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Abstract
Background: Occupational burnout is associated with diminished psychological flexibility and higher emotional (EE) and uncontrolled eating (UE). Psychological flexibility could be a mediating factor between burnout and eating behaviour. Objectives: To investigate differences in eating behaviour between those with different levels of psychological flexibility, and the association of the interaction between psychological flexibility and occupational burnout with eating behaviour. Design: The participants were working women (n = 263), who took part in the randomized controlled health intervention trial. Analyses were performed in a cross-sectional setting at baseline. Methods: Eating behaviour was measured using the Three Factor Eating Behaviour Questionnaire-18 [which evaluates EE, UE and cognitive restraint (CR)], psychological flexibility using Acceptance and Action Questionnaire-II and occupational burnout using Bergen Burnout Indicator-15. Participants were divided into four groups based on the quartile points of psychological flexibility. Results: The EE of those who were inflexible was higher than that of those whose flexibility was high moderate (p = 0.013) and who were flexible (p = 0.001). The UE of those who were inflexible was higher than the UE in the other groups with higher flexibility [low moderate (p = 0.034), high moderate (p een occupational burnout and EE and UE. Multivariate analysis of variances revealed that the combination of psychological flexibility and burnout had a stronger association with the variances of EE and UE than psychological flexibility alone. Conclusions: Persons who are psychologically inflexible have higher EE and UE. Future studies should investigate if increasing psychological flexibility helps decrease EE and UE.
Highlights
In a recent study [1], it was reported that those suffering from occupational burnout have abnormalities in their eating behaviour
We suggest that EE and uncontrolled eating (UE), which can be triggered by stress or burnout symptoms, may associate with general psychological flexibility
The aim of this study was to examine the differences in EE, UE and cognitive restraint (CR) between those with different levels of psychological flexibility and to investigate whether flexibility is a mediator between burnout and EE and UE, and whether the combination of psychological flexibility and occupational burnout associate with high EE and UE
Summary
In a recent study [1], it was reported that those suffering from occupational burnout have abnormalities in their eating behaviour. Diminished psychological flexibility, called experiential avoidance, is associated with burnout and characterized by dominance of thoughts, feelings and memories that prevent a person living the life they want to live, and an unwillingness to experience certain negative experiences [2,3,4,5]. We suggest that psychological flexibility may be a mediator between occupational burnout and eating behaviour. Occupational burnout is associated with diminished psychological flexibility and higher emotional (EE) and uncontrolled eating (UE). Psychological flexibility could be a mediating factor between burnout and eating behaviour. Methods: Eating behaviour was measured using the Three Factor Eating Behaviour Questionnaire-18 [which evaluates EE, UE and cognitive restraint (CR)], psychological flexibility using Acceptance and Action Questionnaire-II and occupational burnout using Bergen Burnout Indicator-15. The UE of those who were inflexible was higher than the UE in the other groups with higher fle-
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