Work-home interface stress: an important predictor of emotional exhaustion 15 years into a medical career
The importance of work-home interface stress can vary throughout a medical career and between genders. We studied changes in work-home interface stress over 5 yr, and their prediction of emotional exhaustion (main dimension of burn-out), controlled for other variables. A nationwide doctor cohort (NO...
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| Veröffentlicht in: | Industrial Health 2016, Vol.54(2), pp.139-148 |
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| creator | HERTZBERG, Tuva Kolstad RØ, Karin Isaksson VAGLUM, Per Jørgen Wiggen MOUM, Torbjørn RØVIK, Jan Ole GUDE, Tore EKEBERG, Øivind TYSSEN, Reidar |
| description | The importance of work-home interface stress can vary throughout a medical career and between genders. We studied changes in work-home interface stress over 5 yr, and their prediction of emotional exhaustion (main dimension of burn-out), controlled for other variables. A nationwide doctor cohort (NORDOC; n=293) completed questionnaires at 10 and 15 yr after graduation. Changes over the period were examined and predictors of emotional exhaustion analyzed using linear regression. Levels of work-home interface stress declined, whereas emotional exhaustion stayed on the same level. Lack of reduction in work-home interface stress was an independent predictor of emotional exhaustion in year 15 (β=−0.21, p=0.001). Additional independent predictors were reduction in support from colleagues (β=0.11, p=0.04) and emotional exhaustion at baseline (β=0.62, p |
| doi_str_mv | 10.2486/indhealth.2015-0134 |
| format | Article |
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We studied changes in work-home interface stress over 5 yr, and their prediction of emotional exhaustion (main dimension of burn-out), controlled for other variables. A nationwide doctor cohort (NORDOC; n=293) completed questionnaires at 10 and 15 yr after graduation. Changes over the period were examined and predictors of emotional exhaustion analyzed using linear regression. Levels of work-home interface stress declined, whereas emotional exhaustion stayed on the same level. Lack of reduction in work-home interface stress was an independent predictor of emotional exhaustion in year 15 (β=−0.21, p=0.001). Additional independent predictors were reduction in support from colleagues (β=0.11, p=0.04) and emotional exhaustion at baseline (β=0.62, p<0.001). Collegial support was a more important predictor for men than for women. In separate analyses, significant adjusted predictors were lack of reduction in work-home interface stress among women, and reduction of collegial support and lack of reduction in working hours among men. Thus, change in work-home interface stress is a key independent predictor of emotional exhaustion among doctors 15 yr after graduation. Some gender differences in predictors of emotional exhaustion were found.</description><identifier>ISSN: 0019-8366</identifier><identifier>EISSN: 1880-8026</identifier><identifier>DOI: 10.2486/indhealth.2015-0134</identifier><identifier>PMID: 26538002</identifier><language>eng</language><publisher>Japan: National Institute of Occupational Safety and Health</publisher><subject>Adult ; Burn-out ; Burnout, Professional - etiology ; Colleague support ; Doctor career ; Emotional exhaustion ; Emotions ; Female ; Health aspects ; Humans ; Male ; Medical practice ; Mental Fatigue - etiology ; Middle Aged ; Original ; Physicians - psychology ; Predictors ; Quality of life ; Risk Factors ; Sex Factors ; Social Support ; Stress (Psychology) ; Stress, Psychological - complications ; Time Factors ; Work-home interface stress ; Work-Life Balance ; Workload - psychology</subject><ispartof>Industrial Health, 2016, Vol.54(2), pp.139-148</ispartof><rights>2016 by National Institute of Occupational Safety and Health</rights><rights>COPYRIGHT 2016 National Institute of Occupational Safety and Health, Japan</rights><rights>2016 National Institute of Occupational Safety and Health 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-bcd1fb5fffc20a8f5e3a3cd7cd2ce7b657426a141cb842b575d03c5989dc645d3</citedby><cites>FETCH-LOGICAL-c692t-bcd1fb5fffc20a8f5e3a3cd7cd2ce7b657426a141cb842b575d03c5989dc645d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4821897/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4821897/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,1883,4024,27923,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26538002$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>HERTZBERG, Tuva Kolstad</creatorcontrib><creatorcontrib>RØ, Karin Isaksson</creatorcontrib><creatorcontrib>VAGLUM, Per Jørgen Wiggen</creatorcontrib><creatorcontrib>MOUM, Torbjørn</creatorcontrib><creatorcontrib>RØVIK, Jan Ole</creatorcontrib><creatorcontrib>GUDE, Tore</creatorcontrib><creatorcontrib>EKEBERG, Øivind</creatorcontrib><creatorcontrib>TYSSEN, Reidar</creatorcontrib><title>Work-home interface stress: an important predictor of emotional exhaustion 15 years into a medical career</title><title>Industrial Health</title><addtitle>Ind Health</addtitle><description>The importance of work-home interface stress can vary throughout a medical career and between genders. We studied changes in work-home interface stress over 5 yr, and their prediction of emotional exhaustion (main dimension of burn-out), controlled for other variables. A nationwide doctor cohort (NORDOC; n=293) completed questionnaires at 10 and 15 yr after graduation. Changes over the period were examined and predictors of emotional exhaustion analyzed using linear regression. Levels of work-home interface stress declined, whereas emotional exhaustion stayed on the same level. Lack of reduction in work-home interface stress was an independent predictor of emotional exhaustion in year 15 (β=−0.21, p=0.001). Additional independent predictors were reduction in support from colleagues (β=0.11, p=0.04) and emotional exhaustion at baseline (β=0.62, p<0.001). Collegial support was a more important predictor for men than for women. In separate analyses, significant adjusted predictors were lack of reduction in work-home interface stress among women, and reduction of collegial support and lack of reduction in working hours among men. Thus, change in work-home interface stress is a key independent predictor of emotional exhaustion among doctors 15 yr after graduation. Some gender differences in predictors of emotional exhaustion were found.</description><subject>Adult</subject><subject>Burn-out</subject><subject>Burnout, Professional - etiology</subject><subject>Colleague support</subject><subject>Doctor career</subject><subject>Emotional exhaustion</subject><subject>Emotions</subject><subject>Female</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Male</subject><subject>Medical practice</subject><subject>Mental Fatigue - etiology</subject><subject>Middle Aged</subject><subject>Original</subject><subject>Physicians - psychology</subject><subject>Predictors</subject><subject>Quality of life</subject><subject>Risk Factors</subject><subject>Sex Factors</subject><subject>Social Support</subject><subject>Stress (Psychology)</subject><subject>Stress, Psychological - complications</subject><subject>Time Factors</subject><subject>Work-home interface stress</subject><subject>Work-Life Balance</subject><subject>Workload - psychology</subject><issn>0019-8366</issn><issn>1880-8026</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkl2L1DAUhoso7rj6CwQJCOJNx3w0aerFwrL4sbDgjeJlSNOTadY2GZOMuP_edrtTdkACCUme9yXn5C2K1wRvaSXFB-e7HvSQ-y3FhJeYsOpJsSFS4lJiKp4WG4xJU0omxFnxIqVbjJngDXtenFHBmcSYbgr3M8RfZR9GQM5niFYbQClHSOkj0h65cR9i1j6jfYTOmRwiChbBGLILXg8I_vb6kOYNIhzdgY5pdgpIo3EWTIjRESC-LJ5ZPSR49bCeFz8-f_p-9bW8-fbl-urypjSioblsTUdsy621hmItLQemmelq01EDdSt4XVGhSUVMKyva8pp3mBneyKYzouIdOy8uFt_9oZ1eYMDnqAe1j27U8U4F7dTpjXe92oU_qpKUyKaeDN4_GMTw-wApq9ElA8OgPYRDUqSWdSNqymb07YLu9ADKeRsmRzPj6rLiDWWMV2Sitv-hptHB6EzwYN10fiJ490iwfHIKw2HucjoF2QKaGFKKYNcyCVZzSNQaEjWHRM0hmVRvHndo1RxTMQHXC3Cbst7BCuiYnbkv4WjKK0Xvp6P5ypheRwWe_QNHUtXb</recordid><startdate>2016</startdate><enddate>2016</enddate><creator>HERTZBERG, Tuva Kolstad</creator><creator>RØ, Karin Isaksson</creator><creator>VAGLUM, Per Jørgen Wiggen</creator><creator>MOUM, Torbjørn</creator><creator>RØVIK, Jan Ole</creator><creator>GUDE, Tore</creator><creator>EKEBERG, Øivind</creator><creator>TYSSEN, Reidar</creator><general>National Institute of Occupational Safety and Health</general><general>National Institute of Occupational Safety and Health, Japan</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7U2</scope><scope>C1K</scope><scope>5PM</scope></search><sort><creationdate>2016</creationdate><title>Work-home interface stress: an important predictor of emotional exhaustion 15 years into a medical career</title><author>HERTZBERG, Tuva Kolstad ; RØ, Karin Isaksson ; VAGLUM, Per Jørgen Wiggen ; MOUM, Torbjørn ; RØVIK, Jan Ole ; GUDE, Tore ; EKEBERG, Øivind ; TYSSEN, Reidar</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-bcd1fb5fffc20a8f5e3a3cd7cd2ce7b657426a141cb842b575d03c5989dc645d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Burn-out</topic><topic>Burnout, Professional - etiology</topic><topic>Colleague support</topic><topic>Doctor career</topic><topic>Emotional exhaustion</topic><topic>Emotions</topic><topic>Female</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Male</topic><topic>Medical practice</topic><topic>Mental Fatigue - etiology</topic><topic>Middle Aged</topic><topic>Original</topic><topic>Physicians - psychology</topic><topic>Predictors</topic><topic>Quality of life</topic><topic>Risk Factors</topic><topic>Sex Factors</topic><topic>Social Support</topic><topic>Stress (Psychology)</topic><topic>Stress, Psychological - complications</topic><topic>Time Factors</topic><topic>Work-home interface stress</topic><topic>Work-Life Balance</topic><topic>Workload - psychology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>HERTZBERG, Tuva Kolstad</creatorcontrib><creatorcontrib>RØ, Karin Isaksson</creatorcontrib><creatorcontrib>VAGLUM, Per Jørgen Wiggen</creatorcontrib><creatorcontrib>MOUM, Torbjørn</creatorcontrib><creatorcontrib>RØVIK, Jan Ole</creatorcontrib><creatorcontrib>GUDE, Tore</creatorcontrib><creatorcontrib>EKEBERG, Øivind</creatorcontrib><creatorcontrib>TYSSEN, Reidar</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Industrial Health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>HERTZBERG, Tuva Kolstad</au><au>RØ, Karin Isaksson</au><au>VAGLUM, Per Jørgen Wiggen</au><au>MOUM, Torbjørn</au><au>RØVIK, Jan Ole</au><au>GUDE, Tore</au><au>EKEBERG, Øivind</au><au>TYSSEN, Reidar</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Work-home interface stress: an important predictor of emotional exhaustion 15 years into a medical career</atitle><jtitle>Industrial Health</jtitle><addtitle>Ind Health</addtitle><date>2016</date><risdate>2016</risdate><volume>54</volume><issue>2</issue><spage>139</spage><epage>148</epage><pages>139-148</pages><issn>0019-8366</issn><eissn>1880-8026</eissn><abstract>The importance of work-home interface stress can vary throughout a medical career and between genders. We studied changes in work-home interface stress over 5 yr, and their prediction of emotional exhaustion (main dimension of burn-out), controlled for other variables. A nationwide doctor cohort (NORDOC; n=293) completed questionnaires at 10 and 15 yr after graduation. Changes over the period were examined and predictors of emotional exhaustion analyzed using linear regression. Levels of work-home interface stress declined, whereas emotional exhaustion stayed on the same level. Lack of reduction in work-home interface stress was an independent predictor of emotional exhaustion in year 15 (β=−0.21, p=0.001). Additional independent predictors were reduction in support from colleagues (β=0.11, p=0.04) and emotional exhaustion at baseline (β=0.62, p<0.001). Collegial support was a more important predictor for men than for women. In separate analyses, significant adjusted predictors were lack of reduction in work-home interface stress among women, and reduction of collegial support and lack of reduction in working hours among men. Thus, change in work-home interface stress is a key independent predictor of emotional exhaustion among doctors 15 yr after graduation. Some gender differences in predictors of emotional exhaustion were found.</abstract><cop>Japan</cop><pub>National Institute of Occupational Safety and Health</pub><pmid>26538002</pmid><doi>10.2486/indhealth.2015-0134</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Burn-out Burnout, Professional - etiology Colleague support Doctor career Emotional exhaustion Emotions Female Health aspects Humans Male Medical practice Mental Fatigue - etiology Middle Aged Original Physicians - psychology Predictors Quality of life Risk Factors Sex Factors Social Support Stress (Psychology) Stress, Psychological - complications Time Factors Work-home interface stress Work-Life Balance Workload - psychology |
| title | Work-home interface stress: an important predictor of emotional exhaustion 15 years into a medical career |
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