دورية أكاديمية

Burnout and cortisol: evidence for a lower cortisol awakening response in both clinical and non-clinical burnout.

التفاصيل البيبلوغرافية
العنوان: Burnout and cortisol: evidence for a lower cortisol awakening response in both clinical and non-clinical burnout.
المؤلفون: Oosterholt BG; Behavioural Science Institute, Radboud University Nijmegen, Nijmegen, the Netherlands; Donders Institute for Brain, Cognition and Behaviour, Radboud University Nijmegen, Nijmegen, the Netherlands. Electronic address: b.oosterholt@psych.ru.nl., Maes JHR; Donders Institute for Brain, Cognition and Behaviour, Radboud University Nijmegen, Nijmegen, the Netherlands., Van der Linden D; Institute of Psychology, Erasmus University, Rotterdam, the Netherlands., Verbraak MJPM; Behavioural Science Institute, Radboud University Nijmegen, Nijmegen, the Netherlands; HSK Group, Arnhem, the Netherlands., Kompier MAJ; Behavioural Science Institute, Radboud University Nijmegen, Nijmegen, the Netherlands.
المصدر: Journal of psychosomatic research [J Psychosom Res] 2015 May; Vol. 78 (5), pp. 445-451. Date of Electronic Publication: 2014 Nov 08.
نوع المنشور: Comparative Study; Journal Article
اللغة: English
بيانات الدورية: Publisher: Pergamon Press Country of Publication: England NLM ID: 0376333 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-1360 (Electronic) Linking ISSN: 00223999 NLM ISO Abbreviation: J Psychosom Res Subsets: MEDLINE
أسماء مطبوعة: Publication: Oxford : Pergamon Press
Original Publication: London.
مواضيع طبية MeSH: Circadian Rhythm*, Burnout, Professional/*metabolism , Hydrocortisone/*metabolism , Saliva/*metabolism, Adult ; Burnout, Professional/diagnosis ; Female ; Humans ; Male ; Middle Aged ; Severity of Illness Index
مستخلص: Objective: Although the relationship between burnout and cortisol levels has been examined in previous studies, the results are mixed. By adopting a design in which we attempted to overcome important limitations of earlier research, the purpose of the present study was to improve the understanding of the biological underpinnings of burnout and to further the knowledge about the relationship between burnout and cortisol.
Methods: A clinical burnout patient group (n =32), a non-clinical burnout group (n =29), and a healthy control group (n =30) were compared on burnout symptoms, physical and psychological complaints, and on cortisol levels. In order to examine a broad range of cortisol indices, including different measures of the cortisol awakening response (CAR) and several day-curve measures, salivary cortisol was collected six times a day during two consecutive non-workdays.
Results: As expected, the clinical burnout group reported more burnout symptoms, and physical and psychological complaints than the non-clinical burnout group, which in turn reported more burnout symptoms and physical and psychological complaints than the healthy control group. With regard to cortisol levels, we found that until 30 min after awakening, the CAR of both the clinical and the non-clinical burnout group was lower compared with the healthy control group. Furthermore, there was some evidence that the decline of cortisol during the day was smaller in the non-clinical burnout group than in the healthy control group.
Conclusion: The results of the present study provide support for lowered cortisol in both clinical and non-clinical burnout.
(Copyright © 2014 Elsevier Inc. All rights reserved.)
فهرسة مساهمة: Keywords: CAR; Emotional exhaustion; Fatigue; HPA axis; Salivary cortisol; Work stress
المشرفين على المادة: WI4X0X7BPJ (Hydrocortisone)
تواريخ الأحداث: Date Created: 20141201 Date Completed: 20151001 Latest Revision: 20200725
رمز التحديث: 20240513
DOI: 10.1016/j.jpsychores.2014.11.003
PMID: 25433974
قاعدة البيانات: MEDLINE
الوصف
تدمد:1879-1360
DOI:10.1016/j.jpsychores.2014.11.003