Abstract

ObjectiveThis study aimed to investigate the association between shift work, and burnout and distress, and differences by degree of satisfaction with shift schedule and its impact on private life.MethodsPopulation 4275 non-shift factory workers and 3523 rotating 5-shift workers. Workers participated between 2009 and 2016 one to three times in the companies’ periodical occupational health checks. Burnout was measured using the distance, exhaustion and competence subscales of the Dutch Maslach Burnout Inventory and distress by the subscale of the Four-Dimensional Symptom Questionnaire (scale: 0–100). Multiple-adjusted linear mixed models were used to assess between- and within-subject associations between shift work and outcomes, and differences by age, years of shift work, and satisfaction with and impact of shift schedule.ResultsShift work was significantly associated with lower scores on burnout distance (B − 1.0, 95% − 1.8 to 0.3), and among those aged < 48 years with burnout exhaustion (range B − 1.3 to − 1.6). However, the effect sizes were small. Compared to non-shift workers, shift workers dissatisfied with their schedule and those experiencing a high impact on private life had significantly higher burnout (range B 1.7–6.3) and distress levels (range B 4.9–6.1). In contrast, satisfied shift workers and those experiencing a low impact of shift schedule had lower burnout (range B − 0.2 to − 2.2) and no difference in distress levels (P ≥ 0.05). No clear pattern by years of shift work was observed.ConclusionsShift work was associated with burnout and distress in those who were dissatisfied with or who had perceived high impact on the private life of their shift schedule.

Highlights

  • To serve the economic and societal demands of our 24/7 society, it is becoming increasingly necessary for employees to work outside the traditional daytime working hours (US Department of Labor 2008)

  • We observed no differences in burnout and distress between shift and non-shift workers, except for lower burnout distance and, only among those aged < 48 years, burnout exhaustion among shift workers

  • We showed that there was no clear association between the number of years in shift work, and burnout and distress

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Summary

Introduction

Most previous studies focused on physical health outcomes, while there is a scarcity of studies on the association between shift work and mental health. A few studies indicated that shift work may be associated with mental health outcomes. Evidence for an association between shift work and mental health is still unclear due to methodological limitations of previous studies and inconsistent findings across studies. It is needed to investigate differences in mental health between non-shift workers and shift workers with homogeneous shift schedules (e.g. fast-forward rotating shift schedule), and to clarify differences by years of exposure to shift work

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