Eveningness and its possibility of predicting burnout symptoms among physicians and nurses – preliminary results

Authors

  • Łukasz Mokros Department of Clinical Pharmacology, Medical University of Lodz, Lodz, Poland Author
  • Jacek Koprowicz Psychiatry Centre of Pabianice, Medical Centre of Pabianice, Pabianice, Poland Author
  • Katarzyna Nowakowska-Domagała Department of Preventive and Addiction Psychology, Institute of Psychology, University of Lodz, Lodz, Poland Author
  • Juliusz Rodak Babinski Memorial Hospital, Lodz, Poland Author
  • Tadeusz Pietrasik Psychiatry Centre of Pabianice, Medical Centre of Pabianice, Pabianice, Poland Author

DOI:

https://doi.org/10.1515/cpp-2018-0003

Keywords:

sleep quality, chronotype, circadian preference, doctors

Abstract

Introduction. A sense of burnout may seriously impair one’s functioning and well-being. It may also hamper the quality of care over a patient. The present study therefore assesses sleep quality and chronotype as predictors of a sense of burnout in physicians and nurses of a district hospital.

Material and methods. The study group comprised 16 physicians and 31 nurses of a district hospital in Central Poland. The participants completed the Link Burnout Questionnaire (LBQ), Chronotype Questionnaire, and Pittsburgh Sleep Quality Inventory. A linear regression model was constructed for each LBQ dimension by means of stepwise elimination. Each model was adjusted to empirical data (p<0.05).

Results. A rise in Psychophysical exhaustion was predicted by greater scores for Morningness-Eveningness (ME) and Distinctness (DI) of the rhythm. A higher ME score was associated with higher scores in Relationship deterioration and Sense of professional ineffectiveness, with the latter also associated with presence in the nurses group. The nurses group also demonstrated higher Disillusionment and Psychophysical exhaustion scores than the physicians group.

Conclusions. Eveningness predicted greater burnout in the studied sample. Thus, chronotype should be considered an important burnout risk factor and it can act as a starting point for devising behavioural interventions.

References

1. Maslach C, Jackson SE, Leiter M. The Maslach Burnout Inventory: Manual. Maslach Burn Invent. 1996;(January):191-218.

2. Siemiński M, Nitka-Siemińska A, Nyka WM. Zespół wypalenia. Forum Med Rodz. 2007;1(1):45-9.

3. Jaworowska A. LBQ - Kwestionariusz Wypalenia Zawodowego - polska normalizacja. Podręcznik. Warszawa: Pracownia Testów Psychologicznych Polskiego Towarzystwa Psychologicznego; 2014.

4. Bianchi R, Schonfeld IS, Laurent E. Burnout-depression overlap: A review. Clin Psychol Rev [Internet]. 2015;36(January):28-41. Available from: http://dx.doi.org/10.1016/j.cpr.2015.01.004

5. Chiu LYL, Stewart K, Woo C, Yatham LN, Lam RW. The relationship between burnout and depressive symptoms in patients with depressive disorders. J Affect Disord. 2015;172(January):361-6.

6. Canadas-De la Fuente GA, Vargas C, San Luis C, Garcia I, Can, Adas GR, et al. Risk factors and prevalence of burnout syndrome in the nursing profession. Int J Nurs Stud. 2015;52(1):240-9.

7. Embriaco N, Hraiech S, Azoulay E, Baumstarck-Barrau K, Forel J-M, Kentish-Barnes N, et al. Symptoms of depression in ICU physicians. Ann Intensive Care [Internet]. 2012;2(1):34. Available from: http://annalsofintensivecare.springeropen.com/articles/10.1186/2110-5820-2-34

8. Adan A, Archer SN, Hidalgo MP, Di Milia L, Natale V, Randler C. Circadian Typology: A Comprehensive Review. Chronobiol Int [Internet]. 2012;29(9):1153-75. Available from: http://www.tandfonline.com/doi/full/10.3109/07420528.2012.719971

9. Kontrymowicz-Ogińska H. Chronotyp. Aspekty behawioralne, korelaty osobowościowe, konsekwencje zdrowotne. Kraków: Księgarnia Akademicka; 2012.

10. Merikanto I, Kronholm E, Peltonen M, Laatikainen T, Vartiainen E, Partonen T. Circadian preference links to depression in general adult population. J Affect Disord [Internet]. 2015 Dec 1 [cited 2015 Nov 15];188:143-8. Available from: http://www.jad-journal.com/article/S0165032715303475/fulltext

11. Merikanto I, Suvisaari J, Lahti T, Partonen T. Eveningness relates to burnout and seasonal sleep and mood problems among young adults. Nord J Psychiatry [Internet]. 2016;70(1):72-80. Available from: http://www.tandfonline.com/doi/full/10.3109/08039488. 2015.1053519

12. Oginska H, Oginska-Bruchal K. Chronotype and personality factors of predisposition to seasonal affective disorder. Chronobiol Int [Internet]. 2014;31(4):523-31. Available from: http://www.ncbi. nlm.nih.gov/pubmed/24397301

13. Mokros Ł, Witusik A, Michalska J, Łężak W, Panek M, Nowakowska- Domagała K, et al. Sleep quality, chronotype, temperament and bipolar features as predictors of depressive symptoms among medical students. Chronobiol Int [Internet]. 2017;0(0):1-13. Available from: https://www.tandfonline.com/doi/full/10.1080/07420528.2017.1316730

14. Nowakowska-Domagała K, Mokros Ł, Jabłkowska-Górecka K, Grzelińska J, Pietras T. The relationship between chronotype and personality among patients with alcohol dependence syndrome: Pilot study. Chronobiol Int [Internet]. 2016;528(August):1-8. Available from: https://www.tandfonline.com/doi/full/10.1080/ 07420528.2016.1213738

15. Kumar S. Burnout and Doctors: Prevalence, Prevention and Intervention. Healthc (Basel, Switzerland) [Internet]. 2016;4(3). Available from: http://www.ncbi.nlm.nih.gov/pubmed/27417625

16. Gómez-García T, Ruzafa-Martínez M, Fuentelsaz-Gallego C, Madrid JA, Rol MA, Martínez-Madrid MJ, et al. Nurses’ sleep quality, work environment and quality of care in the Spanish National Health System: observational study among different shifts. BMJ Open [Internet]. 2016;6(8):e012073. Available from: http://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2016-012073

17. Cheng W-J, Cheng Y. Night shift and rotating shift in association with sleep problems, burnout and minor mental disorder in male and female employees. Occup Environ Med [Internet]. 2016;(November):oemed-2016-103898. Available from: http://oem.bmj.com/lookup/doi/10.1136/oemed-2016-103898

18. Ogińska H. Can you feel the rhythm? A short questionnaire to describe two dimensions of chronotype. Pers Individ Dif. 2011;50(7):1039-43.

19. Buysse DJ, Reynolds III CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Res [Internet]. 1989 Jul 17;28(2):193-213. Available from: http://dx.doi.org/10.1016/0165-1781(89)90047-4

20. Ośrodek Medycyny Snu Instytutu Psychiatrii i Neurologii w Warszawie. Skala Jakości Snu Pittsburgh [Internet]. 2008. Available from: http://www.sen-instytut.pl/SkaleKwestionariusze/KwestionariuszJakosciSnuPittsburgh.pdf 21.

21. Hornowska E. Testy psychologiczne. Teoria i praktyka. wydanie cz. Warszawa: Wydawnictwo Naukowe SCHOLAR; 2016. 260 p.

22. Fronczyk K, editor. Psychometria - podstawowe zagadnienia. I. Warszawa: Wyższa Szkoła Finansów i Zarządzania w Warszawie; 2009. 253 p.

23. Arora RS, Thawani R, Goel A. Burnout and Sleep Quality: A Cross- Sectional Questionnaire-Based Study of Medical and Non-Medical Students in India. Cureus [Internet]. 2015;7(10). Available from: http://www.cureus.com/articles/3243-burnout-and-sleepquality-a-cross-sectional-questionnaire-based-study-of-medicaland- non-medical-students-in-india

24. Demir Zencirci A, Arslan S. Morning-evening type and burnout level as factors influencing sleep quality of shift nurses: a questionnaire study. Croat Med J [Internet]. 2011;52(4):527-37. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3160700/

25. Pacheco JP, Giacomin HT, Tam WW, Ribeiro TB, Arab C, Bezerra IM, et al. Mental health problems among medical students in Brazil: a systematic review and meta-analysis. Rev Bras Psiquiatr [Internet]. 2017;(0). Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462017005015102&lng=en &tlng=en

26. Vela-Bueno A, Moreno-Jiménez B, Rodríguez-Muñoz A, Olavarrieta- Bernardino S, Fernández-Mendoza J, De la Cruz-Troca JJ, et al. Insomnia and sleep quality among primary care physicians with low and high burnout levels. J Psychosom Res. 2008;64(4):435-42.

27. Sonnenschein M, Sorb MJ, Verbraak MJPM, Schaufeli WB, Maas CJM, van Doomen LJP. Influence of sleep on symptom improvement and return to work in clinical burnout. Scand J Work Environ Heal. 2008;34(1):23-32.

28. Sonnenschein M, Sorbi MJ, van Doornen LJP, Schaufeli WB, Maas CJM. Evidence that impaired sleep recovery may complicate burnout improvement independently of depressive mood. J Psychosom Res. 2007;62(4):487-94.

29. Wilson S, Nutt DJ. Sleep Disorders (Oxford Psychiatry Library). Oxford: Oxford University Press; 2013.

30. Li L, Wu C, Gan Y, Qu X, Lu Z. Insomnia and the risk of depression: a meta-analysis of prospective cohort studies. BMC Psychiatry [Internet]. 2016;16(1):375. Available from: http://bmcpsychiatry. biomedcentral.com/articles/10.1186/s12888-016-1075-3

Downloads

Published

2018-05-10