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Article de recherche

Burnout syndrome and associated factors among university teaching


staff in Cameroon: Effect of the practice of sport and physical
activities and leisures
Syndrome du itburnout et facteurs associés chez les enseignants d’universités au
Cameroun : effets de la pratique des activités physiques et sportives et des loisirs
P.T. Moueleu Ngalagou a,b , P.B. Assomo-Ndemba a , L.J. Owona Manga a,c ,
H. Owoundi Ebolo a , C.N. Ayina Ayina a , M.-Y. Lobe Tanga a , W.R. Guessogo a,d ,
J. Mekoulou Ndongo a , A. Temfemo a , S.H. Mandengue a,∗
a
Exercise and Sport Physiology and Medicine Unit, University of Douala, PO Box 7064 Logbessou, Bassa, Douala, Cameroon
b
Institut Universitaire du Golfe de Guinée, Douala, Cameroon
c
Department of Public Health, Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Cameroon
d
National Institute of Youth and Sport, University of Yaounde I, Cameroon

a r t i c l e i n f o a b s t r a c t

Article history: Objectives. – This study aimed to evaluate the epidemiology of burnout syndrome among university
Received 17 April 2018 teaching staff in Cameroon; and to establish if the practice of physical activities and leisures could have
Accepted 15 July 2018 preventive effect.
Available online xxx
Methods. – A cross-sectional study using a self-administered questionnaire on socio-demographic charac-
teristics, socio-professional conditions, Maslach Burnout Inventory-Educator Survey (MBI-ES) to evaluate
Keywords: burnout syndrome, and Ricci-Gagnon metrics to assess level of physical activities practice among grades
Burnout syndrome
of teaching staff, in the various faculties of the University of Douala, Cameroon.
Occupational exhaustion
University teaching staff
Results. – Three hundreds and three teaching staff members aged 43 ± 7 years were included (69%
Physical activities and sports males). The prevalence of burnout syndrome was 68%, distributed within the three dimensions as fol-
Leisures lows: emotional exhaustion (15.2%), depersonalization (32.1%) and loss of personal accomplishment
(22.1%), with 57% low level, 38% moderate and 6% severe. Burnout affected respectively 55.4% lectur-
ers, 38.3% senior lecturers and 6.3% professors. Burnout was significantly associated with poor working
conditions (P = 0.0001), unsatisfactory salary (P = 0.0001), part time teaching in private university institu-
tions (P = 0.027), sensation of strenuous job (P = 0.002), conflict with colleagues (P = 0.028), sedentariness
(P = 0.007). Sport and physical activities showed significant protective effect against burnout (P = 0.004),
the same with leisures (P = 0.016).
Conclusion. – The prevalence burnout syndrome is high among university teaching staff in Cameroon. The
practice of sport and physical activities and leisures has a protective effect against burnout syndrome.
© 2018 L’Encéphale, Paris.

r é s u m é

Mots clés : Contexte/Objectifs. – La demande de services de qualité supérieure a augmenté avec la mondialisa-
Syndrome de burnout tion en cours dans le monde entier. L’environnement socioéconomique est devenu plus compétitif
Epuisement professionnel et exigeant en termes de résultats et de performance. Ces exigences exposent les travailleurs à des
Enseignant d’université vulnérabilités en termes de santé au travail, tels que le stress et le burnout encore connus comme syn-
Activités physiques et sportives
drome d’épuisement professionnel. Certaines investigations ont rapporté que le burnout est maintenant
Loisirs
largement répandu dans plusieurs secteurs ou corps professionnels comme les travailleurs sociaux, les

∗ Corresponding author.
E-mail address: shmandengue@yahoo.fr (S.H. Mandengue).

https://doi.org/10.1016/j.encep.2018.07.003
0013-7006/© 2018 L’Encéphale, Paris.

Please cite this article in press as: Moueleu Ngalagou PT, et al. Burnout syndrome and associated factors among uni-
versity teaching staff in Cameroon: Effect of the practice of sport and physical activities and leisures. Encéphale (2018),
https://doi.org/10.1016/j.encep.2018.07.003
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2 P.T. Moueleu Ngalagou et al. / L’Encéphale xxx (2018) xxx–xxx

conseillers, les enseignants, les infirmières, les laborantins, les orthophonistes, les ergothérapeutes, les
médecins, les dentistes, les policiers et gardiens de prison, les hôtesses de l’air, et même les ménagères
et les étudiants. Nous avons émis l’hypothèse que l’université de Douala, avec environ 6000 étudiants
à son ouverture en 1993, et comptant 45 306 étudiants avec seulement 771 enseignants en 2017, soit
un ratio de 58 étudiants/01 enseignants, sans infrastructures académiques adéquates, les enseignants
pourraient être exposés au burnout. Comme des études ont trouvé et rapporté des effets bénéfiques
préventifs, protecteurs et même thérapeutiques des activités physiques sur de nombreuses affections
et syndromes comme les maladies cardiovasculaires, le diabète, les fonctions cognitives et mentales, le
syndrome métabolique, les cancers, le stress, la dépression, le vieillissement, la démence, nous avons
secondairement émis l’hypothèse que les activités physiques pourraient avoir le même effet bénéfique
sur le personnel enseignant universitaire exposé à l’épuisement professionnel. Cette étude avait pour
but d’évaluer l’épidémiologie du burnout syndrome chez les enseignants d’universités au Cameroun ; et
d’établir si la pratique d’activités physiques et de loisirs peut avoir un effet préventif.
Méthodes. – Étude transversale utilisant un questionnaire auto-administré avec quatre sections sur (a) les
caractéristiques sociodémographiques, notamment : l’âge, le sexe, l’état matrimonial, la distance au lieu
de travail, la durée du déplacement domicile-lieu de travail ; (b) les caractéristiques socioprofessionnelles
et les conditions de travail, notamment : la spécialité, l’ancienneté, le grade, les conditions de travail, le
nombre de cours dispensés, le nombre de niveaux enseignés, le nombre de thèses supervisées par an, le
nombre d’heures consacrées à des tâches administratives par semaine, nombre d’heures de cours donnés
en parallèle dans les instituts universitaires privés, le nombre de week-ends libres par mois, le nombre
de jours de vacances par an, la perception du travail, les conflits professionnels ; (c) le psychomètre
Maslach Burnout Inventory-Educators Survey (MBI-ES), pour évaluer le burnout syndrome dans ses trois
dimensions : épuisement émotionnel (EE), dépersonnalisation (DP), perte d’accomplissement personnel
(PAP) ; et (d) le questionnaire de Ricci-Gagnon, qui évalue le niveau de pratique des activités physiques
et classe les participants comme inactifs, actifs ou très actifs.
Résultats. – Au total, 303 enseignants âgés de 29 à 62 ans (43 ± 7 ans) ont été inclus (69 % des hommes).
La prévalence du burnout était de 68 %, répartis dans les trois dimensions comme suit : épuisement
émotionnel (15,2 %), dépersonnalisation (32,1 %), perte d’accomplissement personnel (22,1 %), avec 57 %
de faible niveau, 38 % modéré et 6 % sévère. Le burnout a affecté 55,4 % d’enseignants assistants, 38,3 %
de maîtres-assistants et 6,3 % des professeurs. Le burnout était significativement associé aux mauvaises
conditions de travail (p = 0,0001), au salaire insatisfaisant (p = 0,0001), aux vacations dans les institutions
universitaires privées (p = 0,027), à la sensation de travail pénible (p = 0,002), aux conflits avec les collègues
(p = 0,028), à la sédentarité (p = 0,007). La pratique des activités physiques a montré un effet protecteur
significatif contre le burnout (p = 0,04), de même que les loisirs (p = 0,016).
Conclusions. – Le syndrome de burnout a une prévalence élevée chez le personnel enseignant universitaire
au Cameroun avec plusieurs facteurs associés. La pratique des activités physiques et de loisirs a un effet
protecteur contre le syndrome d’épuisement professionnel. L’Asthénie, les douleurs dorsales, les maux
de tête, la méfiance, l’irritabilité, sont les cinq premiers symptômes.
© 2018 L’Encéphale, Paris.

1. Introduction teaching staff, many causes have been identified as being associated
to burnout syndrome: increasing number of demands from stu-
The demand of high standard quality services has increased with dents, parents and university management lecturers, work related
the on-going globalization worldwide. The socio-economic envi- demand of meeting up deadline given to compile, processing of
ronment has become more competitive and demanding in terms results, raising the standard to meet-up with new goals to com-
of results and performance. These requirements expose workers pete with other universities [6,7]. Caputo [8] identified ten work
to occupational health vulnerabilities such as stress and burnout. related causes of burnout which are common to staff in teach-
Weber and Jaekel-Reinhard [1] qualified burnout syndrome as “a ing profession and they include: “lack of professional autonomy,
disease of modern societies” and a challenge to both research and dealing with the public, conflicts, ambiguity of role, decreased
practice. opportunities for personal accomplishment, inadequate positive
Scientists, starting from Freudenberg [2] and Maslach [3] are feedback, lack of control over library operations, no-win situa-
still looking for a consensual definition of burnout [1]. Maslach tions, continuous heavy workload and stressors in the physical
[3] describe burnout as a tri-dimensional affection with: emotional environment”. According to Lokanadha- Reddy and Poornima [9],
exhaustion (EE), depersonalization or dehumanization (DP) and a university teaching staffs are under a great deal of stress related to
decrease or loss of personal accomplishment (LPA) or achievement. organizational inefficiency, high staff turnover, absenteeism due to
Some investigators reported that burnout syndrome is now sickness, decreased quality and quantity of practice, increased costs
widely sprayed in diverse occupations: in social workers, advisors, of health care, and decreased job satisfaction. Oboegbulem and
teachers, nurses, laboratory workers, speech therapists, ergo thera- Ogbonnaya [10] found that poor working conditions, time pressure
pists, doctors and dentists, police and prison officers, stewardesses, and poor school structures, worries due the family problem and
managers, and even in housewives and students [1,4]. Goodger political climate of the country are some of the sources of burnout
et al. [5] in a systematic review on “burnout in sport” found about among Nigeria school personnel including university lecturers.
58 publications dealing with burnout on athletes, coaches, athletic The consequences of burnout syndrome are enormous and
directors, athletic trainers, officials, and sport-center employees. touch physical and the mental health. They include: declines in
Rothmann and Barkhuizen [4] found that burnout was more mental and physical health, low morale, alcohol and drug addic-
pervasive in educational occupations. With regards to University tion [11], weakening of interpersonal relationships, deterioration in

Please cite this article in press as: Moueleu Ngalagou PT, et al. Burnout syndrome and associated factors among uni-
versity teaching staff in Cameroon: Effect of the practice of sport and physical activities and leisures. Encéphale (2018),
https://doi.org/10.1016/j.encep.2018.07.003
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teaching and research performance [12,13], increased absenteeism, in two sub-sections A and B, each with four items. Each item is
desire of leaving the profession [14,15]. A study even observed rated from 1 to 5: 1 corresponds to easy effort and 5, to a very dif-
that burnout could be view as a “contagious” affection [16]. In fact ficult effort. Sub-section A evaluates the duration and intensity of
Bakker and Schaufeli [16] reported that “teachers who frequently daily common activities such as cleaning, gardening, rural work,
talked with their burned-out colleagues about problematic stu- walking. Sub-section B evaluates sport and recreational activities.
dents had the highest probability of catching the negative attitudes The total of points in sub-sections A and B enable to classify par-
expressed by their colleagues. In repeatedly trying to understand ticipants as inactive if < 16, active between 16 and 32, very active
the problems their colleagues were facing, teachers presumably if > 32;
had to tune in to the negative attitudes expressed by their col- • the Maslach Burnout Inventory-Educators Survey (MBI-ES), to
leagues (about themselves and about the students)”. assess burnout (Maslach et al. [22]).
Considering the consequences of burnout on university teaching
staff, it is of high need to conduct investigations on this syndrome This psychometric instrument includes 22 items that determine
in all universities. So far, no research had being carried on burnout the three dimensions of burnout which are:
among university teaching staff in Cameroon. The aim of this inves-
tigation was therefore to palliate to the lack of data on this question. • emotionalexhaustion (EE) with nine items: 1,2,3,6,8,13,14,16,20;
We hypothesized that the University of Douala starting with • depersonalization (DP) with five items: 5,10,11,15,22;
about 6,000 students at its opening in 1993, and presently count- • loss of personal achievement (LPA) with eight items:
ing 45,306 students with only 771 teaching staff members in 2017, 4,7,9,12,17,18,19,21.
giving a ratio of 58 students/01 teaching staff, without adequate
academic infrastructures, teaching staff members may be exposed The response modalities for the 22 items are based on a 7-points
to burnout. As several studies found and reported preventive, pro- frequency scale with an intensity ranging from 0 to 6: “0 = never”
tective and even therapeutic beneficial effects of physical activities to “6 = every day”.
on many affections and syndromes as cardiovascular diseases, dia- The score in each dimension is used to determine the degree of
betes, cognitive and brain functions, metabolic syndrome, cancers, affect as high, moderate, or low as follows:
stress, depression, aging, addiction, dementia [17–19], we secondly
hypothesized that physical activities may have the same beneficial • emotional exhaustion: high ≥ 27; moderate 17–26; low ≤ 16;
effect on university teaching staff exposed to burnout. • depersonalization: high ≥ 13; moderate 7–12; low ≤ 6;
• loss of personal achievement: high ≤ 30; moderate 31–36;
2. Materials and methods low ≥ 37.

2.1. Context and sampling The questionnaire was handed to participants for one week at
least to take cognition of the content and have sufficient time to
The University of Douala (the largest in Cameroon in terms of answer to the various items.
enrollment) counted 45,306 students registered during 2016–2017
academic year for 771 permanent teaching staff members, giving a 2.3. Data analysis
ratio of 58 students/01 teacher. The sample size calculated using the
Lorentz’s formula was 130 participants, with a prevalence of 21% Data were recorded and processed using the EPI Info 7 and
of burnout found among Tunisian teachers Chennoufi et al. [20]. All Excel 2010 softwares, and analyzed using the XLStat 7.5.2 software.
teaching staff members of all academic ranks enrolled at least since Quantitative variables are presented as mean ± SD. Student’s t-test
on year were eligible to participate. We excluded all part timers. was used to compare quantitative variables. Qualitative variables
Explanations on the purpose of the study were detailed on a were compared using the Chi2 test, and Fisher’s exact probability
written form to obtain the free consent from participants. Partici- was determined for dichotomous variables. In multivariate analy-
pants had the right to withdraw from the study at any time. This sis, the logistic regression test was used to establish the relationship
study was approved by the Institutional Ethic Committee of the between burnout and predictor variables associated in a variety of
University of Douala, and received the authorisation of the Regional situations. Results were considered significant when P < 0.05.
Delegate of the Ministry of Public Health. The study was conducted
in accordance with the Helsinki Declaration as revised in 1989.
3. Results

2.2. Instruments and data collection 3.1. Socio-demographic and -professional characteristics

Data were collected using a self-administered questionnaire Three hundreds and three participants were included (out of
made up of four sections: 130 objectivized). Table 1 describes the socio-demographic and
-professional characteristics of participants. Two hundreds and
• socio-demographic characteristics, including: age, gender, mari- ninety-seven (98%) participants answered they had never heard
tal status, distance to work place, duration of home-work place about burnout. Sixty-three (21%) held additionally an administra-
trip; tive position. Three hundreds participants (99%) disclosed they
• socio-professional characteristics and work conditions, includ- were unsatisfied with salary conditions.
ing: specialty, seniority, rank, work infrastructural conditions,
number of courses taught, number of levels taught, number of 3.2. Burnout and associated factors
theses supervised per year, number of hours devoted to adminis-
trative duties per week, parallel enrollment in private university Two hundreds and six participants (68%) were victims of
Institutes, number of free week-ends per month, number of days burnout, with 118 (57%) low, 74 (36%) moderate and 14 (7%) high
of vacation per year, job perception, professional conflicts; level. They were 115 (56%) Lecturers, 78 (38%) senior Lectures and
• the Ricci-Gagnon questionnaire [21], to assess the level of physi- 13 (6%) Professors. There was no significant difference between
cal activities and sport (PAS) practice. This questionnaire consists academic ranks. Among the 94 female teaching staff members,

Please cite this article in press as: Moueleu Ngalagou PT, et al. Burnout syndrome and associated factors among uni-
versity teaching staff in Cameroon: Effect of the practice of sport and physical activities and leisures. Encéphale (2018),
https://doi.org/10.1016/j.encep.2018.07.003
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Table 1 Table 4
Socio-demographic and -professional description, (n = 303 participants). Symptoms reported by victims of burnout (n = 206).

Variable Description n (%) Symptoms n (%)

Socio-demographic characteristics Back pain 108 (52.4)


Age 43 ± 7 years, (range 29–62) Headache 84 (40.8)
Gender Males 209 (69%) Asthenia 63 (30.6)
Female 94 (31%) Mistrust 60 (29.1)
Marital status Single 76 (25%) Irritability 38 (18.4)
Married 227 (75%) Increased sensitivity 37 (18.0)
Number of children in charge No child 35 (12%) Rigidity 32 (15.5)
One child 37 (12%) Pessimism 31 (15.0)
Two to four 205 (68%) Hyperactivity 31 (15.0)
Five and more 26 (08%) Abdominal pain 30 (14.6)
Socio-professional characteristics Promptitude to anger 18 (8.7)
Academic rank Lectures 168 (56%) Palpitations 16 (7.8)
Senior Lecturers 116 (38%) Feeling of superiority 5 (2.4)
Professors 19 (6%) Hot flashes 3 (1.5)
Job seniority Less than 5 years 76 (25%) Feeling of cold 1 (0.5)
Between 5 and 10 years 137 (45%)
More than 10 years 90 (30%)
Desire for reconversion One to two time 32 (11%) Table 5
Often 36 (12%) Frequency of body systems affected in victims of burnout, (n = 206).
More often 07 (02%)
n (%)

Psycho-affective system 165 (80)


Table 2
Musculoskeletal System 78 (38)
Level of affection by burnout in the three dimensions, (n = 206).
Nervous system 58 (28)
Burnout dimension Level Number, (n) Frequency, (%) General signs 45 (22)
Digestive system 29 (14)
Emotional exhaustion Low 64 31 Dermatological system 10 (05)
Moderate 111 54 Cardiovascular system 11 (05)
Severe 31 15 Urogenital System 2 (1)
Depersonalization Low 81 39
Moderate 57 28
Severe 68 33
Loss of personal accomplishment Low 112 55 3.4. Burnout, symptoms frequency and body systems affected
Moderate 49 24
Severe 45 22
Table 4 give the frequency of symptoms reported by victims of
burnout, and Table 5 shows the frequency of body systems affected.
71 (75.5%) were in burnout, against 135 over 209 (64.6%) males;
the difference was not significant (P = 0.7). Table 2 shows level of 4. Discussion
affect in the three dimensions, and Table 3, associated factors with
burnout in a univariate analysis, using logistic regression test. We found a very high prevalence (68%) of burnout. Lokanadha-
Reddy and Poornima, [10], in India, found that 74% of the university
3.3. Practice of physical activities and sports and burnout teachers experienced moderate to high levels of occupational stress
and 86% victims of burnout strongly linked to occupational stress.
One hundred and sixty-two (53%) participants were qualified The high prevalence of burnout in our study can be explained
inactive, and 141 (47%) active, according to the Ricci-Gagnon phys- on the one hand by the ratio of students/01 teaching staff mem-
ical activities metrics. The practice of sport and physical activities ber which is almost the double of UNESCO norm (1 teacher per
showed significant preventive effect against burnout syndrome 30 students), viewing an amplified workload. In the other hand,
(P = 0.004; OR = 2.07; IC95% [1,27–3,38]), the same with leisures by the relatively young characteristic of participants (43 ± 7 years),
(P = 0.016; OR = 2.23; IC95% [13–4,02]). as some studies found that teachers between 35 and 45 years, are
at greater risk of burnout [23,24]. The prevalence of burnout in
Table 3 our study was higher than in Colombia (23.4%) and Tunisia (21%)
Factors associated with burnout. among secondary school teachers [20,25]. Farber [26], Anderson
Associated factors P and Iwanicki [27] suggested that university teachers are more risky
of burnout than those of secondary school due to more overload. In
Job perception and Unsatisfactory salary 0.0001
conditions
all, 54.8% victims of burnout in our study suffered from loss of per-
Poor infrastructures 0.0001 sonal achievement. This was slightly higher than the 45.5% reported
Stressing job 0.002 by Chennoufi et al. [20] in Tunisia. This could be explained by the
Strenuous job 0.022 low remuneration declared by the vast majority (99.6%) of teachers.
Conflict with 0.028
With regard to gender, there was no significant difference
colleagues
Social and family Less number of free 0.001 between male and female teachers in overall. This result is in agree-
conditions week-end ment with Cooper et al. [28], Canoui and Mauranges [29], who
Part time lectures in 0.027 found no direct link between gender and burnout. In fact, results on
private university burnout and gender are controversial. Some authors found a higher
institutions
Less time with 0.001
prevalence of burnout in women and suggested that this was due to
entourage their physical and psychological vulnerability, and the difficulty to
Less time to leisures 0.016 reconcile work and family life [30,31]. Conversely, others reported
Sedentariness, 0.007 a higher rate of burnout among men, because of the high workload
(physical inactivity)
to which they are usually subjected [32].

Please cite this article in press as: Moueleu Ngalagou PT, et al. Burnout syndrome and associated factors among uni-
versity teaching staff in Cameroon: Effect of the practice of sport and physical activities and leisures. Encéphale (2018),
https://doi.org/10.1016/j.encep.2018.07.003
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The majority of teaching staff members (75%) in our study studies [41,42] which showed that an aerobic physical activity pro-
were married. We found no association between marital status and gram reduced stress, depression and burnout on administrative
burnout (P = 0.96). As with gender, results on burnout and mari- staff of tertiary institutions. Another systematic review study sug-
tal status are controversial. Canouï and Mauranges [29] found no gested that “physical activity constitutes an effective medium for
link between burnout and marital status; whereas some authors the reduction of burnout” [43]. Conversely, our results are contrary
[31,33] found a higher prevalence of burnout among unmarried to a couple of studies [44,45] in which the practice of physical activ-
compared to married. However, these studies concerned medical ities did not show protective or preventive effects against burnout.
care professions. However, these studies were carried on medical caring staffs (med-
We did not find an association between professional seniority ical doctors and paramedical staff); and this open a discussion to
and burnout. We suggest that this is likely due to the fact that 75% understand what makes the difference between university teaching
of participants had five years of tenure or above. In fact, Cordes and occupation and medical caring professions.
Dougherty [34] found that teachers with fewer years of teaching In another regards, this study (Table 4) confirmed some symp-
experience are at greater risk of burnout. toms like asthenia, back ache, head ache, mistrust, and irritability
Burnout was associated with part time teaching in private uni- as the top five, by victims of burnout as reported in a couple of
versity institutes (P = 0.027). Due to poor salary as perceived by studies [44,45].
99.6% of participants, academics are committed in teaching in pri-
vate university institutes to catch up. This results in an amplified 5. Conclusion
workload, which in turn predisposes to burnout as suggested some
authors [35,36]. The prevalence of burnout syndrome is high among university
No significant difference was found in burnout affect between teaching staff in Cameroon, with several factors associated.
academic ranks in our context, whereas Byrne [24], Hind et al. [37], The practice of sport and physical activities and leisures showed
Watts and Robertson [38], reported higher emotional exhaustion a protective effect against burnout syndrome.
among junior university teaching staff than seniors, because usu- Asthenia, back ache, head ache, mistrust, irritability, are the top
ally, more heavily loaded with lectures. In fact, Watts and Robertson five and recurrent symptoms.
[38] reported that high numbers of students, greater interactions
with students and high contact hours with students predispose
Funding
to academics occupational burnout. We suggest that in our con-
text, where there are very few Professors, the latter are as well
This research did not receive any specific grant from funding
demanded in lectures, and additionally in theses supervision, a task
agencies in the public, commercial, or not-for-profit sectors.
which is equally exhausting.
Inadequate working conditions were reported by 70.2% teaching
staff. We found associations between infrastructural poor work- Contribution of authors
ing conditions (P = 0.0001); physically constraining occupation
(P = 0.022), work stress (P = 0.002) and burnout. This is consistent • Design of the study: Moueleu Ngalagou, Assomo-Ndemba,
with some studies on burnout syndrome which found that poor Owona Manga, Lobe Tanga, Owoundi Ebolo, Ayina Ayina, Tem-
working conditions can expose to burnout syndrome [11,20,39]. femo, Mandengue;
Studies equally reported that a high intensity of occupational stress • data collection and analysis: Moueleu Ngalagou, Owoundi Ebolo,
is linked to a great intensification of burnout syndrome [10,40]. Mekoulou Ndongo, Lobe Tanga, Assomo-Ndemba, Guessogo;
We found an association (P = 0.028) between professional con- • writing and revision of the manuscript: Moueleu Ngalagou,
flicts with colleagues and burnout. Friedman and Farber [40], Assomo-Ndemba, Owona Manga, Owoundi Ebolo, Lobe Tanga,
showed that conflicts with colleagues, induces a reduction in per- Guessogo, Temfemo, Mandengue.
sonal accomplishment, which is one of the three dimensions of
burnout. In another extend, as it was found that burnout can be Disclosure of interest
contagious [6], one can view conflicts with colleagues as the fact of
those who are already victims of burnout. The authors declare that they have no competing interest.
There were associations between burnout and: less free week-
ends (P = 0.001), less time to leisure (P = 0.016) and less time
References
devoted to family entourage (P = 0.001). Indeed, the high demand
link to extra hours of work as a consequence of the high number [1] Weber A, Jaekel-Reinhard A. Burnout syndrome: a disease of modern societies?
of students enrolled, the need to catch up with the unsatisfac- Occup Med 2000;7:512–7.
[2] Freudenberg HJ. Staff burnout. J Social Issues 1974;1:159–65.
tory salary, result in less time devoted to entourage and leisure.
[3] Maslach C. Burned out. Hum Behav 1976;5:16–22.
Amplified workload was found to be associated to burnout [35,36]; [4] Rothmann S, Barkhuizen N. Burnout of academic staff in South African higher
whereas practice of leisures was reported as having preventive education institutions. SAJHE 2008;22(2):439–56.
effect against burnout [41]. [5] Goodger K, Gorely T, Lavallee D, et al. Burnout in sport: a systematic review.
Sport Psychol 2007;21:127–51.
Sedentariness was highly associated to burnout (P = 0.007). In [6] Anazodo RO, Onyeizugbe CU, Agbionu TU. The effects of occupational stress
reverse participants physically active according to the Ricci and on the performance of university lecturers in Nigeria. Afr J Edu Technol
Gagnon scale, were significantly less victims of burnout (P = 0.004). 2012;2(1):30–8.
[7] Johnsrud LK. Measuring the quality of faculty and administrative work
This is consistent with some studies reporting positive impact of life: implications for college and university campuses. Res High Educ
the practice of physical activities and sports in preventing many 2002;43:379–95.
affections and syndromes like cardiovascular diseases, diabetes, [8] Caputo JS. Stress and burnout in library service. Arizona: The Oryx Press; 1991.
[9] Lokanadha-Reddy G, Poornima R. Occupational stress and professional burnout
cognitive and brain functions, metabolic syndrome, cancers, stress, of university teachers in South India. IJEPA 2012;2(2):109–24.
depression, aging, addiction, dementia. Studies on the effect of [10] Oboegbulem A, Ogbonnaya NO. Management of administrative-related stress
practice of physical activities and sports and burnout are scarce of academic heads of departments in federal and state universities in south-east
Nigeria. JONAED 2008;4(1):93–112.
[17–19].
[11] Watts WD, Cox L, Wright LS, et al. Correlates of drinking and drug use by
We found a protective effect of the practice of physical activities higher education faculty and staff: implications for prevention. J Drug Educ
and sports against burnout. This result is in agreement with some 1991;21:43–64.

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versity teaching staff in Cameroon: Effect of the practice of sport and physical activities and leisures. Encéphale (2018),
https://doi.org/10.1016/j.encep.2018.07.003
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6 P.T. Moueleu Ngalagou et al. / L’Encéphale xxx (2018) xxx–xxx

[12] Dick MJ. Burnout in doctorally prepared nurse faculty. J Nurs Educ [30] Michalsen A, Hillert A. Burnout in anesthesia and intensive care medicine.
1992;31:341–6. Part 1. Clarification and critical evaluation of the term. Anaesthesist 2011;60:
[13] Singh SN, Mishra S, Kim D. Research-related burnout among faculty in higher 23–30.
education. Psychol Rep 1998;83:463–73. [31] Teixeira C, Ribeiro O, Fonseca AM, et al. Burnout in intensive care units – A
[14] Blix AG, Cruise RJ, Mitchell BM, et al. Occupational stress among university consideration of the possible prevalence and frequency of new risk factors: a
teachers. Educ Res 1994;36:157–61. descriptive correlational multicentre study. BMC Anesthesiol 2013;13:38.
[15] Seiler RE, Pearson DA. Dysfunctional stress among university faculty. Educ Res [32] Tironi MO, Nascimento Sobrinho CL, Barros DS, et al. Professional burnout syn-
Quart 1985;9:15–26. drome among intensive care physicians in Salvador Brazil. Rev Assoc Med Bras
[16] Bakker AB, Schaufeli WB. Burnout contagion processes among teachers. J Appl 2009;56:656–62.
Soc Psychol 2000;30:2289–308. [33] Popa F, Raed A, Purcarea VL, et al. Occupational burnout levels in emergency
[17] Börjesson M, Hellenius ML, Jansson E, et al. Physical activity in the preven- medicine: a nationwide study and analysis. J Med Life 2010;3:207–15.
tion and treatment of disease. Stockholm: Swedish National Institute of Public [34] Cordes CL, Dougherty TW. A review and integration of research on job burnout.
Health; 2010. Acad Manage Rev 1993;18:621–56.
[18] Bherer L, Erickson KI, Liu-Ambrose T, et al. A review of the effects of physical [35] Maslach C, Leiter M. Burnout and engagement in the workplace: a contextual
activity and exercise on cognitive and brain functions in older adults. J Aging analysis. Adv Motiv Achievement 1999;11:275–302.
Res 2013;9:1–8, http://dx.doi.org/10.1155/2013/657508. [36] Peeters M, Rutte CH. Time management behavior as a moderator for the job
[19] Booth FW, Gordon SE, Carlson CJ, et al. Waging war on modern chronic diseases: demand-control interaction. J Occup Health Psychol 2005;10(1):64–75.
primary prevention through exercise biology. J Appl Physiol 2000;2:774–87. [37] Hind RR, Dornbusch SM, Scott WR. A theory of evaluation applied to a university
[20] Chennoufi L, Ellouze F, Cherif W, et al. Stress and burnout among Tunisian faculty. Sociol Educ 1974;47:114–28.
teachers. Encéphale 2012;38(6):480–7. [38] Watts J, Robertson N. Burnout in university teaching staff: a systematic litera-
[21] Ricci J, Gagnon L. Evaluation du niveau d’activité physique et de condition ture review. Educ Res 2011;53(1):33–50.
physique. Clinic Prosport; 2011 [Consulted on 12th October 2014. Available [39] Van Hom JE, Schaufeli WB, Enzmann D. Teacher bumout and lack of reciprocity.
from: http://www.ffsa.asso.fr/SportSante/test-ricci-gagnon]. J Applied Social Psychol 1999;29(1):91–108.
[22] Maslach C, Jackson SE, Leiter MP. Maslach burnout inventory manual. Palo Alto. [40] Friedman IA, Farber BA. Professional self-concept as a predictor of teacher
third ed CA: Consult Psychol Press; 1996. burnout. J Educ Res 1992;86(1):28–35.
[23] Farber BA. Crisis in education: stress and burnout in the American teachers. [41] Dreyer L, Dreyer S, Rankin D. Effects of a 10-week high-intensity exercise inter-
San Francisco: Jossey-Bass; 1991. vention on college staff with psychological burnout and multiple risk facts. The
[24] Byrne BM. Bumout: investigating the impact of background variables for ele- ICHPER-SD JR 2012;7:27–32.
mentary, intermediate, secondary, and university educators. Teach Teach Educ [42] Gerber M, Brand S, Elliot C, et al. Aerobic exercise training and burnout: a pilot
1991;7(2):197–209. study with male participants suffering from burnout. BMC Res Notes 2013;6:78,
[25] Restrepo-Ayala NC, Colorado-Vargas GO, Cabrera-Arana GA. Emotional burn- http://dx.doi.org/10.1186/1756-0500-6-78.
out in official teachers, Medellin Colombia. Rev Salud Publica 2006;8(1):63–73. [43] Naczenski LM, de Vries JD, van Hooff MLM, et al. Systematic review of the associ-
[26] Farber BA. Introduction: understanding and treating burnout in a changing ation between physical activity and burnout. J Occup Health 2017;59:477–549.
culture. Psychother Pract 2000;56:675–89. [44] Moueleu PT, Assomo Ndemba PB, Owona Manga LJ, et al. Syndrome du burnout
[27] Anderson MBG, Iwanicki EF. Teacher motivation and its relationship to burnout. chez le personnel soignant paramédical au Cameroun: impact des activités
Educ Admin Quart 1984;20(2):109–32. physiques et sportives et des loisirs. Arch Mal Prof Env 2018;79:55–63.
[28] Cooper CL, Dewe PJ, O’Driscoll MP. Organisational stress: a review and critique [45] Mandengue SH, Owona Manga LJ, Lobè-Tanga MY, et al. Syndrome de burnout
of theory, research and applications. San Francisco: CA: Sage; 2001. chez les médecins généralistes de la région de Douala (Cameroun) : les
[29] Canouï P, Mauranges A. Le burnout à l’hôpital : le syndrome d’épuisement activités physiques peuvent-elles être un facteur protecteur ? Rev Med Brux
professionnel. Issy-les-Moulineaux: Elsevier Masson; 2008. 2017;38:10–5.

Please cite this article in press as: Moueleu Ngalagou PT, et al. Burnout syndrome and associated factors among uni-
versity teaching staff in Cameroon: Effect of the practice of sport and physical activities and leisures. Encéphale (2018),
https://doi.org/10.1016/j.encep.2018.07.003

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