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      Burnout as a State: Random-Intercept Cross-Lagged Relationship Between Exhaustion and Disengagement in a 10-Day Study

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          Abstract

          Background

          Burnout has been traditionally seen as a chronic and stable state in response to prolonged stress. However, measures of momentary burnout are not well established, even though the within-person approach suggests that the symptoms of burnout may vary from day to day for the same employee. The aim of this study is to examine the daily inter- and intra-personal variability of the symptoms of burnout and the cross-lagged relationship between two components of burnout, exhaustion and disengagement.

          Methods

          An online diary study over 10 consecutive workdays was conducted among 235 civil servants (75% women, average tenure of 15 years). Daily burnout was measured with the eight-item Oldenburg Burnout Inventory.

          Results

          The intra-class correlation coefficients indicate that, although significant between-person variability exists, most of the burnout variance is within persons. Using the random intercept cross-lagged panel (RI-CLP) model to control for these between-person differences, mainly insignificant “pure” within-person cross-lagged relationships between exhaustion and disengagement were revealed. Moreover, day-to-day autoregressive effects were weaker than same-day residual correlations.

          Conclusion

          This is one of the first studies to use daily diaries and the RI-CLP model to study burnout, including the separation of the more stable and more dynamic parts of each component. When stable parts were controlled for, the same-day relationships between exhaustion and disengagement were more pronounced than day-to-day effects. This might suggest stronger situational influences than carryover mechanism. Thus, conceptualizing burnout in terms of daily symptoms may shed promising insights into how it develops and add implications for pro-healthy changes in the workplace.

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          Most cited references54

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          Diary Studies in Organizational Research

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            Recovery from job stress: The stressor-detachment model as an integrative framework

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              A systematic review including meta-analysis of work environment and burnout symptoms

              Background Practitioners and decision makers in the medical and insurance systems need knowledge on the relationship between work exposures and burnout. Many burnout studies – original as well as reviews - restricted their analyses to emotional exhaustion or did not report results on cynicism, personal accomplishment or global burnout. To meet this need we carried out this review and meta-analyses with the aim to provide systematically graded evidence for associations between working conditions and near-future development of burnout symptoms. Methods A wide range of work exposure factors was screened. Inclusion criteria were: 1) Study performed in Europe, North America, Australia and New Zealand 1990–2013. 2) Prospective or comparable case control design. 3) Assessments of exposure (work) and outcome at baseline and at least once again during follow up 1–5 years later. Twenty-five articles met the predefined relevance and quality criteria. The GRADE-system with its 4-grade evidence scale was used. Results Most of the 25 studies focused emotional exhaustion, fewer cynicism and still fewer personal accomplishment. Moderately strong evidence (grade 3) was concluded for the association between job control and reduced emotional exhaustion and between low workplace support and increased emotional exhaustion. Limited evidence (grade 2) was found for the associations between workplace justice, demands, high work load, low reward, low supervisor support, low co-worker support, job insecurity and change in emotional exhaustion. Cynicism was associated with most of these work factors. Reduced personal accomplishment was only associated with low reward. There were few prospective studies with sufficient quality on adverse chemical, biological and physical factors and burnout. Conclusion While high levels of job support and workplace justice were protective for emotional exhaustion, high demands, low job control, high work load, low reward and job insecurity increased the risk for developing exhaustion. Our approach with a wide range of work exposure factors analysed in relation to the separate dimensions of burnout expanded the knowledge of associations, evidence as well as research needs. The potential of organizational interventions is illustrated by the findings that burnout symptoms are strongly influenced by structural factors such as job demands, support and the possibility to exert control. Electronic supplementary material The online version of this article (doi:10.1186/s12889-017-4153-7) contains supplementary material, which is available to authorized users.
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                Author and article information

                Journal
                Psychol Res Behav Manag
                Psychol Res Behav Manag
                PRBM
                prbm
                Psychology Research and Behavior Management
                Dove
                1179-1578
                16 March 2020
                2020
                : 13
                : 267-278
                Affiliations
                [1 ]Faculty of Management and Economics, Gdansk University of Technology , Gdansk, Poland
                [2 ]Faculty of Psychology, SWPS University of Social Sciences and Humanities , Warsaw, Poland
                Author notes
                Correspondence: Beata A Basinska Faculty of Management and Economics, Gdansk University of Technology , Narutowicza 11/12, Gdansk80-233, PolandTel +48 58 647 1899Fax +48 58 347 1861 Email Beata.Basinska@pg.edu.pl
                Author information
                http://orcid.org/0000-0002-6532-7093
                http://orcid.org/0000-0003-1293-9798
                Article
                244397
                10.2147/PRBM.S244397
                7084126
                32214858
                5ca06df6-b751-464a-9ae9-9c256aa26d06
                © 2020 Basinska and Gruszczynska.

                This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License ( http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms ( https://www.dovepress.com/terms.php).

                History
                : 01 January 2020
                : 27 February 2020
                Page count
                Figures: 3, Tables: 2, References: 80, Pages: 12
                Categories
                Original Research

                Clinical Psychology & Psychiatry
                burnout,diary study,multilevel analysis,cross-lagged effect,the oldenburg burnout inventory

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