Physical, psychological and occupational consequences of job burnout: A systematic review of prospective studies

There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

Abstract

Burnout is a syndrome that results from chronic stress at work, with several consequences to workers’ well-being and health. This systematic review aimed to summarize the evidence of the physical, psychological and occupational consequences of job burnout in prospective studies. The PubMed, Science Direct, PsycInfo, SciELO, LILACS and Web of Science databases were searched without language or date restrictions. The Transparent Reporting of Systematic Reviews and Meta-Analyses guidelines were followed. Prospective studies that analyzed burnout as the exposure condition were included. Among the 993 articles initially identified, 61 fulfilled the inclusion criteria, and 36 were analyzed because they met three criteria that must be followed in prospective studies. Burnout was a significant predictor of the following physical consequences: hypercholesterolemia, type 2 diabetes, coronary heart disease, hospitalization due to cardiovascular disorder, musculoskeletal pain, changes in pain experiences, prolonged fatigue, headaches, gastrointestinal issues, respiratory problems, severe injuries and mortality below the age of 45 years. The psychological effects were insomnia, depressive symptoms, use of psychotropic and antidepressant medications, hospitalization for mental disorders and psychological ill-health symptoms. Job dissatisfaction, absenteeism, new disability pension, job demands, job resources and presenteeism were identified as professional outcomes. Conflicting findings were observed. In conclusion, several prospective and high-quality studies showed physical, psychological and occupational consequences of job burnout. The individual and social impacts of burnout highlight the need for preventive interventions and early identification of this health condition in the work environment.

Related collections

Most cited references 73

Record: found
Abstract: found
Article: found

Is Open Access

Newcastle-Ottawa Scale: comparing reviewers’ to authors’ assessments

Carson Lo, Dominik Mertz, Mark Loeb (2014)

Background Lack of appropriate reporting of methodological details has previously been shown to distort risk of bias assessments in randomized controlled trials. The same might be true for observational studies. The goal of this study was to compare the Newcastle-Ottawa Scale (NOS) assessment for risk of bias between reviewers and authors of cohort studies included in a published systematic review on risk factors for severe outcomes in patients infected with influenza. Methods Cohort studies included in the systematic review and published between 2008–2011 were included. The corresponding or first authors completed a survey covering all NOS items. Results were compared with the NOS assessment applied by reviewers of the systematic review. Inter-rater reliability was calculated using kappa (K) statistics. Results Authors of 65/182 (36%) studies completed the survey. The overall NOS score was significantly higher (p < 0.001) in the reviewers’ assessment (median = 6; interquartile range [IQR] 6–6) compared with those by authors (median = 5, IQR 4–6). Inter-rater reliability by item ranged from slight (K = 0.15, 95% confidence interval [CI] = −0.19, 0.48) to poor (K = −0.06, 95% CI = −0.22, 0.10). Reliability for the overall score was poor (K = −0.004, 95% CI = −0.11, 0.11). Conclusions Differences in assessment and low agreement between reviewers and authors suggest the need to contact authors for information not published in studies when applying the NOS in systematic reviews.

0 comments Cited 682 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

Burnout and risk of cardiovascular disease: evidence, possible causal paths, and promising research directions.

Samuel Melamed, Arie Shirom, Sharon Toker … (2006)

Burnout is characterized by emotional exhaustion, physical fatigue, and cognitive weariness, resulting from prolonged exposure to work-related stress. The authors review the accumulated evidence suggesting that burnout and the related concept of vital exhaustion are associated with increased risk of cardiovascular disease and cardiovascular-related events. The authors present evidence supporting several potential mechanisms linking burnout with ill health, including the metabolic syndrome, dysregulation of the hypothalamic-pituitary-adrenal axis along with sympathetic nervous system activation, sleep disturbances, systemic inflammation, impaired immunity functions, blood coagulation and fibrinolysis, and poor health behaviors. The association of burnout and vital exhaustion with these disease mediators suggests that their impact on health may be more extensive than currently indicated. Copyright 2006 APA, all rights reserved.

0 comments Cited 215 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

A systematic literature review of attrition between waves in longitudinal studies in the elderly shows a consistent pattern of dropout between differing studies.

Mark D. Chatfield, Carol E G Brayne, Fiona Matthews (2005)

Longitudinal studies of the elderly are complicated by the loss of individuals between waves due to death or other dropout mechanisms. Factors that affect dropout may well be similar from one study to another. This article systematically reviews all large population-based studies of the elderly (published 1966-2002) that report on differences in individual characteristics between people who remain and people who dropout at follow-up. A systematic review of articles that investigate attrition after baseline interview. Twelve studies were found that investigated dropout other than death using unadjusted, multivariable methods or both. The unadjusted analyses showed many significant factors related to attrition. Multivariable analyses showed two main independent factors were related to increased attrition: increasing age and cognitive impairment. People who were very ill or frail had higher dropout rates, and people in worse health were less likely to be recontactable. Multivariable methods of analyzing attrition in longitudinal studies show consistent patterns of dropout between differing studies, with a small number of key relationships. These findings will assist researchers when planning studies of older people, and provide insight into the possible biases in longitudinal studies introduced by differential dropout.

0 comments Cited 147 times – based on 0 reviews      Review now

Bookmark

All references

Author and article information

Contributors

Denise Albieri Jodas Salvagioni:

ORCID: http://orcid.org/0000-0002-3765-1929

Role: ConceptualizationRole: Data curationRole: Formal analysisRole: InvestigationRole: MethodologyRole: Project administrationRole: ResourcesRole: SupervisionRole: ValidationRole: VisualizationRole: Writing – original draftRole: Writing – review & editing

Francine Nesello Melanda: Role: ConceptualizationRole: Data curationRole: Formal analysisRole: InvestigationRole: MethodologyRole: Project administrationRole: ResourcesRole: ValidationRole: VisualizationRole: Writing – original draftRole: Writing – review & editing

Arthur Eumann Mesas: Role: ConceptualizationRole: Data curationRole: Formal analysisRole: Funding acquisitionRole: InvestigationRole: MethodologyRole: Project administrationRole: ResourcesRole: ValidationRole: VisualizationRole: Writing – review & editing

Alberto Durán González: Role: ConceptualizationRole: Formal analysisRole: InvestigationRole: MethodologyRole: Project administrationRole: VisualizationRole: Writing – review & editing

Flávia Lopes Gabani: Role: Data curationRole: Formal analysisRole: InvestigationRole: Project administrationRole: VisualizationRole: Writing – review & editing

Selma Maffei de Andrade:

ORCID: http://orcid.org/0000-0001-6843-8330

Role: ConceptualizationRole: Data curationRole: Formal analysisRole: Funding acquisitionRole: InvestigationRole: MethodologyRole: Project administrationRole: ResourcesRole: SupervisionRole: ValidationRole: VisualizationRole: Writing – original draftRole: Writing – review & editing

Jacobus P. van Wouwe: Role: Editor

Journal

Journal ID (nlm-ta): PLoS One

Journal ID (iso-abbrev): PLoS ONE

Journal ID (publisher-id): plos

Journal ID (pmc): plosone

Title: PLoS ONE

Publisher: Public Library of Science (San Francisco, CA USA )

ISSN (Electronic): 1932-6203

Publication date (Electronic): 4 October 2017

Publication date Collection: 2017

Volume: 12

Issue: 10

Electronic Location Identifier: e0185781

Affiliations

[1 ] Department of Nursing, Instituto Federal do Paraná, Londrina, Paraná, Brazil

[2 ] Department of Pathological Sciences, Universidade Estadual de Londrina, Paraná, Brazil

[3 ] Department of Public Health, Universidade Estadual de Londrina, Paraná, Brazil

[4 ] Department of Nursing, Universidade Estadual de Londrina, Paraná, Brazil

TNO, NETHERLANDS

Author notes

Competing Interests: The authors have declared that no competing interests exist.

[¤]

Current address: Department of Public Health, Universidade Estadual de Londrina, Londrina, Paraná, Brazil

* E-mail: selmaffei@ 123456gmail.com

Author information

Denise Albieri Jodas Salvagioni http://orcid.org/0000-0002-3765-1929

Selma Maffei de Andrade http://orcid.org/0000-0001-6843-8330

Article

Publisher ID: PONE-D-17-19647

DOI: 10.1371/journal.pone.0185781

PMC ID: 5627926

PubMed ID: 28977041

SO-VID: c7ad7560-3623-469f-b8ec-df2655da1f46

License:

This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

History

Date received : 16 June 2017

Date accepted : 19 September 2017

Page count

Figures: 3, Tables: 4, Pages: 29

Funding

Funded by: funder-id http://dx.doi.org/10.13039/501100003593, Conselho Nacional de Desenvolvimento Científico e Tecnológico;

Award ID: 310259/2015-0

Award Recipient :

ORCID: http://orcid.org/0000-0001-6843-8330

Selma Maffei de Andrade

Funded by: funder-id http://dx.doi.org/10.13039/501100003593, Conselho Nacional de Desenvolvimento Científico e Tecnológico;

Award ID: 303141/2014-0

Award Recipient : Arthur Eumann Mesas

This work was supported by Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq). The funder had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

Custom metadata

Data Availability All relevant data are within the paper and its Supporting Information files.

Physical, psychological and occupational consequences of job burnout: A systematic review of prospective studies

Read this article at

Abstract

Related collections

PLOS Global Public Health

Most cited references 73

Newcastle-Ottawa Scale: comparing reviewers’ to authors’ assessments

Burnout and risk of cardiovascular disease: evidence, possible causal paths, and promising research directions.

A systematic literature review of attrition between waves in longitudinal studies in the elderly shows a consistent pattern of dropout between differing studies.

Author and article information

Contributors

Journal

Affiliations

Author notes

Author information

Article

History

Page count

Funding

Categories

Custom metadata

Comments

Comment on this article

Similar content 583

Cited by 350

Most referenced authors 1,634