Study on Burnout, Menopause, and Hormones: Initial Results
This study explores the relationship between burnout, menopause, hormones, and work in women approaching retirement age. It delves into menopausal symptoms, work performance, and the impact on well-being, with a focus on cognitive disorders and depression. Data collection methods and findings from a study population of working menopausal women are presented.
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Presentation Transcript
Relation between Burnout, Menopause and Hormones First results of a study project Philippe Kiss1,3 Marc De Meester1,3 Herman Depypere2 Lutgart Braeckman3 1Securex Occupational Health Service 2Department of Human Structure and Repair, Ghent University 3Department of Public Health and Primary Care, Ghent University
Background increasing retirement age increasing proportion older women on the workfloor increasing proportion of menopausal women on the workfloor Aims to explore relationships between menopause and work associations with hormone use associations within occupational medicine Cognitive disorders, depression and work ability at the menopause - 11 March 2023 2
Data collection screening Well-being Indicator assessment tool prevention and well-being at work online questionnaire primary aim mapping bottlenecks on well-being at work identify priority action areas / employee groups starting point for preventive actions in the company secundary aim use pooled data for scientific research Cognitive disorders, depression and work ability at the menopause - 11 March 2023 3
Study population cross-sectional questionnaire study datacollection (2020)-2021-2022 44 organizations (both public and private sector) total n: 6525 women: 3253 (49.9%) participation in menopause study: 2408 (74.0%) no menopause: 1427 (59.3%) don t know: 277 (11.5%) menopause: 704 (29.2%) Cognitive disorders, depression and work ability at the menopause - 11 March 2023 4
Study population 704 working menopausal women mean age: 55.1 yr (SD 4.6 yr) employment contract statutory: 16.4% open-ended contract: 79.3% jobtype office work: 52.4% indoor work, but no office work: 37.2% with private individuals: 8.6% managerial role no: 85.8% Cognitive disorders, depression and work ability at the menopause - 11 March 2023 5
Menopausal symptoms hot flushes, joint stiffness, fatigue, poor sleep n % never 94 13.4 in the past now 251 356 35.8 50.8 87.6 % 55.3% problems at work due to menopausal complaints Cognitive disorders, depression and work ability at the menopause - 11 March 2023 6
Sickness absence in the past 12 months sickness absence during the past 12 months (%) p<0.001 menopausal complaints with problems (n=180) 76.1 menopausal complaints without problems (n=147) 57.1 menopausal complaints in the past (n=232) 57.3 menopause never complaints (n=88) 47.7 women no menopause (n=1320) 64.5 men >=45 yr (n=1389) 55.1 men <45 yr (n=1601) 62.7 p<0.001 0 10 20 30 40 50 60 70 80 90 100 Cognitive disorders, depression and work ability at the menopause - 11 March 2023 7
Need for recovery insufficient recovery long term effects stress factors short term effects fatigue at the end of a working day high workload mental health complaints need for recovery (Ursin & Eriksen 2004; Sluiter et al. 1999 en 2001) Cognitive disorders, depression and work ability at the menopause - 11 March 2023 8
Need for recovery scale reliable instrument good predictor of health complaints (psychosomatic complaints, burnout, depression) and sickness absence detection of health effects in an early stage scale 0 11 the higher, the worse high need for recovery: > 5/11 Cognitive disorders, depression and work ability at the menopause - 11 March 2023 9
Menopause and need for recovery high need for recovery (%) p<0.001 menopausal complaints with problems (n=190) 62.1 menopausal complaints without problems (n=156) 34.6 menopausal complaints in the past (n=246) 36.6 menopause never complaints (n=93) 23.7 women no menopause (n=1386) 40.3 men >=45 yr (n=1445) 32.2 men <45 yr (n=1667) 30.8 0 10 20 30 40 50 60 70 80 90 100 p<0.001 Cognitive disorders, depression and work ability at the menopause - 11 March 2023 10
Menopause and burnout burnout score (0-100) p<0.001 menopausal complaints with problems (n=171) 47.4 menopausal complaints without problems (n=146) 35.0 menopausal complaints in the past (n=226) 35.6 menopause never complaints (n=86) 29.5 women no menopause (n=1304) 44.9 men >=45 yr (n=1370) 32.7 men <45 yr (n=1572) 37.6 p<0.05 0 10 20 30 40 50 60 70 80 90 100 Cognitive disorders, depression and work ability at the menopause - 11 March 2023 11
Emotional work demands emotional work demands (0-10) p<0.001 menopausal complaints with problems (n=187) 5.52 menopausal complaints without problems (n=154) 4.05 menopausal complaints in the past (n=241) 4.33 menopause never complaints (n=92) 3.93 women no menopause (n=1363) 4.46 men >=45 yr (n=1431) 4.14 men <45 yr (n=1664) 3.82 0 1 2 3 4 5 6 7 8 9 10 p<0.001 Cognitive disorders, depression and work ability at the menopause - 11 March 2023 14
Work demands (scores 0-10) physical workload quantitative work demands emotional work demands discomfort cognitive demands complaints with problems 4.57 4.55 5.52 2.73 complaints without problems 3.17 4.72 4.05 1.87 complaints in the past 2.90 4.78 4.33 2.06 never complaints 3.05 4.69 3.93 2.01 p <0.001 <0.05 <0.001 <0.01 Cognitive disorders, depression and work ability at the menopause - 11 March 2023 16
Discomfort from insufficient fresh air discomfort from insufficient fresh air (%) p<0.001 menopausal complaints with problems (n=181) 52.5 menopausal complaints without problems (n=150) 30.7 menopausal complaints in the past (n=235) 34.0 menopause never complaints (n=89) 31.5 women no menopause (n=1337) 34.6 men >=45 yr (n=1397) 25.1 men <45 yr (n=1617) 28.7 0 10 20 30 40 50 60 70 80 90 100 p<0.001 Cognitive disorders, depression and work ability at the menopause - 11 March 2023 18
Physical work environment (%) inadequate temperature insufficient fresh air complaints with problems 59.1 52.5 complaints without problems 44.7 30.7 complaints in the past 43.0 34.0 never complaints 34.8 31,5 p <0.001 <0.001 Cognitive disorders, depression and work ability at the menopause - 11 March 2023 19
Work-private life imbalance work-private life imbalance (%) p<0.001 menopausal complaints with problems (n=187) 27.3 menopausal complaints without problems (n=154) 13.6 menopausal complaints in the past (n=241) 13.7 menopause never complaints (n=92) 6.5 women no menopause (n=1363) 18.9 men >=45 yr (n=1431) 16.4 men <45 yr (n=1644) 18.7 0 10 20 30 40 50 p<0.001 Cognitive disorders, depression and work ability at the menopause - 11 March 2023 22
Social support and work-private life imbalance social support supervisor (0-10) social support colleagues (0-10) work-private life imbalance (%) complaints with problems 6.66 6.24 27.3 complaints without problems 7.45 7.21 13.6 complaints in the past 7.42 7.08 13.7 never complaints 7.03 7.36 6.5 p <0.01 <0.001 <0.001 Cognitive disorders, depression and work ability at the menopause - 11 March 2023 23
Multivariate analyses in women with menopausal complaints logistic regression OR for having problems during work by menopausal complaints variables entered work demands (physical, quantitative, emotional, cognitive) physical work environment (inadequate temperature, insufficient fresh air) social support at work (from colleagues and supervisors) work private life (im)balance individual health status (high need for recovery) Cognitive disorders, depression and work ability at the menopause - 11 March 2023 24
Final multivariate logistic regression model for having problems at work by menopause complaints (n=320) Variable OR (95% CI) 1.19 (1.08-1.31)*** emotional work demands (score 0-10) discomfort from insufficient fresh air 1.80 (1.10-2.94)* social support from colleagues (score 0-10) 0.88 (0.78-0.98)* high need for recovery 2.10 (1.28-3.44)** * p<0.05 ** p<0.01 *** p<0.001 (no significant associations with physical workload, quantitative work demands, discomfort from cognitive workload, inadequate temperature, social support supervisor, work-private life imbalance) Cognitive disorders, depression and work ability at the menopause - 11 March 2023 25
Multivariate logistic regression models for having a high need for recovery total currently no complaints (n=313) complaints without problems (n=146) complaints with problems (n=173) menopausal (n=632) poor work private life balance 8.62 (4.62-16.07)*** 8.79 (3.77-20.52)*** 13.80 (2.85-66.88)** 6.05 (1.93-18.97)** discomfort cognitive demands (score 0-10) 1.15 (1.07-1.24)*** 1.22 (1.03-1.46)* 1.22 (1.06-1.41)** emotional demands (score 0-10) 1.14 (1.02-1.28)* discomfort physical work environment 1.52 (1.01-2.29)* 1.81 (1.03-3.18)* physical workload (score 0-10) 1.19 (1.09-1.29)*** sense of community (score 0-10) 0.81 (1.03-3.18)** vertical trust (score 0-10) 0.71 (0.55-0.91)** organizational justice (score 0-10) 0.84 (0.77-0.91)*** 0.75 (0.64-0.88)*** Cognitive disorders, depression and work ability at the menopause - 11 March 2023 26 * p<0.05 ** p<0.01 *** p<0.001 (no significant associations with quantitative work demands)
Menopause discussable at work? menopause discussable at work (%) p<0.005 68.0 complaints with problems (n=197) 23.4 8.6 79.9 complaints without problems (n=159) 9.4 10.7 70.1 complaints in the past (n=251) 14.3 15.5 65.6 never complaints (n=93) 19.4 15.1 0 10 20 30 40 50 60 70 80 90 100 don't know no yes Cognitive disorders, depression and work ability at the menopause - 11 March 2023 27
Association between discussability and workplace social capital components 50 % discussable at work 40 30 20 10 0 0 1 2 3 4 5 6 7 8 9 10 organizational justice (0-10) - red vertical trust (0-10) - blue sense of community (0-10) - gray Cognitive disorders, depression and work ability at the menopause - 11 March 2023 28
Discussability and need for recovery and burnout % high need for recovery mean burnout score (0-100) 80 80 58.4 60 60 50.6 40 40 31.3 28.4 20 20 0 0 yes (n=83) no (n=113) yes (n=76) no (n=104) discussable at work p<0.001 discussable at work p<0.001 Cognitive disorders, depression and work ability at the menopause - 11 March 2023 29
Caveats cross-sectional composition of study population first exploratory results Cognitive disorders, depression and work ability at the menopause - 11 March 2023 30
Summary 87.6% of menopausal women had (35.8%) or were currently having complaints (50.8%) 55.3% of the women with current complaints had problems during work worst figures for need for recovery, burnout and sickness absence worst scores for occupational factors Cognitive disorders, depression and work ability at the menopause - 11 March 2023 31
Work related measures monitor need for recovery maintain good work-private life balance pay attention to physical work environment measures to make cognitive demands less incomfortable measures to reduce or cope with emotional work demands (support, psychosocial safety climate, ) importance of organisational justice (workplace social capital) make menopause discussable at work Cognitive disorders, depression and work ability at the menopause - 11 March 2023 32
