title: Association of spa therapy with improvement of psychological symptoms of occupational burnout: a pilot study.
abstract: OBJECTIVE
  The aim of the present study was to investigate effects of a 3-week resort-based spa therapy (a combination of balneotherapy, massages, exercise etc., including a respite from work) on psychological symptoms associated with occupational burnout.
  
  
  METHODS
  In a longitudinal design, a group of 65 actively working individuals (45 women, 20 men, mean age 50.4 +/- 6.7 years) of various occupations selected on the basis of their level of burnout and undergoing spa therapy primarily for musculoskeletal pain were studied in regard to the change in fatigue, distress, reduced motivation, and quality of sleep. Variables were assessed at the beginning and at the end of spa therapy as well as 4 weeks and 3 months after treatment. Two levels of burnout were distinguished: individuals with mild burnout (i.e. increased emotional exhaustion) and individuals with a full burnout syndrome (i.e. increased exhaustion plus social detachment and/or performance dissatisfaction).
  
  
  RESULTS
  At the end of the treatment, all four symptoms of burnout showed a significant improvement in both groups compared to their pre-treatment level. This improvement was sustained up to 3 months post-treatment for both burnout groups.
  
  
  CONCLUSIONS
  Spa therapy may be a helpful measure for treating the symptoms of occupational burnout.
authors.affiliation: Department of Environmental Hygiene, Center for Public Health, Medical University of Vienna, Bad Tatzmannsdorf, Austria. gerhard.blasche@meduniwien.ac.at
authors.forename: Gerhard
authors.initials: G
authors.lastname: Blasche
authors.forename: Valentin
authors.initials: V
authors.lastname: Leibetseder
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Marktl
mesh_terms: D000328:Adult; D001317:Austria; D001452:Balneology; D002055:Burnout, Professional / Q000523:psychology* / Q000534:rehabilitation*; D015444:Exercise; D005260:Female; D006294:Health Resorts; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008405:Massage; D008875:Middle Aged; D009140:Musculoskeletal Diseases / Q000523:psychology / Q000534:rehabilitation; D010146:Pain / Q000523:psychology / Q000534:rehabilitation; D010555:Personality Inventory / Q000706:statistics & numerical data; D010865:Pilot Projects; D011594:Psychometrics; D055815:Young Adult