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The Gulf War and its impact on burnout and well-being of working civilians

Published online by Cambridge University Press:  09 July 2009

Talma Kushnir  and
Samuel Melamed
Talma Kushnir*
Affiliation:
Behavioral Medicine Unit, Occupational Health and Rehabilitation Institute at Loewenstein Hospital, Raanana, Israel
Samuel Melamed
Affiliation:
Behavioral Medicine Unit, Occupational Health and Rehabilitation Institute at Loewenstein Hospital, Raanana, Israel
*
1 Address for correspondence: Dr T. Kushnir, Occupational Health and Rehabilitation Institute at Loewenstein Hospital, PO Box 3.Raanana 43100, Israel.
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Synopsis

Burnout signifies the chronic depletion of coping resources following prolonged exposure to emotionally charged demands. It is manifested by symptoms of emotional, physical and cognitive exhaustion, and is usually studied in relation to occupational stressors. We hypothesized that the major life crisis engendered by missile attacks would give rise to burnout or exacerbate preexisting burnout symptoms. We also hypothesized that individuals suffering from prewar burnout would appraise the war as being more threatening and would be more vulnerable to upper respiratory infections (URI). Wartime and pre-war (baseline) levels of burnout and related symptomatology (cognitive weariness, listlessness, tension and somatic complaints) were compared among 162 Israeli civilians who carried on with their employment duties throughout the Gulf War. We found that the war impacted primarily on younger individuals (age < 45). All the pre-war levels of the above measures increased significantly (except for a marginal increase in tension). The impact of the war was mediated by threat appraisal, as indicated by worry and apprehension. Worry was positively associated with pre-war burnout, and negatively with age and education. Pre-war burnout was associated positively with wartime URIs. It was concluded that the war accelerated the depletion of coping resources and that burnout may be affected by factors other than occupational stress.

Type
Original Articles
Information
Psychological Medicine , Volume 22 , Issue 4 , November 1992 , pp. 987 - 995
Copyright
Copyright © Cambridge University Press 1992

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References

REFERENCES

Baum, A. & Grunberg, N. E. (1991). Gender, stress, and health. Health Psychology 10, 80–85.CrossRefGoogle ScholarPubMed
Belcastro, P. A., Gold, R. S. & Hays, L. C. (1983). Maslach Burnout Inventory factor structure for samples of teachers. Psychological Reports 53, 364–366.CrossRefGoogle ScholarPubMed
Caplan, R. D., Cobb, S., French, J. R. P. Jr., Van Harrison, R. & Pinneau, S. R. Jr (1975). Job Demands and Worker Health: Main Effects and Occupational Differences. Report to National Institute for Occupational Safety and Health, HEW Publication (NIOSH): Washington, DC.Google Scholar
Cherniss, C. (1980). Professional Burnout in Human Service Organizations. Prager: New York.Google Scholar
Cochrane, R. (1988). Marriage, separation and divorce. In Handbook of Stress, Cognition and Health (ed. Fisher, S. & Reason, J.), pp. 137–160. John Wiley: Chichester.Google Scholar
Cohen, S. & Williamson, G. M. (1991). Stress and infectious disease in humans. Psychological Bulletin 109, 5–24.CrossRefGoogle ScholarPubMed
Etzion, D. (1984). The moderating effect of social support on the relationship of stress and burnout. Journal of Applied Psychology 69, 615–622.CrossRefGoogle Scholar
Evans, P. D. & Edgerton, N. (1991). Life events and mood as predictors of the common cold. British Journal of Medical Psychology 64, 35–44.CrossRefGoogle ScholarPubMed
Evans, P. D., Pitts, M. K. P. & Smith, K. (1988). Minor infection, minor life events, and the four day desirability dip. Journal of Psychosomatic Research 32, 533–539.CrossRefGoogle ScholarPubMed
Fisher, S. (1989). The vulnerability of the depressed to life events: sadder and tougher. Advanced Behavior Research and Therapy 11, 271–286.CrossRefGoogle Scholar
Freudenberger, H. J. (1983). Burnout: contemporary issues, trends and concerns. In Stress and Burnout (ed. Farber, B. A.), pp. 23–28. Anchor Press/Doubleday: New York.Google Scholar
Garibaldi, R. A. (1985). Epidemiology of community acquired respiratory tract infection in adults. American Journal of Medicine 78 (Suppl 6B), 32–37.CrossRefGoogle ScholarPubMed
Gove, W. R. (1972). The relationship between sex roles, marital status and mental illness. Social Forces 51, 34–44.CrossRefGoogle Scholar
Harris, P. L. (1984). Assessing burnout: the organizational and individual perspective. Family and Community Health 6, 32–43.CrossRefGoogle ScholarPubMed
Hendrix, W. H., Steel, R. P., Leap, T. L. & Summers, T. P. (1991). Development of stress-related health promotion model: antecedents and organizational effectiveness outcomes. In Handbook of Job Stress (special issue) (ed. Perrewe, P. L.). Journal of Social Behavior and Personality 6 (7), 141–162. Select Press: Corte Madera, CA.Google Scholar
Jick, T. D. & Mitz, L. F. (1985). Sex differences in work stress. Academy of Management Review 10, 408–420.CrossRefGoogle Scholar
Justice, B., Gold, R. S. & Klein, J. P. (1981). Life events and burnout. Journal of Psychology 108, 219–226.CrossRefGoogle ScholarPubMed
Lazarus, R. S. & Folkman, S. (1984). Stress, Appraisal and Coping. Springer: New York.Google Scholar
Maslach, C. (1982). Burnout: The Cost of Caring. Prentice-Hall: Englewood Cliffs, New Jersey.Google Scholar
Melamed, S., Kushnir, T. & Shirom, A. (1992). Burnout and risk factors for cardiovascular disease. Behavioral Medicine 18, 53–60.CrossRefGoogle Scholar
Miller, S. M. & Kirsch, N. (1987). Sex differences in cognitive coping with stress. In Gender and Stress (ed. Barnett, R. C., Biener, L. and Baruch, G. K.), pp. 278–307. The Free Press: New York.Google Scholar
O'Leary, A. (1990). Stress, emotions and human immune function. Psychological Bulletin 108, 363–382.CrossRefGoogle ScholarPubMed
Quattrochi-Tubin, S., Jones, J. W. & Breedlove, V. P. (1982). The burnout syndrome in geriatric counsellors and service workers. Activities, Adaptation and Aging 3, 65–76.Google Scholar
Rook, K., Dooley, D. & Catalano, R. (1991). Stress transmission: the effects of husbands' job stressors on the emotional health of their wives. Journal of Marriage and the Family 53, 165–177.CrossRefGoogle Scholar
Shirom, A. (1989). Burnout in work organizations. In International Review of Industrial and Organizational Psychology (ed. Cooper, C. L. and Robertson, I.), pp. 25–49. John Wiley & Sons.Google Scholar
Stavosky, J. M. & Borkovec, T. D. (1988). The phenomenon of worry: theory, research, treatment, and its implications for women. Women and Therapy 6, 77–95.CrossRefGoogle Scholar
Stone, A. A., Bruce, R. & Neale, J. M. (1987). Changes in daily event frequency precede episodes of physical symptoms. Journal of Human Stress 13, 70–74.CrossRefGoogle ScholarPubMed
Suinn, R. M. (1990). Anxiety Management Training. Plenum Press: New York.CrossRefGoogle Scholar
Ungs, T. J. & Satya, S. P. (1990). Flight crews with upper respiratory tract infections: epidemiology and failure to seek aeromedical attention. Aviation, Space and Environmental Medicine 61, 938–941.Google ScholarPubMed