Skip to main content
Top
Published in: BMC Psychiatry 1/2017

Open Access 01-12-2017 | Research article

Associations of fatigue to work-related stress, mental and physical health in an employed community sample

Authors: D. M. Rose, A. Seidler, M. Nübling, U. Latza, E. Brähler, E. M. Klein, J. Wiltink, M. Michal, S. Nickels, P. S. Wild, J. König, M. Claus, S. Letzel, M. E. Beutel

Published in: BMC Psychiatry | Issue 1/2017

Login to get access

Abstract

Background

While work-related fatigue has become an issue of concern among European employees, the relationship between fatigue, depression and work-related stressors is far from clear. The purposes of this study were (1) to determine the associations of fatigue with work-related stressors, severe medical disease, health behavior and depression in the working population and (2) to determine the unique impact of work-related stressors on fatigue.

Methods

We used cross-sectional data of N = 7,930 working participants enrolled in the Gutenberg Health Study (GHS) from 2007 to 2012 filled out the Personal Burnout Scale (PBS) of the Copenhagen Psychosocial Questionnaire (COPSOQ), the PHQ-9, and a list of work-related stressors.

Results

A total of 27.5% reported increased fatigue, esp. women, younger persons with a lower social status and income, smokers, severely medically ill, previously and currently depressed participants. Fatigue was consistently associated with severe medical disease, health behavior and depression, which need to be taken into account as potential confounders when analyzing its relationship to work-related strains. Depression was consistently associated with work-related stressors. However, after statistically partialling out depression, fatigue was still significantly associated with work-related stress.

Conclusions

Fatigue as an indicator of allostatic load is consistently associated with work-related stressors such as work overload after controlling for depression. The brief Personal Burn-out Scale is suitable for assessing work-related fatigue in the general population.
Footnotes
1
defined as the recruitment efficacy proportion, i.e. the number of persons with participation in or appointment for the baseline examination divided by the sum of number of persons with participation in or appointment for the baseline examination plus those with refusal and those who were not contactable
 
Literature
1.
go back to reference Ahola K, Hakanen J. Job strain, burnout, and depressive symptoms: a prospective study among dentists. J Affect Disord. 2007;104:103–10.CrossRefPubMed Ahola K, Hakanen J. Job strain, burnout, and depressive symptoms: a prospective study among dentists. J Affect Disord. 2007;104:103–10.CrossRefPubMed
2.
go back to reference Beutel ME, Hinz A, Albani C, Brähler E. Fatigue assessment questionnaire: standardization of a cancer-specific instrument based on the general population. Oncology. 2006;70:351–7.CrossRefPubMed Beutel ME, Hinz A, Albani C, Brähler E. Fatigue assessment questionnaire: standardization of a cancer-specific instrument based on the general population. Oncology. 2006;70:351–7.CrossRefPubMed
3.
go back to reference de Vries JD, van Hooff ML, Geurts SA, Kompier MA. Efficacy of an exercise intervention for employees with work-related fatigue: study protocol of a two-arm randomized controlled trial. BMC Public Health. 2015;15:1117.CrossRefPubMedPubMedCentral de Vries JD, van Hooff ML, Geurts SA, Kompier MA. Efficacy of an exercise intervention for employees with work-related fatigue: study protocol of a two-arm randomized controlled trial. BMC Public Health. 2015;15:1117.CrossRefPubMedPubMedCentral
5.
go back to reference Honkonen T, Ahola K, Pertovaara M, Isometsä E, Kalimo R, Nykyri 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(1):59–66.CrossRefPubMed Honkonen T, Ahola K, Pertovaara M, Isometsä E, Kalimo R, Nykyri 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(1):59–66.CrossRefPubMed
6.
go back to reference Maslach C, Schaufeli WB, Leiter MP. Job burnout. Ann Rev Psychol. 2001;52:397–422.CrossRef Maslach C, Schaufeli WB, Leiter MP. Job burnout. Ann Rev Psychol. 2001;52:397–422.CrossRef
7.
go back to reference Korczak D, Huber B. Burnout. Can it be measured? Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2012;55:164–71.CrossRefPubMed Korczak D, Huber B. Burnout. Can it be measured? Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2012;55:164–71.CrossRefPubMed
9.
go back to reference Hintsa T, Elovainio M, Jokela M, Ahola K, Virtanen M, Pirkola S. Is there an independent association between burnout and increased allostatic load? Testing the contribution of psychological distress and depression. J Health Psychol. 2014;21(8):1576–86.CrossRefPubMed Hintsa T, Elovainio M, Jokela M, Ahola K, Virtanen M, Pirkola S. Is there an independent association between burnout and increased allostatic load? Testing the contribution of psychological distress and depression. J Health Psychol. 2014;21(8):1576–86.CrossRefPubMed
10.
go back to reference Nübling M, Seidler A, Garthus-Niegel S, Latza U, Wagner M, Hegewald J, et al. The Gutenberg health study: measuring psychosocial factors at work and predicting health and work-related outcomes with the ERI and the COPSOQ questionnaire. BMC Public Health. 2013;13:538.CrossRef Nübling M, Seidler A, Garthus-Niegel S, Latza U, Wagner M, Hegewald J, et al. The Gutenberg health study: measuring psychosocial factors at work and predicting health and work-related outcomes with the ERI and the COPSOQ questionnaire. BMC Public Health. 2013;13:538.CrossRef
11.
go back to reference Fransson EI, Heikkilä K, Nyberg ST, Zins M, Westerlund H, Westerholm P, et al. Job strain as a risk factor for leisure-time physical inactivity: an individual-participant meta-analysis of up to 170,000 men and women: the IPD-work consortium. Am J Epidemiol. 2012;176(12):1078–89.CrossRefPubMedPubMedCentral Fransson EI, Heikkilä K, Nyberg ST, Zins M, Westerlund H, Westerholm P, et al. Job strain as a risk factor for leisure-time physical inactivity: an individual-participant meta-analysis of up to 170,000 men and women: the IPD-work consortium. Am J Epidemiol. 2012;176(12):1078–89.CrossRefPubMedPubMedCentral
12.
go back to reference Nevanperä NJ, Hopsu L, Kuosma E, Ukkola O, Uitti J, Laitinen JH. Occupational burnout, eating behavior, and weight among working women. Am J Clin Nutr. 2012;95(4):934–43.CrossRefPubMed Nevanperä NJ, Hopsu L, Kuosma E, Ukkola O, Uitti J, Laitinen JH. Occupational burnout, eating behavior, and weight among working women. Am J Clin Nutr. 2012;95(4):934–43.CrossRefPubMed
13.
go back to reference Ahola K, Kivimäki M, Honkonen T, Virtanen M, Koskinen S, Vahtera J, et al. Occupational burnout and medically certified sickness absence: a population-based study of Finnish employees. J Psychosom Res. 2008;64(2):185–93.CrossRefPubMed Ahola K, Kivimäki M, Honkonen T, Virtanen M, Koskinen S, Vahtera J, et al. Occupational burnout and medically certified sickness absence: a population-based study of Finnish employees. J Psychosom Res. 2008;64(2):185–93.CrossRefPubMed
14.
go back to reference Ahola K, Honkonen T, Isometsä E, Kalimo R, Nykyri E, Aromaa A, et al. The relationship between job-related burnout and depressive disorders--results from the Finnish health 2000 study. J Affect Disord. 2005;88(1):55–62.CrossRefPubMed Ahola K, Honkonen T, Isometsä E, Kalimo R, Nykyri E, Aromaa A, et al. The relationship between job-related burnout and depressive disorders--results from the Finnish health 2000 study. J Affect Disord. 2005;88(1):55–62.CrossRefPubMed
15.
go back to reference McEwen BS, Lasley EN. Allostatic load: when protection gives way to damage. Adv Mind Body Med. 2003;19(1):28–33.PubMed McEwen BS, Lasley EN. Allostatic load: when protection gives way to damage. Adv Mind Body Med. 2003;19(1):28–33.PubMed
16.
go back to reference McEwen BS. From molecules to mind. Stress, individual differences, and the social environment. Ann N Y Acad Sci. 2001;935:42–9.CrossRefPubMed McEwen BS. From molecules to mind. Stress, individual differences, and the social environment. Ann N Y Acad Sci. 2001;935:42–9.CrossRefPubMed
18.
go back to reference Ganster DC, Rosen CC. Work stress and employee health: a multidisciplinary review. J Manag. 2013;39(5):1085–122. Ganster DC, Rosen CC. Work stress and employee health: a multidisciplinary review. J Manag. 2013;39(5):1085–122.
20.
go back to reference Armon G, Melamed S, Toker S, Berliner S, Shapira I. Joint effect of chronic medical illness and burnout on depressive symptoms among employed adults. Health Psychol. 2014;33(3):264–72.CrossRefPubMed Armon G, Melamed S, Toker S, Berliner S, Shapira I. Joint effect of chronic medical illness and burnout on depressive symptoms among employed adults. Health Psychol. 2014;33(3):264–72.CrossRefPubMed
21.
go back to reference Wild PS, Zeller T, Beutel M, Blettner M, Dugi KA, Lackner KJ, et al. The gutenberg health study. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2012;55(6–7):824–9.CrossRefPubMed Wild PS, Zeller T, Beutel M, Blettner M, Dugi KA, Lackner KJ, et al. The gutenberg health study. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2012;55(6–7):824–9.CrossRefPubMed
22.
go back to reference Pejtersen JH, Kristensen TS, Borg V, Bjorner JB. The second version of the Copenhagen psychosocial questionnaire. Scand J Public Health. 2010;38 Suppl 3:8–24.CrossRefPubMed Pejtersen JH, Kristensen TS, Borg V, Bjorner JB. The second version of the Copenhagen psychosocial questionnaire. Scand J Public Health. 2010;38 Suppl 3:8–24.CrossRefPubMed
23.
go back to reference Nübling M, Stößel U, Hasselhorn HM, Michaelis M, Hofmann F. Measuring psychosocial stress and strain at work: evaluation of the COPSOQ questionnaire in Germany. GMS Psycho-Social Medicine. 2006;3:1–14. Nübling M, Stößel U, Hasselhorn HM, Michaelis M, Hofmann F. Measuring psychosocial stress and strain at work: evaluation of the COPSOQ questionnaire in Germany. GMS Psycho-Social Medicine. 2006;3:1–14.
24.
go back to reference Heinke W, Dunkel P, Brähler E, Nübling M, Riedel-Heller S, Kaisers UX. Burn-out in der anästhesie und intensivmedizin. Gibt es ein problem in deutschland? Anaesthesist. 2011;60:1109–18.CrossRefPubMed Heinke W, Dunkel P, Brähler E, Nübling M, Riedel-Heller S, Kaisers UX. Burn-out in der anästhesie und intensivmedizin. Gibt es ein problem in deutschland? Anaesthesist. 2011;60:1109–18.CrossRefPubMed
25.
go back to reference Löwe B, Gräfe K, Zipfel S, Witte S, Loerch B, Herzog W. Diagnosing ICD-10 depressive episodes: superior criterion validity of the patient health questionnaire. Psychother Psychosom. 2004;73:386–90.CrossRefPubMed Löwe B, Gräfe K, Zipfel S, Witte S, Loerch B, Herzog W. Diagnosing ICD-10 depressive episodes: superior criterion validity of the patient health questionnaire. Psychother Psychosom. 2004;73:386–90.CrossRefPubMed
26.
go back to reference Michal M, Wiltink J, Kirschner Y, Wild PS, Münzel T, Ojeda FM, et al. Differential associations of depressive symptom dimensions with cardio-vascular disease in the community: results from the Gutenberg health study. PLoS One. 2013;8(8):e72014.CrossRefPubMedPubMedCentral Michal M, Wiltink J, Kirschner Y, Wild PS, Münzel T, Ojeda FM, et al. Differential associations of depressive symptom dimensions with cardio-vascular disease in the community: results from the Gutenberg health study. PLoS One. 2013;8(8):e72014.CrossRefPubMedPubMedCentral
27.
go back to reference Lampert T, Kroll LE. Die messung des sozioökonomischen status in sozialepidemiologischen studien. In: Richter M, Hurrelmann K, editors. Gesundheitliche ungleichheit. Wiesbaden: VS Verlag für Sozialwissenschaften; 2009. p. 309–34.CrossRef Lampert T, Kroll LE. Die messung des sozioökonomischen status in sozialepidemiologischen studien. In: Richter M, Hurrelmann K, editors. Gesundheitliche ungleichheit. Wiesbaden: VS Verlag für Sozialwissenschaften; 2009. p. 309–34.CrossRef
28.
go back to reference Steiger JH. Tests for comparing elements of a correlation matrix. Psychol Bull. 1980;87:245–51.CrossRef Steiger JH. Tests for comparing elements of a correlation matrix. Psychol Bull. 1980;87:245–51.CrossRef
29.
go back to reference Hapke U, Maske U, Busch M, Schlack R, Scheidt-Nave C. Stress, Schlafstörungen, Depressionen und Burn-out: Wie belastet sind wir? Bundesgesundheitsblatt - Gesundheitsforschung – Gesundheitsschutz. 2012;56:987–8. Hapke U, Maske U, Busch M, Schlack R, Scheidt-Nave C. Stress, Schlafstörungen, Depressionen und Burn-out: Wie belastet sind wir? Bundesgesundheitsblatt - Gesundheitsforschung – Gesundheitsschutz. 2012;56:987–8.
30.
go back to reference Michal M, Wiltink J, Reiner I, Kirschner Y, Wild PS, Schulz A, et al. Association of mental distress with smoking status in the community: results from the Gutenberg health study. J Affect Disord. 2013;146:355–60.CrossRefPubMed Michal M, Wiltink J, Reiner I, Kirschner Y, Wild PS, Schulz A, et al. Association of mental distress with smoking status in the community: results from the Gutenberg health study. J Affect Disord. 2013;146:355–60.CrossRefPubMed
32.
go back to reference Winwood PC, Bakker AB, Winefield AH. An investigation of the role of non-work-time behavior in buffering the effects of work strain. J Occup Environ Med. 2007;49(8):862–71.CrossRefPubMed Winwood PC, Bakker AB, Winefield AH. An investigation of the role of non-work-time behavior in buffering the effects of work strain. J Occup Environ Med. 2007;49(8):862–71.CrossRefPubMed
33.
go back to reference McEwen BS, Seeman T. Protective and damaging effects of mediators of stress. Elaborating and testing the concepts of allostasis and allostatic load. Ann N Y Acad Sci. 1999;896:30–47.CrossRefPubMed McEwen BS, Seeman T. Protective and damaging effects of mediators of stress. Elaborating and testing the concepts of allostasis and allostatic load. Ann N Y Acad Sci. 1999;896:30–47.CrossRefPubMed
34.
go back to reference Winwood PC, Winefield AH, Dawson D, Lushington K. Development and validation of a scale to measure work-related fatigue and recovery: the occupational fatigue exhaustion/recovery scale (OFER). J Occup Environ Med. 2005;47(6):594–606.CrossRefPubMed Winwood PC, Winefield AH, Dawson D, Lushington K. Development and validation of a scale to measure work-related fatigue and recovery: the occupational fatigue exhaustion/recovery scale (OFER). J Occup Environ Med. 2005;47(6):594–606.CrossRefPubMed
35.
go back to reference Falco A, Girardi D, Marcuzzo G, De Carlo A, Bartolucci GB. Work stress and negative affectivity: a multi-method study. Occup Med (Lond). 2013;63(5):341–7.CrossRef Falco A, Girardi D, Marcuzzo G, De Carlo A, Bartolucci GB. Work stress and negative affectivity: a multi-method study. Occup Med (Lond). 2013;63(5):341–7.CrossRef
Metadata
Title
Associations of fatigue to work-related stress, mental and physical health in an employed community sample
Authors
D. M. Rose
A. Seidler
M. Nübling
U. Latza
E. Brähler
E. M. Klein
J. Wiltink
M. Michal
S. Nickels
P. S. Wild
J. König
M. Claus
S. Letzel
M. E. Beutel
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2017
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-017-1237-y

Other articles of this Issue 1/2017

BMC Psychiatry 1/2017 Go to the issue