Abstract
Purpose
As seafarers face a wide range of psychosocial stressors on board, they may be endangered to develop burnout syndrome. This study aims to investigate respective indicators.
Methods
In a cross-sectional study, 251 seafarers were asked about demographic data and job-related stressors. Particularly, the subscale emotional exhaustion (EE) of the Maslach Burnout Inventory and the Epworth Sleepiness Scale were used to assess the respective risks of job-related burnout and daytime sleepiness among seafarers. The statistical analysis was carried out using multiple logistic regression.
Results
Within the whole study group, the EE score was elevated in 10.8 %. A higher EE score was found in 10.7 % of officers, in 4.5 % of lower crew ranks and in 25.0 % of the galley staff (p = 0.05). Furthermore, long working days were associated with an elevated EE score [OR 3.83 (CI 1.46–10.03)]. Emotional exhaustion was associated with a subjective perception of enough sleep on board [OR 3.33 (CI 1.17–9.46)], lack of care taken by the shipboard superiors and/or the shipping company [OR 1.19 (CI 1.04–1.36)], with high responsibility for work organisation of those involved in leadership [OR 1.46 (CI 1.20–1.78)] and with social problems due to the long periods of separation from their families [OR 1.19 (CI 1.02–1.39)], taking into account relevant demographic parameters.
Conclusions
Compared with the majority of on-shore occupations, the burnout risk in seafaring seems to be moderate. To reduce the EE among seafarers, it is recommended to extend the sleeping time, to avoid long working hours, to improve the superiors’ communication and leadership skills, to diminish the superiors’ stress load caused by organisational duties and to support low-price telecommunication possibilities at home.
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References
Agterberg G, Passchier J (1998) Stress among seamen. Psychol Rep 83(2):708–710
Allen P, Wellens B et al (2005) It`s not all plain sailing. Port turn-around and seafarers` fatigue. In: Bust P, McCabe PT (eds) Contemporary ergonomics, pp 563–567
Armon G, Shirom A et al (2008) On the nature of burnout-insomnia relationships: a prospective study of employed adults. J Psychosom Res 65(1):5–12
Awa WL, Plaumann M et al (2010) Burnout prevention: a review of intervention programs. Patient Educ Couns 78(2):184–190
Bowling A (2005) Just one question: if one question works, why ask several? J Epidemiol Community Health 59(5):342–345
Carter T (2005) Working at sea and psychosocial health problems report of an International Maritime Health Association Workshop. Travel Med Infect Dis 3(2):61–65
Comperatore CA, Rivera PK et al (2005) Enduring the shipboard stressor complex: a systems approach. Aviat Space Environ Med 76(6 Suppl):B108–B118
Cubrilo-Turek M, Urek R et al (2006) Burnout syndrome—assessment of a stressful job among intensive care staff. Coll Antropol 30(1):131–135
Domínguez Fernández J, Herrera Clavero F et al (2011) Burnout syndrome in health workers in Ceuta. Aten Primaria 44(1):30–35
Ekstedt M, Soderstrom M et al (2009) Sleep physiology in recovery from burnout. Biol Psychol 82(3):267–273
Fujino Y, Horie S et al (2006) A systematic review of working hours and mental health burden. Sangyo Eiseigaku Zasshi 48(4):87–97
Gingras J, de Jonge LA et al (2010) Prevalence of dietitian burnout. J Hum Nutr Diet 23(3):238–243
Haerma M, Partinen M et al (2008) Effects of 6/6 and 4/8 watch systems on sleepiness among bridge officers. Chronobiol Int 25(2):413–423
Houtman I, Miedema M et al (2005) Fatigue in the shipping industry, TNO-report (20834/11353). http://www.he-alert.org/documents/published/he00605.pdf
Jensen OC (2009) Collaborative, cross-national studies on health and safety in seafaring for evidence-based Maritime policy and regulations. Int Marit Health 60(1–2):10–13
Jensen OC, Sorensen JF et al (2006) Working conditions in international seafaring. Occup Med (Lond) 56(6):393–397
Jezewska M, Leszczynska I et al (2006) Work-related stress at sea self estimation by maritime students and officers. Int Marit Health 57(1–4):66–75
Johns MW (1991) A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep 14(6):540–545
Kristensen T, Borritz M et al (2005) The Copenhagen Burnout Inventory: a new tool for the assessment of burnout. Work Stress 19:192–207
Lamontagne AD, Keegel T et al (2007) A systematic review of the job-stress intervention evaluation literature, 1990–2005. Int J Occup Environ Health 13(3):268–280
Lazarus R, Folkman S (1984) Spanish translation of stress, appraisal and coping. Martínez Roca, Barcelona, p 46
Leka S (2004) Psychosocial hazards and seafarer health: priorities for research and practice. Int Marit Health 55(1–4):137–153
Leszczynska I, Jezewska M et al (2008) Work-related stress at sea. Possibilities of research and measures of stress. Int Marit Health 59(1–4):93–102
Maslach C, Jackson S (1981) The measurement of experienced burnout. J Occup Behav 2:99–113
Maslach C, Schaufeli WB et al (2001) Job burnout. Annu Rev Psychol 52:397–422
Nyssen AS, Hansez I et al (2003) Occupational stress and burnout in anaesthesia. Br J Anaesth 90(3):333–337
Oldenburg M, Jensen HJ et al (2008) Coronary risks among seafarers aboard German-flagged ships. Int Arch Occup Environ Health 81(6):735–741
Oldenburg M, Jensen HJ et al (2009) Seafaring stressors aboard merchant and passenger ships. Int J Public Health 54(2):96–105
Pereg D, Gow R et al (2011) Hair cortisol and the risk for acute myocardial infarction in adult men. Stress 14(1):73–81
Quattrin R, Ciano R et al (2010) Burnout in teachers: an Italian survey. Ann Ig 22(4):311–318
Ruotsalainen J, Serra C et al (2008) Systematic review of interventions for reducing occupational stress in health care workers. Scand J Work Environ Health 34(3):169–178
Shirom A, Melamed S (2005) Does burnout affect physical health? A review of the evidence. In: Antoniou ASG, Cooper CL (eds) Research companion to organizational health psychology. Edward Elgar, Cheltenham, pp 599–622
Spurgeon A, Harrington JM et al (1997) Health and safety problems associated with long working hours: a review of the current position. Occup Environ Med 54(6):367–375
Takao S, Tsutsumi A et al (2006) Effects of the job stress education for supervisors on psychological distress and job performance among their immediate subordinates: a supervisor-based randomized controlled trial. J Occup Health 48(6):494–503
Van Cauter E, Spiegel K et al (2008) Metabolic consequences of sleep and sleep loss. Sleep Med 9(Suppl 1):S23–S28
Vela-Bueno A, Moreno-Jimenez B et al (2008) Insomnia and sleep quality among primary care physicians with low and high burnout levels. J Psychosom Res 64(4):435–442
Wegner R, Kostova P et al (2009) Stress and strain for hospital physicians, results of a current survey. Arbeitsmed Sozialmed Umweltmed 44:389–399
Acknowledgments
The authors wish to thank all seafarers who participated in this study. We also thank Dr. Peter Hose-Jäger from the Sozialmedizinischer Dienst of the Knappschaft-Bahn-See for consenting to carry out our questioning during the nautical fitness test for seafaring. Furthermore, the authors express their gratitude to Andrea Ruppert and Dieter Hillmer for their support on the spot.
Conflict of interest
All authors declare that they have no conflict of interest.
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Oldenburg, M., Jensen, HJ. & Wegner, R. Burnout syndrome in seafarers in the merchant marine service. Int Arch Occup Environ Health 86, 407–416 (2013). https://doi.org/10.1007/s00420-012-0771-7
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DOI: https://doi.org/10.1007/s00420-012-0771-7