Contribution of Burnout to the Association Between Job Strain and Depression: the Health 2000 Study

Ahola, Kirsi; Honkonen, Teija; Kivimäki, Mika; Virtanen, Marianna; Isometsä, Erkki; Aromaa, Arpo; Lönnqvist, Jouko

doi:10.1097/01.jom.0000237437.84513.92

Cited by 108 publications

(78 citation statements)

References 46 publications

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“…In addition, the result showing that only the exhaustion and cynicism subscales of burnout are related to injuries further supports the previous suggestions that exhaustion and cynicism constitute the primary dimensions of burnout syndrome and that the third subscale, lack of professional efficacy, might be a related but a separate entity 37) . Burnout has been shown to relate to both physical [11][12][13]38) and mental illnesses 4,25) . Therefore, co-occurring illnesses or their subclinical phases may also decrease the resources of a worker and increase the risk of injury 39) .…”

Section: Discussionmentioning

confidence: 99%

“…Sociodemographic factors, i.e., age, sex, marital status, and occupational status, were used as covariates in the analyses because they have been shown to relate to the level of burnout or injuries 25,26) . We obtained data on age, sex, and marital status from the National Population Register Centre.…”

Section: Assessment Of Sociodemographic Factorsmentioning

confidence: 99%

“…Thus, in the same way that burnout has been shown to relate to both physical 11−14) and mental illnesses 4,25) , it is probable that burnout will predispose employees to all kinds of injuries, i.e., make people generally prone to injuries in all spheres of life.…”

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confidence: 99%

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Occupational Burnout and Severe Injuries: An Eight‐year Prospective Cohort Study among Finnish Forest Industry Workers

Ahola

Salminen

Toppinen‐Tanner

et al. 2013

Journal of Occupational Health

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Occupational Burnout and Severe Injuries: An Eight‐year Prospective Cohort Study among Finnish Forest Industry Workers : Kirsi AHOLA, et al. Development of Work and Work Organizations, Finnish Institute of Occupational Health, Finland— Objectives Burnout is a psychological consequence of prolonged work stress. Studies have shown that it is related to physical and mental disorders. The safety outcomes of burnout have been studied to a lesser extent and only in the work context. This study explored the effect of burnout on future severe injuries regardless of their context. Methods A total of 10,062 forest industry employees (77% men, 63% manual workers) without previous injuries participated in 1996 or 2000 in the “Still Working” study examining the work‐related antecedents of health and mortality. Burnout was assessed using the Maslach Burnout Inventory‐General Survey. Injuries leading to death or hospitalization were regarded as severe. We extracted such injuries from independent national registers. The relationship between burnout and new injuries was analyzed using Cox proportional regression. The analyses were adjusted for age, sex, marital status, and occupational status. Results There were 788 new injuries over eight years. Injuries were more common among male and manual workers. After adjustments, each one‐unit increase in the burnout score was related to a 9% increase in the risk of injury (95% confidence interval: 1.02−1.17). Experiencing symptoms at least monthly was related to a 1.18‐fold adjusted injury risk (95% CI: 1.02−1.36). Of the subscales of burnout, exhaustion and cynicism but not lack of professional efficacy predicted injuries after adjustments. Conclusions In addition to mental and physical disorders, burnout predicts severe injuries. Developing work conditions and optimizing workload may enhance safety and decrease health expenses related to all injuries.

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Section: Discussionmentioning

confidence: 99%

Section: Assessment Of Sociodemographic Factorsmentioning

confidence: 99%

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Occupational Burnout and Severe Injuries: An Eight‐year Prospective Cohort Study among Finnish Forest Industry Workers

Ahola

Salminen

Toppinen‐Tanner

et al. 2013

Journal of Occupational Health

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“…Three psychosocial factors are considered to be important for the health and well-being of workersjob demands, job control, and social support-based on the hypothesis that the combination of high job demands and low freedom to make job decisions (low control or low decision latitude) is related to a poor health outcome. To date, it seems to be well-established that job strain, an indicator of job stress characterized using the ratio of job demand to job control, is an independent risk factor for cardiovascular diseases 6,7) , hypertension 8,9) , and mental ill health 10,11) among workers. However, the impact of job strain on somatic symptoms has been rarely studied and still requires justification through empirical evidence.…”

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confidence: 99%

The Association of the Reporting of Somatic Symptoms with Job Stress and Active Coping among Japanese White‐collar Workers

Nomura

Nakao

Sato

et al. 2007

Journal of Occupational Health

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The Association of the Reporting of Somatic Symptoms with Job Stress and ActiveCoping among Japanese White-collar Workers: Kyoko NOMURA, et al. Department of Hygiene and Public Health, Teikyo University School of Medicine-To assess the associations between job stress and somatic symptoms and to investigate the effect of individual coping on these associations. In July 2006, a cross-sectional study was conducted during a periodic health check-up of 185 Japanese male office workers (21-66 yr old) at a Japanese company. Job stress was measured by job demand, control, and strain (=job demand/control) based on the Job Content Questionnaire (JCQ). Major somatic symptoms studied were headache, dizziness, shoulder stiffness, back pain, shortness of breath, abdominal pain, general fatigue, sleep disturbance, and skin itching. Five kinds of coping were measured using the Job Stress Scale: active coping, escape, support seeking, reconciliation, and emotional suppression. Comorbidities of hypertension, diabetes, obesity, depression, and anxiety were also evaluated. The most frequently cited somatic symptom was general fatigue (66%), followed by shoulder stiffness (63%) and sleep disturbance (53%). Of the five kinds of coping, only "active coping" was significantly and negatively associated with the number of somatic symptoms. The generalized linear models showed that the number of somatic symptoms increased as job strain index (p=0.001) and job demand (p=0.001) became higher, and decreased as active coping (p=0.018) increased, after adjusting for age and comorbidities. There was no statistical interaction among active coping, the number of somatic symptoms, and the three JCQ scales. Reporting somatic symptoms may be a simple indicator of job stress, and active coping could be used to alleviate somatization induced by job stress. (J Occup Health 2007; 49: 370-375)

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“…Enquanto alguns autores descreveram que indivíduos mais jovens possuem maior risco de apresentar esgotamento Jackson, 1981;Soler et al, 2008;Al-Sareai et al, 2013;Laschinger;Fida, 2014, Martins et al, 2014, outros autores ressaltam que a síndrome é mais prevalente em trabalhadores mais velhos (Ahola et al, 2006;Marcelino et al, 2012;Stanetic;Tesanovic, 2013). Em relação à variável sexo, os estudos também possuem resultados discordantes.…”

Section: Características Individuais Associadas Ao Esgotamentounclassified

Esgotamento profissional e depressão em profissionais da estratégia saúde da família no município de São Paulo

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Contribution of Burnout to the Association Between Job Strain and Depression: the Health 2000 Study

Abstract: Burnout is strongly related to job strain and may in part mediate the association between job strain and depression.

Cited by 108 publications

References 46 publications

Occupational Burnout and Severe Injuries: An Eight‐year Prospective Cohort Study among Finnish Forest Industry Workers

Occupational Burnout and Severe Injuries: An Eight‐year Prospective Cohort Study among Finnish Forest Industry Workers

The Association of the Reporting of Somatic Symptoms with Job Stress and Active Coping among Japanese White‐collar Workers

Esgotamento profissional e depressão em profissionais da estratégia saúde da família no município de São Paulo

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