title: Is adrenal exhaustion synonym of syndrome burnout at workplace?
abstract: The objective of this study is the assessment of the association of burnout syndrome with adrenal exhaustion specific symptoms and signs among 116 patients who were exposed to violence or mobbing at workplace and who were treated during 2005 to 2008 in Department of Occupational Pathology and Toxicology Tuzla; to detect symptoms and signs of adrenal exhaustion differences between patients who were exposed to act of violence as acute catastrophic event and patients who were long-term exposed to mobbing or chronic distress at workplace.
  
  
  METHODS
  Data of 86 employees who were exposed to mobbing > 1 years (chronic distress syndrome) and data of 30 employees who were exposed to act of violence as acute traumatic crisis situation (evaluation in first week after acute stress situation and post control observation 6 months later). TOOLS FOR ASSESSMENT WERE CLINICAL EXAMINATION AND QUESTIONNAIRES: Occupational stress questionnaire (OSQ short version), self-constructed Questionnaire about symptoms and signs of Adrenal exhaustion; self-constructed mobbing questionnaire; and Maslach--Burnout Inventory.
  
  
  RESULTS
  The patients expressed their traumatic experiences during exposure to stress more than 1 year (long-term exposure) which were compared with acute stress experiences (mostly high level of stress intensity.
  
  
  CONCLUSIONS
  when workers constant expose to repeat mobbing behavior or have perception of extended distress reaction after act of violence at workplace they are suffering of Syndrome burnout and clinical picture of adrenal fatigue.
authors.affiliation: Service of Occupational Health Tuzla in Tuzla Canton, Department of Occupational Pathology and Toxicology, Tuzla, Bosnia and Herzegovina. pranicnurka@hotmail.com
authors.forename: Nurka
authors.initials: N
authors.lastname: Pranjić
authors.forename: Sabina
authors.initials: S
authors.lastname: Nuhbegović
authors.forename: Sanja
authors.initials: S
authors.lastname: Brekalo-Lazarević
authors.forename: Azra
authors.initials: A
authors.lastname: Kurtić
mesh_terms: D000311:Adrenal Glands / Q000502:physiology*; D000328:Adult; D000342:Affective Symptoms / Q000503:physiopathology / Q000523:psychology; D002055:Burnout, Professional / Q000503:physiopathology* / Q000523:psychology; D002908:Chronic Disease; D005260:Female; D006306:Health Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D009784:Occupational Diseases / Q000503:physiopathology* / Q000523:psychology; D011795:Surveys and Questionnaires; D017132:Workplace; D055815:Young Adult