Risco de adoecer psicológico: um estudo comparativo na ferrovia portuguesa
DOI:
https://doi.org/10.14195/1647-7723_29-1_11Palavras-chave:
Burnout, stress no trabalho, ferrovia, saúde ocupacionalResumo
Os trabalhadores do setor ferroviário estão frequentemente expostos a diversos eventos stressantes e potencialmente traumáticos, que os colocam numa situação de risco de adoecer psicológico. Pretendem-se identificar e comparar os níveis de burnout em profissionais da ferrovia portuguesa, considerando dados obtidos em investigações de 2016 e de 2019. Utilizou-se um questionário sociodemográfico, o Cuestionario para la Evaluación del Síndrome de Quemarse por el Trabajo, e o Maslach Burnout Inventory, aplicados a 593 profissionais da ferrovia. Os resultados revelaram que entre 2016 e 2019 ocorreram aumentos estatisticamente significativos em todas as dimensões e valores totais de burnout. Assim, e perante valores já anteriormente elevados, as dimensões exaustão/desgaste, cinismo/desinvestimento e burnout foram superiores em 2019, quando comparadas aos dados de 2016, sendo que a dimensão positiva (realização pessoal/entusiasmo pelo trabalho) diminuiu no ano de 2019. Verificou-se que o burnout aumentou nestes profissionais, constituindo um sinal de alerta para se aplicarem estratégias de prevenção.
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Referências
Areosa, J. e Queirós, C. (2020). Burnout: Uma patologia social reconfigurada na era COVID-19? International Journal on Working Conditions, 20, 70–90.
Avison, W. R. (1996). Social networks as risk and protective factors for onset and recurrence of mental disorders. Current Opinion in Psychiatry, 9(2), 149–152. DOI: https://doi.org/10.1097/00001504-199603000-00012
Awa, W. L., Plaumann, M. and Walter, U. (2010). Burnout prevention: A review of intervention programs. Patient Education and Counseling, 78(2), 184–190. DOI: https://doi:10.1016/j.pec.2009.04.008
Baruch-Feldman, C., Brondolo, E., Ben-Dayan, D. and Schwartz, J. (2002). Sources of social support and burnout, job satisfaction, and productivity. Journal of Occupational Health Psychology, 7(1), 84–93. DOI: https://doi.org/10.1037/1076-8998.7.1.84
Ben-Zur, H. and Yagil, D. (2005). The relationship between empowerment, aggressive behaviours of customers, coping, and burnout. European Journal of Work and Organizational Psychology, 14(1), 81–99. DOI: https://doi.org/10.1080/13594320444000281
Berger, W., Coutinho, E. S., Figueira, I., Marques-Portella, C., Luz, M. P., Neylan, T. C., Marmar, C. R. and Mendlowicz, M. V. (2012). Rescuers at risk: A systematic review and meta-regression analysis of the worldwide current prevalence and correlates of PTSD in rescue workers. Social Psychiatry and Psychiatric Epidemiology, 47(6), 1001–1011. DOI: https://doi.org/10.1007/s00127-011-0408-2
Brom, S. S., Buruck, G., Horváth, I., Richter, P. and Leiter, M. P. (2015). Areas of worklife as predictors of occupational health – A validation study in two German samples. Burnout Research, 2(2-3), 60–70. DOI: https://doi.org/10.1016/j.burn.2015.05.001
Brooks, S. K., Dunn, R., Amlôt, R., Greenberg, N. and Rubin, G. J. (2016). Social and occupational factors associated with psychological distress and disorder among disaster responders: A systematic review. BMC Psychology, 4, 18.
Bryman, A. e Cramer, D. (2003). Análise de dados em ciências sociais, introdução às técnicas utilizando o SPSS para Windows. Celta Editora.
Buruck, G., Tomaschek, A. and Lütke-Lanfer, S. S. (2018). Burnout prevention team-process evaluation of an organizational health intervention. Journal of Public Health, 27(6), 743–754. DOI: https://doi:10.1007/s10389-018-0999-0
Cañadas-De la Fuente, G. A., Ortega, E., Ramirez-Baena, L., De la Fuente-Solana, E. I., Vargas, C. anb Gómez-Urquiza, J. L. (2018). Gender, marital status, and children as risk factors for burnout in nurses: A meta-analytic study. International Journal of Environmental Research and Public Health, 15(10), Article e2102. DOI: https://doi.org/10.3390/ijerph15102102
Chen, J., Liu, X., Wang, D., Jin, Y., He, M., Ma, Y., Zhao, X., Song, S., Zhang, L., Xiang, X., Yang, L., Song, J., Bai, T. and Hou, X. (2021). Risk factors for depression and anxiety in healthcare workers deployed during the COVID-19 outbreak in China. Social Psychiatry and Psychiatric Epidemiology, 56(1), 47-55. DOI: https://doi.org/10.1007/s00127-020-01954-1
Chowdhury, R., Shah, D. and Payal, A. (2017). Healthy worker effect phenomenon: Revisited with emphasis on statistical methods – A review. Indian Journal of Occupational and Environmental Medicine, 21(1), 2-8. DOI: https://doi:10.4103/ijoem.ijoem_53_16
ERA - EUROPEAN UNION AGENCY FOR RAILWAYS (2016). Integrating human factors in European railways safety management systems. Publications Office of the European Union.
ERA - EUROPEAN UNION AGENCY FOR RAILWAYS (2018). Railway safety and interoperability in the EU. Publications Office of the European Union.
EU-OSHA - EUROPEAN AGENCY FOR SAFETY AND HEALTH AT WORK (2011). OSH in figures: Occupational safety and health in the transport sector – An overview. Publications Office of the European Union.
EU-OSHA - EUROPEAN AGENCY FOR SAFETY AND HEALTH AT WORK (2014). Calculating the cost of work-related stress and psychosocial risks. Publications Office of the European Union.
EU-OSHA - EUROPEAN AGENCY FOR SAFETY AND HEALTH AT WORK (2015). Summary - Second European Survey of Enterprises on New and Emerging Risks (ESENER 2). Publications Office of the European Union. https://osha.europa.eu/en/publications/summary-second-european-survey-enterprises-new-and-emerging-risks-esener-2/view
EU-OSHA - EUROPEAN AGENCY FOR SAFETY AND HEALTH AT WORK (2017). Estimating the costs of work-related accidents and ill-health: An analysis of European data sources. Publications Office of the European Union.
EU-OSHA - EUROPEAN AGENCY FOR SAFETY AND HEALTH AT WORK (2018a). Healthy workers, thriving companies - a practical guide to wellbeing at work. Publications Office of the European Union.
EU-OSHA - EUROPEAN AGENCY FOR SAFETY AND HEALTH AT WORK (2018b). Management of psychosocial risks in European workplaces - evidence from the second European survey of enterprises on new and emerging risks (ESENER-2). https://osha.europa.eu/en/publications/management-psychosocial-risks-european-workplaces-evidence-second-european-survey/view
EU-OSHA - EUROPEAN AGENCY FOR SAFETY AND HEALTH AT WORK (2019). ESENER 2019 What does it tell us about safety and health in Europe’s workplaces? https://osha.europa.eu/en/publications/esener-2019-policy-brief/view
EU-OSHA - EUROPEAN AGENCY FOR SAFETY AND HEALTH AT WORK (2020). COVID-19: Back to the workplace - Adapting workplaces and protecting workers. Publications Office of the European Union. https://osha.europa.eu/en/publications/covid-19-back-workplace-adapting-workplaces-and-protecting-workers/view
EU-OSHA - EUROPEAN AGENCY FOR SAFETY AND HEALTH AT WORK (2021). Single Programming Document 2021-2023. Publications Office of the European Union. https://osha.europa.eu/en/publications/single-programming-document-2021-2023/view
EUROFOUND - EUROPEAN FOUNDATION FOR THE IMPROVEMENT OF LIVING AND WORKING CONDITIONS (2018). Burnout in the workplace: a review of data and policy responses in the EU. Publications Office of the European Union.
EUROFOUND - EUROPEAN FOUNDATION FOR THE IMPROVEMENT OF LIVING AND WORKING CONDITIONS (2020). Living, working and COVID-19: September 2020. Publications Office of the European Union. DOI: https://doi:10.2806/467608
Fan, J. and Smith, A. P. (2018). A preliminary review of fatigue among rail staff. Frontiers in Psychology, 9, 1-10. DOI: https://doi:10.3389/fpsyg.2018.00634
Faria Anjos, J., Santos, M.J.H., Ribeiro, M. T. and Moreira, S. (2019). Connor-Davidson resilience scale: Validation study in a Portuguese sample. BMJ Open, 9(6), Article e026836. DOI: https://doi:10.1136/bmjopen-2018-026836
Field, A. (2009). Discovering statistics using spss (2nd ed.). Artmed Editora.
Figueiredo-Ferraz, H., Gil-Monte, P., Queirós, C., and Passos, F. (2014). Factorial validity of the “Spanish Burnout Inventory” among portuguese police officers. Psicologia Reflexão e Crítica, 27, 291–299. DOI: https://doi.org/10.1590/1678-7153.201427209
Fischer, R., Mattos, P., Teixeira, C., Ganzerla, D. S., Rosa, R. G. and Bozza, F. A. (2020). Association of burnout with depression and anxiety in critical care clinicians in Brazil. JAMA Network Open, 3(12), 1–12. DOI: https://doi.org/10.1001/jamanetworkopen.2020.30898
Fonseca, S. M., Cunha, S., Campos, R., Gonçalves, S. P. e Queirós, C. (2019). Saúde ocupacional dos profissionais de emergência pré-hospitalar: Contributo do trauma e coping. International Journal on Working Conditions, 17(1), 69–88. DOI: https://doi.org/10.25762/ndmt-0c23.
Fonseca, S., Queirós, C., Guimarães, F. e Martins, V. (2018). Risco de burnout e trauma em profissionais da ferrovia com e sem experiência em acidentes. Territorium, 25(I), 113-127. DOI: https://doi.org/10.14195/1647-7723_25-1_9
Gauche, C., de Beer, L. T. and Brink, L. (2017). Exploring demands from the perspective of employees identified as being at risk of burnout. International Journal of Qualitative Studies on Health and Well-Being, 12(1), 1361783. DOI: https://doi.org/10.1080/17482631.2017.1361783
Gil-Monte, P. R. (2005). El Síndrome de Quemarse por el Trabajo: Una enfermedad laboral en la sociedade del bienestar (1st ed.). Pirámide.
Gil-Monte, P. R. (2011). CESQT, Cuestionario para la evaluación del síndrome de quemarse por el trabajo. Manual. TEA Ediciones.
Gil-Monte, P. R. (2019). CESQT, Cuestionario para la evaluación del síndrome de quemarse por el trabajo. (2.nd ed). TEA Ediciones.
Greenglass, E., Fiksenbaum, L. and Burke, R. J. (1996). Components of social support, buffering effects and burnout: Implications for psychological functioning. Anxiety, Stress & Coping, 9(3), 185–197. DOI: https://doi:10.1080/10615809608249401
Guthier, C., Dormann, C. and Voelkle, M. C. (2020). Reciprocal effects between job stressors and burnout: A continuous time meta-analysis of longitudinal studies. Psychological Bulletin, 146(12), 1146–1173. DOI: https://doi.org/10.1037/bul0000304
Hagemann, T. M., Reed, B. N., Bradley, B. A., Clements, J. N., Cohen, L. J., Coon, S. A., Derington, C., DiScala, S., El-Ibiary, S., Lee, K. C., May, A., Phillips, J., and Rogers, K. M. (2020). Burnout among clinical pharmacists: Causes, interventions, and a call to action. Journal of the American College of Clinical Pharmacy, 3(4), 832–842. DOI: https://doi.org/10.1002/jac5.1256
ICD-11 - INTERNATIONAL CLASSIFICATION OF DISEASES (2021). ICD-11 for mortality and morbidity statistics: QD85 burnout. https://icd.who.int/browse11/l-m/en#/http://id.who.int/icd/entity/129180281
Kline, R. B. (2016). Principles and practice of structural equation modeling (4th ed.). The Guilford Press.
Koutsimani, P., Montgomery, A. and Georganta, K. (2019). The relationship between burnout, depression, and anxiety: A systematic review and meta-analysis. Frontiers in Psychology, 10, Article e284. DOI: https://doi:10.3389/fpsyg.2019.00284
Lee, A., Wong, J., McAlonan, G., Cheung, V., Cheung, C., Sham, P., Chu, C., Wong, P., Tsang, K., and Chua, S. (2007). Stress and psychological distress among SARS survivors 1 year after the outbreak. Canadian Journal of Psychiatry, 52(4), 233-240. DOI: https://doi.org/10.1177/070674370705200405
Lemos, I. C. (2013). Acidente com comboios: Implicações no desenvolvimento da perturbação de stress pós- traumático nos maquinistas (Dissertação de Mestrado em Psicologia clínica). ISPA.
Lemos, I. C. and Patrão, I. (2018). Train accidents: Is there post-traumatic stress disorder in train drivers? Psychology, Community & Health, 7(1), 44-56. DOI: https://doi:10.5964/pch.v7i1.184
Lourenço, L. e Almeida, A. (2018). A teoria do risco: Alguns conceitos à luz da teoria do risco. In L. Lourenço (Ed.), Riscos e crises: Da teoria à plena manifestação (17-79). Imprensa da Universidade de Coimbra. DOI: https://doi.org/10.14195/978-989-26-1697-1_1
Lourenço, L. (2018). A teoria do risco: Uma classificação de riscos na óptica da proteção civil. In L. Lourenço (Ed.), Riscos e crises: Da teoria à plena manifestação (113-145). Imprensa da Universidade de Coimbra. DOI: https://doi.org/10.14195/978-989-26-1697-1_4
Mao, X., Fung, O. W. M., Hu, X. and Loke, A. Y. (2018). Psychological impacts of disaster on rescue workers: A review of the literature. International Journal of Disaster Risk Reduction, 27, 602–617. DOI: https://doi:10.1016/j.ijdrr.2017.10.020
Marques Pinto, A. e Picado, L. (2011). Adaptação e bem-estar nas escolas portuguesas: Dos alunos aos professores. Coisas de Ler.
Martinussen, M., Richardsen, A. M. and Burke, R. J. (2007). Job demands, job resources, and burnout among police officers. Journal of Criminal Justice, 35(3), 239-249. DOI: https://doi:10.1016/j.jcrimjus.2007.03.001
Maslach, C. and Jackson. S. E. (1978). Lawyer burn-out. Barrister, 5(2), 52-54.
Maslach, C. and Jackson, S. E. (1981). The measurement of experienced burnout. Journal of Organizational Behavior, 2(2), 99-113.
Maslach, C. and Jackson, S. E. (1997). MBI, Inventário Burnout de Maslach, síndrome del “quemado” por estrés laboral asistencial; manual. Madrid: TEA, Publicaciones de Psicologia Aplicada.
Maslach, C., Jackson, S. E. and Leiter, M. P. (1996). Maslach Burnout Inventory. Consulting Psychologists Press.
Maslach, C. and Leiter, M. P. (2017). New insights into burnout and health care: Strategies for improving civility and alleviating burnout. Medical teacher, 39(2), 160–163. DOI: https://doi.org/10.1080/0142159X.2016.1248918
Maslach, C. and Schaufeli, W. B. (2018). Historical and conceptual development of burnout. In W. Schaufeli, C. Maslach, T. Marek (Ed.), Professional burnout: Recent developments in theory and research (1-16). CRC Press.
Maslach, C., Schaufeli, W. B. and Leiter, M. P. (2001). Job burnout. Annual Review of Psychology, 52(1), 397-422.
McPherson, B. D. (1976). Involuntary turnover: A characteristic process of sport organizations. International Review of Sport Sociology, 11(4), 5–16. DOI: https://doi.org/10.1177/101269027601100401
Moitra, M., Rahman, M., Collins, P. Y., Gohar, F., Weaver, M., Kinuthia, J., Rossler, W., Petersen, S., Unutzer, J., Saxena, S., Huang, K., Lai, J. and Kumar, M. (2021). Mental health consequences for healthcare workers during the covid-19 pandemic: A scoping review to draw lessons for LMICs. Frontiers in Psychiatry, 12, Article e602614. DOI: https://doi.org/10.3389/fpsyt.2021.602614
Mrazek, P. J. and Haggerty, R. J. (1994). Risk and protective factors for the onset of mental disorders. In Reducing risks for mental disorders: Frontiers for preventive intervention research (127-215). National Academies Press.
Novaco, R. and Gonzalez, O. (2009). Commuting and well-being. In Y. Amichai-Hamburger (Ed.), Technology and Psychological Well-being (174-205). Cambridge University Press. DOI: https://doi:10.1017/CBO9780511635373.008
OPP - ORDEM DO PSICÓLOGOS PORTUGUESES (2020). Relatório OPP “Stresse e burnout custam €3,2 mil milhões/ano” às empresas portuguesas”. https://www.ordemdospsicologos.pt/pt/noticia/2970
Pijpker, R., Vaandrager, L., Veen, E. J. and Koelen, M. A. (2019). Combined interventions to reduce burnout complaints and promote return to work: A systematic review of effectiveness and mediators of change. International Journal of Environmental Research and Public Health, 17(1), Article e55. DOI: https://doi:10.3390/ijerph17010055
Queirós, C., Borges, E., Mosteiro, P., Abreu, M. e Baldonedo, M. (2020). Personalidade, ansiedade e vulnerabilidade ao burnout em enfermeiros: Um estudo comparativo Portugal/Espanha. Revista Rol de Enfermería, 43(1), 83-89.
Queirós, C., Borges, E., Teixeira A., e Maio, T. (2018). Estratégias de prevenção do stress ocupacional, burnout e bullying. In E. Borges (Ed.). Saúde e enfermagem do trabalho (139-157). Lidel.
Queirós, C., Fonseca, S., Guimarães, F. e Martins, V. (2016). Relatório Técnico: Stress, motivação no trabalho e desgaste em profissionais que trabalham no sector ferroviário. LabRP da FPcEUP/ESTSPiPP.
Queirós, C., Fonseca, S., Guimarães, F. e Martins, V. (2017). A dimensão do fator humano na segurança ferroviária: Estados emocionais do profissional. In L. Lourenço (Ed.), Alcafache - 30 anos depois! (33-53). Imprensa Universitária de Coimbra.
Queirós, C., Fonseca, S. e Martins, V. (2019). Relatório Técnico: Desgaste e mal-estar psicológico consequentes da laboração em regime de escala/turno nos trabalhadores ferroviários. LabRP da FPCEUP/ ESS-P.Porto.
Queirós, C., Gonçalves, S.P. e Marques, A. (2014). Burnout: Da conceptualização à gestão em contexto laboral. In H.V. Neto., J. Areosa e P. Arezes (Eds.), Manual de riscos psicossociais (172-192). RICOT Rede de Investigação sobre Condições de Trabalho.
Rabasa, B., Figueiredo-Ferraz, H., Gil-Monte, P. R. and Llorca-Pellicer, M. (2016). The role of guilt in the relationship between teacher’s job burnout syndrome and the inclination toward absenteeism. Revista de Psicodidáctica, 21(1), 103-119. DOI: https://doi.org/10.1387/RevPsicodidact.13076
Rehman, A. U., Bhuttah, T. M. and You, X. (2020). Linking burnout to psychological well-being: The mediating role of social support and learning motivation. Psychology Research and Behavior Management, 13, 545–554. DOI: https://doi.org/10.2147/PRBM.S250961
Salvagioni, D. A. J., Melanda, F. N., Mesas, A. E., González, A. D., Gabani, F. L. and De Andrade, S. M. (2017). Physical, psychological and occupational consequences of job burnout: A systematic review of prospective studies. PLoS ONE, 12(10), 1-29. DOI: https://doi:10.1371/journal.pone.0185781
Shah, D. (2009). Healthy worker effect phenomenon. Indian Journal of Occupational and Environmental Medicine, 13(2), 77-79.
DOI: https://doi.org/10.4103/0019-5278.55123
Shoshan, H. and Sonnentag, S. (2019). The effects of employee burnout on customers: An experimental approach. Work and Stress, 34(2), 127–147. DOI: https://doi.org/10.1080/02678373.2019.1577312
Sinclair, R. R., Allen, T., Barber, L., Bergman, M., Britt, T., Butler, A., Ford, M., Hammer, L., Kath, L., Probst, T. and Yuan, Z. (2020). Occupational health science in the time of COVID-19: Now more than ever. Occupational Health Science, 4(1-2), 1-22. DOI: https://doi:10.1007/s41542-020-00064-3
Smith, A. P. and Smith, H. N. (2017). Workload, fatigue and performance in the rail industry. Springer International Publishing, 726, 251–263. DOI: https://doi:10.1007/978-3-319-61061-0
Soravia, L. M., Schwab, S., Walther, S. and Müller, T. (2021). Rescuers at risk: Posttraumatic stress symptoms among police officers, fire fighters, ambulance personnel, and emergency and psychiatric nurses. Frontiers in Psychiatry. Advance online publication.
Sun, X., Zhang, L., Zhang, C., Liu, J. and Ge, H. (2020). The status of job burnout and its influence on the working ability of copper-nickel miners in Xinjiang, China. BMC Public Health, 20(1), 1–10. DOI: https://doi.org/10.1186/s12889-020-8245-4
Thomas, S. P., Liao-Troth, S. and Williams, D. F. (2020). Inefficacy: The tipping point of driver burnout. International Journal of Physical Distribution & Logistics Management, 50(4), 483–501. DOI: https://doi:10.1108/ijpdlm-07-2019-0223
Trumello, C., Bramanti, S., Ballarotto, G., Candelori, C., Cerniglia, L., Cimino, S., Crudele, M., Lombardi, L., Pignataro, S., Viceconti, M. and Babore, A. (2020). Psychological adjustment of healthcare workers in Italy during the COVID-19 pandemic: Differences in stress, anxiety, depression, burnout, secondary trauma, and compassion satisfaction between frontline and non-frontline professionals. International Journal of Environmental Research and Public Health, 17(22), 1–13. DOI: https://doi.org/10.3390/ijerph17228358
Veness, B. G., Tibble, H., Grenyer, B. F. S., Morris, J. M., Spittal, M. J., Nash, L., Studdert, D. and Bismark, M. M. (2019). Complaint risk among mental health practitioners compared with physical health practitioners: A retrospective cohort study of complaints to health regulators in Australia. BMJ Open, 9(12), 1–9. DOI: https://doi.org/10.1136/bmjopen-2019-030525
Wagnild, G. M. and Young, H. M. (1993). Development and psychometric evaluation of the resilience scale. Journal of Nursing Measurement, 1, 165–178. https://sapibg.org/download/1
WHO - World Health Organization (2019, 28 May). Burn-out an “occupational phenomenon”: International Classification of Diseases - 28 May 2019. https://www.who.int/mental_health/evidence/burn-out/en/
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