Examining reactivity patterns in burnout and other indicators of chronic stress.
Burnout
Chronic stress
Depression
Hair cortisol
Stress reactivity
TSST
Journal
Psychoneuroendocrinology
ISSN: 1873-3360
Titre abrégé: Psychoneuroendocrinology
Pays: England
ID NLM: 7612148
Informations de publication
Date de publication:
08 2019
08 2019
Historique:
received:
12
11
2018
revised:
28
02
2019
accepted:
02
04
2019
pubmed:
20
4
2019
medline:
1
4
2020
entrez:
20
4
2019
Statut:
ppublish
Résumé
Burnout symptomatology is associated with various negative health consequences; however, the mechanisms underlying these associations remain unclear. One potential pathway involves alterations in the acute stress response. The aims of the present study were to examine burnout-associated alterations in stress-reactivity patterns, during a standardized social stressor compared to a control condition, as well as to examine whether effects associated with greater burnout symptomatology were distinct from other, conceptually overlapping indicators of chronic stress (i.e. depressive symptomatology and elevated hair cortisol concentration [HCC]). In a randomized two-factor design a total of 70 employed males with varying burnout symptoms but without evidence of physical or psychiatric disease were exposed to the Trier Social Stress Test for Groups (TSST-G) or a non-stressful control condition. Acute stress reactivity was assessed using self-report stress measures and non-invasive biomarkers. Associations among acute stress reactivity, burnout and depressive symptoms (assessed with self-report measures), as well as HCC were analysed using repeated measure ANCOVAs and moderation analysis. Burnout symptomatology was associated with elevated stress perception independent of the experimental condition. In addition, depressive symptomatology was associated with enhanced anticipatory appraisal, whereas HCC was not related to any subjective stress measure. On a physiological level, burnout and depressive symptomatology, as well as HCC were associated with a pattern of blunted cardiovascular reactivity, however the timing of this effect varied. Our results indicate burnout-associated modulations in stress reactivity, which diverge, at least partly, from other indicators of chronic stress.
Identifiants
pubmed: 31003136
pii: S0306-4530(18)31156-9
doi: 10.1016/j.psyneuen.2019.04.002
pmc: PMC6864749
mid: NIHMS1055895
pii:
doi:
Substances chimiques
Hydrocortisone
WI4X0X7BPJ
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
195-205Subventions
Organisme : NIMHD NIH HHS
ID : L60 MD009947
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL121708
Pays : United States
Informations de copyright
Copyright © 2019 Elsevier Ltd. All rights reserved.
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