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Cortisol dysregulation in school teachers in relation to burnout, vital exhaustion, and effort-reward-imbalance.
Biol Psychol. 2008 Apr; 78(1):104-13.BP

Abstract

We analyzed whether burnout and vital exhaustion or job-related chronic stress is associated with hypothalamic-pituitary-adrenal (HPA) axis dysregulation in school teachers (N=135; 25-63 years; mean age 46.1+/-9.20 years). Participants collected seven saliva samples (0, 30, 45, and 60 min after awakening, 11a.m., 3 p.m., 8 p.m.) on 2 working days, 1 leisure day, and after pre-medication with 0.25mg dexamethasone (very low-dose dexamethasone suppression test) to assess basal cortisol day profiles and HPA axis negative feedback sensitivity. No associations were found between basal cortisol activity and burnout (Maslach burnout inventory, teacher burnout scale), vital exhaustion (Appels vital exhaustion questionnaire), or any component of Siegrist's effort-reward-imbalance model. However, after dexamethasone higher burnout and vital exhaustion and lower reward were significantly related to stronger cortisol suppression, pointing to altered HPA axis negative feedback sensitivity. Though, all teachers were working and in a good health status, burnout/exhaustion as well as facets of the ERI model appear to be associated with subtle dysregulation, manifested as heightened HPA axis negative feedback although not in basal cortisol day profiles.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Bellingrath S
Department of Theoretical and Clinical Psychobiology, Graduate School of Psychobiology, University of Trier, Johanniterufer 15, D-54290 Trier, Germany.
Weigl T
No affiliation info available
Kudielka BM
No affiliation info available

MeSH

AdultAnalysis of VarianceBurnout, ProfessionalCircadian RhythmDexamethasoneFacultyFemaleHumansHydrocortisoneHypothalamo-Hypophyseal SystemMaleMiddle AgedPituitary-Adrenal SystemPsychiatric Status Rating ScalesPsychometricsRegression AnalysisRewardSalivaSurveys and QuestionnairesWakefulness

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18325655

Citation

Bellingrath, Silja, et al. "Cortisol Dysregulation in School Teachers in Relation to Burnout, Vital Exhaustion, and Effort-reward-imbalance." Biological Psychology, vol. 78, no. 1, 2008, pp. 104-13.
Bellingrath S, Weigl T, Kudielka BM. Cortisol dysregulation in school teachers in relation to burnout, vital exhaustion, and effort-reward-imbalance. Biol Psychol. 2008;78(1):104-13.
Bellingrath, S., Weigl, T., & Kudielka, B. M. (2008). Cortisol dysregulation in school teachers in relation to burnout, vital exhaustion, and effort-reward-imbalance. Biological Psychology, 78(1), 104-13. https://doi.org/10.1016/j.biopsycho.2008.01.006
Bellingrath S, Weigl T, Kudielka BM. Cortisol Dysregulation in School Teachers in Relation to Burnout, Vital Exhaustion, and Effort-reward-imbalance. Biol Psychol. 2008;78(1):104-13. PubMed PMID: 18325655.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cortisol dysregulation in school teachers in relation to burnout, vital exhaustion, and effort-reward-imbalance. AU - Bellingrath,Silja, AU - Weigl,Tobias, AU - Kudielka,Brigitte M, Y1 - 2008/02/02/ PY - 2007/07/16/received PY - 2008/01/22/revised PY - 2008/01/23/accepted PY - 2008/3/8/pubmed PY - 2008/7/11/medline PY - 2008/3/8/entrez SP - 104 EP - 13 JF - Biological psychology JO - Biol Psychol VL - 78 IS - 1 N2 - We analyzed whether burnout and vital exhaustion or job-related chronic stress is associated with hypothalamic-pituitary-adrenal (HPA) axis dysregulation in school teachers (N=135; 25-63 years; mean age 46.1+/-9.20 years). Participants collected seven saliva samples (0, 30, 45, and 60 min after awakening, 11a.m., 3 p.m., 8 p.m.) on 2 working days, 1 leisure day, and after pre-medication with 0.25mg dexamethasone (very low-dose dexamethasone suppression test) to assess basal cortisol day profiles and HPA axis negative feedback sensitivity. No associations were found between basal cortisol activity and burnout (Maslach burnout inventory, teacher burnout scale), vital exhaustion (Appels vital exhaustion questionnaire), or any component of Siegrist's effort-reward-imbalance model. However, after dexamethasone higher burnout and vital exhaustion and lower reward were significantly related to stronger cortisol suppression, pointing to altered HPA axis negative feedback sensitivity. Though, all teachers were working and in a good health status, burnout/exhaustion as well as facets of the ERI model appear to be associated with subtle dysregulation, manifested as heightened HPA axis negative feedback although not in basal cortisol day profiles. SN - 0301-0511 UR - https://www.unboundmedicine.com/medline/citation/18325655/Cortisol_dysregulation_in_school_teachers_in_relation_to_burnout_vital_exhaustion_and_effort_reward_imbalance_ DB - PRIME DP - Unbound Medicine ER -