Altered neural processes underlying executive function in occupational burnout—Basis for a novel EEG biomarker

Frontiers in Human Neuroscience

Human Neuroscience

Emma-Helka Erkkilä¹  Jari Peräkylä²  Emilia Tapio²  Kaisa M. Hartikainen²  Mia Pihlaja²  Maiju Vertanen² 

[1] Behavioral Neurology Research Unit, Tampere University Hospital, Tampere, Finland;Behavioral Neurology Research Unit, Tampere University Hospital, Tampere, Finland;Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland;

关键词: brain;    burnout;    ERP;    EEG;    executive function;    cognitive control;    brain physiology;    brain health;   

DOI  :  10.3389/fnhum.2023.1194714

 received in 2023-04-03, accepted in 2023-08-22,  发布年份 2023

来源: Frontiers

【 摘 要 】

IntroductionAs burnout has become a global pandemic, there is a call for improved understanding and detection of alterations in brain functions related to it. We have previously reported challenges in executive functions (EFs) in daily life, especially in metacognition, in subjects with occupational burnout, along with alterations in cardiac physiology. In the current study, we focused on the impact of burnout on brain physiology during a task requiring EF.MethodsFifty-four volunteers filled in inventories of burnout, depression, and EF in daily life (BBI-15, BDI, and BRIEF-A). Based on the BBI-15 score, subjects were divided into burnout and non-burnout groups. Subjects performed a Go/NoGo test (Executive RT test) engaging several EFs, while their EEG was recorded. The inventory scores, cognitive performance scores, and event-related potential (N2, P3) amplitudes, latencies, and interpeak latencies (IPLs) were compared between the groups.ResultsThere were significant differences in the BDI and BRIEF-A scores between the groups, with more symptoms of depression and challenges in daily life in the burnout group. There were no differences in objective performance measures in the EF task between the groups. However, centroparietal P3 amplitude was larger, and while there were no differences in N2 or P3 latencies, N2-P3 IPL was longer in the Go condition in the burnout than in non-burnout group. Both ERP measures correlated significantly with burnout symptoms. A regression model from centroparietal P3 amplitude and N2-P3 IPL predicted significantly both the BBI-15 score and the BRIEF-A metacognition index.DiscussionWe conclude that burnout is linked with challenges in EF in daily life and alterations in the underlying neural processes. While cognitive performance in the task was equal, electrophysiological measures differed between the groups. Prolonged N2-P3 IPL points toward slowed transition from one cognitive process to another. Increased P3 amplitude, on the other hand, reflects increased allocation of neural processing resources. This may be a compensatory mechanism, allowing for equal performance with controls. These electrophysiological measures, obtained during the EF task, show promise as brain physiology-based biomarkers of burnout, contributing to its improved and objective detection. In addition, these results indicate occupational burnout is linked with objective alterations in brain physiology.

【 授权许可】

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Copyright © 2023 Pihlaja, Peräkylä, Erkkilä, Tapio, Vertanen and Hartikainen.