Responsivity and relation to depressive symptoms of occupational behavior and experience patterns

Introduction Work stress is a frequent factor in the development of depression. However, not only workplace environment, but also personal attitudes may affect stress experience. The aim of this study was to investigate the change sensitivity of occupational attitudes in psychosomatic inpatients and assess the relationship of changes to depressive symptom reduction. Methods The data set encompassed N = 1708 inpatients from two German psychosomatic rehabilitation clinics at admission and discharge. Responsivity of AVEM measures was evaluated by Bonferroni-corrected t-tests and Cohen’s d z effect sizes for paired samples. The relation of occupational behavior and experience patterns and depressive symptoms as assessed by the BDI-II questionnaire was calculated by Pearson correlation analysis of pre-post differential values. Results Changes in work attitudes were found on eight out of eleven AVEM subscales ( P adj ≤ 0.001, Cohen’s d z = −0.45 to 0.43) and all AVEM coping styles. Most patients (57.4%) were classified to have a Burnout occupational coping style at admission. Changes following rehabilitation were most frequently observed from Burnout to Sparing coping styles (8.3%). Small to moderate associations between changes in occupational attitudes and depressive symptom reduction were found for all subscales ( r = −0.39 to 0.25) except work ambition, and for occupational coping styles Burnout ( r = 0.19), Sparing ( r = −0.18) and Healthy ( r = −0.10), but not Ambitious. Discussion The data support responsivity of occupational behavior and experience patterns within a psychosomatic rehabilitation setting. Correlations with depressive symptom reduction suggest that occupational attitudes are related but separate treatment targets

Burnout · Emotional exhaustion · Occupational burnout · Occupational stress · Physical therapy · Clinical Psychology · Medicine · Occupational Therapy Practice and Research · Psychology · Stress Responses and Cortisol · Workplace Health and Well-being · Rehabilitation

• Psychosocial work environment and mental health—a meta-analytic review

  Open Access•Stephen Stansfeld, Bridget Candy•Scandinavian Journal of Work,…•2006

  Añadir item

• Cost of disorders of the brain in Europe 2010

  Open Access•Anders Gustavsson, M Svensson et al.•European Neuropsychopharmacology•2011

  Añadir item

• The Relationship Between Burnout, Depression, and Anxiety

  Open Access•Panagiota Koutsimani, Anthony Montgomery et al.•Frontiers in Psychology•2019

  Añadir item

• Stress, appraisal, and coping

  Open Access•H J Eysenck•Behaviour Research and Therapy•1985

  Añadir item

• Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019

  Open Access•Theo Vos, Stephen S Lim et al.•The Lancet•2020

  Añadir item

• The Impact of Occupational Stress on Job Burnout Among Bank Employees in Pakistan, With Psychological Capital as a Mediator

  Open Access•Arslan Khalid, Fang Pan et al.•Frontiers in Public Health•2020

  Añadir item

• A prospective study of cumulative job stress in relation to mental health

  Open Access•Isabelle Godin, France Kittel et al.•BMC Public Health•2005

  Añadir item

• Associations between improvements in psychological variables and subsequent sick leave among persons receiving a multimodal intervention for exhaustion disorder

  Open Access•Jakob Clason van de Leur, Monica Buhrman et al.•BMC Public Health•2023

  Añadir item

• The measurement of effort–reward imbalance at work

  Open Access•J Siegrist, Dagmar Starke et al.•Social Science & Medicine•2003

  Añadir item

• The Effect of Work Stress on Job Burnout Among Teachers

  Open Access•Xiaobo Yu, Pengyuan Wang et al.•Social Indicators Research•2015

  Añadir item