OBJECTIVE: The aim of this study was to assess insomnia and sleep quality in primary care physicians with low and high burnout scores. METHODS: A representative sample of 240 physicians was drawn from 70 medical centers in Madrid, Spain. Based on quartile splits of the overall index of the Shirom-Melamed Burnout Questionnaire, 55 participants were allocated to a low-burnout group, and 58 were included in a high-burnout group. The questionnaire also included sociodemographic data, insomnia symptomatology, and the Pittsburgh Sleep Quality Index. RESULTS: Of the total sample, 18.8% met Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition criteria for insomnia diagnoses. More individuals with high burnout scores (21.1%) than individuals with low burnout scores (6.9%) fulfilled these criteria. Results of multivariate logistic regression analyses showed that burnout was the only variable related to insomnia diagnoses (odds ratio=7.56; 95% confidence interval=2.38-14.02). Furthermore, the results of multivariate analysis of covariance, after adjustments for sociodemographic variables, indicated that subjects from the high-burnout group scored significantly higher than subjects from the low-burnout group on the global sleep quality index and its components, indicating significantly greater disturbed sleep for the former. CONCLUSION: The results of the present study provide support for a clear relationship between burnout and disturbed sleep, as shown by the high prevalence of insomnia and poor sleep quality among physicians with high levels of burnout.
OBJECTIVE: The aim of this study was to assess insomnia and sleep quality in primary care physicians with low and high burnout scores. METHODS: A representative sample of 240 physicians was drawn from 70 medical centers in Madrid, Spain. Based on quartile splits of the overall index of the Shirom-Melamed Burnout Questionnaire, 55 participants were allocated to a low-burnout group, and 58 were included in a high-burnout group. The questionnaire also included sociodemographic data, insomnia symptomatology, and the Pittsburgh Sleep Quality Index. RESULTS: Of the total sample, 18.8% met Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition criteria for insomnia diagnoses. More individuals with high burnout scores (21.1%) than individuals with low burnout scores (6.9%) fulfilled these criteria. Results of multivariate logistic regression analyses showed that burnout was the only variable related to insomnia diagnoses (odds ratio=7.56; 95% confidence interval=2.38-14.02). Furthermore, the results of multivariate analysis of covariance, after adjustments for sociodemographic variables, indicated that subjects from the high-burnout group scored significantly higher than subjects from the low-burnout group on the global sleep quality index and its components, indicating significantly greater disturbed sleep for the former. CONCLUSION: The results of the present study provide support for a clear relationship between burnout and disturbed sleep, as shown by the high prevalence of insomnia and poor sleep quality among physicians with high levels of burnout.
Authors: Binal S Kancherla; Raghu Upender; Jacob F Collen; Muhammad Adeel Rishi; Shannon S Sullivan; Omer Ahmed; Michael Berneking; Erin E Flynn-Evans; Brandon R Peters; Fariha Abbasi-Feinberg; R Nisha Aurora; Kelly A Carden; Douglas B Kirsch; David A Kristo; Raman K Malhotra; Jennifer L Martin; Eric J Olson; Kannan Ramar; Carol L Rosen; James A Rowley; Anita V Shelgikar; Indira Gurubhagavatula Journal: J Clin Sleep Med Date: 2020-02-28 Impact factor: 4.062