RELATIONSHIP BETWEEN BURNOUT AND DEPRESSION: A CROSS-SECTIONAL STUDY AMONG PUBLIC, PRIVATE EMPLOYEES AND FACTORY WORKERS

Authors

  • Natasha Stancheva-Pargov Institute of Occupational Health of the Republic of North Macedonia, Skopje, Republic of North Macedonia

Keywords:

Burnout syndrome, Depressive symptoms,Maslach Burnout Inventory, Patient Health Questionnaire (PHQ-9), Occupational Groups

Abstract

Introduction: Burnout is one of the most common psychological conditions that modern society is increasingly facing.

Aim. This study aimed to investigate the predictive role of burnout with its dimensions for depression among the specified groups of workers.                                                             

Materials and methods: A self-administrated questionnaire was completed by a sample of three groups of workers to assess mental health and burnout with its three dimensions (Patient Health Questionnaire and a Maslach Burnout Inventory - General Survey). Logistic regression models were used to estimate associations between burnout and depression symptoms.

Results: The analysis indicated that the highest average PHQ-9 score had the public group 5.44±5.57 followed by the private 2.72±3.09 and the factory group 2.43±3.314. The total burnout score was 2.55±1.08, which corresponded to a moderate degree of this dimension, and the factory respondents were most affected (2.81±1.03). The multiple logistic regression determined that a low degree of exhaustion reducds the probability of depression by 0.05 times, and a high degree of lack of professional efficacy increased the probability by 10.27 times.

Conclusion: Our study has indicated that depression is predicted by burnout, especially by the lack of professional satisfaction. The use of accurate predictors could prove vital in the early detection and management of affected individuals, especially in high-risk professions. Burnout prevention and burnout reduction interventions should be made to highlight the increasing need for the development and deployment of mental health institutions and professionals respectively around the country in an effort to pay more attention to mental health.

References

Maslach C, Schaufeli WB, Leiter MP. Job burnout. Annu Rev Psychol 2001; 52: 397-422. doi: 10.1146/annurev.psych.52.1.397.

The ICD-10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines. Geneva: World Health Organization; 1992. https://www.who.int/publications/i/item/9241544228.

Schaufeli WB, Enzmann D. The burnout companion to study and practice: A critical analysis. London: Taylor and Francis 1998. doi: 10.1201/9781003062745.

Ahola K, Honkonen T, Kivimäki M, Virtanen M, Isometsä E, Aromaa A, et al. Contribution of burnout to the association between job strain and depression: the health 2000 study. J Occup Environ Med 2006; 48(10): 1023-1030. doi: 10.1097/01.jom.0000237437.84513.92.

Hidaka BH. Depression as a disease of modernity: explanations for increasing prevalence. J Affect Disord 2012; 140(3): 205-214. doi: 10.1016/j.jad.2011.12.036.

Borritz M, Bu¨ltmann U, Rugulies R, Christensen KB, Villadsen E, KristensenT. Psychosocial work characteristics as predictors for burnout: findings from3-year follow up of the PUMA study. J Occup Environ Med 2005; 47(10): 1015-1025. doi: 10.1097/01.jom.0000175155.50789.98.

Bianchi R, Brisson R. Burnout and depression: causal attributions and construct overlap. J Health Psychol 2019; 24(11):1574-1158. doi: 10.1177/1359105317740415

Kaschka WP, Korczak D, Broich K. Burnout: a fashionable diagnosis. Dtsch Arztebl Int 2011; 108(46): 781-787. doi: 10.3238/arztebl.2011.0781.

Bakusic J, Schaufeli W, Claes S, Godderis L. Stress, burnout and depression: A systematic review on DNA methylation mechanisms. J Psychosom Res 2017; 92: 34-44. doi: 10.1016/j.jpsychores.2016.11.005.

BianchiR, SchonfeldI S, Laurent E. Is burnout separable from depression in cluster analysis? A longitudinal study. Soc Psychiatry Psychiatr Epidemiol 2015; 50(6): 1005-1101. doi: 10.1007/s00127-014-0996-8.

Bianchi R, Boffy C, Hingray C, Truchot D, Laurent E. Comparative symptomatology of burnout and depression. J Health Psychol 2013; 18(6): 782-787. doi: 10.1177/1359105313481079.

Bakker AB, Schaufeli WB, Demerouti E, Janssen PPM. Using equity theory to examine the difference between burnout and depression. Anxiety Stress Coping 2000; 13(3): 247-268. doi: 10.1080/10615800008415727.

Ahola K, Honkonen T, Isometsä E, Kalimo R, Nykyri E, Aromaa A, et al. The relationship between job-related burnout and depressive disorders – results from the Finnish Health 2000 Study. J Affect Disord 2005; 88(1): 55-62. doi: 10.1016/j.jad.2005.06.004.

Maslach C, Jackson SE, Leiter MP. Maslach Burnout Inventory Manual, 3rd ed. Palo Alto: Consulting Psychologist Press 1996; 19-26.

Brenninkmeyer V, Van Yperen NW. How to conduct research on burnout: advantages and disadvantages of a unidimensional approach in burnout research. Occup Environ Med 2003; 60(suppl 1): i16 -i20. doi: 10.1136/oem.60.suppl_1.i16.

Ahola K, Hakanen J. Job strain, burnout, and depressive symptoms: A prospective study among dentists. J AffectDisord 2007; 104(1-3): 103-110. doi: 10.1016/j.jad.2007.03.004.

Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validityof a brief depression severity measure. J Gen Intern Med 2001; 16(9): 606-613. doi: 10.1046/j.1525-1497.2001.016009606.x.

Mulrow CD, Williams JW Jr, Gerety MB, Ramirez G, Montiel OM, Kerber C. Case-finding instruments for depression in primary care settings. Ann Intern Med 1995; 122(12): 913-921. doi: 10.7326/0003-4819-122-12-199506150-00004.

Lu Y, Zhang Z, Gao S, Yan H, Zhang L, Liu J. The status of occupational burnout and its influence on the psychological health of factory workers and miners in Wulumuqi, China. Biomed Res Int 2020; 2020: 6890186. https://doi.org/10.1155/2020/6890186.

Soelton M, Hardianti D, Kuncoro S, Jumadi J. Factors affecting burnout in manufacturing industries. In4th International Conference on Management, Economics and Business. Atlantis Press 2020; 2: 46-52.

Ruisoto P, Ramírez MR, García PA, Paladines-Costa B, Vaca SL, Clemente-Suárez VJ.Social Support Mediates the Effect of Burnout on Health in Health Care Professionals. Frontiers in Psycholog 2021; 11: 1664-1078.

Marshall GH, Stephenson SM. Burnout and turnover intention among electronics manufacturing employees in South Africa. SA Journal of Industrial Psychology 2020; 46(1): 1-11. doi: 10.4102/sajip.v46i0.1758.

Nabirye RC, Brown KC, Pryor ER, Maples EH. Occupational stress, job satisfaction and job performance among hospital nurses in Kampala, Uganda. J Nurs Manag 2011; 19(6): 760-768. doi: 10.1111/j.1365-2834.2011.01240.x.

Hakanen JJ, Schaufeli WB. Do burnout and work engagement predict depressive symptoms and life satisfaction? A three-wave seven-year prospective study. J Affect Disord 2012; 141(2-3): 415-424. doi: 10.1016/j.jad.2012.02.043.

Topa G, Jurado-Del Pozo J. Emotional exhaustion and health complaints as indicators of occupational diseases among civil servants in Spain. J Clin Med 2018; 7(12): 523. doi: 10.3390/jcm7120523.

Janurek J, Abdel Hadi S, Mojzisch A, Häusser JA. The association of the 24hour distribution of time spent in physical activity work and sleep with emotional exhaustion. Int J Environ Res Public Health 2018; 15(9): 1927. doi: 10.3390/ijerph15091927.

Wisetborisut A, Angkurawaranon C, Jiraporncharoen W, Uaphanthasath R, Wiwatanadate P. Shift work and burnout among health care workers. Occup Med (Lond) 2014; 64(4): 279-286. doi: 10.1093/occmed/kqu009.

Vagni M, Giostra V, Maiorano T, Santaniello G, Pajardi D. Personal accomplishment and hardiness in reducing emergency stress and burnout among Covid-19 emergency workers. Sustainability 2020; 12(21): 9071. https://doi.org/10.3390/su12219071.

Bianchi R, Schonfeld IS, Laurent E. Burnout does not help predict depression among French school teachers. Scand J Work Environ Health 2015; 41(6): 565-568. doi: 10.5271/sjweh.3522.

Alkhamees AA, Alaqil NS, Alsoghayer AS, Alharbi BA. Prevalence and determinants of burnout syndrome and depression among medical students at Qassim University, Saudi Arabia. Saudi Med J 2020; 41(12): 1375-1380. doi: 10.15537/smj.2020.12.25427.

Iacovides A, Fountoulakis KN, Kaprinis S, Kaprinis G. The relationship between job stress, burnout and clinical depression. J Affect Disord 2003; 75(3): 209-221. doi: 10.1016/s0165-0327(02)00101-5.

Downloads

Published

2024-07-09

Issue

Section

Original Articles