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. 2024 Aug 30;50(6):475–484. doi: 10.5271/sjweh.4176

Table 4. Association between increase in night shift and burnout dimensions, by change in overtime groups.

Change in overtime Increase in night shifts Adjusted mean b βc (95% CI) Interaction test p-value a
Emotional exhaustion        
  Stable low overtime No night shifts or not increased 26.27 Reference 0.030
Increase in night shifts 20.83 -5.43 (-8.83– -2.04)
  Stable high overtime No night shifts or not increased 27.35 Reference
Increase in night shifts 30.73 3.38 (-2.57–9.33)
  Onset of high overtime No night shifts or not increased 28.41 Reference
Increase in night shifts 27.24 -1.67 (-4.54–2.20)
Depersonalization        
  Stable low overtime No night shifts or not increased 11.35 Reference 0.049
    Increase in night shifts 10.34 -1.01 (-3.12–1.11)
  Stable high overtime No night shifts or not increased 11.11 Reference
    Increase in night shifts 15.45 4.34 (0.62–8.07)
  Onset of high overtime No night shifts or not increased 12.53 Reference
    Increase in night shifts 12.63 0.10 (-2.01–2.20)
Poor personal accomplishment        
  Stable low overtime No night shifts or not increased 15.58 Reference 0.046
    Increase in night shifts 14.84 -0.74 (-3.5–2.02)
  Stable high overtime No night shifts or not increased 16.08 Reference
    Increase in night shifts 21.72 5.65 (0.87–10.43)
  Onset of high overtime No night shifts or not increased 18.85 Reference
    Increase in night shifts 17.85 -0.99 (-3.70–1.71)

a Wald chi-square tests (2 degrees of freedom). b Mean level from the regression model at marginal means of the covariates. c Mean difference compared to the reference category, from linear regression models including age, sex, having worked in a COVID-19 ward, both exposure variables and their interactions, and the levels of the corresponding burnout dimension in 2019.