Depression, burnout, and perceptions of control in hospital nurses.

Depression, burnout, and perceived job control (PJC) were assessed in 162 nurses. Depression accounted for over 19% of the variance associated with emotional exhaustion--an index of burnout--and PJC accounted for another 6%. Factor analysis of the scales used to measure depression and burnout documented their discriminant validity. Perceptions of uncontrollability were significantly related to higher levels of depression and burnout. Structural equations modeling suggested that perceived uncontrollability is associated with burnout, which, in turn, is related to depressive affect. Against a criterion of actual job control, non-burned-out subjects overestimated their control, whereas burned-out subjects approached complete agreement with criterion. Despite evidence for a "depressive realism effect," greater perceptual accuracy was not attributable to depression among the more burned-out nurses.

[1]  O. Brim.  Theories of the Male Mid-Life Crisis , 1976 .

[2]  L. Abramson,et al.  Judgment of contingency in depressed and nondepressed students: sadder but wiser? , 1979, Journal of experimental psychology. General.

[3]  E. Langer.  The illusion of control. , 1975 .

[4]  P. Landsbergis.  Occupational stress among health care workers: A test of the job demands-control model , 1988 .

[5]  M. Seligman,et al.  Learned helplessness in humans: critique and reformulation. , 1978, Journal of abnormal psychology.

[6]  S. Sarason,et al.  Professional burnout in human service organizations , 1980 .

[7]  A. Beck,et al.  Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation , 1988 .

[8]  Scott T. Meier,et al.  The construct validity of burnout , 1984 .

[9]  M. Drake.  Diagnostic and Statistical Manual of Mental Disorders (3rd ed. rev.) , 1988 .

[10]  Seymour Sudman,et al.  Asking Questions: A Practical Guide to Questionnaire Design.@@@The Design and Understanding of Survey Questions. , 1982 .

[11]  Shelley E. Taylor.  Adjustment to threatening events: A theory of cognitive adaptation. , 1983 .

[12]  D. Dunning,et al.  Depression, realism, and the overconfidence effect : are the sadder wiser when predicting future actions and events ? , 1991 .

[13]  R. Golembiewski,et al.  Stress in Organizations: Toward A Phase Model of Burnout , 1985 .

[14]  L. Abramson,et al.  Depressive realism: Four theoretical perspectives. , 1988 .

[15]  J. S. Tanaka,et al.  Confirmatory hierarchical factor analyses of psychological distress measures. , 1984 .

[16]  J. Oliver,et al.  Depression as measured by the DSM-III and the Beck Depression Inventory in an unselected adult population. , 1984, Journal of Consulting and Clinical Psychology.

[17]  Shirlynn Spacapan,et al.  Perceptions of Control in Vulnerable Populations , 1991 .

[18]  J. G. Greer,et al.  Learned Helplessness: A Piece of the Burnout Puzzle , 1984, Exceptional children.

[19]  D. McDermott.  Professional burnout and its relation to job characteristics, satisfaction, and control. , 1984, Journal of human stress.

[20]  Shelley E. Taylor,et al.  Illusion and well-being: a social psychological perspective on mental health. , 1988, Psychological bulletin.

[21]  S. Folkman,et al.  Stress, appraisal, and coping , 1974 .

[22]  S. Jackson,et al.  Burnout in organizational settings. , 1984 .

[23]  B. J. Winer.  Statistical Principles in Experimental Design , 1992 .

[24]  J. Singer,et al.  Urban stress: experiments on noise and social stressors , 1972 .

[25]  Peter M. Bentler,et al.  EQS : structural equations program manual , 1989 .

[26]  L. Abramson,et al.  Learned helplessness, depression, and the illusion of control. , 1982, Journal of personality and social psychology.

[27]  Elliot Aronson,et al.  BURNOUT: FROM TEDIUM TO PERSONAL GROWTH , 1981 .

[28]  M. Kohn,et al.  Job Conditions and Personality: A Longitudinal Assessment of Their Reciprocal Effects , 1982, American Journal of Sociology.

[29]  A. Beck.  Depression : clinical, experimental, and theoretical aspects , 1967 .

[30]  P. Bentler,et al.  Comparative fit indexes in structural models. , 1990, Psychological bulletin.

[31]  Christina Maslach,et al.  Burnout: The Cost of Caring , 1982 .

[32]  Christina Maslach,et al.  After-effects of job-related stress: Families as victims , 1982 .

[33]  J. Oliver,et al.  Affective disorders and depression as measured by the Diagnostic Interview Schedule and the Beck Depression Inventory in an unselected adult population. , 1985, Journal of clinical psychology.

[34]  Leonard Bickman,et al.  Applied social psychology annual , 1980 .

[35]  R. Michels,et al.  Diagnostic and Statistical Manual of Mental Disorders, 3rd ed , 1981 .