exhaustion, depersonalization and reduction of personal and professional fulfillment, constituting a clinical picture that compromises both the well-being of the professional and the quality of the care offered, among the factors that favor the development of Burnout, the burden of work, the lack of autonomy, the lack of appreciation of the psychologist and the absence of emotional support or regular supervision. These conditions significantly increase the emotional exhaustion of professionals [\u003cspan citationid=\"CR1\" class=\"CitationRef\"\u003e1\u003c/span\u003e].\u003c/p\u003e \u003cp\u003eIn the Mozambican context, the Infulene Psychiatric Hospital is the main national reference in mental health, meeting a high demand of patients from different regions, thus, the systematic analysis of the signs and symptoms of burnout among the health providers of the Infulene Psychiatric Hospital is necessary, not only to understand the internal repercussions of this phenomenon, but also to support institutional strategies to promote well-being, prevent occupational illness and qualify mental health care.\u003c/p\u003e \u003cp\u003eThe lack of studies focused on the reality of the Infulene Psychiatric Hospital limits the understanding of the working conditions and mental health of its professionals. This study seeks to fill this gap by offering contextually relevant data.\u003c/p\u003e"},{"header":"Methods","content":"\u003cdiv id=\"Sec3\" class=\"Section2\"\u003e \u003ch2\u003eDrawing and study configuration\u003c/h2\u003e \u003cp\u003eThis is a descriptive cross-sectional study, with a quantitative approach, carried out at the Infulene Psychiatric Hospital, a national reference institution in mental health, located in the north of Maputo city in Zimpeto, Mozambique. The study was conducted during the first half of 2025, covering health professionals who work directly in the provision of clinical and psychosocial care.\u003c/p\u003e \u003c/div\u003e\n\u003ch3\u003eParticipants and sampling\u003c/h3\u003e\n\u003cp\u003eThe target population consisted of 106 health professionals, including nurses, doctors, psychologists, psychiatry technicians and clinical assistants, all of whom were working during the data collection period.\u003c/p\u003e \u003cp\u003eThe selection of participants occurred by census sampling, including all eligible professionals present in the service during the collection period, the inclusion criteria were: being linked to the institution during the period studied, performing direct care functions, voluntarily consenting to participate in the study and as exclusion criteria: professionals absent due to sick leave or vacation, professionals in a non-regularized administrative situation and professionals who did not consent to their participation in the study.\u003c/p\u003e\n\u003ch3\u003eProcedures and instruments\u003c/h3\u003e\n\u003cp\u003eThe data collection began after the ethical approval of the Bioethics Committee of the Faculty of Medicine of the Eduardo Mondlane University and the authorization of the Infulene Psychiatric Hospital. Data collection was carried out with the support of three trained research assistants. The professionals were approached individually in their workplaces, and the objective of the study was explained. Those who agreed to participate signed the Informed Consent Form. The questionnaires were applied in private consultation offices, ensuring the confidentiality of the answers. The estimated time to fill out the questionnaire will be 10 to 15 minutes, over a period of one month.\u003c/p\u003e \u003cp\u003eThe data collection instrument was developed based on an adaptation carried out by the authors at the Psychology Laboratory of the Polytechnic University (Polytechnic), using scales previously validated in the international literature. The final version was organized into two sections:\u003c/p\u003e \u003cp\u003e \u003col\u003e \u003cspan\u003e \u003cli\u003e \u003cp\u003e \u003cem\u003eSociodemographic Questionnaire and professional data\u003c/em\u003e: containing variables such as age, gender, length of service, professional category and working hours.\u003c/p\u003e \u003c/li\u003e \u003c/span\u003e \u003cspan\u003e \u003cli\u003e \u003cp\u003e \u003cem\u003eBurnout Scale in Health Professionals\u003c/em\u003e: a standardized and validated instrument for care contexts, composed of indicators that assess the dimensions of emotional exhaustion, depersonalization, and personal fulfillment. The answers were auto-completed, with guidance from the research assistants for clarification when necessary.\u003c/p\u003e \u003c/li\u003e \u003c/span\u003e \u003c/ol\u003e \u003c/p\u003e \u003cdiv id=\"Sec6\" class=\"Section2\"\u003e \u003ch2\u003eData analysis\u003c/h2\u003e \u003cp\u003eThe data were analyzed using descriptive statistics (frequencies, means and standard deviations), as well as Pearson's correlation to verify relationships between psychosocial variables and burnout symptoms, to verify differences between professional groups and workload variables, one-way ANOVA was applied. The level of significance adopted was p\u0026thinsp;\u0026lt;\u0026thinsp;0.05, the analysis was performed using the IBM SPSS software, version 25.\u003c/p\u003e \u003c/div\u003e\n\u003ch3\u003eEthical considerations\u003c/h3\u003e\n\u003cp\u003e The study was approved by the Bioethics Committee of the Faculty of Medicine of the Eduardo Mondlane University. It was conducted in accordance with the principles of the Declaration of Helsinque. Confidentiality, privacy and anonymity were guaranteed throughout the research process, all participants signed the Informed Consent Form, guaranteeing voluntariness, anonymity and the possibility of withdrawal without professional harm.\u003c/p\u003e"},{"header":"Results","content":"\u003cdiv id=\"Sec9\" class=\"Section2\"\u003e \u003ch2\u003eSociodemographic characteristics\u003c/h2\u003e \u003cp\u003eThe sample consisted of 106 health providers, of which the majority were female (68.9%), predominantly in the age group of 30 to 49 years (74.6%), with the group of 30\u0026ndash;39 years being the most representative (42.5%). In terms of training, a heterogeneous distribution was observed, with professionals with Medium Technical Level (37.7%) \u003cb\u003eand\u003c/b\u003e Bachelor's Degree (24.5%) standing out. Regarding length of service, most participants had five or more years of professional activity (70.8%), indicating an experienced workforce already exposed, for long periods, to the demands of the care and institutional routine (Table\u0026nbsp;\u003cspan refid=\"Tab1\" class=\"InternalRef\"\u003e1\u003c/span\u003e).\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab1\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 1\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003e\u003cb\u003eSociodemographic data\u003c/b\u003e (N\u0026thinsp;=\u0026thinsp;106).\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"3\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eSex\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003eFa\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003e%\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eFemale\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e73\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e68.9%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eMale\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e33\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e31.1%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eTotal\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e106\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e100%\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eAge\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eFa\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e%\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e25\u0026ndash;29 Years\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e14\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e13.2%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e30\u0026ndash;39 Years\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e45\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e42.5%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e40\u0026ndash;49 Years\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e34\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e32.1%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e50\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e13\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e12.3%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eTotal\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e106\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e100%\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eMarital status\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eFa\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e%\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eSingle\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e41\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e38.7%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eLives Maritally\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e23\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e21.7%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eMarried\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e35\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e33.0%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eDivorced/Separated\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e0.9%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eWidower\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e6\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e5.7%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eTotal\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e106\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e100%\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eTraining Level\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eFa\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e%\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eCoach Medium\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e40\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e37.7%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eGraduate\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e26\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e24.5%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eDoctorate\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e0.9%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eNurse\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e0.9%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eTraining\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e0.9%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eHigh School\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1.9%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eOther\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e24\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e22.6%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eEmpty\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e10\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e9.4%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eTotal\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e106\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e100%\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003cp\u003eIn the professional sphere, the majority of respondents (70.8%) have a length of service equal to or greater than 5 years, indicating an experienced workforce. The \"Work Area\" presents a great diversity, with the category \"Other\" being the most frequent (37.7%), followed by Nurses (18.9%). This heterogeneity reflects the multifunctional nature of a hospital institution (Table\u0026nbsp;\u003cspan refid=\"Tab2\" class=\"InternalRef\"\u003e2\u003c/span\u003e).\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab2\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 2\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eProfessional Data (n\u0026thinsp;=\u0026thinsp;106).\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"3\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eService Time\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003eFa\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003e%\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e0\u0026ndash;4 Years\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e28\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e26.4%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e5\u0026ndash;9 Years\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e21\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e19.8%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e10\u0026ndash;14 Years\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e26\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e24.5%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e15\u0026ndash;19 Years\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e12\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e11.3%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e⩾20 Years\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e12\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e11.3%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eMissing\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e7\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e6.6%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eTotal\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e106\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eWork area\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eFa\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e%\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003ePsychologist\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e7\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e6.6%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003ePsychiatrist\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e4\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e3.8%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003ePsychiatry Technology\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1.9%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eNurse\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e20\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e18.9%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eOther\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e40\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e37.7%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eEmpty\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e6\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e5.7%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eMaid\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e0.9%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eAdministrative\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e6\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e5.7%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eService Agent\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e4.7%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eAPSS\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e0.9%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eHeritage\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e0.9%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003ePharmcy\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e0.9%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eActivist\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e0.9%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eSocial Work\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e0.9%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eAccounting\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e0.9%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eUGEA\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e0.9%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eHuman Resources\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e2.1%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eHospital Maintenance\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1.9%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eMissing\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e2.8%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eTotal\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e106\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003c/div\u003e\n\u003ch3\u003eHow Stress Affects Work\u003c/h3\u003e\n\u003cp\u003eThe results indicate that an overwhelming majority of professionals (78.3%) claim to have knowledge related to burnout syndrome. However, when asked about the impact of stress on their work, half of respondents (50.5%) report that stress affects their work \"Always\" or \"Almost always\", and 33% report that it occurs \"Often\". Only a minority (6.5%) say that stress \"Never\" or \"Rarely\" interferes.\u003c/p\u003e \u003cdiv id=\"Sec11\" class=\"Section2\"\u003e \u003ch2\u003eSymptomatologia of Burnout (burnout indicators)\u003c/h2\u003e \u003cp\u003eThe analysis of the symptoms reveals worrying indicators of \u003cem\u003eburnout\u003c/em\u003e. The most prevalent sign is tiredness even before arriving at work, reported by 42.9% of professionals. This is followed by tiredness after work (36.4%). A quarter of respondents (25.2%) feel \"emotionally drained\" during work. Other significant signs are performing tasks in a \"mechanical\" way (12.1%) and speaking \"negatively about work\" (11.2%). It should be noted that almost half (45.8%) still feel energetic for other activities after work, indicating that the phenomenon is not homogeneous.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec12\" class=\"Section2\"\u003e \u003ch2\u003eRisk Factors and Statistical Associations\u003c/h2\u003e \u003cp\u003eAnalyses of variance (ANOVA) confirmed significant differences between groups in critical variables:\u003c/p\u003e \u003cp\u003e \u003cul\u003e \u003cli\u003e \u003cp\u003eThe \"ability to manage the amount of work\" (p\u0026thinsp;=\u0026thinsp;0.003) and the \"ability to withstand pressure\" (p\u0026thinsp;=\u0026thinsp;0.009) vary significantly among professionals, indicating that the perception of workload is a differentiating factor in well-being.\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003eThe \"frequency of emotional exhaustion\" also presents significant differences between groups (p\u0026thinsp;=\u0026thinsp;0.019).\u003c/p\u003e \u003c/li\u003e \u003c/ul\u003e \u003c/p\u003e \u003cp\u003eCorrelation analyses demonstrate statistically significant and positive relationships between occupational stress and various burnout symptoms:\u003c/p\u003e \u003cp\u003e \u003cul\u003e \u003cli\u003e \u003cp\u003eThere is a moderate positive correlation between stress and tiredness before work (r\u0026thinsp;=\u0026thinsp;0.298; p\u0026thinsp;=\u0026thinsp;0.002).\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003eStress is also correlated with speaking negatively about work (r\u0026thinsp;=\u0026thinsp;0.320; p\u0026thinsp;=\u0026thinsp;0.001) and performing tasks mechanically (r\u0026thinsp;=\u0026thinsp;0.295; p\u0026thinsp;=\u0026thinsp;0.002).\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003eA strong and highly significant correlation was found between \"pre-work fatigue\" and \"emotional exhaustion\" (r\u0026thinsp;=\u0026thinsp;0.456; p\u0026thinsp;\u0026lt;\u0026thinsp;0.001), suggesting that physical exhaustion is a potent precursor of psychological exhaustion.\u003c/p\u003e \u003c/li\u003e \u003c/ul\u003e \u003c/p\u003e \u003c/div\u003e"},{"header":"Discussion","content":"\u003cp\u003eThe data allowed the identification of the sociodemographic and professional profile of the participants, where a variety was observed in terms of gender, function and sex, highlighting the predominant profile being female and diversity in age mostly between 30 and 49 years old, as well as in relation to the length of service, in which most respondents have a length of service equal to or greater than 5 years, indicating an experienced workforce.\u003c/p\u003e \u003cp\u003eThe results of this study align with previous research conducted in the Mozambican context. For example [\u003cspan class=\"CitationRef\"\u003e4\u003c/span\u003e], they conducted a study with health professionals in Nampula, also identified a greater presence of women in the provision of mental health care and significant levels of work overload. Similarly [\u003cspan class=\"CitationRef\"\u003e6\u003c/span\u003e], when analyzing the vulnerability to burnout in professionals from a public hospital in northern Mozambique, they found a similar sociodemographic profile, with predominant ages between 25 and 50 years and time of professional practice of more than five years.\u003c/p\u003e \u003cp\u003eThe significant correlation between tiredness before starting work and perceived impact of stress on performance (r = 0.298; p = 0.002) confirms that workers recognize the negative effects of burnout element. However, there was also a negative correlation between tiredness and seeking psychological support (r = -0.291; p = 0.002), revealing a gap between awareness of the problem and the adoption of coping measures. This discrepancy is discussed by [\u003cspan class=\"CitationRef\"\u003e9\u003c/span\u003e], who identified the same pattern in health professionals during the pandemic: even recognizing burnout, many do not implement self-care strategies or seek specialized support.\u003c/p\u003e \u003cp\u003eThe study showed that the most prevalent signs among HPI professionals are fatigue before the workday, emotional exhaustion and the negative impact of stress on performance. These results are in line with the study by [\u003cspan class=\"CitationRef\"\u003e2\u003c/span\u003e], which identifies how principais Manifestations of the syndrome are physical exhaustion, mental fatigue and the feeling of loss of vital energy.\u003c/p\u003e \u003cp\u003eCorrelation analysis showed significant associations between reported symptoms and occupational factors. The positive relationship between fatigue and stress impact confirms that wear and tear is directly related to the perception of overload. This evidence is supported by the study by [\u003cspan class=\"CitationRef\"\u003e9\u003c/span\u003e], which identified task overload and adverse working conditions as the main predictors of burnout in health professionals.\u003c/p\u003e \u003cdiv id=\"Sec14\" class=\"Section2\"\u003e \u003ch2\u003eLimitations\u003c/h2\u003e \u003cp\u003eThe cross-sectional nature of the study prevents the establishment of direct causality between organizational factors and burnout symptoms. The data were self-reported, which may introduce individual perception biases. However, the results have internal consistency and practical relevance to the analyzed context\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec15\" class=\"Section2\"\u003e \u003ch2 name=\"removable\"\u003eConclusões\u003c/h2\u003e \u003cp name=\"removable\"\u003eThe results of this study showed the presence of moderate signs of burnout syndrome among the health providers of the Infulene Psychiatric Hospital, manifested mainly by physical and emotional fatigue, exhaustion during the exercise of functions and attitudes of distancing in relation to work. These findings confirm that the work context in mental health services presents high emotional demands and can contribute to the progressive exhaustion of professionals.\u003c/p\u003e \u003cp name=\"removable\"\u003eThe correlations observed between occupational stress, anticipatory fatigue and exhaustion show that organizational factors, such as workload and institutional dynamics, play a significant role in the development of burnout. These results reinforce the need for systematic actions to prevent and promote occupational well-being in the environment studied.\u003c/p\u003e \u003cp name=\"removable\"\u003eIt is concluded, therefore, that psychosocial support strategies, balanced management of workloads and strengthening of institutional policies for the care of workers are fundamental for mitigating the effects of burnout syndrome, contributing to the improvement of the mental health of professionals and the quality of care provided in the field of mental health in Mozambique.\u003c/p\u003e \u003c/div\u003e"},{"header":"Conclusions","content":"\u003cp\u003eThe results of this study showed the presence of moderate signs of burnout syndrome among the health providers of the Infulene Psychiatric Hospital, manifested mainly by physical and emotional fatigue, exhaustion during the exercise of functions and attitudes of distancing in relation to work. These findings confirm that the work context in mental health services presents high emotional demands and can contribute to the progressive exhaustion of professionals.\u003c/p\u003e\u003cp\u003eThe correlations observed between occupational stress, anticipatory fatigue and exhaustion show that organizational factors, such as workload and institutional dynamics, play a significant role in the development of burnout. These results reinforce the need for systematic actions to prevent and promote occupational well-being in the environment studied.\u003c/p\u003e\u003cp\u003eIt is concluded, therefore, that psychosocial support strategies, balanced management of workloads and strengthening of institutional policies for the care of workers are fundamental for mitigating the effects of burnout syndrome, contributing to the improvement of the mental health of professionals and the quality of care provided in the field of mental health in Mozambique.\u003c/p\u003e"},{"header":"Abbreviations","content":"\u003cp\u003e\u003cstrong\u003eOMS\u003c/strong\u003e - World Health\u003cbr\u003e\u003cstrong\u003eSPSS\u003c/strong\u003e - IBM SPSS statistical analysis software\u003c/p\u003e"},{"header":"Declarations","content":"\u003cp\u003e\u003cstrong\u003eEthical approval and consent to participate\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe study was approved by the Bioethics Committee of the Faculty of Medicine of the Eduardo Mondlane University, Maputo, Mozambique. Written informed consent was obtained from all health care providers and assent from all participants. All methods were carried out in accordance with the relevant guidelines and regulations (Declaration of Helsinki).\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConsent to publicationNot applicable.\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAvailability of data and materials\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe datasets used and/or analyzed during the present study are available upon reasonable request to the corresponding author.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConflict of interest\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe authors declare no conflict of interest.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eFunding\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThis research has not received specific funding from public, commercial, or non-profit sector funding agencies.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAuthors' contributions\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003e[Author 1]: Conceptualization, data collection, analysis, and writing of the original draft.\u003c/p\u003e\n\u003cp\u003e[Author 2]: Supervision, data analysis, validation, review and editing of the original draft. All authors have read and approved the final version of the manuscript.\u003c/p\u003e\n\u003ch3\u003e\u003cstrong\u003eAcknowledgments\u0026nbsp;\u003c/strong\u003e\u003c/h3\u003e\n\u003cp\u003eWe would like to thank the Board of Directors of the Infulene Psychiatric Hospital for the authorization to carry out the study and all the professionals who kindly participated in the research.\u003c/p\u003e"},{"header":"References","content":"\u003col\u003e\u003cli\u003e\u003cspan\u003eAra\u0026uacute;jo CG. (2008). \u003cem\u003eA sa\u0026uacute;de mental est\u0026aacute; doente! A s\u0026iacute;ndrome de burnout em psic\u0026oacute;logos que trabalham em Unidades B\u0026aacute;sicas de Sa\u0026uacute;de\u003c/em\u003e [Disserta\u0026ccedil;\u0026atilde;o de Mestrado, Universidade de S\u0026atilde;o Paulo]. Instituto de Psicologia da Universidade de S\u0026atilde;o Paulo.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eBatista TC et al. (2025). Burnout in nursing: causal factors and impacts on health. [Revis\u0026atilde;o sistem\u0026aacute;tica]. \u003cem\u003eRBMT (Revista Brasileira de Medicina do Trabalho)\u003c/em\u003e. v23n3e20251432.pdf.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eDelbrouck M. (2006). S\u0026iacute;ndrome de Exaust\u0026atilde;o (Burnout). (1\u0026ordf; ed.). Lisboa: Climepsi.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eFeliciano D, Langa C, Bauleth M, Brooke-Sumner C. The impact of COVID-19 on self-reported burnout and health and mental health services in Nampula, Mozambique. Front Public Health. 2022;10:951270. \u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003ehttps://doi.org/10.3389/fpubh.2022.951270\u003c/span\u003e\u003cspan address=\"10.3389/fpubh.2022.951270\" targettype=\"DOI\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eFran\u0026ccedil;a ACL, Rodrigues ARL. Estresse e trabalho: uma abordagem psicossom\u0026aacute;tica. 3 ed. S\u0026atilde;o Paulo: Atlas; 2002.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eJos\u0026eacute; CM, Aliante G, Abacar M. (2023). Vulnerabilidad al burnout en profesionales de la salud en un hospital p\u0026uacute;blico en el norte de Mozambique. \u003cem\u003eQuaderns De Psicologia\u003c/em\u003e, \u003cem\u003e25\u003c/em\u003e(2), e1921. \u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003ehttps://doi.org/10.5565/rev/qpsicologia.1948\u003c/span\u003e\u003cspan address=\"10.5565/rev/qpsicologia.1948\" targettype=\"DOI\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eMaslach C, Jackson SE. The measurement of experienced Burnout. J Occup Behav. 1981;2:99\u0026ndash;113.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003ePaschoal T, Tamayo A. Valida\u0026ccedil;\u0026atilde;o da Escala de Estresse no trabalho. Estudos de Psicologia (Natal). 2004;9(1):45\u0026ndash;52. \u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003ehttps://doi.org/10.1590/S1413-294X2004000100006\u003c/span\u003e\u003cspan address=\"10.1590/S1413-294X2004000100006\" targettype=\"DOI\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eSoares JP et al. (2022). Burnout-related factors in health professionals during the COVID-19 pandemic. \u003cem\u003eS \u0026amp; D / Sa\u0026uacute;de e Debate\u003c/em\u003e, 46 (espec.1), 385\u0026ndash;398. \u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003ehttps://www.scielosp.org/article/sdeb/2022.v46nspe1/385-398\u003c/span\u003e\u003cspan address=\"https://www.scielosp.org/article/sdeb/2022.v46nspe1/385-398\" targettype=\"URL\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eSousa MBC, de., Silva HPA, Galv\u0026atilde;o-Coelho NL. Resposta ao stress: I. Homeostase e teoria da alostase. Estudos De Psicologia (natal). 2015;20(1):2\u0026ndash;11. \u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003ehttps://doi.org/10.5935/1678-4669.20150002\u003c/span\u003e\u003cspan address=\"10.5935/1678-4669.20150002\" targettype=\"DOI\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e.\u003c/span\u003e\u003c/li\u003e\u003c/ol\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":false,"highlight":"","institution":"","isAcceptedByJournal":false,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"bmc-psychology","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"psyo","sideBox":"Learn more about [BMC Psychology](http://bmcpsychology.biomedcentral.com/)","snPcode":"","submissionUrl":"","title":"BMC Psychology","twitterHandle":"BMC_series","acdcEnabled":true,"dfaEnabled":true,"editorialSystem":"stoa","reportingPortfolio":"BMC Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true},"keywords":"Stress, Burnout, Signs and symptoms, Health providers, Mental hospital","lastPublishedDoi":"10.21203/rs.3.rs-9130955/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-9130955/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003eBurnout syndrome is an important occupational health problem among professionals who work in contexts of high emotional demand, such as specialized mental health services. This study aimed to evaluate the signs and symptoms of burnout syndrome among health providers working at the Infulene Psychiatric Hospital, in Maputo, in the first half of 2025.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eMethods:\u003c/strong\u003e A descriptive cross-sectional study with a quantitative approach was carried out,between the months of May and June 2025, 106 health professionals from different categories were included, selected by census sampling. A sociodemographic questionnaire and the Burnout Questionnaire in Health Professionals were used, including dimensions of emotional exhaustion, depersonalization, and personal fulfillment. Data were analyzed using descriptive statistics, Pearson correlation and ANOVA, with a significance level of p\u0026lt;0.05.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eResults:\u003c/strong\u003e The sample was predominantly female (68.9%), aged between 30 and 49 years (74.6%) and with more than five years of service (70.8%). The most prevalent signs were: tiredness before starting work (42.9%), tiredness after work (36.4%) and emotional exhaustion during work (25.2%). There was a significant positive correlation between occupational stress and pre-work fatigue (r=0.298; p=0.002), mechanical task performance (r=0.295; p=0.002) and negative discourse about work (r=0.320; p=0.001). The ability to manage the workload showed significant differences between groups (p=0.003).\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConclusions:\u003c/strong\u003e The results show the presence of moderate signs of burnout among the professionals of the Infulene Psychiatric Hospital, particularly associated with occupational stress and the perception of work overload. The need for institutional strategies aimed at promoting mental health and emotional support for workers is reinforced.\u003c/p\u003e","manuscriptTitle":"Signs and Symptoms of Burnout Syndrome in Health Providers working at the Infulene Psychiatric Hospital, in the first semester of 2025: Descriptive Cross-Sectional Study","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2026-03-30 17:41:47","doi":"10.21203/rs.3.rs-9130955/v1","editorialEvents":[{"type":"communityComments","content":0},{"type":"reviewerAgreed","content":"143739091087107679698265925482357399516","date":"2026-04-30T14:20:51+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"295606738960110952921236415781206595114","date":"2026-04-30T07:13:17+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"15187524969143375738556130590460575809","date":"2026-04-28T10:19:35+00:00","index":"hide","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2026-04-28T10:16:33+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"305045492709778881554554763942711326543","date":"2026-04-28T06:21:10+00:00","index":"hide","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2026-04-27T06:59:55+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"71203847603379927646640142607122029609","date":"2026-04-02T04:30:20+00:00","index":"hide","fulltext":""},{"type":"reviewersInvited","content":"","date":"2026-03-27T03:54:23+00:00","index":"","fulltext":""},{"type":"editorAssigned","content":"","date":"2026-03-27T03:51:04+00:00","index":"","fulltext":""},{"type":"editorInvited","content":"","date":"2026-03-26T23:26:44+00:00","index":"","fulltext":""},{"type":"checksComplete","content":"","date":"2026-03-26T18:17:33+00:00","index":"","fulltext":""},{"type":"submitted","content":"BMC Psychology","date":"2026-03-26T18:13:29+00:00","index":"","fulltext":""}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"bmc-psychology","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"psyo","sideBox":"Learn more about [BMC Psychology](http://bmcpsychology.biomedcentral.com/)","snPcode":"","submissionUrl":"","title":"BMC Psychology","twitterHandle":"BMC_series","acdcEnabled":true,"dfaEnabled":true,"editorialSystem":"stoa","reportingPortfolio":"BMC Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"4b1d1a02-a243-4bcd-a870-abc04bce7522","owner":[],"postedDate":"March 30th, 2026","published":true,"recentEditorialEvents":[{"type":"reviewerAgreed","content":"143739091087107679698265925482357399516","date":"2026-04-30T14:20:51+00:00","index":60,"fulltext":""},{"type":"reviewerAgreed","content":"295606738960110952921236415781206595114","date":"2026-04-30T07:13:17+00:00","index":59,"fulltext":""}],"rejectedJournal":[],"revision":"","amendment":"","status":"under-review","subjectAreas":[],"tags":[],"updatedAt":"2026-03-30T17:41:48+00:00","versionOfRecord":[],"versionCreatedAt":"2026-03-30 17:41:47","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-9130955","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-9130955","identity":"rs-9130955","version":["v1"]},"buildId":"XKTyCvWXoU3ODBz1xrDgd","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}