Journal of Psychosomatic Research
Volume 65, Issue 1 , Pages 5-12 , July 2008

On the nature of burnout–insomnia relationships: A prospective study of employed adults

  • Galit Armon

      Affiliations

    • Faculty of Management, Tel-Aviv University, Tel-Aviv, Israel
    • ,
  • Arie Shirom

      Affiliations

    • Faculty of Management, Tel-Aviv University, Tel-Aviv, Israel
    • ,
  • Itzhak Shapira

      Affiliations

    • Tel-Aviv Sourasky Medical Center and Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel
    • ,
  • Samuel Melamed

      Affiliations

    • Department of Epidemiology and Preventive Medicine, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel
    • Corresponding Author InformationCorresponding author. Department of Epidemiology and Preventive Medicine, Sackler Faculty of Medicine, Tel-Aviv University, Ramat Aviv, PO Box 39010, Tel-Aviv 69978, Israel. Tel.: +972 508626743; fax: +972 773441319.

Received 11 July 2007 ,Revised 21 January 2008 ,Accepted 24 January 2008.

References 

  1. Melamed S, Shirom A, Toker S, Berliner S, Shapira I. Burnout and risk of cardiovascular disease: evidence, possible causal paths, and promising research directions. Psychol Bull. 2006;132:327–353
  2. Schaufeli WB, Enzmann D. The burnout companion to study and practice: a critical analysis. Washington, DC: Taylor and Francis; 1998;
  3. Melamed S, Shirom A, Toker S, Shapira I. Burnout and risk of type 2 diabetes: a prospective study of apparently healthy employed persons. Psychosom Med. 2006;68:863–869
  4. Honkonen T, Aholaa K, Pertovaarab M, Isomet E, Kalimo R, Nykyrid E, et al. The association between burnout and physical illness in the general population—results from the Finnish Health 2000 Study. J Psychosom Res. 2006;61:59–66
  5. Sheiner E, Sheiner EK, Carel R, Potashnik G, Shoham-Vardi I. Potential association between male infertility and occupational psychological stress. J Occup Environ Med. 2002;44:1093–1099
  6. Melamed S, Ugarten U, Shirom A, Kahana L, Lerman Y, Froom P. Chronic burnout, somatic arousal and elevated cortisol levels. J Psychosom Res. 1999;46:591–598
  7. Grossi G, Perski A, Evengard B, Blomkvist V, Orth-Gomer K. Physiological correlates of burnout among women. J Psychosom Res. 2003;55:309–316
  8. Ekstedt M, Soderstrom M, Akerstedt T, Nilsson J, Sondergaard H, Aleksander P. Disturbed sleep and fatigue in occupational burnout. Scand J Work Environ Health. 2006;32:121–131
  9. 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;62:487–494
  10. American Psychiatric Association . Diagnostic and statistical manual of mental disorders. 4th ed.. Washington, DC: American Psychiatric Association; 1994;
  11. American Sleep Disorder Association . The International Classification of Sleep Disorders, Revised: diagnostic and coding manual. Rochester, MN: American Sleep Disorders Association; 1997;
  12. Costa e Silva JA, Chase M, Sartorius N, Roth T. Special report from a symposium held by the World Health Organization and the World Federation of Sleep Research Societies: an overview of insomnias and related disorders—recognition, epidemiology, and rational management. Sleep. 1996;19:412–416
  13. Roth T, Roehrs T, Pies R. Insomnia: pathophysiology and implications for treatment. Sleep Med Rev. 2007;11:71–79
  14. Carney R, Freedland K, Jaffe A. Insomnia and depression prior to myocardial infarction. Psychosom Med. 1990;52:603–609
  15. Schwartz S, McDowell AW, Cole SR, Cornoni-Huntley J, Hays JC, Blazer D. Insomnia and heart disease: a review of epidemiological studies. J Psychosom Res. 1999;47:313d–333d
  16. van Diest R. Subjective sleep characteristics as coronary risk factors, their association with type a behavior and vital exhaustion. J Psychosom Res. 1990;34:415–426
  17. Jansson M, Linton SJ. Psychosocial work stressors in the development and maintenance of insomnia: a prospective study. J Occup Health Psychol. 2006;11:241–248
  18. Corrigan PW, Holmes EP, Luchins D, Buican B, Basit A, Parkes JJ. Staff burnout in a psychiatric hospital: a cross-lagged panel design. J Organ Behav. 1994;15:65–74
  19. de Jonge J, Dormann C, Janssen PPM, Dollard MF, Landeweerd JA, Nijhuis FJN. Testing reciprocal relationships between job characteristics and psychological well-being: a cross-lagged structural equation model. J Occup Organ Psychol. 2001;74:29–46
  20. Kushnir T, Melamed S. The Gulf War and its impact on burnout and well-being of working civilians. Psychol Med. 1992;22:987–995
  21. Hobfoll SE. The ecology of stress. Washington, DC: Hemisphere Publishing Co; 1988;
  22. Hobfoll SE. Conservation of Resources: a new attempt at conceptualizing stress. Am Psychol. 1989;44:513–524
  23. Shirom A, Melamed S, Toker S, Berliner S, Shapira I. Burnout and health review: current knowledge and future research directions. In:  Hodgkinson GP,  Ford JK editor. International review of industrial and organizational psychology. Chichester, UK: Wiley and Sons; 2005;p. 269–309
  24. Hobfoll SE, Shirom A. Conservation of Resources theory: applications to stress and management in the workplace. In:  Golembiewski RT editors. Handbook of organization behavior. 2nd revised ed.. New York: Dekker; 2000;p. 57–81
  25. Franssen PML, Bultmann U, Kant I, van Amelsvoort LGPM. The association between chronic diseases and fatigue in the working population. J Psychosom Res. 2003;54:339–344
  26. Foley D, Ancoli-Israel S, Britz P, Walsh J. Sleep disturbances and chronic disease in older adults: results of the 2003 National Sleep Foundation Sleep in America Survey. J Psychosom Res. 2004;56:497–502
  27. Shirom A, Melamed S. A comparison of the construct validity of two burnout measures in two groups of professionals. Int J Stress Manag. 2006;13:176–200
  28. Melamed S, Kushnir T, Shirom A. Burnout and risk factors for cardiovascular disease. Behav Med. 1992;18:53–60
  29. Soldatos CR, Dikeos DG, Paparrigopoulos TJ. Athens Insomnia Scale: validation of an instrument based on ICD-10 criteria. J Psychosom Res. 2000;48:555–560
  30. Utsugi M, Saijo Y, Yoshioka E, Horikawa N, Sato T, Gong Y, et al. Relationships of occupational stress to insomnia and short sleep in Japanese workers. Sleep. 2005;28:728–737
  31. Ford DE, Kamerow DB. Epidemiologic study of sleep disturbances and psychiatric disorders. An opportunity for prevention?. JAMA. 1989;262:1479–1484
  32. Kamel NS, Gammack JK. Insomnia in the elderly: cause, approach, and treatment. Am J Med. 2006;119:463–469
  33. Krystal AD. Insomnia in women. Clin Cornerstone. 2003;5:41–50
  34. Voderholzer U, Al-Shajlawi A, Weske G, Feige B, Riemann D. Are there gender differences in objective and subjective sleep measures? A study of insomniacs and healthy controls. Depress Anxiety. 2003;17:162–172
  35. Scott BA, Judge TA. Insomnia, emotions, and job satisfaction: a multilevel study. J Manag. 2006;32:622–645
  36. Vgontzas AN, Bixler EO, Chrousos GP. Obesity-related sleepiness and fatigue: the role of the stress system and cytokines. Ann N Y Acad Sci. 2006;1083:329–344
  37. Cizza G, Skarulis M, Mignot E. A link between short sleep and obesity: building the evidence for causation. Sleep. 2005;28:1217–1220
  38. Lean MEJ. Pathophysiology of obesity. Proc Nutr Soc. 2000;59:331–336
  39. Vgontzas AN, Tsigos C, Bixler EO, Stratakis CA, Zachman K, Kales A, et al. Chronic insomnia and activity of the stress system: a preliminary study. J Psychosom Res. 1998;45:21–31
  40. Suls J, Bunde J. Anger, anxiety and depression as risk factors for cardiovascular disease: the problems and implications of overlapping affective dispositions. Psychol Bull. 2005;131:260–301
  41. Glass DC, McKnight JD. Perceived control, depressive symptomatology, and professional burnout: a review of the evidence. Psychol Health. 1996;11:23–48
  42. Tsuno A, Besset A, Ritchie K. Sleep and depression. J Clin Psychiatry. 2005;66:1254–1269
  43. Spitzer RL, Kroenke K, Williams JB The Patient Health Questionnaire Primary Care Study Group. Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. JAMA. 1999;282:1737–1744
  44. Spitzer RL, Williams JB, Kroenke K, Linzer M, deGruy FV, Hahn SR, et al. Utility of a new procedure for diagnosing mental disorders in primary care. The PRIME-MD 1000 study. JAMA. 1994;272:1749–1756
  45. Dietrich AJ, Oxman TE, Burns MR, Winchell CW, Chin T. Application of a depression management office system in community practice: a demonstration. J Am Board Fam Pract. 2003;16:107–114
  46. Nease DE, Maloin JM. Depression screening: a practical strategy. J Fam Pract. 2003;52:118–124
  47. Douglas KM, Taylor AJ, O'Malley PG. Relationship between depression and C-reactive protein in a screening population. Psychosom Med. 2004;66:679–683
  48. Suls J. Affect, stress, and personality. In:  Forgas JP editors. Handbook of affect and social cognition. Mahwah, NJ: Lawrence Erlbaum; 2001;p. 392–409
  49. LeBlanc M, Beaulieu-Bonneau S, Merette C, Savard J, Ivers H, Morin CM. Psychological and health-related quality of life associated with insomnia in a population based sample. J Psychosom Res. 2007;63:157–166
  50. Gray KG, Watson D. General and specific traits of personality and their relation to sleep and academic performance. J Pers. 2002;70:78–206
  51. Saucier G. Mini-Markers: a brief version of Goldberg's unipolar Big-Five Markers. J Pers Assess. 1994;63:506–516
  52. Yoon K, Schmidt FL, Ilies R. Cross-cultural construct validity of the Five-Factor Model of Personality among Korean employees. J Cross Cult Psychol. 2002;33:217–235
  53. Hendriks JM, Perugini EA. The Five-Factor Personality Inventory: cross-cultural generalizability across 13 countries. Eur J Pers. 2003;17:347–373
  54. Twisk JWR. Applied longitudinal data analysis of epidemiology. Cambridge, UK: Cambridge University Press; 2003;
  55. Aiken LA, West SG. Multiple regression: testing and interpreting interactions. Newbury Park, CA: Sage; 1992;
  56. Cortina JM. Interaction, nonlinearity, and multicollinearity: implications for multiple regression. J Manag. 1993;19:915–922
  57. Toker S, Shirom A, Shapira I, Berliner S, Melamed S. The association between burnout, depression, anxiety, and inflammation biomarkers: C-reactive protein and fibrinogen in men and women. J Occup Health Psychol. 2005;10:344–362
  58. Rodenbeck A, Huether G, Ruther E, Hajak G. Interactions between evening and nocturnal cortisol secretion and sleep parameters in patients with severe chronic primary insomnia. Neurosci Lett. 2002;324:159–163
  59. Vgontzas AN, Bixler EO, Lin H-M, Prolo P, Mastorakos G, Vela-Bueno A, et al. Chronic insomnia is associated with nyctohemeral activation of the hypothalamic–pituitary–adrenal axis: clinical implications. J Clin Endocrinol Metab. 2001;86:3787–3794
  60. Vgontzas AN, Zoumakis M, Bixler EO, Lin H-M, Prolo P, Vela-Bueno A, et al. Impaired nighttime sleep in healthy old versus young adults is associated with elevated plasma interleukin-6 and cortisol levels: physiologic and therapeutic implications. J Clin Endocrinol Metab. 2003;88:2087–2095
  61. Heim C, Ehlert U, Hellhammer DH. The potential role of hypocortisolism in the pathophysiology of stress-related bodily disorders. Psychoneuroendocrin. 2000;25:1–35
  62. Black PH, Garbutt LD. Stress, inflammation and cardiovascular disease. J Psychosom Res. 2002;52:1–23
  63. Tsigos C, Chrousos GP. Hypothalamic–pituitary–adrenal axis, neuroendocrine factors and stress. J Psychosom Res. 2002;53:865–871
  64. Chan D. Data analysis and modeling longitudinal processes. Group Organ Manag. 2003;28:341–365
  65. Rosenthal R, Rosnow RL, Rubin DB. Contrasts and effect sizes in behavioral research. Cambridge, England: Cambridge University Press; 2000;
  66. Maslach C, Leiter MP. The truth about burnout. San Francisco: Jossey-Bass; 1997;
  67. Schaufeli WB, Buunk BP. Burnout: an overview of 25 years of research and theorizing. In:  Schabracq MJ,  Winnubst JAM,  Cooper CC editor. The handbook of work and health psychology. 2nd ed.. West Sussex, UK: Wiley; 2003;p. 383–429
  68. Shirom A. Job-related burnout. In:  Quick JC,  Tetrick LE editor. Handbook of occupational health psychology. Washington, DC: American Psychological Association; 2003;p. 245–265
  69. Taylor JR, Vazquez CM, Campbell KM. Pharmacological management of chronic insomnia. South Med J. 2006;99:1373–1377
  70. Morin CM, Bootzin RR, Buysse DJ, Edinger JD, Espie CA, Lichstein KL. Psychological and behavioral treatment of insomnia: update of the recent evidence. Sleep. 2006;29:1398–1414
  71. Belanger L, Savard J, Morin CM. Clinical management of insomnia using cognitive therapy. Behav Sleep Med. 2006;4:179–198

PII: S0022-3999(08)00047-0

doi: 10.1016/j.jpsychores.2008.01.012

Journal of Psychosomatic Research
Volume 65, Issue 1 , Pages 5-12 , July 2008

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