Cross-Sectional Survey on Burnout and Musculoskeletal Disorders in Greek and Cypriot Occupational Therapists

Abstract

Background: Occupational therapy is a physically, psychologically and cognitively demanding job. This study aims to explore the epidemiology of musculoskeletal injuries, mental issues, and burnout in occupational therapy practitioners in Greece and Cyprus.

Method: A survey was conducted, including the Patient Health Questionnaire (PHQ-9), the Oldenburg Burnout Inventory, and the Nordic Musculoskeletal Questionnaire.

Results: Out of 247 respondents, 70% reported severe lower back pain, 9.7% of Greek occupational therapists were in the moderate and high PHQ-9 scale, while disengagement and exhaustion were found 2.026 (±0.54) and 2.592 (±0.533) respectively.

Conclusion: High rates of burnout, correlated with psychological and musculoskeletal disorders were identified in both countries. Work-related stress and musculoskeletal disorders may be more evident in countries hit by recession.     

Health and safety at work in the transport industry (TRANS-18): factorial structure, reliability and validity

In this article, we study the psychometric properties of a short scale (TRANS-18) which was designed to detect safe behaviors (personal and vehicle-related) and psychophysiological disorders. 244 drivers participated in the study, including drivers of freight transport vehicles (regular, dangerous and special), cranes, and passenger transport (regular transport and chartered coaches), ambulances and taxis. After carrying out an exploratory factor analysis of the scale, the findings show a structure comprised of three factors related to psychophysiological disorders, and to both personal and vehicle-related safety behaviors. Furthermore, these three factors had adequate reliability and all three also showed validity with regard to burnout, fatigue and job tension. In short, this scale may be ideally suited for adequately identifying the safety behaviors and safety problems of transport drivers. Future research could use the TRANS-18 as a screening tool in combination with other instruments.     

Perfectionism,over commitment to work,and burnout in employees seeking workplace counselling

Perfectionism is linked to a range of psychological disorders. Burnout is an important construct in the working population and has been found to overlap with related constructs such as depression. There has been limited research conducted between perfectionism and burnout. This study aimed to examine the link between perfectionism and burnout and if procrastination and over commitment to work were mediators of the relationship. There were 69 participants recruited who were seeking counselling from a counselling firm, providing employee assistance services. The results indicated that procrastination was not a significant mediator of the relationship between concern over mistakes (CM) perfectionism and burnout. There was a significant mediating relationship found, where overcommitment to work mediated the relationship between CM perfectionism leading to burnout. The implications of the study in terms of interventions for employees suffering burnout, and directions for future research in regards to the relationship between perfectionism and burnout are considered.     

Santé et travail : le cas des facteurs de risque des troubles musculo-squelettiques du membre supérieur

The study proposes us to define and to treat the social questions that the musculoskeletal disorders suppose. Indeed, an optimal prevention is articulated around the two poles of musculoskeletal disorders factors of risk, which are the biomechanics and psychosocial factors of risk. The aim of this article is also to create a collective reaction for mobilise every one which are concerned by this subject. The musculoskeletal disorders are one of the first causes of compensation working disease. The factors of risk in their occurred are mainly the repetitivite gesture, the implementation of the muscular force, the extreme articular amplitudes and also, but in a less proportion, the psychological stress felt by a person during his working time. All these elements will be developing in this study.     

Explicative models of musculoskeletal disorders (MSD): From biomechanical and psychosocial factors to clinical analysis of ergonomics

Following the apparition of new working schemes and work organization in companies, a so-called “reactive productivism” was set up at the worker level. This is characterized by an increased workload, flexibility efforts and productivity requirements, which show noticeable impacts on the worker’s health in their own professional environment. Among these consequences are musculoskeletal disorders (MSD) which have become the most current form of professional disease in France. Such troubles and disorders, in relation to working conditions, are complex mechanisms, often expressed by chronic pain and associated with functional troubles and even disability. The majority of researchers are currently in agreement in affirming the multidimensional aspect of these disorders in biomechanical and psychological terms. The purpose of this paper is to list and review the main risk factors leading to such consequences. These epidemiological and psychological factors will be related to francophone clinical and ergonomic concepts and positions. This perspective is oriented more towards the “meaning of activity” with a clinical and a psychodynamic approach. In our conclusion, we present a predictive model on musculoskeletal pain in relation to maneuver margins, workload and work recognition.     

Work characteristics, musculoskeletal disorders, and the mediating role of psychological strain: a study of call center employees

The demands of the modern office are thought to contribute to the development of musculoskeletal disorders. For upper body and lower back disorders, these effects are hypothesized to be mediated by psychological strain. A study of 936 employees from 22 call centers supports this hypothesis. Using logistic regression and structural equation modeling, the authors found that the relationship of workload to upper body and lower back musculoskeletal disorders was largely accounted for by job-related strain. This mediating effect was less evident for arm disorders. Contrary to expectation, job autonomy had neither a direct nor a moderating effect on any musculoskeletal disorder.     

Fallbeispiele zum Thema Burnout

Burnout is a process, in which dysfunctional interactions between a person and external stresses (professional, nonprofessional) play a central role in its development. It is accompanied by emotional and physical exhaustion, decreased productivity, and a negative attitude toward work, other stress factors, and people associated with work. Depressive disorders, anxiety disorders, other psychiatric and psychosomatic disorders, and physical and cognitive disorders are often observed as part of burnout. Differentiation from other (in particular psychiatric) diseases is mainly possible based on a history of a lengthy (months, years) process of development associated with external stress factors. This differentiation is essential to determine an appropriate, multiprofessional approach, in which drug treatment, psychotherapy, coaching, lifestyle modification, and methods of stress reduction are available and should be used in a coordinated manner.     

Jardin thérapeutique,outil de prévention du burnout

The aim of this research was to study the effect of the presence of a garden in a hospital care sector on caregiver burnout. Eighty-eight nurses and caregivers from 9 care sectors answered a questionnaire constructed from the theories and scales of Karasek and Theorell. Three types of services were compared (cognitive behavioral unit, palliative care, post-acute and rehabilitation care) with a garden adapted for therapeutic activities versus with a regular garden versus with no garden. The main result was a lesser incidence of burnout in care services with a garden that those without a garden, irrespective of the type of care service, along with an amplification of the benefit with specially-designed gardens. The feeling of strength, both physical and psychological, was less present when the care services did not have a garden. A trend toward an increase in musculoskeletal disorders in services with a therapeutic garden versus no garden was observed. Upon analyzing the results, the authors recommend particular attention in the designing of hospital gardens in order to facilitate the ergonomics of nursing work. The overall results advocate the use of the garden as a systemic structure conducive to work interactions in a specially-designed area.     

Disorders associated with burnout and causal attributions of stress among health care professionals in psychiatry

This study, carried out among health care professionals in psychiatry, evaluates burnout (Maslash Burnout Inventory) in relation to other associated disorders: lower levels of self-esteem in different areas (Self-Esteem Inventory); the frequency of stress felt (Nursing Stress Scale); a lesser feeling of general control (Lumpkin); a more negative perception of the general state of health (Diagnostic Interview Schedule); job dissatisfaction and dissatisfaction with numerous aspects of life (Subjective Quality of Life Profile). Moreover, among these professionals, the fact of describing the causes of one's professional burnout as having a “global” impact on one's behavior (using the CDS II), reveals both one's emotional exhaustion and associated disorders (but not the feeling of internal control). This attributional variable appears as a significant mediator between burnout and health (DIS). These results are discussed with the aim of developing the early detection and treatment of burnout and the associated disorders among health care professionals.     

关注助人者的心理健康：共情疲劳的涵义、结构及其发生机制

共情疲劳是心理咨询师、消防战士、急救医护人员等助人者救助受创伤人员后出现的特有的心理健康问题。共情疲劳的二因素模型含二次创伤与职业倦怠, 三因素模型还包括共情满足。共情疲劳的临床症状与创伤后应激障碍、二次创伤、替代(间接)性创伤、倦怠相似, 但上述概念并不等同于共情疲劳。共情疲劳是助人者在间接接触创伤性事件并向他人共情的前提下, 产生共情压力, 降低了对他人共情的兴趣与能力, 出现二次创伤症状, 产生工作倦怠感。同时, 助人者人口统计学特征(如婚姻状况、学历、工作年限、个人创伤史等)、接触或暴露于创伤事件的程度、个人心理资源都会影响共情疲劳发生的过程。     

Du stress au burnout scolaire : définitions,déterminants pychosociaux, évaluation et pistes de prévention

The aim of this article is to present an exhaustive review of stress and school burnout literature. The school burnout is a recent notion, stem from the professional burnout. This article proposes to analyze the links between school stress and the development of a school burnout. Then, risk factors predisposing to the stress and to the school burnout are discussed. In a way of preventive practices, we also exposed protective factors for school burnout. This review presents several school burnout assessment tools. Finally, this article discussed about programs of well-being prevention developed in other countries.     

Self-perceived clinical competence,gender and workplace setting predict burnout among psychotherapists

Work-related stress, or burnout, is elevated among healthcare staff but the specific risk factors for psychotherapists are not clear, which makes it difficult to design interventions to target this population. Therefore, the aim of this study was to investigate a set of background variables and work-related risk factors for burnout among psychotherapists. Potential protective factors such as level of education, number of years in the profession and access to clinical supervision were investigated. Symptoms of burnout were measured with the Copenhagen Burnout Inventory, and data were collected from 327 psychotherapists. In this group, 62% reported moderate or high levels of burnout symptoms, with significantly higher levels of personal- and work-related burnout than client-related burnout. Being female, having low self-perceived competence and working in the public sector were associated with higher levels of burnout. Other factors, such as age, work experience, level of education or having clinical supervision, were not associated with burnout after controlling for gender, perceived competence and workplace setting. These results confirm previous research that underlines the importance of perceived competence and control over one's work environment, and that women are at higher risk of burnout, possibly because of factors outside of work. The importance of perceived competence as a protective factor suggests that methods that increase therapeutic competence may play an important role in countering work-related stress. In conclusion, there may be a need to continue to develop and integrate specific burnout prevention interventions for psychotherapists.     

Efficacy or inefficacy, that's the question: burnout and work engagement, and their relationships with efficacy beliefs

We challenge traditional view that lack of efficacy - measured with the corresponding reversed efficacy scale (Maslach Burnout Inventory, MBI) - is a burnout dimension. Instead, we claim that in addition to exhaustion and cynicism, inefficacy - measured with a newly developed scale - characterizes burnout. MBI-efficacy is apparently related to work engagement, considered as the positive antithesis of burnout. We performed Structural Equation Modeling in two samples of Spanish (n=239) and Dutch (n=235) university students, and two Spanish employee samples, working in various jobs (n=342) and working with information and communication technologies (n=283). Our expectations were largely confirmed: (1) compared with efficacy beliefs inefficacy beliefs relate more strongly to the other two burnout components; (2) the alternative three-factor burnout model including inefficacy fits better to the data than the traditional model including efficacy; (3) a model with inefficacy loading on burnout and efficacy loading on engagement fits the data. It is suggested that an inefficacy scale rather than a reversed efficacy scale should be used to assess burnout in future studies.     

Specific determinants of burnout among male and female general practitioners: A cross‐lagged panel analysis

This study aimed to develop and test a specific pattern of relationships between job demands, job resources and person‐related factors on the one hand, and the three burnout dimensions on the other, among Dutch General Practitioners. In addition, we aimed to test whether gender differences exist in this regard. Based on several theoretical models such as the Job Demand‐Control model and the Job Demands‐Resources model of burnout as well as a review of burnout studies among physicians, we formulated a research model of burnout. The research questions were answered by means of self‐report questionnaires using a full panel design with two waves. Cross‐lagged panel analyses indicated that the causal direction of the relationships between demands, resources and person‐related factors on the one hand, and burnout on the other is reciprocal. In addition, multi‐sample analyses revealed that the pattern of relationships between job demands, job resources, person‐related factors and burnout is different for men and women, although results are less clear at the second measurement point. Among other things, we recommend anticipating in a gender sensitive way on risk factors for burnout and motivation loss for young professionals by coaching and empowerment in vocational training.     

社会自我效能感与工作倦怠的关系：社会交换视角下有调节的中介模型

本研究基于工作要求-资源模型和领导-成员交换理论,采用两时点追踪问卷调查方法收集了313份数据,探讨了员工的社会自我效能感与工作倦怠之间的关系及其内在机制。分析结果表明：社会自我效能感对工作倦怠有显著的负向预测作用;领导-成员交换关系在社会自我效能感和工作倦怠之间有着显著的中介作用;领导-成员交换社会比较调节了社会自我效能感通过领导-成员交换关系预测工作倦怠的间接效应。     

The Oswald Clergy Burnout Scale: Reliability, Factor Structure and Preliminary Application Among Australian Clergy

This study assesses the Oswald Clergy Burnout Scale (OCBI), the psychometric properties of which have not been previously described. Analysis of responses from a large number (N?=?3,012) of ministers in charge of Australian congregations showed that the scale’s internal reliability was satisfactory, and that the scale could be represented by two factors, identified, respectively, as the personal and social aspects of burnout. This structure was supported by confirmatory factor analysis. Several demographic and job-related variables that might relate to burnout were regressed on the total, personal and social factor scores. Age is the predominant (negative) predictor of burnout as measured by the total scale and the personal factor scores. All variables predict burnout as measured by the social factor. However, in all models, the predictor variables account for no more than 5% of the total variance. These findings suggest that demographic factors and working conditions are poor predictors of burnout among clergy.     

A Call for Interdisciplinary Collaboration to Promote Musculoskeletal Health: The Creation of the International Musculoskeletal Mental and Social Health Consortium (I-MESH)

Despite increasing recognition of psychosocial factors in musculoskeletal conditions, its impact on reducing the global toll of musculoskeletal symptoms has been only incremental. It is time to bring together clinicians and researchers with heterogeneous backgrounds, unified by a commitment to reduce the global impact of musculoskeletal illness by addressing mental and social health factors. In 2020, we initiated the International Musculoskeletal Mental and Social Health Consortium. Our current key priority areas are: (1) Develop best practices for uniform terminology, (2) Understand barriers to mental and social health care for musculoskeletal conditions, (3) Develop clinical and research resources. The purpose of this paper is to render a call to interdisciplinary collaboration on the psychological aspects of musculoskeletal health. We believe this international interdisciplinary collaboration is pivotal to the advancement of the biopsychosocial model of musculoskeletal care and has the potential to improve the health of individuals with musculoskeletal conditions globally.

     

Safety at work: a meta-analytic investigation of the link between job demands, job resources, burnout, engagement, and safety outcomes

In this article, we develop and meta-analytically test the relationship between job demands and resources and burnout, engagement, and safety outcomes in the workplace. In a meta-analysis of 203 independent samples (N = 186,440), we found support for a health impairment process and for a motivational process as mechanisms through which job demands and resources relate to safety outcomes. In particular, we found that job demands such as risks and hazards and complexity impair employees' health and positively relate to burnout. Likewise, we found support for job resources such as knowledge, autonomy, and a supportive environment motivating employees and positively relating to engagement. Job demands were found to hinder an employee with a negative relationship to engagement, whereas job resources were found to negatively relate to burnout. Finally, we found that burnout was negatively related to working safely but that engagement motivated employees and was positively related to working safely. Across industries, risks and hazards was the most consistent job demand and a supportive environment was the most consistent job resource in terms of explaining variance in burnout, engagement, and safety outcomes. The type of job demand that explained the most variance differed by industry, whereas a supportive environment remained consistent in explaining the most variance in all industries.     

核心自我评价和生活满意度对澳门中学生学业倦怠的影响

采用问卷调查法,以336名澳门中学生为被试,探讨澳门中学生的核心自我评价、生活满意度与学业倦怠的关系。结果发现,(1)澳门中学生的核心自我评价、生活满意度对学业倦怠有负向影响作用。(2)生活满意度在核心自我评价与学业倦怠间起调节作用:高生活满意度的个体,核心自我评价越高,学业倦怠程度越低;低生活满意度个体,无论核心自我评价的高低,学业倦怠程度都较高。     

Pastoral Burnout and the Impact of Personal Spiritual Renewal,Rest-taking,and Support System Practices

Pastors risk burnout because of inordinate ministerial demands, which may drain their emotional, cognitive, spiritual, and physical energy reserves and impair their overall effectiveness. Burnout advances across three dimensions: emotional exhaustion, depersonalization, and reduced accomplishment. The debilitating effects of pastoral burnout were examined through a survey of 270 pastors. Relationships between burnout and three potentially preventative or mitigating factors, spiritual renewal, rest-taking, and support system practices, were explored. The results identified spiritual dryness as the primary predictor of emotional exhaustion, the stress dimension of burnout. In the published literature, no other work to date has empirically substantiated a link between pastors’ spirituality and burnout. These findings expand the burnout construct and promote leader self-care practices that foster resilience, vitality, and well-being.