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Chen Y, Juvinao-Quintero D, Velez JC, Muñoz S, Castillo J, Gelaye B. Personal and Work-Related Burnout Is Associated with Elevated Diastolic Blood Pressure and Diastolic Hypertension among Working Adults in Chile. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:1899. [PMID: 36767266 PMCID: PMC9915288 DOI: 10.3390/ijerph20031899] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/15/2022] [Revised: 01/15/2023] [Accepted: 01/18/2023] [Indexed: 06/18/2023]
Abstract
We aimed at investigating the association of personal and work-related burnout with blood pressure and hypertension among working adults in Chile. We conducted a cross-sectional study among 1872 working adults attending the Hospital del Trabajador in Santiago, Chile, between September 2015 and February 2018. The Copenhagen Burnout Inventory was used to assess personal and work-related burnout. Blood pressure was measured by medical practitioners. Multivariable linear and logistic regressions were used to estimate the association of burnout status with systolic blood pressure (SBP), diastolic blood pressure (DBP), and hypertension. After adjusting for confounders, participants with both types of burnout had a 1.66 (95% confidence interval [CI]: 0.02-3.30) mmHg higher mean DBP than those without burnout. The odds of isolated diastolic hypertension among the participants with only personal burnout and both types of burnout were 2.00-fold (odds ratio [OR] = 2.00; 95% CI: 1.21-3.31) and 2.08-fold (OR = 2.08; 95% CI: 1.15-3.78) higher than those without burnout. The odds of combined systolic/diastolic hypertension among the participants with only work-related burnout increased by 59% (OR = 1.59; 95% CI: 1.01-2.50) compared with those without burnout. Both work-related and personal burnouts were associated with increased DBP and odds of diastolic hypertension among working adults in Chile.
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Affiliation(s)
- Yinxian Chen
- Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA
| | - Diana Juvinao-Quintero
- Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA
| | - Juan Carlos Velez
- Departamento de Rehabilitación, Hospital del Trabajador, Asociación Chilena de Seguridad, Santiago 8320000, Chile
| | - Sebastian Muñoz
- Departamento de Rehabilitación, Hospital del Trabajador, Asociación Chilena de Seguridad, Santiago 8320000, Chile
| | - Jessica Castillo
- Departamento de Rehabilitación, Hospital del Trabajador, Asociación Chilena de Seguridad, Santiago 8320000, Chile
| | - Bizu Gelaye
- Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA
- Department of Psychiatry, Harvard Medical School, Boston, MA 02115, USA
- The Chester M. Pierce, MD Division of Global Psychiatry, Massachusetts General Hospital, Boston, MA 02114, USA
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Holm-Hadulla RM, Mayer CH, Wendler H, Kremer TL, Kotera Y, Herpertz SC. Fear, depression, and well-being during COVID-19 in German and South African students: A cross-cultural comparison. Front Psychol 2022; 13:920125. [PMID: 36405127 PMCID: PMC9671164 DOI: 10.3389/fpsyg.2022.920125] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2022] [Accepted: 09/07/2022] [Indexed: 11/06/2022] Open
Abstract
Various studies have shown a decrease in well-being and an increase in mental health problems during the COVID-19 pandemic; however, only a few studies have explored fear, depression, and well-being cross-culturally during this time. Accordingly, we present the results of a cross-cultural study that (1) compares these mental health scores for German and South African students, (2) compares the correlations among them, and (3) identifies COVID-19 fear, well-being, and depression predictors. German and South African societies differ from each other socio-culturally, politically, and economically. Their university systems also differ to a large extent. University students in both countries completed the Fear of COVID-19 Scale, the World Health Organization-Five Well-Being Index (WHO-5), and the Patient Health Questionnaire-9 (PHQ-9). Welch's t-test, correlation, and multiple regression analyses were performed. (1) German students were found to have statistically lower levels of COVID-19 fear and depression, but lower levels of general well-being than South African students. (2) In both samples, fear of COVID-19 was negatively correlated with well-being and positively associated with female gender and depression. (3) Additionally, female gender, depression, and lower well-being were identified as predictors of COVID-19 fear in both samples. The findings indicate that the fear of COVID-19 is associated with and varies according to gender, depression, and well-being across cultures, and that the difference in the intensity of fear between German and South African students may be partly explained by cultural and contextual differences. These findings can create a deeper understanding of the pandemic's impact on student communities and may be used by mental health practitioners and researchers to develop and apply culture-specific interventions.
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Affiliation(s)
| | - Claude-Hélène Mayer
- Department of Industrial Psychology and People Management, University of Johannesburg, Johannesburg, South Africa
| | - Hannes Wendler
- Centre for Psychosocial Medicine, Heidelberg University, Heidelberg, Germany
- Department of Philosophy, University of Cologne, Cologne, Germany
| | - Thomas L. Kremer
- Centre for Psychosocial Medicine, Heidelberg University, Heidelberg, Germany
- Central Institute of Mental Health, Heidelberg University, Mannheim, Germany
| | - Yasuhiro Kotera
- School of Health Sciences, University of Nottingham, Nottingham, United Kingdom
| | - Sabine C. Herpertz
- Centre for Psychosocial Medicine, Heidelberg University, Heidelberg, Germany
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Kontoangelos K, Raptis A, Lambadiari V, Economou M, Tsiori S, Katsi V, Papageorgiou C, Martinaki S, Dimitriadis G, Papageorgiou C. Burnout Related to Diabetes Mellitus: A Critical Analysis. Clin Pract Epidemiol Ment Health 2022; 18:e174501792209010. [PMID: 37274843 PMCID: PMC10156041 DOI: 10.2174/17450179-v18-e2209010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2021] [Revised: 06/09/2022] [Accepted: 06/29/2022] [Indexed: 06/07/2023]
Abstract
Background Diabetes burnout is a condition when a patient with diabetes feels tired from his/her disease and neglects it for a certain period or continuously. Objective Diabetes burnout is frequent, and there is extended literature about psychosocial stress and its negative effects on health. Methods A search for relevant studies was conducted using PubMed, Google Scholar and ResearchGate. A systematic review was conducted on the relevant articles after critical appraisal. Only publications in English were selected. The objective of this study was to evaluate the association between burnout syndrome and diabetes mellitus. Results This article mainly focused on studies that evaluated the presence of burnout and diabetes mellitus effects. Diabetes can influence psychological health equally with somatic strength. Relatives can also express depression, guilt, fright, worry, rage, and burnout. Psychosocial job stress and extended working hours are linked with a higher possibility of myocardial infarction, diabetes mellitus, and hypertension. Conclusion Diabetes burnout is a combination of emotions and practices, ranging from tiredness to indifference, linked with a distressing sense of hopelessness. Revealing this health condition is necessary so that preventive measures can be taken.
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Affiliation(s)
- Konstantinos Kontoangelos
- 1 Department of Psychiatry, Eginition Hospital, Medical School National & Kapodistrian University of Athens, Athens, Greece
- University Mental Health Neurosciences and Precision Medicine Research Institute “Costas Stefanis”, Athens, Greece
| | - Athanasios Raptis
- 2 Department of Internal Medicine-Propaedeutic-Research Institute and Diabetes Center, Athens University Medical School, Attikon University Hospital, Athens, Greece
| | - Vaia Lambadiari
- 2 Department of Internal Medicine-Propaedeutic-Research Institute and Diabetes Center, Athens University Medical School, Attikon University Hospital, Athens, Greece
| | - Marina Economou
- 1 Department of Psychiatry, Eginition Hospital, Medical School National & Kapodistrian University of Athens, Athens, Greece
- University Mental Health Neurosciences and Precision Medicine Research Institute “Costas Stefanis”, Athens, Greece
| | - Sofia Tsiori
- 1 Department of Psychiatry, Eginition Hospital, Medical School National & Kapodistrian University of Athens, Athens, Greece
| | - Vasiliki Katsi
- 1 Department of Cardiology, “Hippokration” Hospital, Medical School National & Kapodistrian University of Athens, Athens, Greece
| | - Christos Papageorgiou
- University Mental Health Neurosciences and Precision Medicine Research Institute “Costas Stefanis”, Athens, Greece
| | - Sofia Martinaki
- 1 Department of Psychiatry, Eginition Hospital, Medical School National & Kapodistrian University of Athens, Athens, Greece
| | - George Dimitriadis
- National and Kapodistrian University of Athens, Medical School, Athens, Greece
| | - Charalabos Papageorgiou
- University Mental Health Neurosciences and Precision Medicine Research Institute “Costas Stefanis”, Athens, Greece
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De Beer LT, Schaufeli WB, De Witte H. The psychometric properties and measurement invariance of the Burnout Assessment Tool (BAT-23) in South Africa. BMC Public Health 2022; 22:1555. [PMID: 35971108 PMCID: PMC9378260 DOI: 10.1186/s12889-022-13978-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2021] [Accepted: 08/05/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Burnout is an increasing public health concern that afflicts employees globally. The measurement of burnout is not without criticism, specifically in the context of its operational definition as a syndrome, also recently designated as such by the World Health Organisation. The Burnout Assessment Tool (BAT-23) is a new measure for burnout that addresses many of the criticisms surrounding burnout scales. The aim of this study is to determine the validity, reliability, and measurement invariance of the BAT-23 in South Africa. METHOD A quantitative, cross-sectional survey, approach was taken (n = 1048). Latent variable modelling was implemented to investigate the construct-relevant multidimensionality that is present in the BAT. For measurement invariance, the configural, metric, scalar, and strict models were tested. RESULTS The analyses showed that the hierarchical operationalisation of BAT-assessed burnout was the most appropriate model for the data. Specifically, a bifactor ESEM solution. Composite reliability estimates were all well above the cut-off criteria for both the global burnout factor and the specific factors. The measurement invariance tests showed that gender achieved not only strong invariance, but also strict invariance. However, ethnicity initially only showed strong invariance, but a test of partial strict invariance did show that the mean scores could be fairly compared between the groups when releasing certain constraints. CONCLUSIONS The BAT-23 is a valid and reliable measure to investigate burnout within the Southern African context.
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Affiliation(s)
- Leon T De Beer
- WorkWell Research Unit, Potchefstroom Campus, North-West University, Potchefstroom, 2531, South Africa.
| | - Wilmar B Schaufeli
- Department of Psychology, Utrecht University, 3584, CS, Utrecht, The Netherlands.,Research Unit Occupational & Organizational Psychology and Professional Learning KU Leuven, 3000, Louvain, Belgium
| | - Hans De Witte
- Research Unit Occupational & Organizational Psychology and Professional Learning KU Leuven, 3000, Louvain, Belgium.,Optentia Research Unit, Vanderbijlpark Campus, North-West University, Vanderbijlpark, 1900, South Africa
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De Beer LT, Schaufeli WB, Bakker AB. Investigating the validity of the short form Burnout Assessment Tool: A job demands-resources approach. AFRICAN JOURNAL OF PSYCHOLOGICAL ASSESSMENT 2022. [DOI: 10.4102/ajopa.v4i0.95] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
The purpose of this study was to investigate the psychometric properties of the short form Burnout Assessment Tool (BAT-12). As a result of the pandemic, job stress has been compounded and the use of conceptually grounded and accurate measures is needed to identify burnout risks within specific organisations and the overall workforce. The study sample comprised 660 employees from various occupational settings who filled out an online survey. Latent variable methods with ordinal categorical data were implemented to model the data and to test the hypotheses for the study. Results showed that the proposed second-order factor model of the BAT-12 showed a good fit to the data and was invariant across gender and ethnicity. In addition, burnout – as operationalised with the BAT-12 – played the hypothesised mediating role in the Job Demands-Resources model. The BAT-12 also showed convergent validity with the Maslach Burnout Inventory. The authors conclude that BAT-12 is a robust instrument with adequate psychometric properties to measure burnout risk and present a freely available online application for employees to estimate their risk of burnout.
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Zada M, Zada S, Khan J, Saeed I, Zhang YJ, Vega-Muñoz A, Salazar-Sepúlveda G. Does Servant Leadership Control Psychological Distress in Crisis? Moderation and Mediation Mechanism. Psychol Res Behav Manag 2022; 15:607-622. [PMID: 35310833 PMCID: PMC8926009 DOI: 10.2147/prbm.s354093] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2021] [Accepted: 02/24/2022] [Indexed: 12/12/2022] Open
Abstract
Purpose This study aims to investigate the impact of servant leadership on the psychological distress of healthcare staff during the Covid-19 crisis. The authors propose that work engagement mediates and mindfulness moderates the direct relationship between servant leadership and psychological distress. Methods Time-lagged data were collected from 277 healthcare staff working at different hospitals in Pakistan. Process Macro version 3.1 on SPSS 23 was used for statistical analysis. For model fitness, we used AMOS V 22. Results The results show that servant leadership is negatively related to psychological distress. Furthermore, work engagement mediates the relationship between servant leadership and psychological distress. Moreover, mindfulness is anticipated to moderate the direct relationship between servant leadership and psychological distress, drawing on the social exchange and conservation of resources theory. Discussion This study finds that servant leadership is vital for the mental health of healthcare staff. Thus, it extends the utility of the concept of servant leadership to the psychology and crisis management literature.
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Affiliation(s)
- Muhammad Zada
- Business School Henan University, Kaifeng, 475000, People’s Republic of China
| | - Shagufta Zada
- Business School Henan University, Kaifeng, 475000, People’s Republic of China
- Department of Business Administration, Faculty of Management Sciences, Ilma University, Karachi, Pakistan
| | - Jawad Khan
- Department of Business Administration, Iqra National University, Peshawar, Pakistan
| | - Imran Saeed
- IBMS, The University of Agriculture, Peshawar, Pakistan
| | - Yong Jun Zhang
- Business School Henan University, Kaifeng, 475000, People’s Republic of China
- Correspondence: Yong Jun Zhang, Business School Henan University, Kaifeng, Henan, 475000, People’s Republic of China, Email
| | - Alejandro Vega-Muñoz
- Public Policy Observatory, Universidad Autónoma de Chile, Santiago, 7500912, Chile
| | - Guido Salazar-Sepúlveda
- Departamento de Ingeniería Industrial, Facultad de Ingeniería, Universidad Católica de la Santísima Concepción, Concepción, 4090541, Chile
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Cook AS, Zill A. Working With Type 1 Diabetes: Investigating the Associations Between Diabetes-Related Distress, Burnout, and Job Satisfaction. Front Psychol 2021; 12:697833. [PMID: 34803795 PMCID: PMC8599573 DOI: 10.3389/fpsyg.2021.697833] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2021] [Accepted: 10/18/2021] [Indexed: 11/30/2022] Open
Abstract
The present study investigates the association between diabetes-related distress (DD) and work outcomes (burnout and job satisfaction) among employed people with type 1 diabetes. Employed adults with type 1 diabetes (N = 297) completed an online survey. Measures assessed emotional, social, food- and treatment-related DD, burnout, and job satisfaction, as well as the type of insulin treatment. We conducted multiple regression analyses to test our hypotheses. Emotional DD was significantly and positively associated with burnout. Social DD was significantly and negatively associated with job satisfaction. The type of treatment (insulin pen versus insulin pump) had no significant effect on the outcomes. This study sets the stage for research on the interactions between working conditions, work outcomes and illness symptoms, and problems of people with type 1 diabetes, and, generally, employees with chronic illnesses. The findings have implications for individual health and illness management, burnout prevention, and occupational health measures.
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Affiliation(s)
- Alexandra Sasha Cook
- Psychology Research Institute, University of Amsterdam, Amsterdam, Netherlands.,Department of Experimental and Applied Psychology, Vrije Universiteit Amsterdam, Amsterdam, Netherlands
| | - Alexander Zill
- Department of Psychology, Technische Universität Chemnitz, Chemnitz, Germany
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Strikwerda M, Beulens JW, Remmelzwaal S, Schoonmade LJ, van Straten A, Schram MT, Elders PJ, Rutters F. The Association of Burnout and Vital Exhaustion With Type 2 Diabetes: A Systematic Review and Meta-Analysis. Psychosom Med 2021; 83:1013-1030. [PMID: 34334726 DOI: 10.1097/psy.0000000000000995] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVE This study aimed to investigate the association of burnout and vital exhaustion with measures of glycemic control and type 2 diabetes (T2D) in a systematic review and meta-analysis. METHODS PubMed, Embase, and PsycINFO were searched from inception to April 2, 2020. Data extraction and quality assessment were performed using the Effective Public Health Practice Project tool. When possible, results were meta-analyzed using random-effects models and rated using the Grading of Recommendations, Assessment, Development and Evaluation. RESULTS A total of 5317 titles/abstracts were screened, 140 articles were read full text, of which 29 studies were included. Eighteen studies were cross-sectional, three prospective and eight were case-control studies. Burnout and vital exhaustion were significantly associated with T2D, with a pooled odds ratio of 1.8 (95% confidence interval [CI] = 1.4 to 2.4, I2 = 79%; 9 studies). Glycated hemoglobin A1c levels were not significantly higher in people with burnout and vital exhaustion, compared to those without, with a pooled standardized mean difference of 0.35 (95% CI = -0.62 to 1.33, I2 = 98%; 7 studies). In addition, no differences in glucose levels were observed (standardized mean difference = 0.02, 95% CI = -0.26 to 0.30, I2 = 90%; 9 studies). Sensitivity analyses showed no decrease in heterogeneity when excluding studies with low quality (I2glucose = 89%) or studies with a study n < 40 population (I2T2D = 77%). The level of Grading of Recommendations, Assessment, Development and Evaluation evidence was moderate to low quality because of 18 studies having a cross-sectional design. CONCLUSIONS Burnout and vital exhaustion might be associated with a higher risk of T2D, but not with glycemic control. Methodological shortcomings and high heterogeneity of the studies included complicate the interpretation of our results.
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Affiliation(s)
- Marije Strikwerda
- From the Amsterdam UMC, location VUmc, Department of Epidemiology and Data Science (Strikwerda, Beulens, Remmelzwaal, Rutters), Amsterdam Public Health Research Institute (Strikweda, Beulens, Remmelzwaal, Elders); Julius Centre for Health Sciences and Primary Care (Beulens), University Medical Centre Utrecht, Utrecht; the University Library (Schoonmade), VU, Amsterdam; Faculty of Behavioural and Movement Sciences and Amsterdam Public Health Research Institute (van Straten), Vrije Universiteit, HV Amsterdam; Department of Internal Medicine, Cardiovascular Research Institute Maastricht (CARIM), MHeNS School for Mental Health and Neuroscience (Schram), Maastricht University Medical Center+, Maastricht; and Amsterdam UMC, location VUmc, Department of General Practice (Elders), Amsterdam Public Health Research Institute, Amsterdam, the Netherlands
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Hoşgör H, Coşkun F, Çalişkan F, Gündüz Hoşgör D. Relationship between nomophobia, fear of missing out, and perceived work overload in nurses in Turkey. Perspect Psychiatr Care 2021; 57:1026-1033. [PMID: 33089536 DOI: 10.1111/ppc.12653] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/28/2020] [Revised: 09/19/2020] [Accepted: 10/10/2020] [Indexed: 02/07/2023] Open
Abstract
PURPOSE This study was conducted to investigate the relationship between nomophobia, fear of missing out (FoMO), and perceived work overload (PWO) among nurses in Turkey. DESIGN AND METHODS This descriptive study was carried out with 178 nurses. In the study, the Nomophobia Questionnaire, FoMO scale, and PWO scale were used. FINDINGS There was a positive and significant relationship between nomophobia, FoMO, and PWO variables. The nomophobia and FoMO independent variables accounted for 6% of the PWO-dependent variable. PRACTICE IMPLICATIONS Controlled use of smartphones and social media can contribute to the minimizing of the work overload perceived by nurses as a time pressure factor.
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Affiliation(s)
- Haydar Hoşgör
- Program of Medical Documentation and Secretarial, Uşak University, Uşak, Turkey
| | - Filiz Coşkun
- Program of Operating Room Services, Health Sciences University, İstanbul, Turkey
| | - Figen Çalişkan
- Department of Education Nursing, Bakırköy Dr. Sadi Konuk Education and Research Hospital, İstanbul, Turkey
| | - Derya Gündüz Hoşgör
- Program of Anesthesia, School of Nursing, Marmara Education Village, Maltepe University, İstanbul, Turkey
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Yu S, Wu N, Liu S, Gong X. Job Insecurity and Employees' Extra-Role Behavior: Moderated Mediation Model of Negative Emotion and Workplace Friendship. Front Psychol 2021; 12:631062. [PMID: 33889109 PMCID: PMC8055959 DOI: 10.3389/fpsyg.2021.631062] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2020] [Accepted: 03/04/2021] [Indexed: 11/13/2022] Open
Abstract
Based on the affective events theory, this paper discusses the influence of job insecurity on employees' extra-role behavior. The mediating effect of negative emotion and the moderating effect of workplace friendship are also tested. The results of an empirical analysis, based on the data of 327 employees, show that job insecurity has a significant negative impact on employees' extra-role behavior. Negative emotion plays a mediating role in the relationship between job insecurity and extra-role behavior. Workplace friendship moderated the relationship between job insecurity and negative emotions, as well as between job insecurity and extra-role behavior. Workplace friendship also moderates the mediating effect of negative emotion on the relationship between job insecurity and extra-role behavior, that is, the higher the level of the workplace friendship is, the weaker the mediation role mentioned above will be. The research results have implications for the sustainable development of the organization.
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Affiliation(s)
- Shengxian Yu
- School of Business Administration, South China University of Technology, Guangzhou, China
| | - Na Wu
- School of Business Administration, Zhongnan University of Economics and Law, Wuhan, China
| | - Shanshi Liu
- School of Business Administration, South China University of Technology, Guangzhou, China
| | - Xiaoxiao Gong
- School of Business Administration, Southwestern University of Finance and Economics, Chengdu, China
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Relationship between job burnout and somatic diseases: a network analysis. Sci Rep 2020; 10:18438. [PMID: 33116176 PMCID: PMC7595180 DOI: 10.1038/s41598-020-75611-7] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2020] [Accepted: 10/16/2020] [Indexed: 12/02/2022] Open
Abstract
Job burnout, characterized by feelings of exhaustion, cynicism and reduced personal efficacy, has been defined as a risk state for the development of diseases, but its association with somatic diseases is underexplored. Study participants were 5671 respondents (mean age 44.1 years, range 18–70; 38.6% men) to an online survey of job burnout, using a mobile health web application. Respondents provided data on sociodemographic characteristics, symptoms of burnout, measured with the Maslach Burnout Inventory-General Survey, depressive symptoms, measured with the Profile of Mood States, and 11 categories of somatic diseases. Adjusting for age, sex, educational level, depressive symptoms, and all disease categories included, network analysis showed a significant association of high exhaustion with “high blood pressure” and a category of “other chronic somatic diseases”. Low personal efficacy showed a significant association with “chronic lung diseases”. In network analysis, clinically relevant depressive symptoms were also significantly associated with “high blood pressure”, “other chronic somatic diseases” and “skin diseases”. Logistic regression analysis confirmed these associations. Burnout dimensions were significantly associated with an increased risk for somatic diseases, independently of sociodemographic factors and clinically relevant depressive symptoms. This relationship seems particularly evident for the exhaustion dimension of job burnout.
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12
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Pervaz Iqbal M, Manias E, Mimmo L, Mears S, Jack B, Hay L, Harrison R. Clinicians' experience of providing care: a rapid review. BMC Health Serv Res 2020; 20:952. [PMID: 33059673 PMCID: PMC7559170 DOI: 10.1186/s12913-020-05812-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2020] [Accepted: 10/09/2020] [Indexed: 12/05/2022] Open
Abstract
BACKGROUND Health care services internationally are refocussing care delivery towards patient centred, integrated care that utilises effective, efficient and innovative models of care to optimise patient outcomes and system sustainability. Whilst significant efforts have been made to examine and enhance patient experience, to date little has progressed in relation to provider experience. This review aims to explore this knowledge gap by capturing evidence of clinician experience, and how this experience is defined and measured in the context of health system change and innovation. METHODS A rapid review of published and grey literature review was conducted utilising a rapid evidence assessment methodology. Seventy-nine studies retrieved from the literature were included in the review. Fourteen articles were identified from the grey literature search and one article obtained via hand searching. In total, 94 articles were included in the review. This study was commissioned by and co-designed with the New South Wales, Ministry of Health. RESULTS Clinician experience of delivering health care is inconsistently defined in the literature, with identified articles lacking clarity regarding distinctions between experience, engagement and work-related outcomes such as job satisfaction. Clinician experience was commonly explored using qualitative research that focused on experiences of discrete health care activities or events in which a change was occurring. Such research enabled exploration of complex experiences. In these contexts, clinician experience was captured in terms of self-reported information that clinicians provided about the health care activity or event, their perceptions of its value, the lived impacts they experienced, and the specific behaviours they displayed in relation to the activity or event. Moreover, clinician's experience has been identified to have a paucity of measurement tools. CONCLUSION Literature to date has not examined clinician experience in a holistic sense. In order to achieve the goals identified in relation to value-based care, further work is needed to conceptualise clinician experience and understand the nature of measurement tools required to assess this. In health system application, a broader 'clinician pulse' style assessment may be valuable to understand the experience of clinical work on a continuum rather than in the context of episodes of change/care.
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Affiliation(s)
- Maha Pervaz Iqbal
- School of Public Health and Community Medicine, UNSW Medicine, UNSW Sydney, Sydney, 2052 Australia
| | - Elizabeth Manias
- School of Nursing and Midwifery, Centre for Quality and Patient Safety Research, Institute for Health Transformation, Deakin University, Geelong, Australia
| | - Laurel Mimmo
- School of Public Health and Community Medicine, UNSW Medicine, UNSW Sydney, Sydney, 2052 Australia
- Sydney Children’s Hospitals, Network, Sydney, NSW Australia
| | - Stephen Mears
- Hunter New England Medical Library, New Lambton, NSW 2350 Australia
| | - Briony Jack
- Strategic Reform and Planning Branch, NSW Ministry of Health, St Leonards, NSW 2065 Australia
| | - Liz Hay
- Economics and Analysis, Strategic Reform and Planning Branch, NSW Ministry of Health, St Leonards, NSW 2065 Australia
| | - Reema Harrison
- School of Public Health and Community Medicine, UNSW Medicine, UNSW Sydney, Sydney, 2052 Australia
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Ahmed F, Zhao F, Faraz NA. How and When Does Inclusive Leadership Curb Psychological Distress During a Crisis? Evidence From the COVID-19 Outbreak. Front Psychol 2020; 11:1898. [PMID: 32849111 PMCID: PMC7423991 DOI: 10.3389/fpsyg.2020.01898] [Citation(s) in RCA: 35] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2020] [Accepted: 07/09/2020] [Indexed: 12/12/2022] Open
Abstract
Traumatic events such as a pandemic shatter the assumption of the workplace as a safe place. Nurses face risks of life-threatening infection, which can create psychological distress. Quality of care for infected patients depends on mental well-being of nurses which calls for research on predictors of stress among health care workers. Responding to a call for research on the effects of leadership styles on psychological distress during traumatic events, this paper uses the theoretical lens of social exchange theory and contributes to literature on relationships between inclusive leadership, psychological distress, work engagement, and self-sacrifice. Participants of this cross sectional study included 497 registered nurses from five hospitals in Wuhan. Data were collected with temporal separation through an online questionnaire. Partial least-squares structural equation modeling was used to analyze data. Results show inclusive leadership has a significant negative relationship with psychological distress. Work engagement mediates this relationship, and nurses’ self-sacrificial behavior moderates it. Findings indicate inclusive leadership style serves as a sustainable mechanism to reduce psychological distress during pandemics. It can operationalize the delivery of mental health support in real-time in work settings. Results provide empirical support for social exchange theory through high work engagement to help control psychological distress among nurses.
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Affiliation(s)
- Fawad Ahmed
- School of Management, Wuhan University of Technology, Wuhan, China
| | - Fuqiang Zhao
- School of Management, Wuhan University of Technology, Wuhan, China
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Hod K, Melamed S, Dekel R, Maharshak N, Sperber AD. Burnout, but not job strain, is associated with irritable bowel syndrome in working adults. J Psychosom Res 2020; 134:110121. [PMID: 32371342 DOI: 10.1016/j.jpsychores.2020.110121] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/05/2020] [Revised: 04/18/2020] [Accepted: 04/18/2020] [Indexed: 02/07/2023]
Abstract
OBJECTIVE Although stress is an important component of irritable bowel syndrome (IBS) pathophysiology, the possibility that work-related stress is implicated in the pathophysiology of IBS has not been widely studied. This study aimed to examine whether job strain (a combination of high job demands and low control at work) and/or burnout, the outcome of a gradual depletion of energetic resources resulting from chronic exposure to work-related stress, are associated with IBS. METHODS Fifty-five patients fulfilling the Rome III criteria for IBS and 214 matched healthy controls (HC) participated in this cross-sectional study. All participants completed a job strain measure, the Shirom - Melamed Burnout Measure (SMBM), and dietary and health questionnaires. RESULTS There was no significant difference in the prevalence of job strain between IBS patients and HC (25.5% vs. 23.0%, respectively). Job strain was not associated with increased IBS prevalence (adjusted OR = 1.99, 95% CI: 0.54-7.33). In contrast, the mean burnout score in the IBS group was significantly higher than in HC (2.9 ± 1.1 vs. 2.1 ± 0.8, p < .001). Burnout was associated with a 2.41-fold elevated prevalence of IBS (95% CI: 1.16-5.02), after adjusting for potential confounding variables including job strain. Moreover, the odds of having IBS increased in patients with a high burnout level (adjusted OR = 3.3, 95% CI:1.09-10.03). CONCLUSION Burnout, but not job strain, is associated with the prevalence of IBS in working adults.
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Affiliation(s)
- Keren Hod
- Department of Academy and Research, Assuta Medical Center, Tel-Aviv, Israel.
| | - Samuel Melamed
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Roy Dekel
- Department of Gastroenterology and Liver Diseases, Tel-Aviv Medical Centre, Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Nitsan Maharshak
- Department of Gastroenterology and Liver Diseases, Tel-Aviv Medical Centre, Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Ami D Sperber
- Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
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Mitonga-Monga J, Mayer CH. Sense of Coherence, Burnout, and Work Engagement: The Moderating Effect of Coping in the Democratic Republic of Congo. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17114127. [PMID: 32531877 PMCID: PMC7312054 DOI: 10.3390/ijerph17114127] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/24/2020] [Revised: 05/08/2020] [Accepted: 05/14/2020] [Indexed: 11/16/2022]
Abstract
Research on coping, sense of coherence, burnout, and work engagement is well documented in western countries. However, a void of studies exists on how coping mechanisms can moderate the relationship among sense of coherence, burnout, and work engagement in a manufacturing company in the Democratic Republic of Congo (DRC). The objective of this research was to examine the moderating effect of coping (COP) in the relationship between sense of coherence (SOC), burnout (BO), and work engagement (WE). The study employed a quantitative research approach, while participants were recruited through convenience sampling. A total of 197 employees (n = 197; females 40%) who are permanently employed in a manufacturing organisation in the DRC participated in the study voluntarily. The results indicate that coping related positively to a sense of coherence. Moreover, the results indicate that sense of coherence and work engagement related negatively to burnout. Furthermore, the results show that coping acted as a moderator in the relationships between variables. The study adds value to the WE theory by suggesting that an employee who has a high level of COP, high SOC, low level of BO, will positively engage, perform, and be productive.
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Owuor RA, Mutungi K, Anyango R, Mwita CC. Prevalence of burnout among nurses in sub-Saharan Africa: a systematic review. JBI Evid Synth 2020; 18:1189-1207. [DOI: 10.11124/jbisrir-d-19-00170] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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17
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Coetzer MF, Bussin MH, Geldenhuys M. Servant leadership and work-related well-being in a construction company. SA JOURNAL OF INDUSTRIAL PSYCHOLOGY 2017. [DOI: 10.4102/sajip.v43i0.1478] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
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Imamura K, Kawakami N, Inoue A, Shimazu A, Tsutsumi A, Takahashi M, Totsuzaki T. Work Engagement as a Predictor of Onset of Major Depressive Episode (MDE) among Workers, Independent of Psychological Distress: A 3-Year Prospective Cohort Study. PLoS One 2016; 11:e0148157. [PMID: 26841020 PMCID: PMC4739688 DOI: 10.1371/journal.pone.0148157] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2015] [Accepted: 01/13/2016] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVE This study investigated work engagement as a baseline predictor of onset of major depressive episode (MDE). METHODS The study used a prospective cohort design, conforming to the STROBE checklist. Participants were recruited from the employee population of a private think tank company (N = 4,270), and 1,058 (24.8%) of them completed a baseline survey, of whom 929 were included in this study. Work engagement and psychological distress at baseline were assessed as predictor variables. MDE was measured at baseline and at each of the follow-ups as the outcome, using the web-based, self-administered version of the Japanese WHO-CIDI 3.0 depression section based upon DSM-IV-TR/DSM-5 criteria. Cox discrete-time hazards analyses were conducted to estimate hazard ratios (95% confidence intervals CIs). RESULTS Follow-up rates of participants (N = 929) were 78.4%, 67.2%, and 51.6% at 1-, 2-, and 3-year follow-ups, respectively. The association between work engagement at baseline and the onset of MDE was U-shaped. Compared with a group with low work engagement scores, groups with the middle and high scores showed significantly (HR = 0.19, 95% CI = 0.05 to 0.64; p = 0.007) and marginally significantly (HR = 0.48, 95% CI = 0.20 to 1.15, p = 0.099) lower risks of MDE, respectively, over the follow-ups, after adjusting for covariates. The pattern remained the same after additionally adjusting for psychological distress. CONCLUSIONS The present study first demonstrated work engagement as an important predictor of the onset of MDE diagnosed according to an internationally standard diagnostic criteria of mental disorders.
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Affiliation(s)
- Kotaro Imamura
- Department of Mental Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
| | - Norito Kawakami
- Department of Mental Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
- * E-mail:
| | - Akiomi Inoue
- Department of Mental Health, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan
| | - Akihito Shimazu
- Department of Mental Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
| | - Akizumi Tsutsumi
- Department of Public Health, Kitasato University School of Medicine, Sagamihara, Japan
| | - Masaya Takahashi
- Health Administration and Psychosocial Factor Research Group, National Institute of Occupational Safety and Health, Japan, Kawasaki, Japan
| | - Takafumi Totsuzaki
- Uchisaiwaicho Medical Center, Mizuho Health Insurance Society, Tokyo, Japan
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de Beer LT, Rothmann S, Mostert K. The Bidirectional Relationship Between Person-Job Fit and Work Engagement. JOURNAL OF PERSONNEL PSYCHOLOGY 2016. [DOI: 10.1027/1866-5888/a000143] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Abstract. Although theorized and generally accepted, research on the relationship (specifically the direction of the causal relationship) between person-job fit and work engagement is limited and not yet clear. Theoretical arguments can be presented for both directions, but empirical evidence is scarce. The study reported here explored the bidirectional relationship between person-job fit and work engagement in a longitudinal design. A three-wave cross-lagged panel design was used in a sample of 382 participants from the financial, healthcare, and manufacturing industries in South Africa. The results of Bayesian informative hypothesis testing showed the most support for the hypothesis stating that work engagement is a stronger predictor of person-job fit over time. Conversely, the hypothesis that person-job fit is the predictor of work engagement over time received limited support.
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Affiliation(s)
- Leon T. de Beer
- WorkWell Research Unit, North-West University, Potchefstroom, South Africa
| | | | - Karina Mostert
- WorkWell Research Unit, North-West University, Potchefstroom, South Africa
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