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

David Villarreal-Zegarra, Wilder Iván Lázaro-Illatopa, Ronald Castillo-Blanco, Baltica Cabieses, Alice Blukacz, Luciana Bellido-Boza, Edward Mezones-Holguin

Research output: Contribution to journalArticlepeer-review

Abstract

OBJECTIVE: 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. SETTING: We carried out a secondary data analysis of the National Survey of Satisfaction of Users in Health 2016 in Peru. PRIMARY AND SECONDARY OUTCOME MEASURES: 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). PARTICIPANTS: 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. RESULTS: 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). CONCLUSIONS: 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.

Original languageEnglish
Article numbere057888
Pages (from-to)e057888
JournalBMJ Open
Volume12
Issue number10
DOIs
StatePublished - 19 Oct 2022

Keywords

  • Depression & mood disorders
  • Human resource management
  • MENTAL HEALTH
  • PRIMARY CARE
  • PSYCHIATRY
  • Cross-Sectional Studies
  • Humans
  • Burnout, Psychological
  • Workplace
  • Latent Class Analysis
  • Job Satisfaction
  • Burnout, Professional/epidemiology
  • Depression/epidemiology

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