摘要：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. Material and 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.Conclusion: 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.
