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Burnout as a predictor of all-cause mortality among industrial employees: A 10-year prospective register-linkage study
Abstract
Objective Burnout, a psychological consequence of prolonged work stress, has been shown to coexist with physical and mental disorders. The aim of this study was to investigate whether burnout is related to all-cause mortality among employees.Methods In 1996, of 15,466 Finnish forest industry employees, 9705 participated in the 'Still Working' study and 8371 were subsequently identified from the National Population Register. Those who had been treated in a hospital for the most common causes of death prior to the assessment of burnout were excluded on the basis of the Hospital Discharge Register, resulting in a final study population of 7396 people. Burnout was measured using the Maslach Burnout Inventory-General Survey. Dates of death from 1996 to 2006 were extracted from the National Mortality Register. Mortality was predicted with Cox hazard regression models, controlling for baseline sociodemographic factors and register-based health status according to entitled medical reimbursement and prescribed medication for mental health problems, cardiac risk factors, and pain problems.Results During the 10-year 10-month follow-up, a total of 199 employees had died. The risk of mortality per one-unit increase in burnout was 35% higher (95% CI 1.07-1.71) for total score and 26% higher (0.99-1.60) for exhaustion, 29% higher for cynicism (1.03-1.62), and 22% higher for diminished professional efficacy (0.96-1.55) in participants who had been under 45 at baseline. After adjustments, only the associations regarding burnout and exhaustion were statistically significant. Burnout was not related to mortality among the older employees.Conclusion Burnout, especially work-related exhaustion, may be a risk for overall survival.
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“Extensive research shows that burnout is related to cognitive dysfunction,2 poor physical and mental health outcomes,3–6 and the use of more sick days.7”
From Being Mindful: A Long-term Investigation of an Interdisciplinary Course in Mindfulness (2019) · cites this paper as [5]
In the citing paper
“Moreover, the burnout syndrome is an independent risk factor for type 2 diabetes and physician-diagnosed myocardial infarctions (Ahola & Hakanen, 2014), and increases the risk of all-cause mortality or premature death (e.g., Ahola et al., 2010).”
From Job Demands—Resources theory and self-regulation: New explanations and remedies for job burnout (2021) · cites this paper as Ahola et al., 2010
In the citing paper
“However, mild burnout complaints have also been related to physical consequences such as an increased risk of cardiovascular diseases, Type 2 diabetes, and all-cause mortality (Ahola, 2007;Ahola et al., 2010).”
From Job Demands—Resources theory and self-regulation: New explanations and remedies for job burnout (2021) · cites this paper as Ahola et al., 2010
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Metadata
- Authors
- Ahola, K., Väänänen, A., Koskinen, A., Kouvonen, A., & Shirom, A.
- Affiliations
- Finnish Institute of Occupational Health (FI)
- University of Nottingham (GB)
- Tel Aviv University (IL)
- Corresponding author
- Ahola, Kirsi
- Venue
- Journal of Psychosomatic Research
- Publisher
- Elsevier BV
- Published
- 2010-07
- Volume
- 69
- Issue
- 1
- Pages
- 51-57
- ISSN
- 0022-3999 (ISSN-L)
- OpenAlex
- W2068850130
- Cited by
- 241
- References
- 69
- Citations by year
- 2026: 7 · 2025: 15 · 2024: 12 · 2023: 23 · 2022: 24 · 2021: 23 · 2020: 23 · 2019: 17 · 2018: 19 · 2017: 20 · 2016: 6 · 2015: 12 · 2014: 15 · 2013: 6 · 2012: 14
- FWCI
- 11.31
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychosomatic Research (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (Queen's University Belfast) (submittedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational Health and Burnout
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Workplace Health and Well-being
- Keywords
- burnout, all-cause mortality, occupational stress, work exhaustion, cynicism, professional efficacy, industrial workers, occupational health
- MeSH terms
- Adolescent, Adult, Age Factors, Aged, Burnout, Professional, Cause of Death, Fatigue, Female, Finland, Follow-Up Studies, Health Status Indicators, Health Surveys, Humans, Male, Middle Aged, Motivation, Prospective Studies, Registries, Risk, Cohort Studies, Proportional Hazards Models, Survival Analysis, Forestry, Young Adult
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