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| [PMID]: | 29385150 |
| [Au] Autor: | Metlaine A; Sauvet F; Gomez-Merino D; Boucher T; Elbaz M; Delafosse JY; Leger D; Chennaoui M |
| [Ad] Endereço: | Université Paris Descartes, Sorbonne Paris Cité, Hôtel Dieu, Paris, France. |
| [Ti] Título: | Sleep and biological parameters in professional burnout: A psychophysiological characterization. |
| [So] Source: | PLoS One;13(1):e0190607, 2018. | | [Is] ISSN: | 1932-6203 |
| [Cp] País de publicação: | United States |
| [La] Idioma: | eng |
| [Ab] Resumo: | Professional burnout syndrome has been described in association with insomnia and metabolic, inflammatory and immune correlates. We investigated the interest of exploring biological parameters and sleep disturbances in relation to burnout symptoms among white-collar workers. Fifty-four participants with burnout were compared to 86 healthy control participants in terms of professional rank level, sleep, job strain (Karasek questionnaire), social support, anxiety and depression (HAD scale). Fasting concentrations of glycaemia, glycosylated hemoglobin (HbA1C), total-cholesterol, triglycerides, C-reactive protein (CRP), thyroid stimulating hormone (TSH), 25-hydroxyvitamin D (25[OH]D), and white blood cell (WBC) counts were assessed. Analysis of variance and a forward Stepwise Multiple Logistic Regression were made to identify predictive factors of burnout. Besides reporting more job strain (in particular job control p = 0.02), higher levels of anxiety (p<0.001), and sleep disorders related to insomnia (OR = 21.5, 95%CI = 8.8-52.3), participants with burnout presented higher levels of HbA1C, glycaemia, CRP, lower levels of 25(OH)D, higher number of leukocytes, neutrophils and monocytes (P<0.001 for all) and higher total-cholesterol (P = 0.01). In particular, when HbA1c is > 3.5%, the prevalence of burnout increases from 16.6% to 60.0% (OR = 4.3, 95%CI = 2.8-6.9). Strong significant positive correlation existed between HbA1C and the two dimensions (emotional exhaustion and depersonalization (r = 0.79 and r = 0.71, p<0.01)) of burnout. Models including job strain, job satisfaction, anxiety and insomnia did not predict burnout (p = 0.30 and p = 0.50). However, when HbA1C levels is included, the prediction of burnout became significant (P = 0.03). Our findings demonstrated the interest of sleep and biological parameters, in particular HbA1C levels, in the characterization of professional burnout. |
| [Mh] Termos MeSH primário: |
Esgotamento Profissional
Psicofísica
Distúrbios do Início e da Manutenção do Sono/etiologia
Sono
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| [Mh] Termos MeSH secundário: |
Adulto
Proteína C-Reativa/metabolismo
Calcifediol/sangue
Estudos de Casos e Controles
Feminino
França
Hemoglobina A Glicada/metabolismo
Seres Humanos
Modelos Logísticos
Masculino
Exposição Ocupacional
Apoio Social
Tireotropina/sangue
Adulto Jovem
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| [Pt] Tipo de publicação: | JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T |
[Nm] Nome de substância:
| 0 (Glycated Hemoglobin A); 0 (hemoglobin A1c protein, human); 9002-71-5 (Thyrotropin); 9007-41-4 (C-Reactive Protein); P6YZ13C99Q (Calcifediol) |
| [Em] Mês de entrada: | 1802 |
| [Cu] Atualização por classe: | 180221 |
[Lr] Data última revisão:
| 180221 |
| [Sb] Subgrupo de revista: | IM |
| [Da] Data de entrada para processamento: | 180201 |
| [St] Status: | MEDLINE |
| [do] DOI: | 10.1371/journal.pone.0190607 |
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