Burnout and risk of cardiovascular disease: Evidence, possible causal paths, and promising research directions.

Melamed, Samuel; Shirom, Arie; Toker, Sharon; Berliner, Shlomo; Shapira, Itzhak

doi:10.1037/0033-2909.132.3.327

Cited by 741 publications

(647 citation statements)

References 309 publications

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“…The construct validity was assessed and compared with the Maslach Burnout Inventory-General Survey and superior results were found for the SMBM [29]. Several other studies used the SMBM to correlate burnout with physical health (eg, cardiovascular disease and type 2 diabetes) [20,21,31], thereby supporting its construct validity. We found substantial internal consistency (Cronbach's a = 0.95) in our sample.…”

Section: Methodsmentioning

confidence: 98%

Among Musculoskeletal Surgeons, Job Dissatisfaction Is Associated With Burnout

Palthe

Neuhaus

Janssen

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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Background Burnout is common in professions such as medicine in which employees have frequent and often stressful interpersonal interactions where empathy and emotional control are important. Burnout can lead to decreased effectiveness at work, negative health outcomes, and less job satisfaction. A relationship between burnout and job satisfaction is established for several types of physicians but is less studied among surgeons who treat musculoskeletal conditions. Questions/purposes 123Clin Orthop Relat Res (2016) 474:1857-1863 DOI 10.1007 Clinical Orthopaedics and Related Research ® Conclusions Among an active research group of largely academic surgeons treating musculoskeletal conditions, most are satisfied with their job. Efforts to limit burnout and job satisfaction by optimizing engagement in and deriving meaning from the work are effective in other settings and merit attention among surgeons. Level of Evidence Level II, prognostic study.

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Section: Methodsmentioning

confidence: 98%

Among Musculoskeletal Surgeons, Job Dissatisfaction Is Associated With Burnout

Palthe

Neuhaus

Janssen

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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“…As yet, no obvious explanation for this gender difference has been found. Exhaustion has frequently been associated with work-related stressors (Bultmann, Kant, Van den Brandt, & Kasl, 2002;Donders, Roskes, & van der Gulden, 2007;Hardy, Shapiro, & Borrill, 1997;Kant, Bultmann, Schroer, Beurskens, Van Amelsvoort, & Swaen, 2003;Melamed, Shirom, Toker, Berliner, & Shapira, 2006;Schnorpfeil, Noll, Wirtz, Schultze, Ehlert, Frey et al, 2002). In the last decades striking changes have occurred in the composition of the paid labour work force.…”

Section: Introductionmentioning

confidence: 99%

Conflict between the work and family domains and exhaustion among vocationally active men and women

Canivet

Östergren

Lindeberg

et al. 2010

Social Science & Medicine

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Exhaustion is consistently found to be more prevalent in women than in men. Women suffer from job strain more often, which may constitute a partial explanation for this phenomenon, but experienced shortcomings in combining work and family demands may also contribute to ill health. The aim of this study was to investigate, and analyse by gender, how work-related and family-related factors, as well as the interface between them, i.e. work-to-family conflict (WFC) and family-to-work conflict (FWC), are related to exhaustion. The study was crosssectional with self-administered questionnaires assessing exposures and outcome with previously well validated instruments. The participants were 2,726 men and 2,735 women, aged 45 to 64, vocationally active, and residing in Malmö, Sweden. Sixteen percent of the women and 8% of the men considered themselves exhausted. WFC, FWC, job strain, and low job support were all strongly correlated to exhaustion in both genders. In the multivariate analyses, adjusting for other work and family risk factors, WFC and FWC remained statistically significant risk factors for exhaustion in both men and women. Job strain, low job support, and having a somatic disorder were also independently associated with exhaustion. While WFC was more prevalent among men, it was more strongly associated with exhaustion in women than in men. In women, WFC and FWC contributed to a larger part of the explanatory power of the model, which amounted to 22% of the variance in women and 14% in men. The results imply that the concept of 'work stress' should be regarded in a wider context in order to understand gender related issues of exhaustion among vocationally active individuals.

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“…These stressors can lead to medical errors and stressrelated illness and ultimately have led some physicians to leave the practice of orthopaedic surgery [15,22]. Because all of these results of stress are unacceptable, we hypothesized potential risk factors that lead to burnout can be identified, and there are prevention and coping strategies that can avert the onset of burnout before negative manifestations arise.…”

Section: Introductionmentioning

confidence: 99%

Recognizing and Preventing Burnout among Orthopaedic Leaders

Saleh

Quick

Sime

et al. 2009

Clinical Orthopaedics &Amp; Related Research

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Stress, emotional exhaustion, and burnout are widespread in the medical profession in general and in orthopaedic surgery in particular. We attempted to identify variables associated with burnout as assessed by validated instruments. Surveys were sent to 282 leaders from orthopaedic surgery academic departments in the United States by e-mail and mail. Responses were received from 195 leaders for a response rate of 69%. The average surgeon worked 68.3 hours per week and more than ½ of this time was allocated to patient care. Highest stressors included excessive workload, increasing overhead, departmental budget deficits, tenure and promotion, disputes with the dean, and loss of key faculty. Personal-professional life imbalance was identified as an important risk factor for emotional exhaustion. Withdrawal, irritability, and family disagreements are early warning indicators of burnout and emotional exhaustion. Orthopaedic leaders can learn, and potentially model, ways to mitigate stress from other highstress professions. Building on the strength of marital and family bonds, improving stress management skills and selfregulation, and improving efficiency and productivity can combine to assist the orthopaedic surgery leader in preventing burnout and emotional exhaustion.

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Burnout and risk of cardiovascular disease: Evidence, possible causal paths, and promising research directions.

Cited by 741 publications

References 309 publications

Among Musculoskeletal Surgeons, Job Dissatisfaction Is Associated With Burnout

Among Musculoskeletal Surgeons, Job Dissatisfaction Is Associated With Burnout

Conflict between the work and family domains and exhaustion among vocationally active men and women

Recognizing and Preventing Burnout among Orthopaedic Leaders

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