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PLoS One. 2017 Aug 11;12(8):e0182956. doi: 10.1371/journal.pone.0182956. eCollection 2017.

Burnout, associated comorbidities and coping strategies in French community pharmacies-BOP study: A nationwide cross-sectional study.

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Université Clermont Auvergne, Inserm U1107, NEURO-DOL, UFR de Pharmacie, CHU Clermont-Ferrand, Clermont-Ferrand, France.
CHU Clermont-Ferrand, Clermont-Ferrand, France.
Université Clermont Auvergne, UFR de Pharmacie, Clermont-Ferrand, France.
Université Clermont Auvergne, Inserm U1107, NEURO-DOL, UFR de Pharmacie, Clermont-Ferrand, France.
Ordre des Pharmaciens-Conseil Régional Nord Pas de Calais, Lille, France.
Univ. Lille, CHU Lille, Institut Pasteur de Lille, EA 4483-IMPECS-IMPact de l'Environnement Chimique sur la Santé humaine, Lille, France.
Ordre des Pharmaciens-Conseil Régional Auvergne, Clermont-Ferrand, France.
Université Clermont Auvergne, Inserm U1107, NEURO-DOL, UFR de Médecine, CHU Clermont-Ferrand, Clermont-Ferrand, France.
Université Clermont Auvergne, UFR de Pharmacie, unité ACCePPT, Clermont-Ferrand, France.



Work-related stress and burnout syndromes are unfortunately common comorbidities found in health professionals. However, burnout syndrome has only been partly and episodically assessed for community pharmacists whereas these professionals are exposed to patients' demands and difficulties every day. Prevalence of burnout, associated comorbidities and coping strategies were assessed in pharmacy teams (pharmacists and pharmacy technicians) in French community pharmacies.


This online survey was performed by emails sent to all French community pharmacies over 3 months. The survey assessed the prevalence of burnout (Maslach Burnout Inventory-MBI-questionnaire), anxiety, depression and strategies for coping with work-related stress.


Of the 1,339 questionnaires received, 1,322 were completed and useable for the analysis. Burnout syndrome was detected in 56.2% of respondents and 10.5% of them presented severe burnout syndrome. Severe burnout syndrome was significantly associated with men, large urban areas and the number of hours worked. Depression and anxiety were found in 15.7% and 42.4% of respondents, respectively. These co-morbidities were significantly associated with severe burnout syndrome. Higher MBI scores were significantly associated with medical consultations and medicinal drug use. Conversely, respondents suffering from burnout syndrome declared they resorted less to non-medical strategies to manage their work-related stress (leisure, psychotherapy, holidays and time off).


This study demonstrated that community pharmacists and pharmacy technicians presented high prevalence of burnout syndrome, such as many healthcare professionals. Unfortunately, burnout syndrome was associated with several comorbidities (anxiety, depression and alcohol abuse) and the consumption of health resources. The psychological suffering of these healthcare professionals underlines the necessity to deploy a strategy to detect and manage burnout in community pharmacy.

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