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Research ArticleOriginal Article
Open Access

The prevalence of work-related burnout among neurosurgeons in Saudi Arabia: A multicenter cross-sectional study

Ezat A. Mersal, Saad J. Alsuwayhib, Razan M. Almufarriji, Ahmed A. Morsi, Bushra M. Assery, Mohamed H. Bahr, Hanin H. Al-kilani, Sahar M. Ragheb, Mariam F. Alsaleem, Njood H. Shehab, Farah H. Alshateb and Alaa M. Hassanein
Neurosciences Journal July 2025, 30 (3) 193-200; DOI: https://doi.org/10.17712/nsj.2025.3.20240109
Ezat A. Mersal
From the Department of Basic Medical Sciences (Mersal, Morsi, Bahr, Hassanein), Faculty of Medicine, Vision Colleges, From the Faculty of Medicine (Alsuwayhib, Al-kilani, Ragheb, Alsaleem, Shehab, Alshateb), Vision Colleges, from the Department of Clinical Sciences (Assery), Vision Colleges, and from the Department of Neurosurgery (Almufarriji), National Neuroscience Institute, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia
PhD
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  • ORCID record for Ezat A. Mersal
  • For correspondence: emersal{at}vision.edu.sa
Saad J. Alsuwayhib
From the Department of Basic Medical Sciences (Mersal, Morsi, Bahr, Hassanein), Faculty of Medicine, Vision Colleges, From the Faculty of Medicine (Alsuwayhib, Al-kilani, Ragheb, Alsaleem, Shehab, Alshateb), Vision Colleges, from the Department of Clinical Sciences (Assery), Vision Colleges, and from the Department of Neurosurgery (Almufarriji), National Neuroscience Institute, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia
MI
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Razan M. Almufarriji
From the Department of Basic Medical Sciences (Mersal, Morsi, Bahr, Hassanein), Faculty of Medicine, Vision Colleges, From the Faculty of Medicine (Alsuwayhib, Al-kilani, Ragheb, Alsaleem, Shehab, Alshateb), Vision Colleges, from the Department of Clinical Sciences (Assery), Vision Colleges, and from the Department of Neurosurgery (Almufarriji), National Neuroscience Institute, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia
MBBS
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Ahmed A. Morsi
From the Department of Basic Medical Sciences (Mersal, Morsi, Bahr, Hassanein), Faculty of Medicine, Vision Colleges, From the Faculty of Medicine (Alsuwayhib, Al-kilani, Ragheb, Alsaleem, Shehab, Alshateb), Vision Colleges, from the Department of Clinical Sciences (Assery), Vision Colleges, and from the Department of Neurosurgery (Almufarriji), National Neuroscience Institute, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia
MD
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Bushra M. Assery
From the Department of Basic Medical Sciences (Mersal, Morsi, Bahr, Hassanein), Faculty of Medicine, Vision Colleges, From the Faculty of Medicine (Alsuwayhib, Al-kilani, Ragheb, Alsaleem, Shehab, Alshateb), Vision Colleges, from the Department of Clinical Sciences (Assery), Vision Colleges, and from the Department of Neurosurgery (Almufarriji), National Neuroscience Institute, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia
MBBS
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Mohamed H. Bahr
From the Department of Basic Medical Sciences (Mersal, Morsi, Bahr, Hassanein), Faculty of Medicine, Vision Colleges, From the Faculty of Medicine (Alsuwayhib, Al-kilani, Ragheb, Alsaleem, Shehab, Alshateb), Vision Colleges, from the Department of Clinical Sciences (Assery), Vision Colleges, and from the Department of Neurosurgery (Almufarriji), National Neuroscience Institute, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia
MD
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Hanin H. Al-kilani
From the Department of Basic Medical Sciences (Mersal, Morsi, Bahr, Hassanein), Faculty of Medicine, Vision Colleges, From the Faculty of Medicine (Alsuwayhib, Al-kilani, Ragheb, Alsaleem, Shehab, Alshateb), Vision Colleges, from the Department of Clinical Sciences (Assery), Vision Colleges, and from the Department of Neurosurgery (Almufarriji), National Neuroscience Institute, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia
MS
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Sahar M. Ragheb
From the Department of Basic Medical Sciences (Mersal, Morsi, Bahr, Hassanein), Faculty of Medicine, Vision Colleges, From the Faculty of Medicine (Alsuwayhib, Al-kilani, Ragheb, Alsaleem, Shehab, Alshateb), Vision Colleges, from the Department of Clinical Sciences (Assery), Vision Colleges, and from the Department of Neurosurgery (Almufarriji), National Neuroscience Institute, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia
MS
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Mariam F. Alsaleem
From the Department of Basic Medical Sciences (Mersal, Morsi, Bahr, Hassanein), Faculty of Medicine, Vision Colleges, From the Faculty of Medicine (Alsuwayhib, Al-kilani, Ragheb, Alsaleem, Shehab, Alshateb), Vision Colleges, from the Department of Clinical Sciences (Assery), Vision Colleges, and from the Department of Neurosurgery (Almufarriji), National Neuroscience Institute, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia
MS
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Njood H. Shehab
From the Department of Basic Medical Sciences (Mersal, Morsi, Bahr, Hassanein), Faculty of Medicine, Vision Colleges, From the Faculty of Medicine (Alsuwayhib, Al-kilani, Ragheb, Alsaleem, Shehab, Alshateb), Vision Colleges, from the Department of Clinical Sciences (Assery), Vision Colleges, and from the Department of Neurosurgery (Almufarriji), National Neuroscience Institute, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia
MS
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Farah H. Alshateb
From the Department of Basic Medical Sciences (Mersal, Morsi, Bahr, Hassanein), Faculty of Medicine, Vision Colleges, From the Faculty of Medicine (Alsuwayhib, Al-kilani, Ragheb, Alsaleem, Shehab, Alshateb), Vision Colleges, from the Department of Clinical Sciences (Assery), Vision Colleges, and from the Department of Neurosurgery (Almufarriji), National Neuroscience Institute, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia
MI
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Alaa M. Hassanein
From the Department of Basic Medical Sciences (Mersal, Morsi, Bahr, Hassanein), Faculty of Medicine, Vision Colleges, From the Faculty of Medicine (Alsuwayhib, Al-kilani, Ragheb, Alsaleem, Shehab, Alshateb), Vision Colleges, from the Department of Clinical Sciences (Assery), Vision Colleges, and from the Department of Neurosurgery (Almufarriji), National Neuroscience Institute, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia
MSc
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Article Figures & Data

Figures

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  • Figure 1
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    Figure 1

    - Neurosurgeons’ perception about the principal components of the Stress and Burnout questionnaire showing the mean of each component with reference to the ‘normal’ value (dotted line).

  • Figure 2
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    Figure 2

    - Neurosurgeons’ perception about the principal components of the Stress and Burnout questionnaire showing the frequency distribution of the four components, a) poor quality of life, b) feeling exhausted, tired, and disappointed, c) less smooth, successful, and energetic, d) unkind and tough with patients.

  • Figure 3
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    Figure 3

    - Assessment of burnout and stress with regard to a) the study participants’ marital and b) parental status. Bars with patterns and asterisks represent group means with significant difference. Dotted line represents the ‘normal’ reference.

  • Figure 4
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    Figure 4

    - Bubble chart illustrating a correlation analysis between each component of the burnout perception and the participants’ attributes. Bubbles above the horizontal axis indicate a positive correlation. Bubble size is proportional to Spearman correlation coefficient. Solid bubbles, statistically significant correlation; empty bubbles, insignificant trend.

Tables

  • Figures
    • View popup
    Table 1

    - Demographic characteristics.

    CharacteristicParticipants (n [%]), n=95
    Age, years
    21-3023 (24.2)
    31-4040 (42.1)
    41-5011 (11.6)
    51-6016 (16.8)
    61-705 (5.3)
    Gender
    Male65 (68.4)
    Female30 (31.6)
    Marital Status
    Single40 (42.1)
    Married49 (51.6)
    Divorced6 (6.3)
    Offspring
    No Offspring47 (49.5)
    Have Offspring48 (50.5)
    Professional Status
    Resident46 (48.4)
    Specialist12 (12.6)
    Fellow4 (4.2)
    General Consultant10 (10.5)
    Subspecialized Consultant23 (24.2)
    Current Housing
    Primary Governmental5 (5.3)
    Secondary Governmental11 (11.6)
    Tertiary Governmental53 (55.8)
    Private26 (27.4)
    • View popup
    Table 2

    - Illustrates the Rotated Component Matrix for the PCA of the survey questions.

    Survey itemsComponents
    1234
    Limitation in sleep, eating, and daily activities (e.g. work, study, housework, family or leisure activities).831   
    Physical Pain/Discomfort.819   
    Anxiety/Depression.720   
    Feel annoyed when I do not have any future plans to do.635   
    See myself work too hard usually    
    Feel Emotionally Exhausted & Worn Out Because of Work .799  
    Feel tired as soon as I get up in the morning and see a new working day stretched out in front of me .752  
    Feel disappointed by my work .689  
    Deal with patients’ post-operative complications successfully  .851 
    Can smoothly manage the tasks assigned to me  .816 
    Feel full of energy and able to create a positive environment in my work  .678 
    Get the feeling that I treat some patients inhumanely/unkindly as if they were objects   .851
    Became more tough on patients and other people since I have occupied this job   .833

    Extraction Method: PCA. Rotation Method: Varimax with Kaiser Normalization (Rotation converged in five iterations)

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    Neurosciences Journal: 30 (3)
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    The prevalence of work-related burnout among neurosurgeons in Saudi Arabia: A multicenter cross-sectional study
    Ezat A. Mersal, Saad J. Alsuwayhib, Razan M. Almufarriji, Ahmed A. Morsi, Bushra M. Assery, Mohamed H. Bahr, Hanin H. Al-kilani, Sahar M. Ragheb, Mariam F. Alsaleem, Njood H. Shehab, Farah H. Alshateb, Alaa M. Hassanein
    Neurosciences Journal Jul 2025, 30 (3) 193-200; DOI: 10.17712/nsj.2025.3.20240109

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    The prevalence of work-related burnout among neurosurgeons in Saudi Arabia: A multicenter cross-sectional study
    Ezat A. Mersal, Saad J. Alsuwayhib, Razan M. Almufarriji, Ahmed A. Morsi, Bushra M. Assery, Mohamed H. Bahr, Hanin H. Al-kilani, Sahar M. Ragheb, Mariam F. Alsaleem, Njood H. Shehab, Farah H. Alshateb, Alaa M. Hassanein
    Neurosciences Journal Jul 2025, 30 (3) 193-200; DOI: 10.17712/nsj.2025.3.20240109
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