PTSD and ADHD: underlying factors in many cases of burnout

Objective: To analyse the extent to which traumatic life events, post-traumatic stress disorder (PTSD) and the neuropsychiatric disorder attention deficit hyperactivity disorder (ADHD) can be contributors associated with burnout and the long-term sick leave that results from it. Subjects: Sixty-two individuals on long-term sick leave due to stress-related poor health and burnout, and 83 working individuals were screened for the presence of traumatic life events, PTSD and ADHD. Potential background factors involved in burnout were analysed using a multiple logistic regression. Results: Fifty-two per cent of those on long-term sick leave were judged to have PTSD and 24 per cent to have ADHD. The number of suspected/possible cases was even higher-71 per cent and 56 per cent, respectively. Nineteen per cent were judged to have both PTSD and ADHD; 56 per cent were judged to have PTSD andlor ADHD. PTSD, ADHD and traumatic life events in the form of sexual assault and severe human suffering were all strongly associated with both burnout and long-term sick leave. Conclusions: Since ADHD is almost never discussed and PTSD rarely so in the occupational rehabilitation of individuals with burnout, these results should act as a warning signal. Further studies are needed, however, including clinical examinations in order to establish with certainty if PTSD and ADHD can predict burnout followed by long-term sick leave.