Please enable JavaScript.
Coggle requires JavaScript to display documents.
The Biology of Burnout - Coggle Diagram
The Biology of Burnout
Burn out
What is?
state of exhaustion
because of prolonged and excessive work-place stress.
syndrome resulting from chronic workplace stress
has not been successfully managed
Involve
exhaustion
depersonalization
lack of empathy
reduced sense of professional accomplishment
What causes it?
workload
lack of sleep
Unfair treatment
lack of assertiveness
How ANS y HPA axis responds to accute stress
ANS
activation of the sympathetic-
adrenal-medullary
resulting in elevated heart rate and blood pressure
release of catecholamines
adrenaline
noradrenaline
responsable of "fight or flight" term
fight the problem
run of the problem
HPA
Stressors trigger the limbic system
hippocampus
amygdala
Cortisol
triggering increases in blood sugar
energetic effects
suppression of the immune system
measures:
emotional exhaustion=lower cortisol levels
hair cortisol found hypercortisolism in the severe burnout group compared to ‘no burnout’ or moderate burnout groups
How burnout affects normal biological processes
sustained and enhanced
sympathetic activity
reduced parasympathetic vagal activity
consequences:
Accelerated aging
skin aging, increased free radicals and a shortening of telomere length
Cardiovascular disease (CVD)
burnout levels were associated with an increased risk of coronary heart disease
Lipids
emotional burnout was associated with
increased levels of cholesterol and triglycerides
Mortality
burnout and exhaustion were related to all-cause mortality in individuals who were younger than 45 years
Obesity
obesity predicted reductions in subsequent burnout levels
Type II diabetes mellitus
burnout was associated with a 4.3-fold increased risk (after adjusting for blood pressure) of developing Type II diabetes
Diet and exercise
positive association with levels of burnout, potentially contributing to the syndrome
Allostatic load (AL)
increased AL was associated with chronic stress and burnout (but not depressive) symptoms
Immune function and micro-inflammation
burnout was positively correlated with microinflammation in women but not in men
higher burnout scores were associated with increased systemic inflammation
Changes in cognition appear integral to the burnout syndrome
Self-report measures of sleep problems have found burnout is positively correlated with:
reduced sleep quality
feeling unrefreshed and
sleepiness/fatigue during the day
non-restorative sleep