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Association between offensive behaviors and burnout and depression risks in health workers * * This study was financed by the Fundação de Amparo à Pesquisa do Estado de São Paulo – FAPESP, Processo 2020/10098-1.

Objective:

to evaluate the occurrence of offensive behaviors at work, their characteristics and association with sex, stress, burnout and depression in health workers.

Method:

a cross-sectional, descriptive and quantitative study carried out with 125 workers from the Brazilian Unified Health System. The data were collected from June 2021 to April 2022 through three self-applied questionnaires that assess personal and occupational characteristics; offensive behaviors, stress and burnout; and depressive symptoms. Descriptive statistics, the chi-square association test and logistic regression analysis were applied.

Results:

44% of the sample reported 83 behaviors, with threats of violence as the most frequent ones (26%). Nursing technicians/assistants, nurses and physicians were the most exposed professionals. The main aggressors were the patients, except for bullying, which was perpetrated by co-workers (48%). There was an association between offensive behaviors and burnout (OR: 4.73; 95% CI: 1.29-17.3; p=0.02) and between offensive behaviors and depression symptoms (OR: 1.05; 95% CI: 1.01-1.10; p=0.02).

Conclusion:

the occurrence of offensive behaviors in health work is frequent and characteristic and burnout and depressive symptoms respectively increased 4.73 and 1.05 times the chances of workers suffering these offensive behaviors in the work environment.

Descriptors:
Workplace Violence; Depression; Professional Burnout; Occupational Health; Working Conditions; Occupational Risks


Highlights:

(1) Threats of violence represent the most frequent type of offensive behavior

(2) Nursing professionals and physicians are more affected by violence at work

(3) Victims of violence at work are more likely to have depressive symptoms

(4) Having suffered violence at work increases by almost five times the chances of burnout

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E-mail: rlae@eerp.usp.br