<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.4 20241031//EN"
        "https://jats.nlm.nih.gov/publishing/1.4/JATS-journalpublishing1-4.dtd">
<article  article-type="research-article"        dtd-version="1.4">
            <front>

                <journal-meta>
                                                                <journal-id>int j tokat med sci</journal-id>
            <journal-title-group>
                                                                                    <journal-title>International Journal of Tokat Medical Sciences</journal-title>
            </journal-title-group>
                                        <issn pub-type="epub">3061-9912</issn>
                                                                                            <publisher>
                    <publisher-name>Tokat Gaziosmanpaşa Üniversitesi</publisher-name>
                </publisher>
                    </journal-meta>
                <article-meta>
                                        <article-id/>
                                                                <article-categories>
                                            <subj-group  xml:lang="en">
                                                            <subject>Psychiatry</subject>
                                                    </subj-group>
                                            <subj-group  xml:lang="tr">
                                                            <subject>Psikiyatri</subject>
                                                    </subj-group>
                                    </article-categories>
                                                                                                                                                        <title-group>
                                                                                                                        <article-title>Araştırma görevlilierinde COVID-19 sürecinde tükenmişilik, umutsuzluk, depresyon ve anksiyete düzeyleri</article-title>
                                                                                                                                                                                                <trans-title-group xml:lang="en">
                                    <trans-title>Burnout, hopelessness, depression and anxiety levels in research assitants during COVID_19 process</trans-title>
                                </trans-title-group>
                                                                                                    </title-group>
            
                                                    <contrib-group content-type="authors">
                                                                        <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0009-0009-2101-1490</contrib-id>
                                                                <name>
                                    <surname>Oğrak Dumlu</surname>
                                    <given-names>Nurcansu</given-names>
                                </name>
                                                                    <aff>Sivas Devlet Hastanesi</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0002-3582-235X</contrib-id>
                                                                <name>
                                    <surname>Kuğu</surname>
                                    <given-names>Nesim</given-names>
                                </name>
                                                                    <aff>SİVAS CUMHURİYET ÜNİVERSİTESİ</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                <name>
                                    <surname>Yılmaz</surname>
                                    <given-names>Yavuz</given-names>
                                </name>
                                                                    <aff>SİVAS CUMHURİYET ÜNİVERSİTESİ</aff>
                                                            </contrib>
                                                                                </contrib-group>
                        
                                        <pub-date pub-type="pub" iso-8601-date="20260428">
                    <day>04</day>
                    <month>28</month>
                    <year>2026</year>
                </pub-date>
                                        <volume>18</volume>
                                        <issue>1</issue>
                                        <fpage>45</fpage>
                                        <lpage>58</lpage>
                        
                        <history>
                                    <date date-type="received" iso-8601-date="20260204">
                        <day>02</day>
                        <month>04</month>
                        <year>2026</year>
                    </date>
                                                    <date date-type="accepted" iso-8601-date="20260327">
                        <day>03</day>
                        <month>27</month>
                        <year>2026</year>
                    </date>
                            </history>
                                        <permissions>
                    <copyright-statement>Copyright © 2024, International Journal of Tokat Medical Sciences</copyright-statement>
                    <copyright-year>2024</copyright-year>
                    <copyright-holder>International Journal of Tokat Medical Sciences</copyright-holder>
                </permissions>
            
                                                                                                <abstract><p>Amaç: Bu çalışmanın amacı bir üniversite hastanesinde görev yapmakta olan araştırma görevlilerinde tükenmişlik, umutsuzluk, depresyon ve anksiyete yaygınlığının araştırılmasıdır. Gereç ve Yöntem: Araştırma örneklemine araştırma görevlisi olarak çalışan 207 hekim alındı. Katılımcıların tümüne Maslach Tükenmişlik Ölçeği, Beck Umutsuzluk Ölçeği, Beck Depresyon Ölçeği, Beck Anksiyete Ölçeği yüz yüze anket görüşmesi ile uygulandı.Bulgular: Çalışmamızda araştırma görevlilerinde orta düzeyde duygusal tükenme, düşük düzeyde duyarsızlaşma ve orta düzeyde kişisel başarı tükenmişliği belirlenmiştir. Ayrıca katılımcıların düşük düzeyde umutsuzluk, hafif düzeyde depresyon ve anksiyete yaşadığı görülmüştür. Pandemi koşullarında damgalanmaya maruz kalma, COVID-19 enfeksiyonu ile yakın kaybı yaşama, cerrahi branşlarda çalışma, bekar olma, istifa etmeyi düşünme ve psikiyatrik destek ihtiyacı hissetme gibi faktörlerin tükenmişliği artırdığı belirlenmiştir. Benzer şekilde bekar olma, COVID-19 geçirme, istifa düşüncesi ve psikolojik destek ihtiyacı umutsuzluk düzeylerini yükseltmiş; damgalanma, istifa düşüncesi ve destek ihtiyacı depresyon düzeylerini artırmış; istifa etme eğilimi ve psikolojik destek ihtiyacı ise anksiyete düzeylerini anlamlı biçimde yükseltmiştir. Ayrıca, duygusal tükenme, duyarsızlaşma, umutsuzluk, depresyon ve anksiyete düzeyleri arasında orta ve düşük şiddetli anlamlı pozitif ilişki olduğu, kişisel başarı düzeyi ile orta ve düşük şiddetli anlamlı negatif yönlü ilişkinin olduğu tespit edilmiştir.Sonuç: Sağlık hizmetlerinin etkin ve kaliteli bir şekilde sürdürülmesi, sağlık çalışanlarının gerek fiziksel gerekse ruhsal açıdan iyi oluş hali ile doğrudan ilişkilidir. Sağlık çalışanlarını korumaya yönelik önlemlerin alınması, düzenli olarak olası ruhsal etkilenmeler açısından değerlendirilmesi, sosyal desteğin sağlanması, ruh sağlığı müdahalelerinin planlanarak disiplinler arası ekiple bu müdahalelerin gerçekleştirilmesi işlevsel görünmektedir.</p></abstract>
                                                                                                                                    <trans-abstract xml:lang="en">
                            <p>Objective: The aim of this study  was to investigate the prevalence of burnout, hopelessness, depression and anxiety among research assistants working in a university hospital. Material and Methods: 207 physicians working as research assistants were included in the research sample. Maslach Burnout Inventory, Beck Hopelessness Inventory, Beck Depression Inventory, Beck Anxiety Inventory were applied to all participants through face-to-face questionnaire interviews.Results: In our study, moderate emotional exhaustion, low level depersonalization and moderate personal achievement burnout were determined in research assistants. In addition, participants experienced low levels of hopelessness and mild levels of depression and anxiety. It has been determined that factors such as exposure to stigmatization under pandemic conditions, experiencing close loss due to COVID-19 infection, working in surgical branches, being single, considering resignation and feeling the need for psychiatric support increase burnout. Similarly, being single, having COVID-19, the thought of resignation and the need for psychological support increased the levels of hopelessness; stigmatization, thoughts of resignation and the need for support increased depression levels; the tendency to resign and the need for psychological support significantly increased anxiety levels. In addition, it was determined that there was a moderate and low-severity significant positive relationship between emotional exhaustion, depersonalization, hopelessness, depression and anxiety levels, and that there was a moderate and low-severity significant negative relationship with personal achievement level.Conclusion: Maintaining health services effectively and with high quality is directly related to the well-being of healthcare professionals, both physically and mentally. It seems functional to take measures to protect healthcare workers, to regularly evaluate them in terms of possible mental effects, to provide social support, to plan mental health interventions and to carry out these interventions with an interdisciplinary team.</p></trans-abstract>
                                                            
            
                                                            <kwd-group>
                                                    <kwd>COVID-19</kwd>
                                                    <kwd>  Araştırma Görevlisi</kwd>
                                                    <kwd>  Tükenmişlik</kwd>
                                                    <kwd>  Umutsuzluk</kwd>
                                                    <kwd>  Anksiyete</kwd>
                                                    <kwd>  Depresyon</kwd>
                                            </kwd-group>
                                                        
                                                                            <kwd-group xml:lang="en">
                                                    <kwd>COVID-19</kwd>
                                                    <kwd>  Research Assistant</kwd>
                                                    <kwd>  Burnout</kwd>
                                                    <kwd>  Hopelessness</kwd>
                                                    <kwd>  Anxiety</kwd>
                                            </kwd-group>
                                                                                                            </article-meta>
    </front>
    <back>
                            <ref-list>
                                    <ref id="ref1">
                        <label>1</label>
                        <mixed-citation publication-type="journal">Referans 1.	Jin Y, Yang H, Ji W, Wu W, Chen S, Zhang W, et al. Virology, epidemiology, pathogenesis, and control of COVID-19. Viruses 2020;12(4):372.</mixed-citation>
                    </ref>
                                    <ref id="ref2">
                        <label>2</label>
                        <mixed-citation publication-type="journal">Referans  2.	Memikoğlu O, Genç V, editors. COVID-19. Ankara: Ankara University Press; 2020.</mixed-citation>
                    </ref>
                                    <ref id="ref3">
                        <label>3</label>
                        <mixed-citation publication-type="journal">Referans  3.	Civan Kahve A, Hacımusalar Y. Protecting and promoting mental health during and after the global pandemic. Current Approaches in Psychiatry 2022;12(2):175–183.</mixed-citation>
                    </ref>
                                    <ref id="ref4">
                        <label>4</label>
                        <mixed-citation publication-type="journal">Referans  4.	Mukhtar S. Psychological health during the coronavirus disease 2019 pandemic outbreak. Int J Soc Psychiatry 2020;66(5):512-516.</mixed-citation>
                    </ref>
                                    <ref id="ref5">
                        <label>5</label>
                        <mixed-citation publication-type="journal">Referans  5.	Kaya B. Mental health effects of the pandemic. Clinical Psychiatry Journal 2020;23:123–124.</mixed-citation>
                    </ref>
                                    <ref id="ref6">
                        <label>6</label>
                        <mixed-citation publication-type="journal">Referans 6.	Chatterjee K, Chauhan VS. Epidemics, quarantine and mental health. Med J Armed Forces India 2020;76(2):125-127.</mixed-citation>
                    </ref>
                                    <ref id="ref7">
                        <label>7</label>
                        <mixed-citation publication-type="journal">Referans  7.	Yılmaz Y, Erdoğan A, Bahadır E. Fear, anxiety, burnout, and insomnia levels of healthcare workers during the COVID-19 pandemic in Turkey. Psychiatr Danub 2021;33:350–356.</mixed-citation>
                    </ref>
                                    <ref id="ref8">
                        <label>8</label>
                        <mixed-citation publication-type="journal">Referans  8.	Wu T, Jia X, Shi H, Niu J, Yin X, Xie J, et al. Prevalence of mental health problems during the COVID-19 pandemic: A systematic review and meta-analysis. J Affect Disord 2021;281-298.</mixed-citation>
                    </ref>
                                    <ref id="ref9">
                        <label>9</label>
                        <mixed-citation publication-type="journal">Referans  9.	Spoorthy MS, Pratapa SK, Mahant S. Mental health problems faced by healthcare workers due to the COVID-19 pandemic: A review. Asian J Psychiatr 2020;51:102-119.</mixed-citation>
                    </ref>
                                    <ref id="ref10">
                        <label>10</label>
                        <mixed-citation publication-type="journal">Referans  10.	Maslach C, Jackson SE. The measurement of experienced burnout. J Organ Behav 1981;2(2):99–113.</mixed-citation>
                    </ref>
                                    <ref id="ref11">
                        <label>11</label>
                        <mixed-citation publication-type="journal">Referans  11.	Ergin C. Maslach Burnout Inventory norms for Turkish healthcare professionals. 3P Journal 1996;4(1):28–33.</mixed-citation>
                    </ref>
                                    <ref id="ref12">
                        <label>12</label>
                        <mixed-citation publication-type="journal">Referans  12.	Beck AT, Weissman A, Lester D. The measurement of pessimism: The Hopelessness Scale. J Consult Clin Psychol  1974;42(6):861–865.</mixed-citation>
                    </ref>
                                    <ref id="ref13">
                        <label>13</label>
                        <mixed-citation publication-type="journal">Referans  13.	Seber G, Dilbaz N, Kaptanoğlu C, Tekin D. Validity and reliability of the Hopelessness Scale. Crisis Journal 1998;1(3):139–412.</mixed-citation>
                    </ref>
                                    <ref id="ref14">
                        <label>14</label>
                        <mixed-citation publication-type="journal">Referans  14.	Durak A, Palabıyıkoğlu R. Validity study of the Beck Hopelessness Scale. Crisis Journal 1963;2(2):311–319.</mixed-citation>
                    </ref>
                                    <ref id="ref15">
                        <label>15</label>
                        <mixed-citation publication-type="journal">Referans  15.	Hisli N. Validity and reliability of the Beck Depression Inventory for university students. Turkish Journal of Psychology 1989;7:3–13.</mixed-citation>
                    </ref>
                                    <ref id="ref16">
                        <label>16</label>
                        <mixed-citation publication-type="journal">Referans  16.	Ulusoy M, Sahin NH, Erkmen H. Turkish version of the Beck Anxiety Inventory: Psychometric properties. J Cogn Psychother 1998;12:2–12.</mixed-citation>
                    </ref>
                                    <ref id="ref17">
                        <label>17</label>
                        <mixed-citation publication-type="journal">Referans  17.	Kara E. Evaluation of burnout levels among research assistants working at Akdeniz University Hospital during the COVID-19 pandemic. Antalya: Akdeniz University Faculty of Medicine; 2021.</mixed-citation>
                    </ref>
                                    <ref id="ref18">
                        <label>18</label>
                        <mixed-citation publication-type="journal">Referans  18.	Castellanos MM, Fernández-San-Martín MI, Rodríguez-Barragán M, Marques MT, Sisó A, Basora J, et al. Burnout among Catalan general practitioners: A repeated cross-sectional study during and after the COVID-19 pandemic. Eur J Gen Pract 2025;31(1).</mixed-citation>
                    </ref>
                                    <ref id="ref19">
                        <label>19</label>
                        <mixed-citation publication-type="journal">Referans  19.	Arpacıoğlu MS, Baltacı Z, Ünübol B. Burnout, COVID-19 fear, depression, job satisfaction levels and related factors among healthcare workers during the COVID-19 pandemic. Cukurova Med J 2021;46(1):88–100.</mixed-citation>
                    </ref>
                                    <ref id="ref20">
                        <label>20</label>
                        <mixed-citation publication-type="journal">Referans  20.	Maslach C. Maslach Burnout Inventory Manual. Palo Alto: Consulting Psychologists Press; 1986.</mixed-citation>
                    </ref>
                                    <ref id="ref21">
                        <label>21</label>
                        <mixed-citation publication-type="journal">Referans  21.	Erol A, Sariçiçek A, Gülseren Ş. Burnout in resident physicians: Relationship with job satisfaction and depression. Anatolian Journal of Psychiatry 2007;8:241–247.</mixed-citation>
                    </ref>
                                    <ref id="ref22">
                        <label>22</label>
                        <mixed-citation publication-type="journal">Referans  22.	Bayrakçı E. Relationship between turnover intention and performance in nurses: Moderating role of COVID-19 burnout. Journal of Business Research 2022;14(1):835–845.</mixed-citation>
                    </ref>
                                    <ref id="ref23">
                        <label>23</label>
                        <mixed-citation publication-type="journal">Referans  23.	Kaçmaz N. Burnout syndrome. Istanbul Medical Faculty Journal 2005;68:29–32.</mixed-citation>
                    </ref>
                                    <ref id="ref24">
                        <label>24</label>
                        <mixed-citation publication-type="journal">Referans  24.	Appiani FJ, Cairoli FR, Sarotto L. Prevalence of stress, burnout syndrome, anxiety and depression among physicians of a teaching hospital during the COVID-19 pandemic. Arch Argent Pediatr 2021;119(5):317–324.</mixed-citation>
                    </ref>
                                    <ref id="ref25">
                        <label>25</label>
                        <mixed-citation publication-type="journal">Referans  25.	Poyraz A. The effect of COVID-19 fear and burnout on nursing care behaviors during the pandemic period [Master’s thesis]. Bursa: Bursa Uludağ University Institute of Health Sciences; 2021.</mixed-citation>
                    </ref>
                                    <ref id="ref26">
                        <label>26</label>
                        <mixed-citation publication-type="journal">Referans  26.	Türkili S, Aslan E, Tot Acar Ş. Anxiety levels and burnout syndrome among resident physicians during the COVID-19 outbreak. Anadolu Clinic Journal of Medical Sciences 2022;27(2):103–114.</mixed-citation>
                    </ref>
                                    <ref id="ref27">
                        <label>27</label>
                        <mixed-citation publication-type="journal">Referans  27.	Yılmaz Y, Erdoğan A, Hocaoğlu C. COVID-19 and stigma. Kocaeli Medical Journal 2021;10(1):47–55.</mixed-citation>
                    </ref>
                                    <ref id="ref28">
                        <label>28</label>
                        <mixed-citation publication-type="journal">Referans 28.	Yücel C. Relationship between depressive symptoms and hopelessness levels among senior medical students at Erciyes University [Master’s thesis]. Istanbul: Haliç University Graduate School; 2020.</mixed-citation>
                    </ref>
                                    <ref id="ref29">
                        <label>29</label>
                        <mixed-citation publication-type="journal">Referans  29.	Yiğit M. Comparison of health anxiety, psychological well-being, resilience and hopelessness levels between healthcare workers and non-healthcare adults during COVID-19 pandemic [Master’s thesis]. Istanbul: Istanbul Gelişim University Graduate School; 2022.</mixed-citation>
                    </ref>
                                    <ref id="ref30">
                        <label>30</label>
                        <mixed-citation publication-type="journal">Referans  30.	Hacimusalar Y, Kahve AC, Yasar AB, Aydin MS. Anxiety and hopelessness levels in the COVID-19 pandemic: A comparative study of healthcare professionals and the general population in Turkey. J Psychiatr Res 2020;129:181-188.</mixed-citation>
                    </ref>
                                    <ref id="ref31">
                        <label>31</label>
                        <mixed-citation publication-type="journal">Referans  31.	Ekinci İ, Ekinci E. Anxiety, depression, emotion regulation difficulties and sleep quality among healthcare workers during the COVID-19 pandemic. Istanbul Kanuni Sultan Suleyman Medical Journal 2021;13(2):61–69.</mixed-citation>
                    </ref>
                                    <ref id="ref32">
                        <label>32</label>
                        <mixed-citation publication-type="journal">Referans  32.	Gücük S, Akbaş Güneş N, Çakır Öztürk S. Pandemic experience from the perspective of resident physicians in a university hospital. Turkish Family Physician Journal  2022;13(2):59–68.</mixed-citation>
                    </ref>
                                    <ref id="ref33">
                        <label>33</label>
                        <mixed-citation publication-type="journal">Referans  33.	Kilinç Toker A, Kara T, Toker İ. Anxiety and depression levels among healthcare workers during the COVID-19 outbreak and their relationship with sociodemographic variables. Firat Medical Journal 2022;27(3):202–208.</mixed-citation>
                    </ref>
                                    <ref id="ref34">
                        <label>34</label>
                        <mixed-citation publication-type="journal">Referans  34.	Kazancı E. The effect of anxiety, hopelessness and acute stress disorder on resignation intention among emergency medicine residents [Doctoral thesis]. Ankara: Ufuk University Faculty of Medicine; 2020.</mixed-citation>
                    </ref>
                                    <ref id="ref35">
                        <label>35</label>
                        <mixed-citation publication-type="journal">Referans  35.	Pompili M, Innamorati M, Narciso V. Burnout, hopelessness and suicide risk in medical doctors. Clin Ter 2010;161(6):511–514.</mixed-citation>
                    </ref>
                                    <ref id="ref36">
                        <label>36</label>
                        <mixed-citation publication-type="journal">Referans  36.	Gören EN. Evaluation of depression levels and related factors among resident physicians using the Beck Depression Inventory [Master’s thesis]. Izmir: Izmir Katip Çelebi University Faculty of Medicine; 2019.</mixed-citation>
                    </ref>
                                    <ref id="ref37">
                        <label>37</label>
                        <mixed-citation publication-type="journal">Referans  37.	Demir M. Evaluation of depression and anxiety levels and related factors among resident physicians working at Bursa Uludağ University Hospital [Master’s thesis]. Bursa: Bursa Uludağ University Faculty of Medicine; 2021.</mixed-citation>
                    </ref>
                                    <ref id="ref38">
                        <label>38</label>
                        <mixed-citation publication-type="journal">Referans  38.	Karaoğlu N, Demirbaş N. Effects of COVID-19 pandemic on loneliness, hopelessness and anxiety symptoms among intern physicians and doctors. Turkish Journal of Family Medicine and Primary Care 2021;15(2):251–260.</mixed-citation>
                    </ref>
                                    <ref id="ref39">
                        <label>39</label>
                        <mixed-citation publication-type="journal">Referans  39.	Çam Çelikel F, Erkorkmaz Ü. Factors associated with depressive symptoms and hopelessness among university students. Archives of Neuropsychiatry 2008;45:122–129.</mixed-citation>
                    </ref>
                                    <ref id="ref40">
                        <label>40</label>
                        <mixed-citation publication-type="journal">Referans  40.	Coşkun Yaş S. Psychological impact of the COVID-19 pandemic on hospital employees [Doctoral thesis]. Ankara: Gazi University Faculty of Medicine; 2020.</mixed-citation>
                    </ref>
                                    <ref id="ref41">
                        <label>41</label>
                        <mixed-citation publication-type="journal">Referans  41.	Özaydın Ö, Guduk O. Mental health problems experienced by healthcare workers during the COVID-19 pandemic. Journal of Health Sciences of Yuksek Ihtisas University. 2021;(2):83–90.</mixed-citation>
                    </ref>
                            </ref-list>
                    </back>
    </article>
