Relationship between job satisfaction, burnout syndrome and depressive symptoms in physicians: a cross-sectional study based on the employment demand–control model using structural equation modelling
Journal
BMJ Open
ISSN
2044-6055
2044-6055
Date Issued
2022
Author(s)
David Villarreal-Zegarra
Wilder Iván Lázaro-Illatopa
Ronald Castillo-Blanco
Luciana Bellido-Boza
Edward Mezones-Holguin
Type
Resource Types::text::journal::journal article
URL Institutional Repository
Abstract
<jats:sec><jats:title>Objective</jats:title><jats:p>To evaluate the relationship between job satisfaction, burnout syndrome (BS) and depressive symptoms (DS) based on the job demand–control framework model on a nationally representative sample of physicians working in the Peruvian Health System.</jats:p></jats:sec><jats:sec><jats:title>Setting</jats:title><jats:p>We carried out a secondary data analysis of the National Survey of Satisfaction of Users in Health 2016 in Peru.</jats:p></jats:sec><jats:sec><jats:title>Primary and secondary outcome measures</jats:title><jats:p>Our study assessed the development of the predictive model and had two parts: (1) to evaluate the association among the variables based on the job demand–control framework, and (2) to assess the proposed model acceptability using the structural equation modelling approach to estimate goodness-of-fit indices (GOFIs).</jats:p></jats:sec><jats:sec><jats:title>Participants</jats:title><jats:p>We excluded physicians older than 65 years, who did not report income levels or who had missing data related to the workplace. Thus, we analysed 2100 participants.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>The prevalence of DS was 3.3%. Physicians’ work-related illnesses had more probability to result in DS (prevalence ratio=2.23). DS was moderately related to BS dimensions (r>0.50); nevertheless, the relationships between DS and the three job satisfaction scales were weak (r<0.30). The first predictive model based on the variables, DS, BS and job satisfaction, had low GOFIs (comparative fit index (CFI)=0.883; root mean square error of approximation (RMSEA)=0.125). In a second evaluation, we used models with correlated errors obtaining optimal GOFIs (CFI=0.974; RMSEA=0.060).</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>Our study identified a stable model to explain the relationship between job satisfaction, BS and DS among physicians. The results are consistent with the job demand–control framework. They could be applied to decision-making in occupational contexts in Latin American low/middle-income countries.</jats:p></jats:sec>
Cite this document
Villarreal-Zegarra, D., Lázaro-Illatopa, W. I., Castillo-Blanco, R., Cabieses, B., Blukacz, A., Bellido-Boza, L., & Mezones-Holguin, E. (2022). Relationship between job satisfaction, burnout syndrome and depressive symptoms in physicians: A cross-sectional study based on the employment demand–control model using structural equation modelling. BMJ Open, 12(10), e057888. https://doi.org/10.1136/bmjopen-2021-057888
Dataset(s)
Dataset - Relationship between job satisfaction, burnout syndrome and depressive symptoms in physicians: a cross-sectional study based on the employment demand-control model using structural equation modelling
Subjects
depression & mood disorders
;
human resource management
;
mental health
;
primary care
;
psychiatry
;
burnout, professional
;
burnout, psychological
;
cross-sectional studies
;
depression
;
humans
;
job satisfaction
;
latent class analysis
;
workplace
;
adult
;
aged
;
article
;
controlled study
;
cross-sectional study
;
depression
;
descriptive research
;
female
;
human
;
job satisfaction
;
male
;
mental health
;
occupational health
;
physician
;
prevalence
;
professional burnout
;
secondary analysis
;
workload
;
burnout
;
depression
;
latent class analysis
;
workplace