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dc.contributor.authorEklöf, B
dc.contributor.authorLarsson, H
dc.contributor.authorEllbin, S
dc.contributor.authorJonsdottir, IH
dc.contributor.authorO'Dwyer, S
dc.contributor.authorHansson, C
dc.date.accessioned2022-09-02T10:45:52Z
dc.date.issued2022-08-05
dc.date.updated2022-09-02T10:34:19Z
dc.description.abstractBACKGROUND: Exhaustion disorder (ED) is a stress-induced disorder characterized by physical and mental symptoms of exhaustion that can be long-lasting. Although stress exposure is essential for the development of ED, little is known regarding the role of stressors in the maintenance of ED. The aim of the study was to investigate the role of work-related stressors, private-related stressors, and adverse childhood experiences in long-term recovery from ED. METHODS: A mixed methods design was used. The design was sequential, and data analysis was performed in two parts, where the first part consisted of qualitative analysis of patient records, and the second part consisted of statistical analysis of the data retrieved from the qualitative coding. Patient records from 150 patients with ED was analysed regarding work-related stressors, private-related stressors, and adverse childhood experiences. For each patient, two patient records were analysed, one from the time of diagnosis (baseline) and one from the follow-up clinical assessment, 7-12 years after diagnosis (follow-up). Out of the 150 patients, 51 individuals still fulfilled the diagnostic criteria for ED at follow-up (ED group) and 99 individuals no longer fulfilled the diagnostic criteria and were thus considered recovered (EDrec). Percentages in each group (ED and EDrec) reporting each stressor at baseline and follow-up were calculated as well as the differences in percentage points between the groups along with the 95% confidence intervals for the differences. RESULTS: At baseline, significantly more EDrec patients reported quantitative demands (73% EDrec, 53% ED) and managerial responsibilities (14% EDrec, 2% ED). Private-related stressors did not differ at baseline. At follow-up, significantly more ED patients reported managerial responsibilities (8 ED, 0% EDrec) and caregiver stress (child) (24% ED, 6% EDrec) and significantly more EDrec patients reported caregiver stress (parent) (6% EDrec, 0% ED). There were no differences regarding adverse childhood experiences. CONCLUSIONS: The main conclusion is that neither adverse childhood experiences nor any of the stressors at baseline are associated with long-term ED. Ongoing stressors related to having responsibility for other people, such as managerial responsibilities or caring for a child with a chronic disease or psychiatric disorder, may be associated with long-term exhaustion.en_GB
dc.description.sponsorshipAFA Insuranceen_GB
dc.description.sponsorshipSwedish Governmenten_GB
dc.description.sponsorshipNational Institute for Health Research Applied Research Collaboration South West Peninsulaen_GB
dc.format.extent529-
dc.format.mediumElectronic
dc.identifier.citationVol. 22, article 529en_GB
dc.identifier.doihttps://doi.org/10.1186/s12888-022-04172-y
dc.identifier.grantnumber190127en_GB
dc.identifier.grantnumberALFGBG-431391en_GB
dc.identifier.urihttp://hdl.handle.net/10871/130652
dc.identifierORCID: 0000-0003-4022-1943 (O'Dwyer, Siobhan)
dc.language.isoenen_GB
dc.publisherBMCen_GB
dc.relation.urlhttps://www.ncbi.nlm.nih.gov/pubmed/35931962en_GB
dc.rights© The Author(s) 2022. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativeco mmons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.en_GB
dc.subjectAdverse childhood experiencesen_GB
dc.subjectBurnouten_GB
dc.subjectCaregiversen_GB
dc.subjectCarersen_GB
dc.subjectExhaustionen_GB
dc.subjectMixed methodsen_GB
dc.subjectParent Carersen_GB
dc.subjectStressorsen_GB
dc.subjectCaregiversen_GB
dc.titleThe role of self-reported stressors in recovery from Exhaustion Disorder: a longitudinal study.en_GB
dc.typeArticleen_GB
dc.date.available2022-09-02T10:45:52Z
dc.identifier.issn1471-244X
exeter.article-number529
exeter.place-of-publicationEngland
dc.descriptionThis is the final version. Available from BMC via the DOI in this record. en_GB
dc.descriptionAvailability of data and materials: The datasets used and analysed during the current study are available from the corresponding author on reasonable requesten_GB
dc.identifier.journalBMC Psychiatryen_GB
dc.relation.ispartofBMC Psychiatry, 22(1)
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_GB
dcterms.dateAccepted2022-07-21
dc.rights.licenseCC BY
rioxxterms.versionVoRen_GB
rioxxterms.licenseref.startdate2022-08-05
rioxxterms.typeJournal Article/Reviewen_GB
refterms.dateFCD2022-09-02T10:39:37Z
refterms.versionFCDVoR
refterms.dateFOA2022-09-02T10:46:00Z
refterms.panelAen_GB
refterms.dateFirstOnline2022-08-05


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© The Author(s) 2022. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which
permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the
original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or
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to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory
regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this
licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativeco
mmons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
Except where otherwise noted, this item's licence is described as © The Author(s) 2022. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativeco mmons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.