The Conflict Between the Interventions That Prevent Burnout and the Culture of Modern Capitalism: The Benefits of Ambivalent Emotions

Author(s):  
Simon A. Moss ◽  
Grace Couchman

At work, burnout is one of the most pervasive impediments to mental health. Over the last decade, researchers have distilled six workplace conditions that prevent or curb burnout: feasible job demands, a sense of fit with the job or organisation, recurrent experiences of reward, a feeling of control, a perception of justice, and a connection with the community. Unfortunately, the emerging culture of modern capitalism is characterised by fluctuating demands, aversions towards specialisation, systemic disloyalty, unilateral resolutions, expedient decisions, and transactional relationships — trends that counteract the conditions that prevent burnout. Initiatives that are instituted to curb burnout, therefore, often contradict the imperatives of managers. To resolve this paradox, this article distills a series of initiatives that psychologists can apply to alleviate burnout without counteracting the prevailing culture of modern organisations. To illustrate, employees should be encouraged to seek challenging and stressful experiences, invoke their intuition when composed, and disclose their personal anxieties. This article then integrates these initiatives into a unified theory. According to this theory, practices that prevent burnout all increase the likelihood that individuals experience positive and negative feelings concurrently; these ambivalent emotions seem to enhance wellbeing and contain burnout.

2019 ◽  
Vol 33 (6) ◽  
pp. 948-965
Author(s):  
Megan Woods ◽  
Rob Macklin ◽  
Sarah Dawkins ◽  
Angela Martin

Workplace conditions and experiences powerfully influence mental health and individuals experiencing mental illness, including the extent to which people experiencing mental ill-health are ‘disabled’ by their work environments. This article explains how examination of the social suffering experienced in workplaces by people with mental illness could enhance understanding of the inter-relationships between mental health and workplace conditions, including experiences and characteristics of the overarching labour process. It examines how workplace perceptions and narratives around mental illness act as discursive resources to influence the social realities of people with mental ill-health. It applies Labour Process Theory to highlight how such discursive resources could be used by workers and employers to influence the power, agency and control in workplace environments and the labour process, and the implications such attempts might have for social suffering. It concludes with an agenda for future research exploring these issues.


2021 ◽  
Author(s):  
Elizabeth McManus ◽  
Hamied Haroon ◽  
Niall W Duncan ◽  
Rebecca Elliott ◽  
Nils Muhlert

Repeated overstimulation of the stress response system, caused by exposure to prolonged highly stressful experiences, is thought to affect brain structure, cognitive ability, and mental health. We tested the effects of highly stressful experiences during childhood and adulthood using data from the UK Biobank, a large-scale national health and biomedical study with over 500,000 participants. To do this, we defined four groups with high and low levels of childhood and adulthood stress. We then used T1- and diffusion-weighted MRI data to assess the macrostructure in grey matter and microstructure in white matter of limbic brain regions, commonly associated with the stress response. We also compared executive function and working memory between these groups. Our findings suggest that in females, higher levels of both childhood and adulthood stress were associated with reduced connectivity within the posterior thalamic radiation. High stress in both childhood and adulthood was associated with decreases in both executive function and working memory. Finally, stress across the lifespan was positively associated with the number of diagnosed mental health problems, with a stronger effect in females than in males. Together our findings demonstrate links between stress across the lifespan, brain structure and mental health outcomes that may differ between males and females. Our findings also suggest that exposure to highly stressful life events has a negative impact on cognitive abilities in later life regardless of sex.


2021 ◽  
Author(s):  
Mirjam Damerau ◽  
Martin Teufel ◽  
Venja Musche ◽  
Hannah Kohler ◽  
Adam Schweda ◽  
...  

BACKGROUND Diabetes is a very common chronic disease, which confronts patients with massive physiological and psychological burdens. The digitalization of mental health care has generated effective e-mental health approaches, which bear indubitable practical value to patient treatment. However, before implementing and optimizing e-mental health tools, their acceptance and underlying barriers and resources should be determined first in order to be able to develop and establish effective patient-oriented interventions. OBJECTIVE This study aimed to assess the acceptance of e-mental health interventions in diabetes patients and to explore its underlying barriers and resources. METHODS A cross-sectional study was conducted in Germany over a period of two months in 2020 through an online survey recruited via online diabetes channels. Eligibility requirement was adult age (18 or above), a good command of the German language, internet access and a diagnosis of diabetes. Acceptance was measured using a modified questionnaire, which was based on the well-established Unified Theory of Acceptance and Use of Technology (UTAUT) and assessed health-related internet use, acceptance of e-mental health interventions and its barriers and resources. Mental health was measured using validated and established instruments, namely the Generalized Anxiety Disorder Scale-7, the Patient Health Questionnaire-2 and the Distress Thermometer. Additionally, socio-demographic and medical data regarding diabetes were asked RESULTS Of 340 participants starting the survey 76.8 % completed it, resulting in 261 participants and a final sample of 258 participants with complete datasets. The acceptance of e-mental health interventions in diabetes patients was overall moderate (M = 3.02, SD = 1.14). Sex and suffering from a mental disorder had a significant influence on acceptance (P < .001). In an extended UTAUT regression model (UTAUT predictors plus socio-demographics and mental health variables) acceptance was significantly predicted by distress (β = .11, P = .027) as well as by the UTAUT predictors performance expectancy (PE) (β = .50, P < .001), effort expectancy (EE) (β = .15, P = .001), and social influence (SI) (β = .28, P < .001). The comparison between an extended UTAUT regression model (13 predictors) and the UTAUT only regression model (PE, EE, SI) revealed no significant difference in explained variance (F10,244 = 1.567, P =.117). CONCLUSIONS This study supports the viability of the UTAUT model and its predictors in assessing acceptance of e-mental health interventions in diabetes patients. Three UTAUT predictors reached a notable amount of explained variance in acceptance of 75 %, indicating being a very useful and efficient method for measuring e-mental health intervention acceptance of diabetic patients. Due to the close link between acceptance and utilization, acceptance facilitating interventions focusing on these three UTAUT predictors should be fostered to bring forward the highly needed establishment of effective e-mental health interventions in psychodiabetology.


2019 ◽  
Vol 73 (6) ◽  
pp. 569-576 ◽  
Author(s):  
Allison Milner ◽  
Anna J Scovelle ◽  
Tania L King ◽  
Ida Madsen

BackgroundThere is good evidence that job stressors are prospectively related to mental health problems, particularly depressive symptoms. This review aimed to examine whether job stressors were also related to use of psychotropic medications.MethodsUsing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses approach, we examined seven electronic databases that indexed literature from a wide range of disciplines. Inclusion criteria were (1) the study included a job stressor or psychosocial working condition as an exposure, and (2) psychotropic medication was an outcome. All effect-size estimates were considered but needed to present either a SE or 95% CIs to be included in meta-analyses. Data were pooled between studies using the relative risk (RR) or odds ratio (OR) and 95% CIs.ResultsThere were 18 unique studies with non-overlapping exposures eligible for inclusion in the quantitative meta-analysis. High job demands were associated with a statistically significant increased risk of psychotropic medication use (RR 1.16, 95% CI 1.02 to 1.31). There was also an elevated RR in relation to work–family conflict (RR 1.26, 95% CI 1.03 to 1.48). In studies reporting OR, high job demands were associated with an OR of 1.39 (95% CI 1.06 to 1.71).ConclusionsThe findings of this review highlight the need for policy and programme attention to reduce harmful exposure to psychosocial job stressors. Health-service use measures should be considered as outcomes and may represent more severe mental health conditions.


2012 ◽  
Vol 201 (3) ◽  
pp. 239-246 ◽  
Author(s):  
Sonia Johnson ◽  
David P. J. Osborn ◽  
Ricardo Araya ◽  
Elizabeth Wearn ◽  
Moli Paul ◽  
...  

BackgroundHigh-quality evidence on morale in the mental health workforce is lacking.AimsTo describe staff well-being and satisfaction in a multicentre UK National Health Service (NHS) sample and explore associated factors.MethodA questionnaire-based survey (n = 2258) was conducted in 100 wards and 36 community teams in England. Measures included a set of frequently used indicators of staff morale, and measures of perceived job characteristics based on Karasek's demand–control–support model.ResultsStaff well-being and job satisfaction were fairly good on most indicators, but emotional exhaustion was high among acute general ward and community mental health team (CMHT) staff and among social workers. Most morale indicators were moderately but significantly intercorrelated. Principal components analysis yielded two components, one appearing to reflect emotional strain, the other positive engagement with work. In multilevel regression analyses factors associated with greater emotional strain included working in a CMHT or psychiatric intensive care unit (PICU), high job demands, low autonomy, limited support from managers and colleagues, age under 45 years and junior grade. Greater positive engagement was associated with high job demands, autonomy and support from managers and colleagues, Black or Asian ethnic group, being a psychiatrist or service manager and shorter length of service.ConclusionsPotential foci for interventions to increase morale include CMHTs, PICUs and general acute wards. The explanatory value of the demand–support–control model was confirmed, but job characteristics did not fully explain differences in morale indicators across service types and professions.


2021 ◽  
Author(s):  
Vanessa Rentrop ◽  
Mirjam Damerau ◽  
Adam Schweda ◽  
Jasmin Steinbach ◽  
Lynik Chantal Schüren ◽  
...  

BACKGROUND The rapid increase in the number of overweight and obese people is a worldwide health problem. Obesity is often associated with physiological and mental health burdens. Due to several barriers of face-to-face psychotherapy, one promising approach is to exploit recent developments and implement innovative e-mental health interventions that offer various benefits to obese patients as well as for the healthcare system. OBJECTIVE This study aimed to assess the acceptance of e-mental health interventions in patients with obesity and explore its influencing predictors. In addition, the well-established, Unified Theory of Acceptance and Use of Technology model (UTAUT) will be compared with an extended UTAUT model in terms of variance explanation of acceptance. METHODS A cross-sectional online survey study was conducted from July 2020 to January 2021 in Germany. Eligibility requirement was adult age (18 or above), internet access, a good command of the German language, and a BMI > 30 kg/m2 (obesity). 448 patients with obesity (grade I, II and III) were recruited via specialized social media platforms. The impact of various socio-demographic, medical, and mental health characteristics were assessed. eHealth-related data and acceptance of e-mental health interventions were examined using a modified questionnaire, which is based on the UTAUT. RESULTS Acceptance of e-mental health interventions in obese patients was overall moderate (M = 3.18, SD = 1.11). There are significant differences in acceptance of e-mental health interventions among obese patients depending on the degree of obesity, age, gender, occupational status, and mental health status. In an extended UTAUT regression model acceptance was significantly predicted by the depression score (PHQ-8) (β = .07, P = .028), stress due to constant availability via mobile phone or email (β = .06, P = .024) and the confidence in using digital media (β = -.058, P = .042), as well as by the UTAUT core predictors performance expectancy (PE) (β = .45, P < .001), effort expectancy (EE) (β = .22, P < .001), and social influence (SI) (β = .27, P < .001). The comparison between an extended UTAUT model (16 predictors) and the restrictive UTAUT model (PE, EE, SI) revealed a significant difference in explained variance (F13,431= 2.366, P = .005). CONCLUSIONS The UTAUT model has proven to be a valuable instrument to predict the acceptance of e-mental health interventions in patients with obesity. Furthermore, when additional predictors were added, a significantly higher percentage of explained variance in acceptance could be achieved. Based on the strong association between acceptance and future utilization, new interventions should focus on these UTAUT predictors to promote the urgently needed establishment of effective e-mental health interventions for patients with obesity, who suffer from mental health burdens.


2020 ◽  
Vol 28 (3) ◽  
pp. 653-663 ◽  
Author(s):  
Hui Cheng ◽  
Hui Yang ◽  
Yongxia Ding ◽  
Binquan Wang

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