Occupational burnout as a predictor of disability pension: a population-based cohort study

Ahola, Kirsi; Gould, Raija; Virtanen, Marianna; Honkonen, Teija; Aromaa, Arpo; Lönnqvist, Jouko

doi:10.1136/oem.2008.038935

Cited by 97 publications

(72 citation statements)

References 40 publications

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“…Albertsen, Lund, Christensen, Kristensen, and Villadsen (2007) find that standing at work is a risk predictor for both men and women and that women have the additional risk predictors of arm lifting, neck bending, job insecurity, low decision authority, low social support, and high psychological demands. Ahola et al (2009) conclude that burnout, particularly emotional exhaustion and cynicism, is a predictor for disability pension.…”

Section: Disability Pension and Previous Research On Predictorsmentioning

confidence: 87%

“…Thus, possible mechanisms behind the high rate of disability pension in low-status life professions are related to the risk of mental distress, fatigue, and burnout in human service professions owing to a lack of autonomy or control over a work situation or a stress or a conflict caused by contact with and taking care of clients (Ahola et al, 2009).…”

Section: Discussionmentioning

confidence: 99%

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Risky Professions? Risk of Disability in Professions in Norway

Tufte

2013

P&P

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Abstract:Modern professions provide important and essential services like engineering, financial services, and welfare state services. Sustaining a sufficient supply of these services requires professionals to remain in the workforce as long as possible. This article examines variation in the risk of disability pension among individuals with different professional education backgrounds according to the status of the profession and its primary task (i.e., caring for others, "life" professions; or providing other kinds of services, "thing" professions). Event history analysis was employed to examine register data for the Norwegian population from 1992 through 2008, with gender, age at completed education, birth year, and social status as control variables. The results indicate that individuals in low-status life professions were exposed to a greater risk of disability pension than individuals with other professional education backgrounds. Possible explanations are mechanisms related to selection effects, physical and mental job strain, and professional ethics.

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Section: Disability Pension and Previous Research On Predictorsmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Risky Professions? Risk of Disability in Professions in Norway

Tufte

2013

P&P

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“…Structural analysis defines that exhaustion has the most consistent relationship with burnout 26) , so the equation was defined as burnout=0.4 × exhaustion + 0.3 × deperso nalization + 0.3 × reduced personal accomplishment. The same strategy was adopted by K. Ahola et al 27) when using the Maslach Burnout Inventory-General Survey (MBI-GS), a general version of MBI questionnaires derived from the MBI-HSS. Because we used a seven-point scale, from 1 to 7 instead of from 0 to 6, the extent of burnout scores of all physicians was classified into three categories: no burnout (sum score from 1 to 2.49), mild burnout (2.50−4.49) and severe burnout (4.50−7).…”

Section: ) Job Burnoutmentioning

confidence: 99%

Physician Burnout and Its Associated Factors: A Cross‐sectional Study in Shanghai

Wang

Xie²,

Dai

et al. 2014

Journal of Occupational Health

107

100

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Physician Burnout and Its Associated Factors: A Cross‐sectional Study in Shanghai: Zhihui WANG, et al. School of Public Health, Fudan University China— Objectives The aim of this study was to determine the rate of burnout and the contributing factors behind it among physicians in Shanghai. Methods In this cross‐sectional study, a total of 457 physicians from 21 hospitals in Shanghai completed self‐reported questionnaires in June 2008. The Chinese version of the job content questionnaire (C‐JCQ) and the Chinese version of the effort‐reward imbalance questionnaire (C‐ERI) were used to measure occupational stress. The Chinese version of Maslach Burnout Inventory (C‐MBI) was used to measure burnout rate. We then performed regression analysis of physician burnout. Results The MBI model revealed that 277 physicians (60.6%) were experiencing a mild degree of burnout and that 27 physicians (5.9%) were experiencing a severe degree of burnout. In the assessment of occupational stress, most physicians (64.8%) had a demand/control ratio higher than 1, and 21.9% of all physicians had an effort/reward ratio higher than 1, indicating a high level of occupational stress exposure. Regression analyses showed higher levels of burnout among physicians of younger age, less work experience, longer working hours, on shift duty, or from highergrade hospitals. Both the JCQ and ERI models showed good predictive power for physician burnout, with the ERI model performing better. Conclusions Physicians in Shanghai were experiencing a high degree of burnout, which was significantly associated with occupational stress as well as distinctive personal and work characteristics. Interventions aiming at reducing job‐related stress can be effective approaches to prevent burnout among physicians.

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“…In prospective designs, burnout has predicted coronary heart disease 11) , type 2 diabetes 12) , common infections 13) , musculoskeletal pain 14) and depressive symptoms 15) . In addition, burnout has predicted sickness absences 16) and disability pensions 17) . However, there are fewer studies investigating burnout and safety outcomes, and they examined injuries that occurred in the work place 18) .…”

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confidence: 99%

Occupational Burnout and Severe Injuries: An Eight‐year Prospective Cohort Study among Finnish Forest Industry Workers

Ahola

Salminen

Toppinen‐Tanner

et al. 2013

Journal of Occupational Health

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Occupational Burnout and Severe Injuries: An Eight‐year Prospective Cohort Study among Finnish Forest Industry Workers : Kirsi AHOLA, et al. Development of Work and Work Organizations, Finnish Institute of Occupational Health, Finland— Objectives Burnout is a psychological consequence of prolonged work stress. Studies have shown that it is related to physical and mental disorders. The safety outcomes of burnout have been studied to a lesser extent and only in the work context. This study explored the effect of burnout on future severe injuries regardless of their context. Methods A total of 10,062 forest industry employees (77% men, 63% manual workers) without previous injuries participated in 1996 or 2000 in the “Still Working” study examining the work‐related antecedents of health and mortality. Burnout was assessed using the Maslach Burnout Inventory‐General Survey. Injuries leading to death or hospitalization were regarded as severe. We extracted such injuries from independent national registers. The relationship between burnout and new injuries was analyzed using Cox proportional regression. The analyses were adjusted for age, sex, marital status, and occupational status. Results There were 788 new injuries over eight years. Injuries were more common among male and manual workers. After adjustments, each one‐unit increase in the burnout score was related to a 9% increase in the risk of injury (95% confidence interval: 1.02−1.17). Experiencing symptoms at least monthly was related to a 1.18‐fold adjusted injury risk (95% CI: 1.02−1.36). Of the subscales of burnout, exhaustion and cynicism but not lack of professional efficacy predicted injuries after adjustments. Conclusions In addition to mental and physical disorders, burnout predicts severe injuries. Developing work conditions and optimizing workload may enhance safety and decrease health expenses related to all injuries.

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Occupational burnout as a predictor of disability pension: a population-based cohort study

Abstract: Burnout predicts permanent work disability and could therefore be used as a risk marker of chronic health-related work stress. To prevent early exit from work life, working conditions and employee burnout should be regularly assessed with the help of occupational health services.

Cited by 97 publications

References 40 publications

Risky Professions? Risk of Disability in Professions in Norway

Risky Professions? Risk of Disability in Professions in Norway

Physician Burnout and Its Associated Factors: A Cross‐sectional Study in Shanghai

Occupational Burnout and Severe Injuries: An Eight‐year Prospective Cohort Study among Finnish Forest Industry Workers

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