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Elevated diurnal salivary cortisol in nurses is associated with burnout but not with vital exhaustion.
Psychoneuroendocrinology. 2009 Sep; 34(8):1144-51.P

Abstract

Studies on HPA axis regulation in burnout revealed heterogeneous results, possibly due to different psychometric and endocrine measurements, heterogeneous samples or small sample sizes. In the present study, the relationship between salivary cortisol during the day (four time points: 0700 h, 1130 h, 1730 h, and 2000 h) and burnout as well as vital exhaustion was investigated in a large sample of 279 nurses. Burnout was measured using the Maslach Burnout Inventory (MBI), which includes scales for emotional exhaustion, depersonalization, and personal accomplishment. A burnout criterion was assumed to be fulfilled, when any of the MBI scales was above the norm. Subjects with two burnout criterions fulfilled (N=18) were characterized by a higher cortisol release over the day compared to those reporting only one criterion (N=77) or no burnout (N=181) (ANOVA, p=.015). On the other hand, subjects who reported high levels of vital exhaustion did not differ from those who did not report signs of vital exhaustion. These findings provide further evidence for HPA axis dysregulation in burnout.

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Authors+Show Affiliations

Wingenfeld K
Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Hamburg-Eppendorf, Martinistr. 52, D-20246 Hamburg, Germany. k.wingenfeld@uke.uni-hamburg.de
Schulz M
No affiliation info available
Damkroeger A
No affiliation info available
Rose M
No affiliation info available
Driessen M
No affiliation info available

MeSH

AdolescentAdultBurnout, ProfessionalCircadian RhythmDepressionFemaleHumansHydrocortisoneHypothalamo-Hypophyseal SystemMaleMiddle AgedNursesPituitary-Adrenal SystemSaliva

Pub Type(s)

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

Language

eng

PubMed ID

19321266

Citation

Wingenfeld, Katja, et al. "Elevated Diurnal Salivary Cortisol in Nurses Is Associated With Burnout but Not With Vital Exhaustion." Psychoneuroendocrinology, vol. 34, no. 8, 2009, pp. 1144-51.
Wingenfeld K, Schulz M, Damkroeger A, et al. Elevated diurnal salivary cortisol in nurses is associated with burnout but not with vital exhaustion. Psychoneuroendocrinology. 2009;34(8):1144-51.
Wingenfeld, K., Schulz, M., Damkroeger, A., Rose, M., & Driessen, M. (2009). Elevated diurnal salivary cortisol in nurses is associated with burnout but not with vital exhaustion. Psychoneuroendocrinology, 34(8), 1144-51. https://doi.org/10.1016/j.psyneuen.2009.02.015
Wingenfeld K, et al. Elevated Diurnal Salivary Cortisol in Nurses Is Associated With Burnout but Not With Vital Exhaustion. Psychoneuroendocrinology. 2009;34(8):1144-51. PubMed PMID: 19321266.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Elevated diurnal salivary cortisol in nurses is associated with burnout but not with vital exhaustion. AU - Wingenfeld,Katja, AU - Schulz,Michael, AU - Damkroeger,Annika, AU - Rose,Matthias, AU - Driessen,Martin, Y1 - 2009/03/24/ PY - 2008/08/13/received PY - 2009/02/03/revised PY - 2009/02/24/accepted PY - 2009/3/27/entrez PY - 2009/3/27/pubmed PY - 2009/10/7/medline SP - 1144 EP - 51 JF - Psychoneuroendocrinology JO - Psychoneuroendocrinology VL - 34 IS - 8 N2 - Studies on HPA axis regulation in burnout revealed heterogeneous results, possibly due to different psychometric and endocrine measurements, heterogeneous samples or small sample sizes. In the present study, the relationship between salivary cortisol during the day (four time points: 0700 h, 1130 h, 1730 h, and 2000 h) and burnout as well as vital exhaustion was investigated in a large sample of 279 nurses. Burnout was measured using the Maslach Burnout Inventory (MBI), which includes scales for emotional exhaustion, depersonalization, and personal accomplishment. A burnout criterion was assumed to be fulfilled, when any of the MBI scales was above the norm. Subjects with two burnout criterions fulfilled (N=18) were characterized by a higher cortisol release over the day compared to those reporting only one criterion (N=77) or no burnout (N=181) (ANOVA, p=.015). On the other hand, subjects who reported high levels of vital exhaustion did not differ from those who did not report signs of vital exhaustion. These findings provide further evidence for HPA axis dysregulation in burnout. SN - 1873-3360 UR - https://www.unboundmedicine.com/medline/citation/19321266/Elevated_diurnal_salivary_cortisol_in_nurses_is_associated_with_burnout_but_not_with_vital_exhaustion_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0306-4530(09)00068-7 DB - PRIME DP - Unbound Medicine ER -