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ORIGINAL ARTICLE

Work from Home or Bring Home the Work? Burnout and


Procrastination in Brazilian Workers During the
COVID-19 Pandemic
Daniel Luccas Arenas, MD, Anna Viduani, BA, Ana Margareth Siqueira Bassols, PhD,
and Simone Hauck, PhD

greater flexibility and autonomy for employees, greater perfor-


Objective: To investigate burnout and procrastination in a sample of Brazil-
mance, less emission of air pollutants, and less urban conges-
ian workers during the COVID-19 pandemic according to their current work
tion.2,5,7 –9
mode. Methods: This cross-sectional study used data from an online survey
With the COVID-19 pandemic and the containment measures
conducted in 2020: 435 workers were included. The Copenhagen Burnout
to control the spread of SARS-CoV-2, including school and work-
Inventory and the Irrational Procrastination Scale were used to access
place closures, stay-at-home orders, and travel restrictions,10 the
burnout and procrastination respectively. Results: There was no difference
number of people working from home (WFH) ¼ an arrangement in
between workers working from home (WFH) and at face-to-face work
which the worker performs their work activities at home ¼ has
regarding burnout symptoms. However, the WFH group had higher levels
increased dramatically.6 In this sense, the International Labor
of procrastination. Clinically significant levels of burnout were associated
Organization (ILO) estimated that, during the second quarter of
with being female, increased childcare load and living with children under
2020, 17.4% of the world’s workers were WFH, a significant
12years old. Conclusions: WFH may have more advantages than disadvan-
difference from the pre-pandemic scenario, in which only 7.9%
tages in ideal conditions. However, work-life imbalances seem to be a key
of the global workforce adhered to this modality.11
aspect regarding distress among workers WFH, especially in women with
While pre-pandemic studies link remote work to lower
small children.
levels of stress and exhaustion under ideal circumstances,2,12 both
Keywords: Burnout, COVID-19, parenting, procrastination, telework advantages and disadvantages of telework seem to be mediated by
work conditions and demands,12 available resources, family
demands, and workspace.8,13 Individual factors, such as gender,
W ork is a central part of human life, influencing patterns of
identity and sociability, interests, political behavior, family
models, and lifestyles.1 In recent years, the work scenario has been
also seem to exert influence on the well-being of workers who
work from home.8 Additionally, WFH can contribute to a blurring
changing rapidly and increasingly due to advances in information of the boundaries between workspace and home space, deepening
and communication technologies; and cultural, social, environmen- preexisting gender-related burdens related to formal work, house-
tal, and economic changes. Different work configurations and labor work, and childcare.
relations have emerged at an unprecedented pace, demanding quick In this sense, workers who WFH during the pandemic seem to
responses from employers, workers, and labor legislations.2,3 show lower levels of physical and mental well-being14 and higher
Among the changes in the work scenario, telework stands out, levels of perceived stress and burnout15 compared with the prepan-
as it allows employees to carry out their duties and responsibilities demic scenario. Age, female gender, having no previous experience
from an offsite location other than the official workplace. This work in telework, difficulty in the workspace, unhealthy lifestyle habits,
configuration emerged in the 70 s during the oil crisis4 but has been children at home, workload, communication difficulties, distrac-
progressively more used in high-income countries (HICs) and, more tions during work time, and procrastination were associated with
recently, in low- and middle-income countries (LMICs).5,6 Among worse outcomes.14-16
the reasons for the greater adoption of telework are reduced Such abrupt structural changes and potential reduction in
operating costs, greater access to virtual communication devices, social interaction poised by the COVID-19 pandemic generate
concerns on the health and well-being of workers. Among the
unprecedented challenges for those who are WFH during a pan-
From the Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil demic, procrastination (the failure of goal-directed self-regulation
(Dr Arenas, Ms Viduani, Dr Bassols, and Dr Hauck); Hospital de Clı́nicas de
Porto Alegre, Porto Alegre, RS, Brazil (Dr Bassols and Dr Hauck). that results in a dysfunctional act of postponing a task17) and
This research received non-specific grant from any funding agency in the public, cyberslacking/cyberloafing (the misuse of the internet for personal
commercial or not-for-profit sectors. purposes during working hours18) are behaviors that can hinder
Ethical considerations: All procedures performed in this study involving human worker’s well-being. These behaviors seem to be more frequent in
participants were in accordance with the ethical standards of the institutional
and national research committee and with the 1964 Helsinki Declaration and people working from home,8 and they are associated with worse
its later amendments or comparable ethical standards. The study was perceived performance, lower job satisfaction, and higher levels of
approved by the Bioethics Committee of the Hospital de Clı́nicas de Porto work-related exhaustion and/or Burnout Syndrome.19–22 Procrasti-
Alegre (CAEE: 32480720.1.0000.5327). Informed consent was obtained nation is related to an aversion to less pleasurable tasks and duties.23
from all individual participants included in the study via Survey Monkey1
online platform. It represents a growing and expressive work-related problem with a
The authors report no conflicts of interest. prevalence of around 20% in workers before the pandemic.17,24
Supplemental digital contents are available for this article. Direct URL citation Despite being more studied in students during the COVID-19
appears in the printed text and is provided in the HTML and PDF versions of pandemic,25– 27 the limited literature on procrastination in workers
this article on the journal’s Web site (www.joem.org).
Address correspondence to: Daniel Luccas Arenas, MD, Department of Psychia- during this period indicates this behavior as one of the main factors
try, Universidade Federal do Rio Grande do Sul (UFRGS), Rua Ramiro responsible for reduced productivity.28 It is related to higher anxiety,
Barcelos, 2400, 2nd Floor, Porto Alegre, RS 90035-003, Brazil (dan.are- depression, and stress levels.29 Some interventions based on cogni-
nas@gmail.com). tive-behavioral therapy appear to be effective in reducing this
Copyright © 2022 American College of Occupational and Environmental
Medicine behavior, although more randomized clinical trials are needed to
DOI: 10.1097/JOM.0000000000002526 assess their effectiveness.30

JOEM  Volume 64, Number 5, May 2022 e333

Copyright © 2022 American College of Occupational and Environmental Medicine. Unauthorized reproduction of this article is prohibited.
Arenas et al JOEM  Volume 64, Number 5, May 2022

Moreover, recent studies during the COVID-19 pandemic physically and psychologically exhausted), Work-related Burnout
highlighted the importance of the study of Burnout, a state of (WB—the degree to which physical and psychological exhaustion is
chronic work-related stress31 that can be present in different occu- perceived concerning work activities), and Client-related Burnout
pational groups and work modalities.32 The pandemic has impacted (CB—the level of exhaustion that a person perceives that stems from
workplace and working conditions, and stressors such as long the professional relationship with clients). Continuous scores were
working hours, high demands, imbalance between personal and calculated using a simple mean for each sub-dimension. Addition-
professional life, low rewards or recognition, and low autonomy ally, a cut-off score of 50 in each subscale was also used, based on
may be more present, leaving workers at a greater risk of Burnout.32 evidence that equal or greater scores indicate clinically significant
This calls for greater attention to workers mental health, especially levels of burnout.37,38
since burnout can have deep physical, psychosocial, occupational, Procrastination was assessed using a Brazilian validated
and economic consequences.33 version of the Irrational Procrastination Scale (IPS).39 It is a brief
In this study, we assessed the levels of burnout and procras- self-report six-item questionnaire with five-point Likert scale, in
tination in a sample of Brazilian workers during the COVID-19 which higher scores indicate higher levels of procrastination. The
pandemic according to their current work mode and individual and IPS focuses on irrational delay, characterized by a voluntary delay in
family variables. We aimed to investigate whether WFH was related performing a task even though it is disadvantageous.40
to burnout scores, and whether individual and family variables could
work as mediators for this relation. By analyzing these variables, we Statistical Analysis
can identify groups of workers under greater risk of labor-related Statistical analysis was performed using SPSS IBM software
distress, contributing to the modest body of literature on the (version 21).41 Descriptive analyses were reported as means and
influence of WFH arrangements on wellbeing and psychosocial standard deviations (SD), median and interquartile range (IQR), or
risks in workers in LMICs. absolute and relative frequencies. To each variable, the Shapiro-Wilk
test was used to assess whether the data followed parametric or
METHODS nonparametric distributions. In all cases, inferential statistics were
decided accordingly to the distribution of the data. The groups were
Data Source and Study Population compared with Student T-test (for variables with parametric distribu-
This cross-sectional study used data from an online survey tion) or Mann-Whitney U-test (non-parametric distribution). The chi-
conducted between July and September 2020, when Brazil became squared test was used to compare categorical variables. ANOVA
the world’s COVID-19 epicenter. Containment measures were in (complemented with Tukey) or Kruskal-Wallis test was applied to
place in a decentralized manner, with most states imposing the compare variables with more than two groups. Parametric analyses
closure of work-related spaces (such as shopping malls), and were reported using means and standard deviations (SD), and non-
schools. In these months, 11% of all Brazilian workers were under parametric, median, and IQR. Spearman’s correlation was used to test
telework arrangements34—in 2018, only 5.2% were WFH.35 In this the strength and direction of correlations between continuous variables.
sense, participants were recruited by convenience using targeted The Poisson Regression was performed to control confound-
advertisement on social media and institutional bulletins of different ing factors related to Burnout scores above the cut-off point. The
professional areas. Facebook and Instagram were used for targeted regression coefficient exponential (Exp(b)) was calculated along
advertisements, using the following criteria: adults residing in with their respective confidence interval of 95% (95% CI) to
Brazil, interest in parenting-related, career development, and labor establish the prevalence ratios. Additionally, the standardized beta
associations or unions content. Inclusion criteria were being Brazil- coefficient (b) was presented as a way of comparing the strength of
ian over the age of 18 and currently employed. All participants the association between variables. Enter method was adopted and
included in the study consented to participate and informed consent the criteria for considering the variable in the model was P < 0.20 in
was obtained via Survey Monkey1 online platform. The project the bivariate analysis and the criteria for permanence in the model
was approved by the Research Ethics Committee of Hospital de was P < 0.10 in the final version.
Clı́nicas de Porto Alegre (CAEE: 32480720.1.0000.5327). The threshold for statistical significance of 5% (P < 0.05)
was adopted. The analyses were performed using the total score in
Measures IPS and the individual scores of each subscale of CBI. Tables were
Sociodemographic and work-related data were collected, created to present the data and the figures were generated in R.42
such as gender, family income, ethnicity, marital status, and educa-
tion level. If participants had children, they were asked to inform the RESULTS
number of children, whether participants lived with them, age-range
of children living at home, and average hours per week dedicated to Sample Characteristics
childcare before and during the pandemic. Regarding their work, This study included 435 participants. Table 1 shows the
participants were asked about average hours per week dedicated to sociodemographic data of the sample. All participants completed
work both before and during the pandemic, changes in role or the IPS and the PB and WB subscales of CBI. 411 participants
position at work, whether they were essential workers, if they completed the CB subscale of the CBI. The means and standard
occupied a leadership position at work, and current and usual work deviations of the instruments were: IPS 17.05  6.17; PB 51.07
mode. Additionally, 13 variables related to the current work envi-  21.17 (52.9% >50); WB 46.08  21.33 (47.1% >50); CB 40.71
ronment were collected by a five-point Likert scale in which higher  25.72 (36.3% >50).
scores indicated greater agreement.
Burnout was assessed using a Brazilian validated version of Work Mode and Work Environment
the Copenhagen Burnout Inventory (CBI).36 It is a self-report 19- Figure 1 presents descriptive data of the variables related to
item questionnaire with five-point Likert scale. Each answer can the work environment according to the mode of work (WFH or
range from 0 to 100, and answers for each subscale are summed and faceto-face work). There was no statistical difference in the com-
averaged. Therefore, each subscales total can range from 0 to 100, parison between these groups, even when controlled for people
with higher scores indicating higher levels of burnout. The CBI whose remote work is not the usual. There was also no statistically
includes three sub-dimensions which should be used independently: significant difference between these groups in all CBI subscales
Personal Burnout (PB—the degree to which one perceives to be scores. However, there was a difference between the groups in the

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JOEM  Volume 64, Number 5, May 2022 Burnout and Procrastination in Brazilian Workers

remote work was not their usual work modality before the pandemic
TABLE 1. Sociodemographic Data (n ¼ 435 (%))
and other workers in the sample (not WFH and WFH as usual
Variables Mean (SD) arrangement) were not statistically significant.
Spearman’s correlation was performed between instrument
Age 38.5 (0.5) scores (IPS and CBI subscales) and the scales related to the work
Sex environment (Supplement 1, http://links.lww.com/JOM/B76). The
Female 309 (716) irrational procrastination score showed a strong inverse correlation
Male 126 (29)
Ethnicity
with the feeling of good productivity at work (P ¼ 0.512,
White 350 (80.5) P < 0.001). The PB and WB scores were inversely correlated with
Mixed 51 (11.7) job satisfaction (PB: P ¼ 0.563, P < 0.001; WB: P ¼ 0.652,
Black 22 (5.1) P < 0.001) and with the sense of balance between professional
Asian 6 (1.4) and personal life (PB: P ¼ 0.558, P < 0.001; WB: P ¼ 0.550,
Other 6 (1.4) P < 0.001). The PB and WB scores were also direct correlated with
Marital status the feeling that work demands negatively affect family life (PB:
Married/stable union 211 (48.5) P ¼ 0.544, P < 0.001; WB: P ¼ 0.587, P < 0.001).
Separated/divorced/widower 42 (9.6)
Single with boy/girlfriend 93 (21.4) Gender and Parenting
Single without boy/girlfriend 89 (20.5)
Income In the comparison between men and women groups, women
<5000 reais 173 (39.8) presented higher levels of burnout in PB and WB, but with no
From 5000 to 10,000 reais 127 (29.2) statistical difference in CB and IPS. Regarding parenting, the parent
>10,000 reais 135 (31) group had lower levels of procrastination and lower levels of
Education level burnout in all CBI subscales than the non-parent group. However,
Ungraduated 88 (20.2) when analyzing the age group of children living at home with their
Graduate 146 (33.6) parents, parents of children under 12 years old presented higher
Postgraduate 201 (46.2) procrastination levels (16.9  0.7, 15  0.5, P ¼ 0.027) and higher
Have children
Yes 187 (43)
burnout levels in all subscales of the CBI: PB 58.3 (IQR 41.8–70.8),
No 248 (57) 41.7 (IQR 29.2–50), P < 0.001; WB 51.8 (IQR 35.7–64.3), 35.7
Lives with the children (IQR 21.4–46.4), P < 0.001; CB 41.7 (IQR 25–54.2), 25 (IQR
Yes 144 (33.1) 12.5–45.8), P ¼ 0.002). When comparing the groups of fathers and
No 291 (66.9) mothers, women had higher levels of burnout in all subscales of the
Age group of children who live with CBI (Table 2).
Under 12 years old 84 (19.3) Table 3 presents the results of a statistically significant
Between 12 and 18 years old 32 (7.4) multiple Poisson regression model to assess the prevalence ratios
Over 18 years old 34 (7.8) of factors associated with scores above the cut-off point of the CBI
Childcare hours per week
Mean (SD) 54.1 (4.2)
subscales. The factors that most increased the chance of presenting
Change in childcare load more than 50 points in PB were: being female (2.45  ), an increase
Yes, increased care load 77 (17.7) in childcare load during the pandemic (1.75  ) and living with
Yes, reduced care load 16 (3.7) children under 12 years old (1.47  ). The factors that increased the
No 94 (43) most the chance of presenting more than 50 points in WB were:
Working from home being female (2.52  ), an increase in childcare load during the
Yes 271 (62.3) pandemic (2.01  ) and living with children under 12 years old
No 164 (37.7) (1.76  ). The factors that most increased the chance of presenting
Working from home is the usual work mode more than 50 points in CB were: income less than 5000 reais
Yes 105 (24.8)
No 327 (75.2)
(approximately 925 dollars during data collection) (3.8  ) and an
Essential services professional increase in childcare load during the pandemic (2.09  ). Exercise
Yes 152 (34.9) regularly was a protective factor for PB, and older age was a
No 283 (65.1) protective factor for WB and CB. These data remain significant
Leadership position even when controlled for working from home, home-schooling, and
Yes 92 (21.1) having help with childcare.
No 293 (67.4)
Not applicable 50 (11.5) DISCUSSION
Change of function or position The results drawn by this cross-sectional study suggest that
Yes 71 (16.3)
No 364 (83.7)
WFH should not be accounted as the single variable related to
Working hours per week burnout among Brazilian workers during the COVID-19 pandemic.
Mean (SD) 39.5 (0.9) Other variables—especially those related to gender and environ-
Change in workload mental aspects—seem to play a larger role in influencing well-being
Yes, increased workload 144 (33.1) and performance of employees. Moreover, our study did not find
Yes, reduced workload 118 (27.1) differences in Burnout or procrastination scores between workers
No 173 (39.8) who started WFH during the pandemic and other workers in the
sample, as opposed to what has been shown previously in the
SD, standard deviation.
literature.14,15
In this sense, the present study highlights that the advantages
of WFH should be taken cautiously and evaluated in the light of the
IPS, with people in the home-office group presenting higher levels workers’ context, since its benefits seem to be heavily influenced by
of irrational procrastination (Table 2). Analyses comparing burnout work-life balance.36 While previous studies had suggested that
and procrastination scores between workers WFH that referred that WFH appears to have more advantages than disadvantages,8,43,44

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Arenas et al JOEM  Volume 64, Number 5, May 2022

FIGURE 1. Descriptive data of the variables related to the work environment according to the work mode.

negative outcomes of the adoption of WFH arrangements, such as to WFH during the pandemic, as well as may be facing increased
reduced social contact, organizational problems, technological lim- stress during the same period. Also, it is important to acknowledge
itations, and difficulties related to the remote work environment43,44 the inherent limitations of the study design: a cross-sectional study
have also been underlined. Hence, WFH implementation and where we can’t infer causalities. Finally, as we do not have data on
adoption strategies should account for the evaluation of individual the pre-pandemic status of the subjects, we could not evaluate
and family factors, since WFH seems to affect people’s lives prospectively burnout and procrastination levels considering the
differently.44 pre-and post-pandemic scenario.
Regarding this, it is important to acknowledge that structural
inequalities play a significant role in who works from home and how CONCLUSION
telework is performed. Our study shows that women may be in This cross-sectional study highlighted the importance of
higher risk for burnout in PB and WB, especially when they are also assessing how individual and family factors are related to the
in charge of child rearing of children under 12 years old ¼ even well-being of workers. According to our results, workers working
when compared to men who also live with their children. This may from home had slightly higher levels of irrational procrastination
be because mothers seem to more frequently engage in practices and had no difference in terms of burnout levels on all CBI subscales
involving explanation and organization of the environment45 and when compared to workers working face-to-face. When assessing
with issues related to children’s education,46 which can also con- the gender of workers, women—especially mothers—had higher
tribute to a greater family interference with work. The increase in levels of burnout when compared to men. WFH was not configured
the childcare load had an influence on the prevalence of clinical as a risk factor, appearing to have more advantages than disadvan-
burnout indices in all CBI subscales, being more significant than the tages under ideal conditions. However, difficulties in work-life
increase in workload. This finding highlights a possible sum of balance, increased childcare load, having children under 12 at
functions when schools and day-care centers were closed during the home, and social and gender inequalities had a major influence
pandemic in addition to concerns about the risks of contamination on the well-being and exhaustion of workers during the pandemic.
by SARS-CoV-2.47 Low income and increased childcare load were These results corroborate findings of studies carried out in
the main variables related to having higher levels of CB, which may HICs, in which being female, having young children at home, and
reflect low wages in occupations related to public service and workspace-related problems were shown to contribute to higher
greater interpersonal exhaustion in parents. Healthy lifestyle habits levels of burnout.14–16,50 However, our study showed no difference
and older age were shown to be protective factors, which corrob- in terms of burnout and procrastination levels between the workers
orates pre-pandemic studies.32,48 that started WFH only after the pandemic when compared to
Additionally, in LMICs, the access to the necessary technol- workers with previous experience in telework or workers in fac-
ogies for this working modality plays a significant role in deter- eto-face work. It contrasts with the findings of other studies con-
mining the proportion of workers who can WFH.6,49 In Brazil, for ducted during the COVID-19 pandemic.14,15 In addition, WFH was
example, 9.1% of the working population was WFH in the second not a factor related to worse levels of burnout per. However, unlike
quarter of 2020, and most of these workers were white (65.3%), previous studies15,51 our study didn’t compare burnout levels with
women (57.8%), and were college educated (76%).34 This was the pre-pandemic period.
reflected in the sample of this study: mostly comprised of white, Another important point of this study is the access to WFH in
college-educated women (79.8%). In this sense, the study’s sample LMICs since this work mode seems to be more accessible to the
seems to represent those workers who are WFH during the COVID- socioeconomically privileged population. Such results become
19 pandemic in Brazil. more important when several companies are adopting WFH as
However, this study should also be accounted for considering the standard work mode for many positions. Further studies are
some limitations. First, the study sample is not representative of the needed to assess the influence of WFH on the mental health and
Brazilian population and may not reflect all demands and forms of professional performance of workers longitudinally, analyzing indi-
WFH arrangements happening during the COVID-19 pandemic. vidual and family variables to identify vulnerabilities. In this way, it
Additionally, a large portion of respondents claimed to be essential will be possible to plan measures and policies to support vulnerable
service professionals (65.1%), meaning they were either engaged in workers and provide alternatives to social and gender inequalities.
the health sector, public safety sectors, or public cleaning and In this way, it will be possible to provide a better quality of life and
transportation. Proportionally, these professionals were less likely work during and after the pandemic.

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JOEM  Volume 64, Number 5, May 2022


TABLE 2. Comparison of IPS and CBI Scores Between Groups
Mothers

Working
From Face-to-face Non
Male Female Home Work Parents parents Fathers
Variables n ¼ 126 n ¼ 309 P n ¼ 271 n ¼ 164 P n ¼ 187 n ¼ 248 P n ¼ 45 n ¼ 142 P

IPS
Mean  SD 16.8  0.6 17.1  0.3 – 17.8  0.4 15.7  0.4 – 15.9  0.4 17.9  0.4 - 17.9  6.4 17.9  6.3 –
Median (IQR) 16 (12–21) 16 (13–21) 0.633a 17 (13–23) 15.5 (11–19) <0.001a 15 (12–20) 17 (13–22) 0.001a 18 (14–22) 17 (13–22) 0.965a
PB
Mean  SD 44.7  1.9 53.7  1.2 – 51.4  1.2 50.5  0.4 – 48.4  0.3 53.1  1.3 - 36.2  2.6 52.2  1.7 –
Median (IQR) 43.7 (25–62.5) 50 (41.7–66.7) <0.001a 50 (37.5–66.7) 50 (33.3–66.7) 0.652a 45.8 (29.2–66.7) 50 (41.8–66.7) 0.013a 29.2 (25–45.8) 50 (37.5–66.7) <0.001a
PB50
Freq. (%) 49 (38.9%) 181 (58.6%) <0.0018 143 (52.8%) 87 (53%) 0.9558 85 (45.5%) 145 (58.5%) 0.0078 8 (17.8%) 77 (54.2%) <0.0018
WB
Mean  SD 42.6  2.0 47.5  1.2 0.03 b
46.1  1.2 46.1  1.9 0.96 b
41.9  1.6 49.2  1.31 – 31.9  3 45.0  1.7 –
Median (IQR) 42.9 (25–60.7) 50 (35.7–60.7) – 46.4 (32.1–60.7) 46.4 (26.8–62.5) – 42.9 (25–57.1) 50 (35.7–64.3) <0.001a 32.1 (17.9–46.4) 46.4 (28.6–60.7) <0.001a
WB50
Freq. (%) 49 (38.9%) 156 (50.6%) 0.0288 127 (46.9%) 78 (47.6%) 0.8888 71 (38%) 134 (54%) 0.0018 7 (15.6%) 64 (45.1%) <0.0018

n ¼ 118 n ¼ 293 n ¼ 252 n ¼ 159 n ¼ 183 n ¼ 228 n ¼ 45 n ¼ 138

CB
Mean  SD 38.3  2.4 41.7  1.5 – 39.3  1.5 42.9  2.2 – 34.9  1.7 45.3  1.7 – 26.9  3.4 37.8  1.9
Median (IQR) 37.5 (16.6–58.3) 41.7 (30.8–58.3) 0.250a 37.5 (20.8–51.2) 45.8 (20.8–62.5) 0.172a 33.3 (16.7–50) 45.8 (25–62.5) <0.001a 25 (8.3–37.5) 37.5 (20.8–54.2) 0.002a

Burnout and Procrastination in Brazilian Workers


CB50
Freq. (%) 43 (34.1%) 115 (37.2%) 0.8978 89 (32.8%) 69 (43.4%) 0.1018 50 (36.7%) 108 (43.5%) <0.0018 40 (88.9%) 45 (31.7%) 0.005a
a
Mann-Whitney U-test.
b
Student T-test.
c
Chi-squared test.
CB, Client-related Burnout; CBI, Copenhagen Burnout Inventory; EPS, Irrational Procrastination Scale; IQR, interquartile range; PB, Personal Burnout; SD, standard deviation; WB, Work-related Burnout.
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Arenas et al JOEM  Volume 64, Number 5, May 2022

TABLE 3. Result of Multiple Poisson Regression Analysis of the Association Between Burnout Scores and Individual, Work-
related, and Family Variables (Omnibus test <0.05)
PB  50 WB  50 CB  50

Variables b Exp(b) (95% CI) P b Exp(b) (95% CI) P b Exp(b) (95% CI) P

Sociodemographic data Female 0.918 2.447 (1.365–4.386) 0.003 0.961 2.522 (1.368–4.650) 0.003 0.683 1.980 (0.852- 4.601) 0.112
Age 0.014 0.986 (0.967–1.005) 0.146 0.025 0.975 (0.953–0.998) 0.035 0.039 0.962 (0.933–0.992) 0,013
Income <5000 reais 0.127 1.229 (0.848–1.779) 0.276 0.176 1.375 (0.861–2.196) 0.182 1.335 3.802 (1.487–9.719) 0.005
Work
Increased workload 0.308 1.351 (0.987–1.850) 0.060 0.213 1.221 (0.844–1.766) 0.289 0.103 1.108 (0.662–1.855) 0.695
To be a student and a worker 0.244 1.305 (0.993–1.716) 0.056 0.146 1.201 (0.842–1.712) 0.312 0.283 0.753 (0.459–1.236) 0.262
Parenting
Childcare hours per week <0.001 1.000 (0.998–1.003) 0.949 0.001 0.999 (0.996–1.002) 0.536 0.001 1.001 (0.997–1.005) 0.609
Increased childcare load 0.544 1.754 (1.204–2.556) 0.003 0.669 2.013 (1.236–3.277) 0.005 0.737 2.089 (1.202–3.629) 0.009
Living with children under 0.273 1.469 (1.052–2.049) 0.024 0.370 1.765 (1.179–2.641) 0.006 0.046 0.955 (0.564–1.619) 0.865
12 years old
Lifestyle
Exercise regularly 0.532 0.585 (0.402–0.850) 0.005 0.376 0.675 (0.429–1.063) 0.090 0.198 0.820 (0.472–1.426) 0.482

CB, Client-related Burnout; CI, confidence interval; PB, Personal Burnout; WB, Work-related Burnout.

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