Occupational burnout and chronic work disability: An eight-year cohort study on pensioning among Finnish forest industry workers
Occupational burnout and chronic work disability: An eight-year cohort study on pensioning among Finnish forest industry workers
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DOI：
10.1016/j.jad.2008.09.021
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发表时间：
2009-05-01
影响因子：
6.6
通讯作者：
Vaananen, A.
中科院分区：
文献类型：
--
作者：
Ahola, K.;Toppinen-Tanner, S.;Vaananen, A.
背景：目的是探讨倦怠，一种慢性工作压力综合症，是否预测八年内工业雇员的工作残疾。我们调查了倦怠是否会预测最初健康的员工和所有亚组中最常见的残疾原因。方法：在1996年进行的全公司调查（n=9705, 63%）的参与者中，确定了8371名员工，7810名提供了完整的信息。利用Maslach职业倦怠调查评估的职业倦怠及其子维度对获得2004年以前基于登记的新残疾养老金的影响，采用Cox风险回归和多项回归进行分析。根据社会人口因素、注册药物使用和基线时自我报告的慢性疾病对分析进行了调整。结果：重度职业倦怠的新残疾养老金风险比（HR）为3.8（95%可信区间CI 2.7 ~ 5.4）。严重职业倦怠和严重疲劳导致工作残疾的风险有所降低，但在调整后仍然显著。在基线时没有注册药物的员工亚群中，严重倦怠和工作残疾之间的关联也很显著，但在自我报告健康的员工亚群中则没有。倦怠与所有类别的病因特异性残疾之间的粗略关联为。意义重大。疲劳维度预测调整后由于精神和杂项障碍导致的工作残疾。局限性：采用非随机单分支样本。最终样本涵盖了50%的合格员工。结论：在工业工作中，倦怠相关的慢性工作残疾具有普遍性。当使用药物对健康状况进行评估时，倦怠可以预测健康员工的工作残疾，但当通过自我报告确定时，则不能预测。(C) 2008 Elsevier b.v.版权所有
Background: The objective was to explore if burnout, a syndrome from chronic work stress, predicts work disability during eight years among industrial employees. We investigated whether burnout would predict disability in initially healthy employees and all subgroups by the most common causes for disability.Methods: Of the participants in a company-wide survey (n=9705, 63%) performed in 1996, 8371 employees were identified and 7810 provided full information. The impact of burnout and its sub-dimensions, assessed with the Maslach Burnout Inventory-General Survey, on being granted register-based new disability pension till 2004 was analysed with Cox hazard regression and multinomial regression. The analyses were adjusted for socio-demographic factors, registered medication use, and self-reported chronic illness at baseline.Results: The hazard ratio (HR) for new disability pension was 3.8 (95% confidence interval CI 2.7-5.4) with severe burnout. The risk of severe burnout and severe exhaustion for work disability attenuated but remained significant after adjustments. The association between severe burnout and work disability was significant also in the subpopulation of employees without registered medication at baseline but not among employees healthy by self-report. Crude associations between burnout and all categories of cause-specific disability were. significant. The exhaustion dimension predicted work disability due to mental and miscellaneous disorders after adjustments.Limitations: A non-random one-branch sample was used. The final sample covered 50% of eligible employees.Conclusions: In industrial work, burnout-related chronic work disability is general in nature. Burnout predicts work disability among healthy employees when health is assessed with registered use of medication but not when it is determined by self-report. (C) 2008 Elsevier B.V All rights reserved.