Evaluating Occupational Stress and Associated Burnout Based on Demand–Control Model among EMS Personnel in Ilam

Occupational stress with the physical, chemical, biological, and ergonomic hazards is among the five main risks in the workplace. One of the most common techniques used for assessing occupational stress is the demand-control model developed by Karasek. This study was aimed to determine occupational stress and associated burnout based on Demand–Control Model among EMS personnel in Ilam. This cross-sectional study was carried out on 72 of Ilam emergency medical services center in 2016. Occupational stress was assessed by the Persian version of Job Content Questionnaire (P-JCQ) and the occupational burnout was assessed by the Maslach Burnout Inventory (MBI) in emotional exhaustion, depersonalization, and reduced personal accomplishment levels. Descriptive statistics and multiple logistic regression were applied for data analysis via SPSS software version 21. Mean and standard deviation score for decision-making freedom, psychological demands, social support, physical demands, and job insecurity dimensions were (70.87±7.99), (35.18±4.84), (23.64±6.33), (16.30±2.86), (9.1± 4.65), respectively. About 27.3% of personnel reported their job active, 30.3% passive, 22.7% high strain, and 19.7% low strain. A comparison of the relationship between occupational stress and associated burnout showed a significant relationship between the decision-making freedom dimension and depersonalization level (P<0.05). Based on the results, it can be concluded that the majority of personnel reported low psychological demands and low control. In such situation, the probability of mental disorders is increased.