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International Archives of Occupational and Environmental Health

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02.06.2020 | Original Article

Recovery experiences mediate the effect of burnout on life satisfaction among Chinese physicians: a structural equation modeling analysis

verfasst von: Yang Song, Yajing Jia, Kristin Sznajder, Jialin Ding, Xiaoshi Yang

Erschienen in: International Archives of Occupational and Environmental Health | Ausgabe 1/2021

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Abstract

Purpose

Recovery experiences not only make it possible for individuals to restore their energy resources and return to pre-stressor levels but also contribute to the formation of their subjective well-being. This paper investigates the effect of burnout on life satisfaction among Chinese physicians who are frequently confronted with a considerable number of work-related stressors and examines the mediating role of recovery experiences in the relationship between burnout and life satisfaction.

Methods

A total of 642 physicians working in five public tertiary hospitals in China responded to a self-administered questionnaire including demographic information, the Satisfaction with Life Scale, the Maslach Burnout Inventory-General Scale, and the Recovery Experience Questionnaire. Hierarchical multiple regression analysis was conducted to test the incremental variance of any given set of independent variables. Structural equation modeling was employed to test the presumed relationships between variables involved. Asymptotic and resampling strategies were used to examine the mediating effects of recovery experiences in the relationship between burnout and life satisfaction.

Results

Burnout and recovery experiences were important predictors of life satisfaction and the direct effect of burnout on life satisfaction was statistically significant and negative and the path coefficients of burnout with life satisfaction were significantly decreased when recovery experiences were modeled as mediators.

Conclusion

Findings of the study highlight the importance of promoting recovery experiences to reduce burnout and improve life satisfaction among physicians rather than focusing on the less easily modifiable work-related stressors.

Ahola K, Hakanen J (2007) Job strain, burnout, and depressive symptoms: a prospective study among dentists. J Affect Disord 104(1–3):103–110CrossRef

An J (2013) Which future for doctors in China? Lancet 382(9896):936–937

Baron RM, Kenny DA (1986) The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol 51:1173–1182CrossRef

Boekhorst JA, Singh P, Burke R (2017) Work intensity, emotional exhaustion and life satisfaction—the moderating role of psychological detachment. Pers Rev 46(5):891–907CrossRef

Chen ZM, Godfrey R (1991) Becoming a doctor in China. Lancet 338:169–172CrossRef

Chida Y, Steptoe A (2008) Positive psychological well-being and mortality: a quantitative review of prospective observational studies. Psychosom Med 70:741–756CrossRef

Chirico F, Taino G, Magnavita N, Giorgi I, Ferrari G, Mongiovi MC, Imbriani M (2019) Proposal of a method for the evaluation of burnout risk in teachers: the VA. RI. BO (Evaluation RIschio Burn-Out). G Ital Med Lav Ergon 41(3):221–235

Daig I, Herschbach P, Lehmann A, Knoll N, Decker O (2009) Gender and age differences in domain-specific life satisfaction and the impact of depressive and anxiety symptoms: a general population survey from Germany. Qual Life Res 18:669–678CrossRef

DeJonge T, Veenhoven R, Kalmijn W, Arends L (2016) Pooling time series based on slightly different questions about the same topic forty years of survey research on happiness and life satisfaction in The Netherlands. Soc Indic Res 126(2):863–891CrossRef

Demerouti E, Bakker AB, Nachreiner F, Schaufeli WB (2000) A model of burnout and life satisfaction amongst nurses. J Adv Nurs 32(2):454–464CrossRef

Diener E, Biswas-Diener R (2002) Will money increase subjective well-being? Soc Indic Res 57:119–169CrossRef

Diener E, Emmons RA, Larsen RJ, Griffin S (1985) The satisfaction with life scale. J Pers Assess 49:71–75CrossRef

Diener E, Sandvik E, Seidlitz L, Diener M (1993) The relationship between income and well-being: subjective or absolute? Soc Indic Res 28:195–223CrossRef

Diener E, Ng W, Harter J, Arora R (2010) Wealth and happiness across the world: Material prosperity predicts life evaluation, whereas psychosocial prosperity predicts positive feeling. J Pers Soc Psychol 99:52–61CrossRef

Dolan P, Peasgood T, White M (2008) Do we really know what makes us happy? A review of the economic literature on the factors associated with subjective well-being. J Econ Psychol 29:94–122CrossRef

Dyrbye LN, Shanafelt TD (2011) Physician burnout: a potential threat to successful health care reform. JAMA 305:2009–2010

Dyrbye LN, Massie FS Jr, Eacker A, Harper W, Power D, Durning SJ, Thomas MR, Moutier C, Satele D, Sloan J, Shanafelt TD (2010) Relationship between burnout and professional conduct and attitudes among US medical students. JAMA 304:1173–1180CrossRef

Eckleberry-Hunt J, Kirkpatrick H, Taku K, Hunt R, Vasappa R (2016) Relation between physicians’ work lives and happiness. South Med J 109(4):207–212CrossRef

Fredrickson BL, Levenson RW (1998) Positive emotions speed recovery from the cardiovascular sequelae of negative emotions. Cog Emo 12:191–220CrossRef

Freudenberger HJ (1974) Staff burnout. J Soc Issues 30:159–165CrossRef

Fritz C, Sonnentag S (2006) Recovery, well-being, and performance-related outcomes: The role of workload and vacation experiences. J Appl Psychol 91:936–945CrossRef

Gamaiunova L, Brandt PY, Bondolfi G, Kliegel M (2019) Exploration of psychological mechanisms of the reduced stress response in long-term meditation practitioners. Psychoneuroendocrino 104:143–151CrossRef

Georgellis Y, Lange T (2012) Traditional versus secular values and the job-life satisfaction relationship across Europe. Brit J Manage 23(4):437–454CrossRef

Georgellis Y, Tsitsianis N, Yin Y (2009) Personal values as mitigating factors in the link between income and life satisfaction: evidence from the European social survey. Soc Indic Res 91:329–344CrossRef

Geurts SA, Sonnentag S (2006) Recovery as an explanatory mechanism in the relation between acute stress reactions and chronic health impairment. Scand J Work Env Hea 32(6):482–492CrossRef

Gove WR, Hughes M, Style CB (1983) Does marriage have positive effects on the psychological well-being of an individual? J Health Soc Behav 24:122CrossRef

Grant N, Wardle J, Steptoe A (2009) The relationship between life satisfaction and health behavior: a cross-cultural analysis of young adults. Int J Behav Med 16(3):259–268CrossRef

Hahn VC, Binnewies C, Sonnentag S, Mojza EJ (2011) Learning how to recover from job stress: effects of a recovery training program on recovery, recovery-related self-efficacy, and well-being. J Occup Health Psychol 16(2):202–216CrossRef

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

Hobfoll SE (1989) Conservation of resources. A new attempt at conceptualizing stress. Am Psychol 44(3):513–524CrossRef

Hobfoll SE (2002) Social and psychological resources and adaptation. Rev Gen Psychol 6:307–324CrossRef

Kahneman D, Deaton A (2010) High income improves evaluation of life but not emotional well-being. Proc Natl Acad Sci USA 107:16489–16493CrossRef

Kinnunen U, Feldt T (2013) Job characteristics, recovery experiences and occupational well-being: testing cross-lagged relationships across 1 year. Stress Health 29(5):369–382CrossRef

Klaghofer R, Stamm M, Buddeberg C, Bauer G, Hämmig O, Knecht M, Buddeberg-Fischer B (2011) Development of life satisfaction in young physicians: results of the prospective SwissMedCareer Study. Int Arch Occup Environ Health 84(2):159–166CrossRef

Lacy BE, Chan JL (2018) Physician burnout: the hidden health care crisis. Clin Gastroenterol H 16(3):311–317CrossRef

Lancet (2014) Violence against doctors: Why China? Why now? What next? Lancet 383(9922):1013CrossRef

Lancet (2019) Physician burnout: a global crisis. Lancet 394(10193):93CrossRef

Lapa T, Carvalho S, Viana J, Ferreira PL, Pinto-Gouveia J, Cabete AB (2018) Development and evaluation of a global burnout index derived from the use of the Copenhagen burnout inventory in Portuguese physicians. Acta Med Port 31(10):534–541CrossRef

Lee KH, Choo SW, Hyun SS (2016) Effects of recovery experiences on hotel employees' subjective well-being. Int J Hosp Manag 52:1–12CrossRef

Li L (2007) Social medicine. People’s Medical Publishing House, Beijing

Liu Y (2014) Violence against doctors in China. Lancet 384(9945):745CrossRef

Liu H, Li S, Feldman MW (2013) Gender in marriage and life satisfaction under gender imbalance in China: the role of intergenerational support and SES. Soc Indic Res 114(3):915–933CrossRef

Magnavita N, Fileni A, Bergamaschi A (2009) Satisfaction at work among radiologists. Radiol Med 114(8):1330–1344CrossRef

Maslach C, Jackson SE (1981) The measurement of experienced burnout. J Occup Behav 2:99–113CrossRef

Maslach C, Leiter MP (2016) Understanding the burnout experience: recent research and its implications for psychiatry. World Psychiatry 15(2):103–111CrossRef

Maslach C, Jackson SE, Leiter MP (1996) Maslach Burnout Inventory manual, 3rd edn. Consulting Psychologists Press, Palo Alto, CA

Meijman TF, Mulder G (1998) Psychological aspects of workload. In: Drenth PJD, Thierry H, de Wolff CJ (eds) Handbook of work and organizational psychology. Psychology Press: Hove, vol 2, pp 5–33

Newman DB, Tay L, Diener E (2014) Leisure and subjective well-being: a model of psychological mechanisms as mediating factors. J Happiness Stud 15(3):555–578CrossRef

Ngoo YT, Tey NP, Tan EC (2015) Determinants of life satisfaction in Asia. Soc Indic Res 124(1):141–156CrossRef

Pavot W, Diener E, Colvin CR, Sandvik E (1991) Further validation of the satisfaction with life scale: evidence for the cross-method convergence of well-being measures. J Pers Assess 57:149–161CrossRef

Peiro A (2006) Happiness, satisfaction and socio-economic conditions: some international evidence. J Soc Econ 35:348–365CrossRef

Plouffe RA, Tremblay PF (2017) The effect of income on life satisfaction: does religiosity play a role? Pers Individ Dif 109:67–71CrossRef

Poulsen MG, Poulsen AA, Khan A, Poulsen EE, Khan SR (2015a) Recovery experience and burnout in cancer workers in Queensland. Eur J Oncol Nurs 19(1):23–28CrossRef

Poulsen AA, Sharpley CF, Baumann KC, Henderson J, Poulsen MG (2015b) Evaluation of the effect of a 1-day interventional workshop on recovery from job stress for radiation therapists and oncology nurses: a randomised trial. J Med Imaging Radiat Oncol 59(4):491–498CrossRef

Preacher KJ, Hayes AF (2008) Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behav Res Methods 40(3):879–891CrossRef

Ragsdale JM, Beehr TA (2016) A rigorous test of a model of employees' resource recovery mechanisms during a weekend. J Organ Behav 37(6):911–932CrossRef

Rook JW, Zijlstra FRH (2006) The contribution of various types of activities to recovery. Eur J Work Organ Psy 15:218–240CrossRef

Rotenstein LS, Torre M, Ramos MA, Rosales RC, Guille C, Sen S, Mata DA (2018) Prevalence of burnout among physicians: a systematic review. JAMA 320(11):1131–1150CrossRef

Schwerdtfeger A, Gaisbachgrabner K, Traunmüller C (2017) Life satisfaction and hemodynamic reactivity to mental stress. Ann Behav Med 51(3):464–469CrossRef

Selim S (2008) Life satisfaction and happiness in Turkey. Soc Indic Res 88(3):531–562CrossRef

Shanafelt TD, Mungo M, Schmitgen J, Storz KA, Reeves D, Hayes SN, Sloan JA, Swensen SJ, Buskirk SJ (2016) Longitudinal study evaluating the association between physician burnout and changes in professional work effort. Mayo Clin Proc 91:422–431CrossRef

Shin DC, Johnson DM (1978) Avowed happiness as an overall assessment of the quality of life. Soc Indic Res 5:475–492CrossRef

Siahpush M, Spittal M, Singh GK (2008) Happiness and life satisfaction prospectively predict self-rated health, physical health, and the presence of limiting, long-term health conditions. Am J Health Promot 23:18–26CrossRef

Sianoja M, Syrek CJ, de Bloom J, Korpela K, Kinnunen U (2018) Enhancing daily well-being at work through lunchtime park walks and relaxation exercises: recovery experiences as mediators. J Occup Health Psychol 23(3):428–442CrossRef

Smyth JM, Zawadzki MJ, Juth V, Sciamanna CN (2017) Global life satisfaction predicts ambulatory affect, stress, and cortisol in daily life in working adults. J Behav Med 40(2):320–331CrossRef

Sonnentag S (2018) The recovery paradox: Portraying the complex interplay between job stressors, lack of recovery, and poor well-being. Res Organ Behav 38:169–185

Sonnentag S, Fritz C (2007) The recovery experience questionnaire: development and validation of a measure for assessing recuperation and unwinding from work. J Occup Health Psych 12(3):204–221CrossRef

Sonnentag S, Fritz C (2015) Recovery from job stress: the stressor-detachment model as an integrative framework. J Organ Behav 36:S72–S103CrossRef

Sonnentag S, Kuttler I, Fritz C (2010) Job stressors, emotional exhaustion, and need for recovery: a multi-source study on the benefits of psychological detachment. J Vocat Behav 76:355–365CrossRef

Tak HJ, Curlin FA, Yoon JD (2017) Association of intrinsic motivating factors and markers of physician well-being: a national physician survey. J Gen Intern Med 32(7):739–746CrossRef

Tian Y, Hua LJ, Chao WM (2008) Chinese doctors' salaries. Lancet 371:1576–1577CrossRef

Tyssen R, Hem E, Gude T, Grønvold NT, Ekeberg O, Vaglum P (2009) Lower life satisfaction in physicians compared with a general population sample: a 10-year longitudinal, nationwide study of course and predictors. Soc Psychiatry Psychiatr Epidemiol 44(1):47–54CrossRef

Uchmanowicz I, Manulik S, Lomper K, Rozensztrauch A, Zborowska A, Kolasińska J, Rosińczuk J (2019) Life satisfaction, job satisfaction, life orientation and occupational burnout among nurses and midwives in medical institutions in Poland: a cross-sectional study. BMJ Open 9(1):e024296CrossRef

Ugwu FO, Ugwu C, Njemanze VC, Nwosu I (2019) Family cohesion and family size moderating burnout and recovery connection. Occup Med (Lond) 69(1):28–34CrossRef

Umberson D (1992) Gender, marital status and the social control of health behavior. Soc Sci Med 34:907–917CrossRef

Wallace JE, Lemaire JB, Ghali WA (2009) Physician wellness: a missing quality indicator. Lancet 374(9702):1714–1721CrossRef

Wang Y, Liu L, Wang J, Wang L (2012) Work-family conflict and burnout among Chinese doctors: the mediating role of psychological capital. J Occup Health 54(3):232–240CrossRef

West CP, Dyrbye LN, Erwin PJ, Shanafelt TD (2016) Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis. Lancet 388(10057):2272–2281CrossRef

Williams ES, Manwell LB, Konrad TR, Linzer M (2007) The relationship of organizational culture, stress, satisfaction, and burnout with physician-reported error and suboptimal patient care: results from the MEMO study. Health Care Manage Rev 32(3):203–212CrossRef

World Health Organization (2019) Burn-out an “occupational phenomenon”: International Classification of Disease. Retrieved from https://www.who.int/mental_health/evidence/burn-out/en/.

Wu H, Liu L, Wang Y, Gao F, Zhao X, Wang L (2013) Factors associated with burnout among Chinese hospital doctors: a cross-sectional study. BMC Public Health 13:786CrossRef

Wu LX, Qi L, Li Y (2016) Challenges faced by young Chinese doctors. Lancet 387(10028):1617CrossRef

Xanthopoulou D, Sanz-Vergel AI, Demerouti E (2014) Reconsidering the daily recovery process: new insights and related methodological challenges. In: Leka S, Sinclair RR (eds) Contemporary occupational health psychology: Global perspectives on research and action, 1st edn. Wiley, Chichester, vol 3, pp 51–67

Xu W (2014) Violence against doctors in China. Lancet 384(9945):745CrossRef

Xu J, Roberts RE (2010) The power of positive emotions: It’s a matter of life or death—subjective well-being and longevity over 28 years in a general population. Health Psychol 29:9–19CrossRef

Yu P, Yang X, Qi Z (2017) Evaluation of doctors in China: imperative changes are required. Lancet 390(10090):121CrossRef

Zhao D, Zhang Z (2019) Changes in public trust in physicians: empirical evidence from China. Front Med 13(4):504–510CrossRef

Zheng H, Shao H, Zhou Y (2018) Burnout among Chinese adult reconstructive surgeons: incidence, risk factors, and relationship with intraoperative irritability. J Arthroplasty 33(4):1253–1257CrossRef

Zijlstra FR, Cropley M, Rydstedt LW (2014) From recovery to regulation: an attempt to reconceptualize ‘recovery from work’. Stress Health 30(3):244–252CrossRef

Titel: Recovery experiences mediate the effect of burnout on life satisfaction among Chinese physicians: a structural equation modeling analysis
verfasst von: Yang Song
Yajing Jia
Kristin Sznajder
Jialin Ding
Xiaoshi Yang
Publikationsdatum: 02.06.2020
Verlag: Springer Berlin Heidelberg
Erschienen in: International Archives of Occupational and Environmental Health / Ausgabe 1/2021
Print ISSN: 0340-0131
Elektronische ISSN: 1432-1246
DOI: https://doi.org/10.1007/s00420-020-01554-1

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusion

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