Factors on working conditions and prolonged fatigue among physicians in Japan

Wada, Koji; Arimatsu, Mayuri; Yoshikawa, Toru; Oda, S.; Taniguchi, Hatsumi; Higashi, Toshiaki; Aizawa, Yoshifusa

doi:10.1007/s00420-008-0307-3

Cited by 37 publications

(44 citation statements)

References 31 publications

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“…An association between workload and prolonged fatigue has been reported in another study 25) . Teachers usually have many responsibilities in addition to teaching classes, including counseling students on their behavior, dealing with parents, evaluating the scholastic aptitude of students, and participating in training sessions and meetings in and outside school.…”

Section: Discussionsupporting

confidence: 53%

“…Effective communication is an essential tool in maintaining and improving interpersonal relations. One study demonstrated that poor relations with colleagues are associated with high levels of prolonged fatigue 25) , and poor relationships in the workplace create a stressful environment 30) . In the present study, although approximately 70% of the respondents indicated that there was a good level of communication in the workplace, nearly 10% said there was a lack of good communication.…”

Section: Discussionmentioning

confidence: 99%

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Factors of Working Conditions and Prolonged Fatigue among Teachers at Public Elementary and Junior High Schools

Midori¹,

Wada²,

Wang³

et al. 2011

Ind Health

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Prolonged fatigue among elementary and junior high school teachers not only damages their health but also affects the quality of education. The aim of this study was to determine the factors of working conditions associated with prolonged fatigue among teachers at public elementary and junior high schools. We distributed a self-reported, anonymous questionnaire to 3,154 teachers (1,983 in elementary schools, 1,171 in junior high schools) working in public schools in a city in Japan. They were asked to assess 18 aspects of their working conditions using a seven-point Likert scale. Prolonged fatigue was measured using the Japanese version of the checklist individual strength questionnaire. Multiple regression analysis was used to examine the association between working conditions and prolonged fatigue. Gender, age, and school type were introduced as confounders. In all, 2,167 teachers participated in this study. Results showed that qualitative and quantitative workload (time pressure due to heavy workload, interruptions, physically demanding job, extra work at home), communication with colleagues (poor communication, lack of support), and career factors (underestimation of performance by the board of education or supervisors, occupational position not reflecting training, lack of prospects for work, job insecurity) were associated with prolonged fatigue.

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Section: Discussionsupporting

confidence: 53%

Section: Discussionmentioning

confidence: 99%

Factors of Working Conditions and Prolonged Fatigue among Teachers at Public Elementary and Junior High Schools

Midori¹,

Wada²,

Wang³

et al. 2011

Ind Health

Self Cite

View full text Add to dashboard Cite

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“…The variety of their burden probably attenuated these results. As previously mentioned, Japanese hospital physicians tend to be affected by long working hours [2,3] and the shortage of some specialties [4], and a recent study of Japanese hospital doctors has reported that a depressive state is negatively associated with having more than 8 days off per month for men [7]. In our present study, only 2-4 days have been few reports on the relationship between job strain itself and mental health problems among physicians.…”

Section: O R I G I N a L P A P E Rsupporting

confidence: 41%

“…Long working hours affect mental health among other work populations [4,5]; and the relationship with physicians' mental health has been reported [6]. Moreover, days off, on call and night duty have been reported to affect physicians' mental health [7,8].…”

Section: Participantsmentioning

confidence: 99%

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Effects of work burden, job strain and support on depressive symptoms and burnout among Japanese physicians

Saijo¹,

Yoshioka²,

Watanabe³

et al. 2014

IJOMEH

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Objectives: Days off, on call, night duty, working hours and job stress can affect physicians' mental health, and support from supervisors and co-workers may have a buffering effect. This study elucidates whether job strain and job factors affect physicians' mental health, and whether support from supervisors and co-workers has a protective effect on their mental health. Material and Methods: The subjects included 494 physicians. The Brief Job Stress Questionnaire (BJSQ) was used to evaluate job demand, job control and support. High job strain was defined as a combination of high job demand and low job control. Depressive symptoms were assessed using the Patient Health Questionnaire-9. The Maslach Burnout InventoryGeneral Survey was used to evaluate burnout. Possible confounder adjusted logistic regression analyses were performed to obtain odds ratios for depressive symptoms and burnout. Results: As per the analysis, high job strain had significantly higher odds ratios, and support from co-workers had significant protective odds ratios for depressive symptoms. High job strain and having only 2-4 days off per month (compared to > 8 days off per month) had significantly higher odds ratios, and support from co-workers had significant protective odds ratios for burnout. Conclusions: High job strain was related to depressive symptoms and burnout, and support from co-workers had a buffering effect on depressive symptoms and burnout. An inadequate number of days off was related to burnout. Assessment of job strain may be a good tool to measure physicians' mental health, and a sufficient number of days off may be needed to prevent burnout.

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Anxiety, pandemic‐related stress and resilience among physicians during the COVID‐19 pandemic

et al. 2020

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Background: Physicians play a crucial frontline role in the COVID-19 pandemic, which may involve high levels of anxiety. We aimed to investigate the association between pandemic-related stress factors (PRSF) and anxiety and to evaluate the potential effect of resilience on anxiety among physicians. Methods: A self-report digital survey was completed by 1106 Israeli physicians (564 males and 542 females) during the COVID-19 outbreak. Anxiety was measured by the 8-item version of the Patient-Reported Outcomes Measurement Information System. Resilience was evaluated by the 10-item Connor-Davidson Resilience Scale. Stress was assessed using a PRSF inventory. Results: Physicians reported high levels of anxiety with a mean score of 59.20 ± 7.95. We found an inverse association between resilience and anxiety. Four salient PRSF (mental exhaustion, anxiety about being infected, anxiety infecting family members, and sleep difficulties) positively associated with anxiety scores. Conclusions: Our study identified specific PRSF including workload burden and fear of infection that are associated with increased anxiety and resilience that is associated with reduced anxiety among physicians.

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Factors on working conditions and prolonged fatigue among physicians in Japan

Abstract: The result of this study suggested that it is desirable to take these factors into consideration in the management of prolonged fatigue among physicians in Japan.

Cited by 37 publications

References 31 publications

Factors of Working Conditions and Prolonged Fatigue among Teachers at Public Elementary and Junior High Schools

Factors of Working Conditions and Prolonged Fatigue among Teachers at Public Elementary and Junior High Schools

Effects of work burden, job strain and support on depressive symptoms and burnout among Japanese physicians

Anxiety, pandemic‐related stress and resilience among physicians during the COVID‐19 pandemic

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