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Association between insomnia symptoms, job strain and burnout syndrome: a cross-sectional survey of 1300 financial workers
  1. Arnaud Metlaine1,2,
  2. Fabien Sauvet1,3,
  3. Danielle Gomez-Merino1,3,
  4. Maxime Elbaz1,2,
  5. Jean Yves Delafosse2,
  6. Damien Leger1,2,
  7. Mounir Chennaoui1,3
  1. 1Université Paris Descartes, Hôtel Dieu, EA 7330 VIFASOM (Vigilance Fatigue et Sommeil), Paris, France
  2. 2Centre du sommeil et de la vigilance, Hôtel Dieu, HUPC, APHP, Paris, France
  3. 3Institut de recherche biomédicale des armées (IRBA), Unité Fatigue et Vigilance, Brétigny sur Orge, France
  1. Correspondence to Dr Arnaud Metlaine; arnaud.metlaine{at}


Objectives Professional burnout is closely related to work stress but less frequently associated with disturbed sleep. This study determines whether job strain and sleep disturbances are associated risk factors of burnout among financial workers.

Design Observational study.

Participants 1300 employees (725 female) of a financial company.

Primary measures Self-reported questionnaires (Maslach Burnout Inventory, Job Content Questionnaire, Sleep questionnaire based on ICSD-3 classification), the Epworth sleepiness scale and the Hospital Anxiety and Depression Scale (HADS).

Result The prevalence of burnout was 10.2% (9.0% moderate and 1.2% severe). 23.3% of workers were considered with high job strain, and 93.1% had a high level of job satisfaction. 16.8% of individuals had insomnia and 97% reported non-restorative sleep. The bivariate analyses demonstrate a higher risk of burnout in participants with insomnia (OR=14.7, 95% CI 9.8 to 21.9), non-restorative sleep (OR=9.9, 95% CI 5.1 to 19.5) and anxiety (OR=10.2, 95% CI 6.8 to 15.3). High job strain was associated with burnout (OR=1.9, 95% CI 1.1 to 3.6). This association was not maintained after adjustment for sleep parameters. Job satisfaction was another independent risk factor for burnout (OR=124, 95% CI 65 to 237).

Conclusions In our sample of financial workers, job strain represents a burnout risk factor only if associated with insomnia. Insomnia can be considered as a relevant clinical marker that should be targeted in mental health prevention programmes at the workplace.

  • Insomnia
  • Job strain
  • Burnout
  • Sleep

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:

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  • Contributors AM, FS, DL and MC were involved in conception or design of the work. AM, FS, DGM, ME, JYD, DL and MC acquired, analysed and interpreted the data and manuscript redaction. All authors reviewed and approved the final manuscript.

  • Funding This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Ethics approval The local hygiene and safety committee.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data sharing statement No additional data are available.

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