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Burnout Mediates the Association Between Workaholism and Substance Use: Findings from a French National Company

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Abstract

To examine the mediation effect of burnout on the association between workaholism and tobacco and alcohol use. A total of 2199 workers from the French national electricity company fulfilled an online questionnaire. Smoking status, alcohol use disorder based on the Alcohol Use Disorders Identification Test-Consumption and workaholism based on the Work Addiction Risk Test were used as binary variables. Burnout was assessed as a continuous variable with the Copenhagen Burn-Out Inventory. Mediation analyses tested the direct effect of the associations between workaholism and each substance use, as well as the indirect effect passing through burnout, while adjusting for sociodemographic factors (gender, age, occupational grade and marital life), work stress using the effort-reward imbalance and overcommitment. When testing the mediation effect of burnout on the relation between workaholism and smoking, there was a significant direct effect of workaholism on smoking (Estimated effect of 0.27 [95% CI 0.01; 0.54]) and a significant indirect effect passing through burnout (Estimated effect of 0.09 [95% CI 0.02; 0.15]). When testing the mediation effect of burnout on the relation between workaholism and alcohol use, the direct effect of workaholism on alcohol use was not significant (Estimated effect of 0.21 [95% CI − 0.01; 0.44]) while the indirect effect passing through burnout was significant (Estimated effect of 0.10 [95% CI 0.04; 0.17]). Information and prevention regarding substance use should be reinforced among workers exposed to workaholism, especially if their workaholism led to a high level of burnout. Preventing the emergence of burnout among workaholics might have some benefits on their tobacco and alcohol use.

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Data, Materials and/or Code availability supporting the findings of this study can be obtained from the corresponding author upon reasonable request.

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Acknowledgements

We thank the company union, represented by Remy Casabielhe, who graciously gave the data collected through their survey of French national electricity company “Electricité De France (EDF)” workers, so that it could be used for scientific research purposes.

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Authors

Contributions

GA: conceptualization, data curation, methodology, formal analysis, visualization, writing—original draft; DF: data curation, methodology, writing—review & editing; REH: methodology, writing—review & editing; ALLF: writing—review & editing; FL: writing—review & editing, supervision.

Corresponding author

Correspondence to Guillaume Airagnes.

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Conflict of Interest

GA has received speaker fees from Pfizer, Pierre Fabre, Zentiva, Sanofi-Aventis, outside the submitted work. ALLF has received speaker fees from Pfizer and Med it up, outside the submitted work.

Ethical Approval

The study protocol was approved by the AP-HP.Centre Institutional Review Board (N° #00011928).

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All the participants gave their informed consent.

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Airagnes, G., Fisk, D., Haddad, R.E. et al. Burnout Mediates the Association Between Workaholism and Substance Use: Findings from a French National Company. J of Prevention 45, 451–466 (2024). https://doi.org/10.1007/s10935-024-00770-6

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  • DOI: https://doi.org/10.1007/s10935-024-00770-6

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