Can chronotype and social jet lag predict burnout among physical therapists?

Abstract

Burnout syndrome can be described as a set of psychological and somatic responses to chronic stress related to professional work. The aim of this study was to verify whether chronotype and social jetlag (SJL) are predictors of burnout symptoms among physical therapists. The studied sample consisted of 61 physical therapists. Variables of interest included raw scores of the following tools: the Link Burnout Questionnaire (LBQ), Chronotype Questionnaire (CQ), Pittsburgh Sleep Quality Index (PSQI) and an authored questionnaire regarding sociodemographics and information required to calculate SJL. Linear regression models were constructed to predict LBQ dimension scores. An increase in the Psychophysical Exhaustion score was associated with a decrease in CQ Morningness-Eveningness (ME) score, an increase in CQ Distinctness of the Rhythm (DI) score and a decrease in SJL. Also, the Psychophysical Exhaustion score was higher for subjects reporting fairly poor quality sleep (PSQI) than for rating it as very good. An interaction was identified between SJL and ME. An increase in Sense of Professional Ineffectiveness was predicted by a decreased SJL score, and increased Disillusionment was associated with higher DI score. Both chronotype and SJL may prove useful predictors of certain aspects of burnout among physical therapists, but they should be considered together.

Risk factors associated with physical therapist burnout: a systematic review

“…The most commonly reported risk factors in each category are further examined. [23,24,26,35,39] 5 655 Poor Health [26,41,47,49,59] 5 652 Greater Number of Work-Related Musculoskeletal Disorders or Pain Sites [25,49,68] 3 1131 Desire to Move to a New Location [16,45] 2 750 [66] 1 47 Running a Business [29] 1 66 Religious Affiliation [18] 1 169 Total a : 31 (13%) 5262 (12%)…”

“…Five studies cited participants' poor health status [26,41,47,49,59]. Poor health was determined from selfreported questionnaires and includes time off for physical sickness and lack of healthy behaviors and participation in health initiatives.…”

Circadian leadership: A review and integration of chronobiology and leadership

“…We have discussed before how work patterns that are not aligned with individuals' circadian predispositions can result in sleep deprivation, social jetlag, and ultimately an increased risk of burnout (Mokros et al, 2021). A common way to overcome the limitations of the circadian system is the use of pharmacological and non-pharmacological cognitive enhancers such as caffeine and so-called smart pills (Smith & Farah, 2011).…”