Work stress and attentional difficulties: An initial study on burnout and cognitive failures

Cognitive performance in both clinical and non-clinical burnout

Relatively little is known about cognitive performance in burnout. The aim of the present study was to further our knowledge on this topic by examining, in one study, cognitive performance in both clinical and non-clinical burnout while focusing on three interrelated aspects of cognitive performance, namely, self-reported cognitive problems, cognitive test performance, and subjective costs associated with cognitive test performance. To this aim, a clinical burnout patient group (n = 33), a non-clinical burnout group (n = 29), and a healthy control group (n = 30) were compared on self-reported cognitive problems, assessed by a questionnaire, as well as on cognitive test performance, assessed with a cognitive test battery measuring both executive functioning and more general cognitive processing. Self-reported fatigue, motivation, effort and demands were assessed to compare the different groups on subjective costs associated with cognitive test performance. The results indicated that the clinical burnout patients reported more cognitive problems than the individuals with non-clinical burnout, who in turn reported more cognitive problems relative to the healthy controls. Evidence for impaired cognitive test performance was only found in the clinical burnout patients. Relative to the healthy controls, these patients displayed some evidence of impaired general cognitive processing, reflected in slower reaction times, but no impaired executive functioning. However, cognitive test performance of the clinical burnout patients was related to larger reported subjective costs. In conclusion, although both the clinical and the non-clinical burnout group reported cognitive problems, evidence for a relatively mild impaired cognitive test performance and larger reported subjective cost associated with cognitive test performance was only found for the clinical burnout group.

Neurocognitive functioning following preeclampsia and eclampsia: a long-term follow-up study

OBJECTIVE

Women who suffered preeclampsia and eclampsia may report subjective cognitive difficulties in daily life, the interpretation of which is cumbersome, because these are affected by emotional factors. Previous studies only included preeclamptic women investigated shortly after pregnancy. We aimed to determine whether these subjective reports of cognitive difficulty could be interpreted as reflecting objective cognitive dysfunction. Therefore, cognitive functioning was assessed using standardized neurocognitive tests in both preeclamptic and eclamptic women several years following the index pregnancy.

STUDY DESIGN

Forty-six formerly eclamptic, 51 formerly preeclamptic, and 48 control women who had normotensive pregnancies, age-matched, participated in this study. Average elapsed time since index pregnancy was 7 years. Neurocognitive tests were divided into 6 domains; visual perception, motor functions, working memory, long-term memory, attention, and executive functioning. Subjective cognitive functioning was measured by the Cognitive Failures Questionnaire and anxiety/depression by the Hospital Anxiety and Depression Scale.

RESULTS

Both preeclamptic and eclamptic women performed worse on the motor functions domain (P < .05), without differences on the other domains. They scored worse on the Cognitive Failures Questionnaire (P < .01), the Hospital Anxiety and Depression Scale anxiety (P < .01), and depression (P < .05) subscales.

CONCLUSION

Women who suffered eclampsia and/or preeclampsia demonstrate no objective cognitive impairment as compared with controls. Contrary to the well-structured test setting, both groups do report more cognitive failures, which are thought to reflect neurocognitive dysfunction in complex, stressful daily-life situations. Such report of cognitive failures may be compounded by anxiety and depression. Future studies should focus on the relationship of neurocognitive functioning with structural cerebral abnormalities.

Neuropsychological sequelae of work-stress-related exhaustion

The aim was to assess long-term cognitive performance after substantial recovery from work-stress-related exhaustion, in relation to subjective cognitive complaints and return to active work. In total, 54 patients previously diagnosed with work-stress-related exhaustion participated in a neuropsychological examination ∼2 years after initial sick leave. Most participants were substantially recovered at follow-up, with only 13% still meeting the criteria for exhaustion disorder suggested by the Swedish National Board of Health and Welfare. When participants' scores on 14 neuropsychological tests were compared to a matched group of 50 controls, the former patient group showed lower performance mainly on attention tests of the reaction time type, but also slightly lower scores on visuo-spatial constructional ability. However, the former patient group performed better than controls on two memory tests and, in part, on a test of simultaneous capacity. Self-ratings of everyday cognitive problems remained significantly higher in the former patient group than among controls, but the extent of self-rated cognitive problems was generally unrelated to performance on the neuropsychological tests. No relationship between performance on these tests and the extent of work resumption was observed. In summary, persons with previous work-stress-related exhaustion showed persistent signs of a minor attention deficit, despite considerable general recovery and return to work.

Executive function performance is reduced during occupational burnout but can recover to the level of healthy controls

BACKGROUND

Burnout is a work-related syndrome that comprises physical fatigue, emotional exhaustion and cognitive weariness and is considered to be a risk factor for the development of major depression. While cognitive impairments in major depression persist even after remission of mood symptoms, the role of cognitive impairments in burnout is less clear. The hypothesis tested in the present study submits that executive function performance is reduced during burnout compared to healthy subjects but can recover to normal levels.

METHODS

12 male subjects (mean age 45.8 ± 6.8 years) suffering from occupational burnout took part in the study. They completed questionnaires related to burnout severity and underwent testing of executive functions twice at baseline and at follow-up 12 weeks later. Between baseline and follow-up burnout participants performed regular aerobic exercise training. Executive function performance at baseline and follow-up was compared to 12 matched healthy controls.

RESULTS

Executive functioning was significantly reduced during acute burnout compared to healthy controls. At follow-up, both burnout severity and executive functioning were improved. Changes in burnout severity and executive function performance were not related.

CONCLUSIONS

Data suggest that executive function performance is impaired during acute burnout but can recover to the level of healthy controls. This finding is at odds with the finding of persistent deficits in the same tests found in major depression even after remission of depressive mood. Results may indicate that the pathophysiological changes underlying the impaired executive functioning during burnout are less pronounced compared to those in major depression.

Emotional exhaustion and cognitive performance in apparently healthy teachers: a longitudinal multi-source study

We investigate how emotional exhaustion (EE), the core component of burnout, relates to cognitive performance, job performance and health. Cognitive performance was assessed by self-rated cognitive stress symptoms, self-rated and peer-rated cognitive impairments in everyday tasks and a neuropsychological test of learning and memory (LGT-3); job performance and physical health were gauged by self-reports. Cross-sectional linear regression analyses in a sample of 100 teachers confirm that EE is negatively related to cognitive performance as assessed by self-rating and peer-rating as well as neuropsychological testing (all p < .05). Longitudinal linear regression analyses confirm similar trends (p < .10) for self-rated and peer-rated cognitive performance. Executive control deficits might explain impaired cognitive performance in EE. In longitudinal analyses, EE also significantly predicts physical health. Contrary to our expectations, EE does not affect job performance. When reversed causation is tested, none of the outcome variables at Time 1 predict EE at Time 2. This speaks against cognitive dysfunctioning serving as a vulnerability factor for exhaustion. In sum, results underpin the negative consequences of EE for cognitive performance and health, which are relevant for individuals and organizations alike. In this way, findings might contribute to the understanding of the burnout syndrome.

Occupational stress and employee turnover

Questionnaire data captured in January-March 2007 were examined in relation to turnover in males and females during the next five years. In general, most of the workplace stressors (such as role conflict or peer support) were not antecedents of turnover in any group. Junior personnel with psychological strain in 2007 had an increased risk of turnover in the next five years. Low commitment to the service in 2007 increased the odds of turnover in male and female juniors and in female officers. Female juniors with less effective skills for coping with stress and who exercised less frequently on a weekly basis were more likely to leave. An incidental finding was that the odds of turnover were three times greater in female officers with children than in female officers with no children. Stress management interventions focusing on effective coping and sports and exercise participation which are targeted appropriately may improve retention.

Level and appraisal of fatigue are not specific in burnout

Fatigue is a main feature of the burnout syndrome but also very common in other psychiatric disorders such as major depression and anxiety disorders. This raises the question of whether the level and appraisal of fatigue is experienced differently by individuals suffering from burnout than by those exhibiting anxiety disorders and major depression. If fatigue is experienced differently in burnout compared with other disorders, this may clarify why fatigue is the main feature of the burnout syndrome. This knowledge may lead to the application of specific therapeutic interventions aimed at the experience of fatigue in burnout. In the present study, we investigated whether fatigue is experienced differently in burnout patients than in patients suffering from anxiety disorders or major depression. We presented 73 burnout patients, 67 depressed patients, 57 patients with an anxiety disorder and 127 healthy participants with a rating scale containing statements about the fatigue-performance relationship, and we assessed the level of fatigue, depression and anxiety. The level of fatigue reported by burnout patients was high but did not differ from that of the other patient groups. The appraisal of fatigue also did not differ among the patient groups. The burnout patients did not appraise their fatigue as a result of unrewarding activities nor did they catastrophize fatigue in an exceptional way. Thus, the level of fatigue and the appraisal of fatigue may be less relevant to the understanding of the specific pathological processes associated with burnout than is often presumed.

Psychometric properties of the Cognitive Failures Questionnaire

The Cognitive Failures Questionnaire (CFQ) is used in ergonomics research to measure behavioural problems associated with attentiveness and memory in everyday life. CFQ scores have been related to constructs such as accident proneness and outcomes such as human error and psychological strain. The two-year test-retest reliability of the CFQ is reported together with the findings of factor analyses of CFQ data from 535 respondents. Evidence for the predictive and criterion validity and internal reliability of the CFQ is provided. Psychological strain was measured concurrently with CFQ on both testing occasions, two years apart. The test-retest reliability of the summated CFQ score was found to be 0.71, while for the General Health Questionnaire (GHQ-12) strain measure it was 0.32.The relative variance stability was five times greater for the CFQ than the GHQ, indicating that scores on these questionnaires are not covariates. The use of the CFQ as a measure of cognitive control capacity is also discussed.

PRACTITIONER SUMMARY

Ergonomists have long been interested in human error and the role of high work demands due to poor equipment design and excessive workload. The CFQ measures attentiveness in daily life and is shown to have excellent psychometric properties that make it suitable for use in both laboratory and field studies as a trait measure of attentiveness in daily life.

Does risk for bipolar disorder heighten the disconnect between objective and subjective appraisals of cognition?

BACKGROUND

Deficits in cognitive functioning have been associated with bipolar disorder during episodes of depression and mania, as well as during periods of symptomatic remission. Separate evidence suggests that patients may lack awareness of these deficits and may even be overly confident with self-appraisals. The extent to which these separately or together represent prodromes of the disorder versus a consequence of the disorder remains unclear. The present study sought to test whether risk for bipolar disorder in a younger, college-aged cohort of individuals would be associated with lower performance in cognitive ability yet higher self-appraisal of cognitive functioning.

METHOD

Participants (N=128) completed an objective measure of working memory, a self-report measure of everyday cognitive deficits, and a measure associated with risk for bipolar disorder.

RESULTS

Contrary to expectation, risk for bipolar disorder did not significantly predict poorer working memory. However, a person's risk for bipolar disorder was associated with higher self-appraisal of cognitive functioning relative to those with lower risk despite there being no indication of a difference in ability on the working memory task.

LIMITATIONS

Participant recruitment relied on an analog sample; moreover, assessment of cognitive functioning was limited to working memory.

CONCLUSIONS

Results add to a growing body of evidence indicating that overconfidence may be part of the cognitive profile of individuals at risk for bipolar disorder.

Effects of perceived long-term stress on subjective and objective aspects of memory and cognitive functioning in a middle-aged population-based sample

The longitudinal effects of perceived stress on measures of memory and two other cognitive functions (word fluency, visuospatial ability) in a middle-aged sample (40-60 years, M age = 47.1 years, SD = 6.1 years; n = 192) were examined. A group describing themselves as stressed in general at baseline, and at follow-up measurement 5 and 10 years later (n = 96) was compared with a matched (age, sex) low-stress group (n = 96). The results revealed more depressive symptoms over time in the high-stress group. With regard to memory, a dissociation between subjective and objective measures was observed. Specifically, participants in the high-stress group rated their memory as worse over time as compared with controls, and reported a higher frequency of occurrence of everyday memory failures, effects partly independent of depressive symptoms. However, the groups did not differ in terms of objective episodic memory performance, word fluency or block design performance, with stable levels of performance over time regardless of perceived stress. The lack of effects of stress on cognitive performance is discussed in the light of factors such as stress level, age of the participants, and other individual difference factors.

Psychosocial working conditions and cognitive complaints among Swedish employees

BACKGROUND

Cognitive complaints involving problems with concentration, memory, decision-making and thinking are relatively common in the work force. The sensitivity of both subjective and objective cognitive functioning to common psychiatric conditions, stress levels and to cognitive load makes it plausible that psychosocial working conditions play a role in cognitive complaints. Thus, this study aimed to test the associations between psychosocial work factors and cognitive complaints in nationally representative samples of the Swedish work force. Cross-sectional (n = 9751) and prospective (n = 3644; two time points two years apart) sequential multiple regression analyses were run, adjusting for general confounders, depressive- and sleeping problems. Additional prospective analyses were run adjusting for baseline cognitive complaints.

CROSS/SECTIONAL RESULTS

High quantitative demands, information and communication technology (ICT) demands, under qualification and conflicts were positively associated with cognitive complaints, while social support, good resources at work and over qualification were negatively associated with cognitive complaints in all models. Skill discretion and decision authority were weakly associated with cognitive complaints. Conflicts were more strongly associated with cognitive complaints in women than in men, after adjustment for general confounders.

PROSPECTIVE RESULTS

Quantitative job demands, ICT demands and under qualification were positively associated with future cognitive complaints in all models, including when adjusted for baseline cognitive complaints. Decision authority was weakly positively associated with future cognitive complaints, only after adjustment for depressive- and sleeping problems respectively. Social support was negatively associated with future cognitive complaints after adjustment for general confounders and baseline cognitive complaints. Skill discretion and resources were negatively associated with future cognitive complaints after adjustment for general confounders. The associations between quantitative demands and future cognitive complaints were stronger in women.

DISCUSSION/CONCLUSIONS

The findings indicate that psychosocial working conditions should be taken into account when considering cognitive complaints among employees.

Cognitive impairment in patients with stress-related exhaustion

Patients who seek medical care for stress-related mental health problems frequently report cognitive impairments as the most pronounced symptom. The purpose of the present study was to compare cognitive function in patients with stress-related exhaustion with that in healthy controls, using a comprehensive battery of cognitive tests. We also explored whether neuropsychological findings were related to severity of illness measured using the Shirom-Melamed burnout questionnaire and hospital anxiety and depression scale. Thirty-three patients (15 males) and 37 healthy controls (11 males), mean age 46 years [standard deviation (SD) 3.9] and 47 years (SD 4.3), respectively, were included in the final analysis. Five cognitive domains were assessed: (1) speed, attention and working memory, (2) learning and episodic memory, (3) executive functions, (4) visuospatial functions and (5) language. The most pronounced difference between patients and controls was seen on executive function, when tested with a multidimensional test, including aspects of speed, control and working memory. The patients also performed poorer on Digit span, measuring attention span and working memory as well as on learning and episodic memory, when measured as delayed recall and the difference between immediate and delayed recall. Delayed recall was the only test that was significantly related to severity of burnout symptoms among the patients. This could reflect poor cognitive sustainability in the patients with the highest burnout scores, as this particular test was the last one performed during the test session. This study clearly shows that cognitive impairment should be considered when evaluating and treating patients who seek medical care for stress-related exhaustion.

Accident proneness revisited: the role of psychological stress and cognitive failure

Understanding why accidents occur in the work place has a long and convoluted history. This paper adds to this corpus of research by investigating the relationship between an individual's level of cognitive failure, psychological stress, and work place accident occurrence. Retrospective analysis of accident-case individuals vs. control-match individuals on the General Health Questionnaire (GHQ) and Cognitive Failures Questionnaire (CFQ) was undertaken from amalgamated data of two Royal Navy databases. Individuals in the accident-case sub-sample had higher GHQ and CFQ scores when compared to matched-controls. Mediated regression analysis revealed high GHQ score predicted accidents but was transmitted through high CFQ scores. Individuals who are stressed are more likely to have an accident in the workplace because of a propensity for cognitive failures. A specific recommendation to reduce accident risk in the work-place is discussed.

Advantages of an ADHD diagnosis in adulthood: evidence from online narratives

In this article we explore the impact of a diagnosis of adult attention-deficit hyperactivity disorder (ADHD) on coping among diagnosed adults. We use grounded theory to examine 71 biographical narratives, self-published on the Internet by adults with ADHD. The findings illuminate a three-stage temporal continuum. During the first stage, the narrators suffered from lack of self-confidence accompanied by functional difficulties, stress, and guilt feelings. During the second stage, which began after the diagnosis, they began to believe in their ability to lead meaningful and more manageable lives. During the third stage, an additional effect of the diagnosis emerged: the narrators' realization or belief that ADHD might affect them for the better. Some narrators stated that their traits as persons with ADHD helped them to cope better than others unaffected by this syndrome. Consequently, those who have an ADHD diagnosis seem able to defeat unnecessary negative emotions and self-blame.

A follow-up of cognitive performance and diurnal salivary cortisol changes in former burnout patients

The purpose of this study was to determine whether recovery from burnout is associated with improved cognitive functioning, and whether such improvement is associated with changes in hypothalamic-pituitary-adrenal axis activity and return to work. Forty-five former burnout patients were followed up after 1.5 years with a neuropsychological examination, diurnal salivary cortisol measurements, dexamethasone suppression test (DST), and self-ratings of cognitive problems. At follow-up, improved cognitive performance was observed on several tests of short-term memory and attention. Self-rated cognitive problems decreased considerably, but this decrease was unrelated to the improvement on neuropsychological tests. Diurnal salivary cortisol concentrations at awakening, 30 min after awakening, and in the evening, did not change from baseline to follow-up, nor did the cortisol awakening response. However, slightly, but significantly, stronger suppression of cortisol in response to the DST was observed at follow-up. Improvements in subjective or objective cognitive functioning and changes in diurnal cortisol concentration were unrelated to the extent of work resumption. However, a decreased DST response at follow-up was partially related to improved cognitive performance and work resumption. The clinical implications are that burnout seems to be associated with slight and significantly reversible cognitive impairment, and that self-rated cognitive change during recovery poorly reflects objective cognitive change.

Counterproductive work behaviours in response to emotional exhaustion: a moderated mediational approach

Drawing from the conservation of resources framework and self-control principles, we proposed a moderated mediational model through which emotional exhaustion may be linked to counterproductive work behaviours (CWBs). Analyses conducted with 175 Midwestern government workers revealed that both depersonalization (i.e. detachment from one's work, customers or co-workers) and organizational disidentification (i.e. cognitive opposition to an organization) were viable predictors of deviancy. Further, depersonalization and disidentification mediated the relationship between emotional exhaustion and CWBs, although disidentification drove these findings. Lastly, trait self-control moderated most variations of this relationship, in that this mediational model only applied to individuals with low and moderate self-control but not high self-control. Consistent with the conservation of resources framework, this study suggests that in a state of depleted emotional resources, heightened depersonalization and disidentification together provide the necessary levels of psychological/emotional withdrawal and justification for CWBs to emerge.

Cumulative psychological strain and future strain in Naval personnel: is executive function the elephant in the room?

Psychological strain was measured in 592 Naval personnel at four phases using the General Health Questionnaire (GHQ-12). The GHQ-12 Likert score was summed to generate a measure of cumulative strain, which was best predicted by the Cognitive Failures Questionnaire (CFQ) score, effort-reward imbalance and a measure of organisational commitment. Point strain at phase IV was best predicted by CFQ score, whereas need for recovery was best predicted by over-commitment to work role. Susceptibility to strain, both cumulatively over 2 years and 12 months in the future appears to depend on a cognitive factor measured by the CFQ. This factor was more strongly associated with strain than with fatigue. Psychosocial stress exposure at work played a lesser role in predicting cumulative and future strain, possibly because these stressors were of an acute nature. The findings are discussed with reference to recent research on attention and anxiety and some of the practical implications are considered. STATEMENT OF RELEVANCE: There is renewed interest in intrinsic variables that predict adverse reactions to occupational stress. The paper presents evidence that self-reported cognitive failure is a vulnerability factor for future episodes of psychological strain. The paper strengthens the conclusions of a previous article and adds empirical support to recent research on the links between anxiety and attention.

Mediating effects of emotional exhaustion on the relationship between job demand–control model and mental health

This study attempted to investigate the role of emotional exhaustion as a mediator on the relationship between job demands-control (JDC) model and mental health. Three-wave data from 297 employees were collected. The results showed that job demands were positively related to emotional exhaustion, and increasing job demands will increase the level of emotional exhaustion. Job control was negatively associated with emotional exhaustion; therefore, increasing job control will decrease the level of emotional exhaustion. Emotional exhaustion was negatively related to mental health. Emotional exhaustion fully mediated the relationship between job demands and mental health, and partially mediated the positive relationship between job control and mental health. In addition, job control was positively associated with mental health directly. The remarkable finding of the present study was that emotional exhaustion served as the key mediator between the JDC model and mental health. Theoretical and managerial implications and limitations were discussed.

Chronic stress, cognitive functioning and mental health

This review aims to discuss the evidence supporting the link between chronic stress, cognitive function and mental health. Over the years, the associations between these concepts have been investigated in different populations. This review summarizes the findings that have emerged from older populations as well as from populations suffering from pathological aging, namely Mild Cognitive Impairment and Alzheimer's Disease. Although older adults are an interesting population to study in terms of chronic stress, other stress-related diseases can occur throughout the lifespan. The second section covers some of these stress-related diseases that have recently received a great deal of attention, namely burnout, depression, and post-traumatic stress disorder. Given that chronic stress contributes to the development of certain pathologies by accelerating and/or exacerbating pre-existing vulnerabilities that vary from one individual to the other, the final section summarizes data obtained on potential variables contributing to the association between chronic stress and cognition.

Cognitive functioning in relation to burnout symptoms and social and occupational functioning in a population-based sample of young adults

BACKGROUND

There may be an association between cognitive functioning and burnout, but this has previously been investigated in only few studies, all using clinical samples.

AIMS

This study aimed at examining the relationship of cognitive functioning with burnout symptoms and social and occupational functioning in a population-based sample of young adults.

METHODS

Neuropsychological tests assessing verbal and visual short-term memory, verbal long-term memory, general intelligence, attention, psychomotor processing speed and executive functioning were administered to a population-based sample of working young adults aged 22-35 years (n=225). Burnout was measured with the Maslach Burnout Survey-General Survey (MBI-GS) and social and occupational functioning with examiner-rated Social and Occupational Functioning Assessment Scale (SOFAS).

RESULTS

Higher scores in the MBI-GS related to better performance in tests of verbal working memory and general intelligence. Lower SOFAS associated with poorer performance in tests assessing verbal attention, memory and learning.

CONCLUSIONS

In a representative population sample of young adults, self-reported symptoms of burnout are not associated with difficulties in cognitive functioning. However, examiner-rated lower social and occupational functioning is related to problems in verbal attention, memory and learning, suggesting the importance of evaluating and enhancing cognitive functioning among those with difficulties in social and occupational functioning.

Air traffic control activity increases attention capacity in air traffic controllers

Air traffic controllers simultaneously develop complex and multiple tasks in the course of their activities. In this context, concern is raised over the high level of attention needed by these professionals which can ultimately be affected by stress and fatigue.

Job strain related to cognitive failure in naval personnel

The Naval Service Stress Study (2007-2012) is investigating job strain, its characteristics, causes and distribution in the Service. Data from phases I, II and III of the study (January 2007, June 2007 and January 2008) were analysed to determine the relationship between General Health questionnaire scores and a score on the Cognitive Failures Questionnaire (CFQ) completed at phase III. Of 791 personnel who completed questionnaires at all phases, 43.6% had no job strain at any phase, whereas 9.9% had strain on all three occasions ('chronic strain'). 27% had strain at one of the three phases and 19% had strain at two of the three phases. The particular phase at which job strain was experienced was not related to CFQ score at phase III, whereas the total strain experienced over the period was related. High strain over the year was the strongest predictor of high CFQ score. A 'strain dose' variable, which combined both the amount of strain exposure and the timing of the exposure, explained little additional variance in CFQ score. The findings might be interpreted to indicate that a high CFQ score is a vulnerability factor for adverse reactions to work stress. The hypothesis that recent job strain elevates CFQ score was not supported. STATEMENT OF RELEVANCE: Current models of occupational stress focus on psychosocial factors and much of the advice about stress management in organisations is centred on the identification and control of psychosocial risk factors. The present paper provides evidence that cognitive factors are also important and suggests that support for those with poor executive function should be part of stress management in complex environments.

Failures of sustained attention in life, lab, and brain: ecological validity of the SART

The Sustained Attention to Response Task (SART) is a widely used tool in cognitive neuroscience increasingly employed to identify brain regions associated with failures of sustained attention. An important claim of the SART is that it is significantly related to real-world problems of sustained attention such as those experienced by TBI and ADHD patients. This claim is largely based on its association with the Cognitive Failures Questionnaire (CFQ), but recently concerns have been expressed about the reliability of the SART-CFQ association. Based on a review of the literature, meta-analysis of prior research, and analysis of original data, we conclude that, across studies sampling diverse populations and contexts, the SART is reliably associated with the CFQ. The CFQ-SART relation also holds for patients with TBI. We note, however, conceptual limitations of using the CFQ, which was designed as a measure of general cognitive failures, to validate the SART, which was specifically designed to assess sustained attention. To remedy this limitation, we report on associations between the SART and a specific Attention-Related Cognitive Errors Scale (ARCES) and a Mindful Awareness of Attention Scale-Lapses Only (MAAS-LO).

Can personal control over the physical environment ease distractions in office workplaces?

The purpose of this study was to investigate whether perception of control over aspects of the physical environment reduces the previously documented negative effects of distraction in office workplaces on perceived job performance. This study analysed 384 questionnaires collected from employees in the corporate offices of three manufacturing companies in Michigan, USA. The role of a sense of personal control over physical environment features as a mediating influence between work attitudes and work outcomes was explored using structural equations modelling. The results showed that workers' sense of control over physical aspects of their work environment mediated the relationship between perceived distractions and perceived job performance. These results suggest that increasing perceptions of personal control over features of the physical work environment may serve to link work attitudes and work outcomes. STATEMENT OF RELEVANCE: Open-plan offices are common throughout the world, making this study relevant for researchers and practitioners alike. These results suggest that if employees can adjust aspects of their office work environment, this may increase their sense of personal control, reducing the effects of distractions, a frequent complaint in open offices.

Predicting vigilance: a fresh look at an old problem

Individual differences in vigilance are ubiquitous and relevant to a variety of work environments in industrial, transportation, medical and security settings. Despite much previous work, mostly on personality traits, it remains difficult to identify vigilant operators. This paper reviews recent research that may point towards practically useful predictor variables for vigilance. Theoretical approaches to identifying predictors that accommodate the heterogeneous nature of vigilance tasks are compared. The article surveys recent empirical studies using personality measures, ability tests and scales for stress and coping as predictors of vigilance. Promising new constructs include trait scales linked to fatigue, abnormal personality and the stress state of task engagement. Implications of the data reviewed for occupational selection are discussed. Selection should be based on a multivariate assessment strategy, cognitive task analysis of the operational vigilance task and use of work sample measures to capture typical stress responses to the task. This review paper surveys recent research that may point towards practically useful predictor variables for vigilance. The article surveys recent empirical studies using personality measures, ability tests and scales for stress and coping as predictors of vigilance. Selection should be based on a multivariate assessment strategy.

Are Individual Differences in Absentmindedness Correlated with Individual Differences in Attention?

We administered the Cognitive Failures Questionnaire (CFQ) and one of two versions of the Attention Network Test (ANT) to 200 participants. Orthogonal subtraction scores based on performance (reaction time and error rate) from selected conditions of the ANT provided measures of the efficacy of three attention components: alerting, orienting, and executive control, while the total CFQ score provided a global measure of absentmindedness. Executive control was not associated with the CFQ in either experiment. When alertness was generated by a warning tone, greater alerting effects in reaction time were associated with higher CFQ scores (greater absentmindedness). The orienting effects in accuracy obtained from the two versions of the ANT varied with absentmindedness in opposite directions, suggesting that these two tests tap different aspects of orienting.

Cognitive performance in patients with burnout, in relation to diurnal salivary cortisol

This study investigated cognitive performance in patients with burnout, in relation to the flexibility of the hypothalamic-pituitary-adrenal (HPA) axis. Clinical cases with work stress-induced burnout (n = 65), and demographically matched, healthy reference subjects (n = 65), were given six neuropsychological tests and a self-rating scale for cognitive problems. Diurnal salivary cortisol was measured among burnout cases and an external reference group (n = 174), including a dexamethasone suppression test (DST) among burnout cases. Compared with referents, the burnout group under-performed in a cognitive speed test (Wechsler Adult Intelligence Scale-Revised (WAIS-R) Digit Symbol), but not in any other test of sustained attention, episodic memory, or vocabulary. Burnout cases had considerably more subjective cognitive problems, but ratings were unrelated to test performance. Compared with referents, burnout cases had similar morning salivary cortisol levels and similar awakening response, but lower evening cortisol. Among burnout cases, lower diurnal cortisol variability was related to slower performance in several tests. The DST response showed no consistent relationship with any cognitive parameter. Hence, despite considerable subjective cognitive problems, the burnout group showed only a partial, mild deviation in cognitive performance. A flatter diurnal cortisol profile was related to lower cognitive processing speed, but diurnal cortisol pattern and DST response were normal, suggesting a maintained HPA axis flexibility.

Haupt- und Interaktionseffekte von Selbstkontrollanforderungen auf Indikatoren der Arbeitsbeanspruchung

Zusammenfassung. In der modernen Arbeitswelt wird verstärkt gefordert, dass Mitarbeiter ihr Verhalten flexibel an Unternehmenserfordernissen und Kundenwünschen ausrichten. Dies bedeutet gleichzeitig, dass von den Mitarbeitern Selbstkontrolle gefordert wird, um ihr Verhalten zielgerichtet zu steuern. Verschiedene Befunde weisen darauf hin, dass Anforderungen an die Selbstkontrolle eine spezifische Form der Arbeitsbelastung darstellen. In der vorliegenden Studie wurden die Effekte dreier Facetten geforderter Selbstkontrolle in Arbeitskontexten untersucht. Es konnte gezeigt werden, dass in einer Stichprobe von 549 Mitarbeitern einer Verwaltung Anforderungen an das “Überwinden innerer Widerstände”, die “Impulskontrolle” und das “Widerstehen von Ablenkungen” signifikante Zusammenhänge mit Indikatoren psychischer Beanspruchung aufweisen. Die Überprüfung von Wechselwirkungen der verschiedenen Selbstkontrollanforderungen ergab, dass hohe Anforderungen an das “Überwinden innerer Widerstände” die adversen Effekte der Anforderung “Impulskontrolle” verstärken. Dies spricht - im Sinne der Ego-Depletion-Theorie - dafür, dass Selbstkontrollanforderungen ein und dieselbe (Willens-)Ressource beanspruchen.

Estresse laboral e raciocínio inferencial: um estudo correlacional

O objetivo desse estudo foi verificar as relações entre estresse laboral e raciocínio inferencial, sexo e idade. Os instrumentos utilizados foram a escala de vulnerabilidade a estressores no trabalho (EVET) e raciocínio inferencial (RIn). Participaram da pesquisa 64 alunos de Psicologia e Engenharia de uma instituição privada do interior do Estado de São Paulo, sendo que, no total, 81,2% eram do sexo masculino, e 18,8%, do sexo feminino, com idade variando de 18 a 45 anos (M=24, DP=5,78). Em relação aos fatores da escala de estresse, encontrou-se correlação negativa significativa entre o fator três (falta de suporte organizacional) e o RIn. Dentre as demais análises realizadas, destaca-se a correlação negativa significativa entre EVET e RIn (r =-0,25; p=0,047), o que indica que, quanto maior o estresse, menor a capacidade de raciocínio inferencial.

Spontaneous attentional fluctuations in impaired states and pathological conditions: a neurobiological hypothesis

In traditional accounts, fluctuations in sustained and focused attention and associated attentional lapses during task performance are regarded as the result of failures of top-down and effortful higher order processes. The current paper reviews an alternative hypothesis: that spontaneous patterns of very low frequency (<0.1 Hz) coherence within a specific brain network ('default-mode network') thought to support a pattern of generalized task-non-specific cognition during rest, can persist or intrude into periods of active task-specific processing, producing periodic fluctuations in attention that compete with goal-directed activity. We review recent studies supporting the existence of the resting state default network, examine the mechanism underpinning it, describe the consequent temporally distinctive effects on cognition and behaviour of default-mode interference into active processing periods, and suggest some factors that might predispose to it. Finally, we explore the putative role of default-mode interference as a cause of performance variability in attention deficit/hyperactivity disorder.

Dealing with Stress in the Workplace

Abstract. In an online questionnaire filled out by 217 employees of various organizations, we investigated the implication of belief in a just world (BJW) for work-related cognitions and behavior (e.g., emotional exhaustion), taking central work stressors (e.g., workload), as well as work stress-related resources (e.g., autonomy), into account. We argued that BJW might compensate for the negative effects of the aforementioned stressors on work-related cognitions and behavior. BJW serves adaptive psychological functions such as the following: (1) It helps the individual to interpret the events in his or her life in a meaningful way and, thus, to deal with unjust experiences. In light of this function, we hypothesized that employees with a strong BJW would experience more organizational commitment and report fewer turnover intentions, and that the influence of BJW in these areas exists over and above the influence of central stressors and work stress-related resources. A further adaptive function of BJW is that it (2) provides the individual with trust in his or her own efficacy, as well as in the social environment. Thus, we assumed that those high in BJW would estimate that they perform better in their job and show less sick presence. As a consequence of these two functions, (3) BJW fosters mental health. With respect to mental health, we expected high believers to report less emotional exhaustion and fewer symptoms of depersonalization. Results of hierarchical regression analyses confirmed our hypotheses. We argue, therefore, that BJW should be seen as a psychological resource compensating for stress in the workplace.