Effects of emotion work on burnout and stress among human service professionals

This study examined the relationship between emotion work (Zapf, 2002) and burnout. One hundred and eighty-two human service professionals (nurses and caregivers) completed questionnaires. A factor analysis revealed that the concept of emotion work had four main factors: "Negative emotions display", "Positive emotions display", "Emotional dissonance", and "Sensitivity requirements". In addition, the hierarchical regression analyses revealed only the main effect of "Emotional dissonance" on psychological stress reaction, whereas the main effects of all emotion work variables and two interaction effects of those on burnout. These results suggested that burnout was distinguished from psychological stress reaction by the differences in its relationship to emotion work.     

Effects of perception of client relationship on burnout among human service professionals

The main purpose of this study was to investigate perception of client relationship by human service professionals and its possible relationship with burnout. One hundred sixty-five (165) human service professionals, nurses and careworkers, completed a questionnaire. Results indicated that they typically rated their relationship with clients to be better than the average, and thus showing an enhancement tendency in their perception. In addition, regression analysis showed that the main effects of positive evaluation of themselves and clients were found on burnout, but not on psychological stress reaction. Furthermore, positive client evaluation had a buffering effect on depersonalization in cases of interpersonal conflict with clients. These results suggested that perception of close relationship with clients was one of the most important factors for preventing burnout of human service professionals.     

Road to help-seeking among (dedicated) human service professionals with burnout

Objective

Describe and interpret the process of help-seeking among human service professionals with burnout.

Methods

Semi-structured interviews were conducted with 14 participants. Analysis was conducted using principles of grounded theory.

Results

All participants were dedicated and responsible workers, selflessly giving themselves to their work. Work was demanding, and often included some form of organisational change. After a period of time the problems of ill health appeared, since persons were overstretching their resources. However, the symptoms were denied, since the image of the ideal worker has been internalised and persons expected maximum performance from themselves. They kept on working hard and delayed the help-seeking process. Eventually, help was sought for medical symptoms or by talking to the supervisors. If postponed for too long, persons experienced a breaking point.

Conclusion

Human service professionals with burnout internalise the ideal image of their professional role. They strive to keep this ideal image at the cost of their own needs, taking a long time to seek help for the obstacles they encounter.

Practice implications

More awareness raising is needed in order to recognise early burnout symptoms. Particularly crucial in this process are supervisors and doctors, who have an authority role over employees.     

Burnout Syndrome and associated factors among medical students: a cross-sectional study

OBJECTIVES:

To assess the prevalence and levels of burnout syndrome among medical students at the Universidade Federal de Sergipe-Brazil and to identify associated factors.

METHODS:

A cross-sectional study was performed with randomly selected students in 2009. The Maslach Burnout Inventory/Student Survey (MBI-SS) and a structured questionnaire on socio-demographic characteristics, the educational process, and individual aspects were used. Statistical evaluation of multiple variables was performed through backward stepwise logistic regression analysis.

RESULTS:

The prevalence of burnout was 10.3% (n = 369). The prevalence was higher among those who did not have confidence in their clinical skills (Odds Ratio–OR = 6.47), those who felt uncomfortable with course activities (OR = 5.76), and those who did not see the coursework as a source of pleasure (OR = 4.68).

CONCLUSION:

There was a significant prevalence of burnout among the medical students studied. Three variables, in particular, were associated with burnout and were directly related to the medical education process. Preventive and intervention measures must be adopted, and longitudinal studies should be conducted.     

Assessment of burnout for Chinese human service professionals: A study of factorial validity and invariance

The present study used both exploratory and confirmatory factor analytic procedures to assess the factorial and construct validity of the MBI in Chinese human services professionals (N = 612). The classic three dimensions of burnout were supported, and the deletion of Items 12, 14, and 22 yielded a better fitting model. This new 19-item MBI for Chinese resembled the original 22-item MBI in the pattern of factor correlations and yielded satisfactory internal consistency estimates. Tests of equivalence of item measurements and theoretical structure of the revised 19-item MBI were also performed across gender. Results supported the invariance of the three-factor structure for men and women. Only items measuring the Depersonalization dimension were equivalent, whereas items of the Emotional Exhaustion and Lack of Personal Accomplishment dimensions were partially invariant across gender. ©1998 John Wiley & Sons, Inc. J Clin Psychol 54: 55–58, 1998.     

Racism and health inequity among Americans

Research reports often cite socioeconomic status as an underlying factor in the pervasive disparities in health observed for racial/ethnic minority populations. However, often little information or consideration is given to the social history and prevailing social climate that is responsible for racial/ethnic socioeconomic disparities, namely, the role of racism/racial discrimination. Much of the epidemiologic research on health disparities has focused on the relationship between demographic/clinical characteristics and health outcomes in main-effects multivariate models. This approach, however, does not examine the relationship between covariate levels and the processes that create them. It is important to understand the synergistic nature of these relationships to fully understand the impact they have on health status. PURPOSE: A review of the literature was conducted on the role that discrimination in education, housing, employment, the judicial system and the healthcare system plays in the origination, maintenance and perpetuation of racial/ethnic health disparities to serve as background information for funding Program Announcement, PA-05-006, The Effect of Racial/ Ethnic Discrimination/Bias on Healthcare Delivery (http:// grants.nih.gov/grants/ guide/pa-files/PA-05-006.html). The effect of targeted marketing of harmful products and environmental justice are also discussed as they relate to racial/ethnic disparities in health. CONCLUSION: Racial/ethnic disparities in health are the result of a combination of social factors that influence exposure to risk factors, health behavior and access to and receipt of appropriate care. Addressing these disparities will require a system that promotes equity and mandates accountability both in the social environment and within health delivery systems.     

Problem drinking and depression among DWI offenders: a three-wave longitudinal study

Longitudinal data collected at 3 occasions of measurement from a convicted driving-while-intoxicated sample (n = 302) were used to study the interrelations between problem drinking and depressive symptomatology. Time intervals between occasions of measurement were approximately 9 months. Cross-lagged latent variable models indicated that higher levels of depression at Time 1 were significantly associated with lower levels of problem drinking at Time 2. Similarly, higher levels of problem drinking at Time 1 were significantly associated with lower levels of depression at Time 2. However, the direction of effects for the cross-lagged coefficients were reversed for the Time-2-Time-3 relations. Higher levels of depression at Time 2 were significantly associated with higher levels of problem drinking at Time 3, and higher levels of problem drinking at Time 2 were associated with higher levels of depression at Time 3. The results are interpreted to reflect a biphasic process.     

Negative affect and plasma testosterone: a longitudinal human study.

The association between mood and plasma testosterone was investigated. Every second day for 2 months, a Multiple Affect Adjective Checklist was filled out by 20 young men. Blood samples taken at the same time were analyzed for testosterone concentration. Relationships between hostility, anxiety, and depression and plasma testosterone levels were tested both within and across individuals. Intrasubject correlation coefficients between affects and hormone were fairly evenly distributed between positive and negative values, some significant on either side. Intersubject correlation coefficients were all positivie. Between depression and testosterone, the correlation was significant only at the 10% level; between the other two affects and testosterone, the correlations were not significant.     

Sleep problems and internet addiction among children and adolescents: a longitudinal study

Although the literature has documented associations between sleep problems and internet addiction, the temporal direction of these relationships has not been established. The purpose of this study is to evaluate the bidirectional relationships between sleep problems and internet addiction among children and adolescents longitudinally. A four‐wave longitudinal study was conducted with 1253 children and adolescents in grades 3, 5 and 8 from March 2013 to January 2014. The sleep problems of the student participants were measured by parental reports on the Sleep Habit Questionnaire, which catalogues early insomnia, middle insomnia, disturbed circadian rhythm, periodic leg movements, sleep terrors, sleepwalking, sleep talking, nightmares, bruxism, snoring and sleep apnoea. The severity of internet addiction was measured by students’ self‐reports on the Chen Internet Addiction Scale. Based on the results of time‐lag models, dyssomnias (odds ratio = 1.31), especially early and middle insomnias (odds ratio = 1.74 and 2.24), sequentially predicted internet addiction, and internet addiction sequentially predicted disturbed circadian rhythm (odds ratio = 2.40), regardless of adjustment for gender and age. This is the first study to demonstrate the temporal relationship of early and middle insomnia predicting internet addiction, which subsequently predicts disturbed circadian rhythm. These findings imply that treatment strategies for sleep problems and internet addiction should vary according to the order of their occurrence.     

Secondary traumatization and attachment among wives of former POWs: a longitudinal study

The aim of the present study was to examine the directionality of the association between post-traumatic stress symptoms (PTSS) and attachment insecurities across time among indirect trauma survivors. Wives of former prisoners of war (ex-POWs), with and without post-traumatic stress disorder (PTSD), and comparable controls were assessed 30 (T1) and 38 (T2) years after the Yom Kippur War. As expected, wives of ex-POWs endorsed higher PTSS compared to wives of controls. Wives of ex-POWs with PTSD endorsed higher PTSS and higher attachment avoidance compared to wives of ex-POWs without PTSD and controls. There were significant associations between PTSS and attachment insecurities. Contrary to the hypothesis, the relationship between PTSS and attachment insecurities among wives of ex-POWs was unidirectional, with attachment anxiety at T1 predicting PTSS at T2, and not vice versa. Results indicate that attachment anxiety might act as a risk factor for secondary traumatic reactions.     

Suicidal thoughts and attempts among adolescents: a longitudinal 8-year follow-up study

BACKGROUND: To study the prevalence of and factors associated with suicidal behaviour among 580 adolescents. METHODS: An 8-year longitudinal study included questions about suicidal attempts and thoughts at age 16. Children were evaluated with parent and teacher Rutter scales and self-reported Child Depression Inventory at age 8. At age 16, parents filled in the Child Behaviour Check List and adolescents the Youth Self Report. RESULTS: 14% of girls and 7% of boys reported suicidal thoughts or preoccupations at age 16. Emotional and behavioural problems at age 8, especially antisocial symptoms, reported by parents and teachers and depressive symptoms reported by the child were correlated with suicidal thoughts and behaviour 8 years later. At age 16, internalizing and externalizing problems and low social competence were associated with suicidal features. Only about 20% of those who reported suicidal features had been referred to child mental health services. CONCLUSIONS: Many adolescents with suicidal thoughts and behaviour had a high rate of behavioural and emotional problems already at age 8. CLINICAL IMPLICATIONS: The early school years represent an opportunity for interventions which may prevent self-destructive behaviours in adolescence.     

Anxiety syndromes and symptoms among men with AIDS: a longitudinal controlled study

This 2-year longitudinal study assessed prevalence of Axis I anxiety disorders and anxiety symptoms and their relationship to manifestations of HIV illness in a sample of nonintravenous drug users. The sample included 173 homosexual men with HIV or AIDS (HIV+/AIDS) and 84 homosexual men negative for HIV or AIDS (HIV-). Data were compared with national prevalence rates to provide a framework for interpretation. No significant differences were observed. However, compared with the general population, both HIV+/AIDS and HIV- men reported more anxiety symptoms and stress. For the HIV+/AIDS group there was a positive relationship between anxiety and HIV symptoms, fatigue, and physical limitations. No changes in rates or levels of anxiety were observed in those whose immunologic markers improved or worsened over the 2 years.     

Burnout and psychiatric morbidity among medical students entering clinical training: a three year prospective questionnaire and interview-based study

Background  

Mental distress among medical students is often reported. Burnout has not been studied frequently and studies using interviewer-rated diagnoses as outcomes are rarely employed. The objective of this prospective study of medical students was to examine clinically significant psychiatric morbidity and burnout at 3^rd year of medical school, considering personality and study conditions measured at 1^st year.     

Burnout and spirituality among nurses: A scoping review

ObjectiveTo investigate the relationship between spirituality / religiousness and Burnout Syndrome in nurses, as well as to examine the current evidence for spiritual/religious interventions to alleviate their symptoms.Data sourcesA scoping review was conducted using CINAHL, SCOPUS, Web of Science, Pubmed databases, and grey literature, between January and July 2020.Study selectionTwo researchers performed the searches with a 95% agreement rate for the inclusion and exclusion of the studies. Both quantitative and qualitative studies published in peer-reviewed journals, using Spanish, Portuguese or English language were included. Restriction on publication date was not applied.Data ExtractionA total of 1143 articles were identified and 18 were included in the final analysis. Quality assessment was performed, following CONSORT, STROBE, PRISMA and COREQ guidelines. Finally, the following data were extracted: authors, year, country, study design and sample characteristics, purpose of the study, and major findings.Data synthesisThe results of the present review show that spirituality / religiousness is a common strategy used by nurses when coping with stress and burnout. Most studies reveal that spiritual and religious beliefs are correlated with lower levels of burnout, exhaustion and depersonalization in different settings. Nevertheless, two studies have not found any relationship and one study has found worse outcomes.ConclusionsThere is a lack of experimental studies trying to examine if spiritual interventions could modify burnout levels in clinical practice. Health managers should be aware of the spirituality / religiousness of their nurses and provide the appropriate spiritual support.     

Psychological functioning among mothers of children with insulin-dependent diabetes mellitus: a longitudinal study

Mothers of children with newly diagnosed insulin-dependent diabetes mellitus (IDDM) were assessed repeatedly over a period of 6 years in order to determine the psychological correlates of managing this chronic illness. Both maternal depression and overall emotional distress after the 1st year of the IDDM increased slightly with illness duration and were also influenced by other factors. Mothers' adjustment shortly after their children were diagnosed with IDDM was a strong predictor of their long-term emotional symptomatology. However, mothers' symptoms over time were not related to medical aspects of IDDM (i.e., the extent of the children's metabolic control, number of rehospitalizations, or their compliance with the medical regimen) and were also unrelated to the levels of depression or anxiety reported by their children. Mothers generally found it easier to cope with the IDDM the longer their children had the illness. However, the degree to which mothers perceived the IDDM to be bothersome or difficult to manage at any given point in time was associated with their overall levels of emotional distress.