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International Archives of Occupational and Environmental Health

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01.02.2016 | Original Article

Health-related quality of life in patients with Burnout on sick leave: descriptive and comparative results from a clinical study

verfasst von: Astrid Grensman, Bikash Dev Acharya, Per Wändell, Gunnar Nilsson, Sigbritt Werner

Erschienen in: International Archives of Occupational and Environmental Health | Ausgabe 2/2016

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Abstract

Purpose

To explore the health-related quality of life (HRQoL), the cause of being ill, and the pharmacological treatment in patients on sick leave because of Burnout. The HRQoL among these patients was also compared with that of individuals who were working full time.

Methods

HRQoL was measured using the SWED-QUAL questionnaire, comprising 67 items grouped into 13 subscales, scored from 0 (worst) to 100 (best) points, and covering aspects of physical and emotional well-being, cognitive function, sleep, general health, social, and sexual functioning. The Burnout group (n = 94), mean age 43 years, were on 50 % sick leave or more. The comparison group consisted of healthy persons (n = 88) of similar age and educational level who were working full time.

Results

The Burnout group had markedly low scores in general. The cause of illness was mainly work-related. Psychotropic medication was prescribed for 55 %. Significantly lower scores were found in the Burnout group than in the comparison group in all subscales, p < 0.001. The median differences in scores ranged from 10 to 56 points. Differences rated by effect size were large, 0.85–2.01.

Conclusions

Patients on sick leave because of Burnout rated their HRQoL as very low in general, their cause of being ill was mainly work-related, and psychotropic medication was prescribed for a majority. Their scores were markedly lower in all subscales in comparison with healthy individuals working full time. The study adds to our understanding of the situation of patients with Burnout. The results can be useful in clinical work and future research.

Asberg M, Nygren A, Nager A (2013) To differentiate between depression and exhaustion syndrome. Lakartidningen 110:484–486

Baumeister H, Hutter N, Bengel J, Harter M (2011) Quality of life in medically ill persons with comorbid mental disorders: a systematic review and meta-analysis. Psychother Psychosom 80:275–286. doi:10.1159/000323404 CrossRef

Blom V, Bergstrom G, Hallsten L, Bodin L, Svedberg P (2012) Genetic susceptibility to burnout in a Swedish twin cohort. Eur J Epidemiol 27:225–231. doi:10.1007/s10654-012-9661-2 CrossRef

Bonett DG, Price RM (2002) Statistical inference for a linear function of medians: confidence intervals, hypothesis testing, and sample size requirements. Psychol Methods 7:370–383CrossRef

Brorsson B, Ifver J, Hays RD (1993) The swedish health-related quality of life survey (swed-qual). Qual Life Res 2:33–45CrossRef

Brundage M et al (2013) Patient-reported outcomes in randomized clinical trials: development of ISOQOL reporting standards. Qual Life Res 22:1161–1175. doi:10.1007/s11136-012-0252-1 CrossRef

Carlsson AC, Wandell P, Osby U, Zarrinkoub R, Wettermark B, Ljunggren G (2013) High prevalence of diagnosis of diabetes, depression, anxiety, hypertension, asthma and COPD in the total population of Stockholm, Sweden—a challenge for public health. BMC Public Health 13:670. doi:10.1186/1471-2458-13-670 CrossRef

Diderichsen F et al (2012) Health inequality–determinants and policies. Scand J Public Health 40:12–105. doi:10.1177/1403494812457734 CrossRef

Dyrbye LN, Thomas MR, Huschka MM, Lawson KL, Novotny PJ, Sloan JA, Shanafelt TD (2006) A multicenter study of burnout, depression, and quality of life in minority and nonminority US medical students. Mayo Clin Proc 81:1435–1442. doi:10.4065/81.11.1435 CrossRef

EU-OSHA (2013) European opinion poll on occupational safety and health. European Agency for Safety and Health at Work, Bilbao

Fayers PM, Sprangers MA (2002) Understanding self-rated health. Lancet 359:187–188. doi:10.1016/S0140-6736(02)07466-4 CrossRef

Fernros L, Furhoff AK, Wandell PE (2005) Quality of life of participants in a mind-body-based self-development course: a descriptive study. Qual Life Res 14:521–528CrossRef

Försäkringskassan (The Swedish Social Insurance Agency) (2013) Statistik och analys (Statistics and analysis). www. forsakringskassan.se. Accessed 26 Apr 2015

Freudenberger HJ (1974) Staff burn-out. J Soc Issues 30:7. doi:10.1111/j.1540-4560.1974.tboo706.x

Glise K, Hadzibajramovic E, Jonsdottir IH, Ahlborg G Jr (2010) Self-reported exhaustion: a possible indicator of reduced work ability and increased risk of sickness absence among human service workers. Int Arch Occup Environ Health 83:511–520. doi:10.1007/s00420-009-0490-x CrossRef

Glise K, Ahlborg G Jr, Jonsdottir IH (2012) Course of mental symptoms in patients with stress-related exhaustion: does sex or age make a difference? BMC Psychiatry 12:18. doi:10.1186/1471-244x-12-18 CrossRef

Golembiewski RTB, Robert A; Sun, Ben-Chu; Luo, Huaping (1998) Estimates of Burnout in public agencies: worldwide, How many employees have which degrees of Burnout, and with what consequences? vol 58

Halbesleben JRB (2008) Handbook of stress and burnout in health care. Nova Science Publishers, New York

Hallsten L (1993) Professional burnout : recent developments in theory and research. Series in applied psychology. Taylor & Francis, Washington, D.C., pp 1048–8146

Hamaideh SH (2012) Occupational stress, social support, and quality of life among Jordanian mental health nurses. Issues Ment Health Nurs 33:15–23. doi:10.3109/01612840.2011.605211 CrossRef

Hassard J et al (2014) Calculating the costs of work-related stress and psychosocial risks—a literature review European agency for safety and health at work (EU-OSHA). Luxembourg. doi:10.2802/20493

Hasselberg K, Jonsdottir IH, Ellbin S, Skagert K (2014) Self-reported stressors among patients with exhaustion disorder: an exploratory study of patient records. BMC Psychiatry 14:66. doi:10.1186/1471-244X-14-66 CrossRef

Hays RD, Wells KB, Sherbourne CD, Rogers W, Spritzer K (1995) Functioning and well-being outcomes of patients with depression compared with chronic general medical illnesses. Arch Gen Psychiatry 52:11–19CrossRef

Holm S (1979) A simple sequentially rejective multiple test procedure. Scand J Stat 6:65–70

Ishak WW, Balayan K, Bresee C, Greenberg JM, Fakhry H, Christensen S, Rapaport MH (2013) A descriptive analysis of quality of life using patient-reported measures in major depressive disorder in a naturalistic outpatient setting. Qual Life Res 22:585–596. doi:10.1007/s11136-012-0187-6 CrossRef

Lin EH et al (2000) Low-intensity treatment of depression in primary care: is it problematic? Gen Hosp Psychiatry 22:78–83CrossRef

Maslach C, Jackson SE (1981) The measurement of experienced burnout. J Organ Behav 2:99–113. doi:10.1002/job.4030020205 CrossRef

Maslach C, Leiter MP (1997) The truth about burnout : how organizations cause personal stress and what to do about it. Jossey-Bass, San Francisco

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

Melamed S, Kushnir T, Shirom A (1992) Burnout and risk factors for cardiovascular diseases. Behav Med 18:53–60. doi:10.1080/08964289.1992.9935172 CrossRef

Milczarek M, Schneider E, Rial González E (2009) OSH in figures: stress at work - facts and figures. European Communities, Luxembourg

National Board of Health and Welfare (2003) Exhaustion syndrome (Swedish: Utmattningssyndrom, stressrealterad psykisk ohälsa) vol 2003-123-18, 1st edn. Bokförlaget Bjurner och Bruno AB, Stockholm, Sweden

National Board of Health and Welfare (2008) Medication in Sweden-statistics for year 2008. The National Board of Health and Welfare, Stockholm

Nixon AE, Mazzola JJ, Bauer J, Krueger JR, Spector PE (2011) Can work make you sick? a meta-analysis of the relationships between job stressors and physical symptoms. Work Stress 25:1–22. doi:10.1080/02678373.2011.569175 CrossRef

OECD (2013) Mental health and work. OECD Publishing, Sweden

OECD (2014) OECD Economic surveys: United States 2014 vol 2014. OECD Publishing, Sweden

Perseius KI, Andersson E, Asberg M, Samuelsson M (2006) Health-related quality of life in women patients with borderline personality disorder. Scand J Caring Sci 20:302–307. doi:10.1111/j.1471-6712.2006.00408.x CrossRef

Perski A, Grossi G (2004) Treatment of patients on long-term sick leave because of stress-related problems. Results from an intervention study. Lakartidningen 101:1295–1298

Peterson U, Bergstrom G, Samuelsson M, Asberg M, Nygren A (2008) Reflecting peer-support groups in the prevention of stress and burnout: randomized controlled trial. J Adv Nurs 63:506–516CrossRef

Peterson U, Bergstrom G, Demerouti E, Gustavsson P, Asberg M, Nygren A (2011) Burnout levels and self-rated health prospectively predict future long-term sickness absence: a study among female health professionals. J Occup Environ Med 53:788–793. doi:10.1097/JOM.0b013e318222b1dc CrossRef

Pines AM (1996) Couple burnout : causes and cures. Routledge, London

Revicki DA, Kleinman L, Cella D (2014) A history of health-related quality of life outcomes in psychiatry. Dialogues Clin Neurosci 16:127–135

Schaufeli W, Enzmann D (1998) The burnout companion to study and practice : a critical analysis. Issues in occupational health. Taylor & Francis, London

StataCorp (2009) Stata statistical software: release 11. StataCorp LP, College Station

Takai M et al (2009) The experience of burnout among home caregivers of patients with dementia: relations to depression and quality of life. Arch Gerontol Geriatr 49:e1–e5. doi:10.1016/j.archger.2008.07.002 CrossRef

Thalhammer M, Paulitsch K (2014) [Burnout: a useful diagnosis?]. Neuropsychiatr 28:151–159. doi:10.1007/s40211-014-0106-x CrossRef

Toker S, Melamed S, Berliner S, Zeltser D, Shapira I (2012) Burnout and risk of coronary heart disease: a prospective study of 8838 employees. Psychosom Med 74:840–847. doi:10.1097/PSY.0b013e31826c3174 CrossRef

Tone Innstrand S, Melbye Langballe E, Arild Espnes G, Falkum E, Gjerl⊘ W, Aasland O (2008) Positive and negative work–family interaction and burnout: a longitudinal study of reciprocal relations. Work Stress 22:1–15. doi:10.1080/02678370801975842 CrossRef

Toppinen-Tanner S, Ojajarvi A, Vaananen A, Kalimo R, Jappinen P (2005) Burnout as a predictor of medically certified sick-leave absences and their diagnosed causes. Behav Med 31:18–27. doi:10.3200/BMED.31.1.18-32 CrossRef

Toppinen-Tanner S, Ahola K, Koskinen A, Väänänen A (2009) Burnout predicts hospitalization for mental and cardiovascular disorders: 10-year prospective results from industrial sector. Stress Health 25:287–296. doi:10.1002/smi.1282 CrossRef

Trompenaars FJ, Masthoff ED, Van Heck GL, Hodiamont PP, De Vries J (2006) Relationship between mood related disorders and quality of life in a population of Dutch adult psychiatric outpatients. Depress Anxiety 23:353–363. doi:10.1002/da.20180 CrossRef

Visser MR, Smets EM, Oort FJ, De Haes HC (2003) Stress, satisfaction and burnout among Dutch medical specialists CMAJ. Can Med Assoc J 168:271–275

Wandell PE, Brorsson B (2000) Assessing sexual functioning in patients with chronic disorders by using a generic health-related quality of life questionnaire. Qual Life Res 9:1081–1092CrossRef

Wandell PE, Brorsson B, Aberg H (1998) Quality of life among diabetic patients in Swedish primary health care and in the general population: comparison between 1992 and 1995. Qual Life Res 7:751–760CrossRef

Wandell PE, Brorsson B, Aberg H (1999) Quality of life in relation to comorbidity among diabetic patients followed for three years in Swedish primary health care. Diabetes Metab 25:424–428

Wandell P, Brorsson B, Aberg H (2000) Functioning and well-being of patients with type 2 diabetes or angina pectoris, compared with the general population. Diabetes Metab 26:465–471

Ware JE, Jr. (2000) SF-36 health survey update Spine (Phila Pa 1976) 25:3130–3139

WHO (1998) WHOQOL user manual. World Health Organisation, Geneva

WHO (2001) Mental health in Europe. World Health Organization, Chopenhagen

WHO (2010) Internationell statistisk klassifikation av sjukdomar och relaterade hälsoproblem: (ICD-10-SE). Systematisk förteckning (International statistical classification of diseases and related health problems (10th). Svenska. Svensk version edn. The National Board of Health and Welfare, Sweden, Stockholm

World Medical Association General A (2004) World medical association declaration of Helsinki: ethical principles for medical research involving human subjects. Journal international de bioethique 15:124–129CrossRef

Ziebland S (1995) The short form 36 health status questionnaire: clues from the Oxford region’s normative data about its usefulness in measuring health gain in population surveys. J Epidemiol Commun Health 49:102–105CrossRef

Titel: Health-related quality of life in patients with Burnout on sick leave: descriptive and comparative results from a clinical study
verfasst von: Astrid Grensman
Bikash Dev Acharya
Per Wändell
Gunnar Nilsson
Sigbritt Werner
Publikationsdatum: 01.02.2016
Verlag: Springer Berlin Heidelberg
Erschienen in: International Archives of Occupational and Environmental Health / Ausgabe 2/2016
Print ISSN: 0340-0131
Elektronische ISSN: 1432-1246
DOI: https://doi.org/10.1007/s00420-015-1075-5

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

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