[Factors related to the one-month retention of 8507 employees declared medically unfit in Hauts-de-France companies between 2014 and 2018]. / Facteurs liés au maintien dans l'entreprise à un mois chez 8507 salariés déclarés médicalement inaptes en Hauts-de-France entre 2014 et 2018.

BACKGROUND: Given the low rate of retention in a company after an employee has been found unfit for the job, our aim was to determine the factors related to employees being kept by their company one month after being declared unfit for the job due to either a musculoskeletal disease (MSD) or a mental health disorder (MHD). METHODS: This study was based on all employees declared unfit for the job by the occupational physicians in the "Unfitness" survey in the French "Hauts-de-France" region between 2014 and 2018. For each of the two groups of workers, factors related to the employees being kept by their company one month after being declared unfit for the job were studied by logistic regression. RESULTS: Only 6.9% of the 5352 workers declared unfit for the job due to MSD were kept in their company whereas 3.6% of the 3155 workers declared unfit for the job due to MHD were kept in theirs. For the two groups of workers, the proportion of employees kept by their company decreased with female gender (OR=0.63 95%CI [0.47-0.84] for MSD and OR=0.50 [0.32-0.78] for MHD for female vs. male), long sick-leave (OR=0.26 [0.18-0.40] for MSD and OR=0.22 [0.11-0.45] for MHD for sick-leave>6 months vs. no sick leave), small size of the company (<50 employees) and working in the construction field or services sector (vs. industry or administration). Concerning the employees declared unfit due to MSD alone, the proportion of employees kept by their company decreased for seniors (>50 years old) and for those with low seniority (<5 years). CONCLUSION: "Retention in a company" as a tool for "maintenance of employment" is a little-discussed subject, lending further credence to the current recommendations for reduction of inequalities in working conditions and vocational training of employees according to age and socio-occupational category, and also for reduction of inequalities in occupational pathways according to gender.

Impacto de la laringectomía total en la situación laboral / Impact of total laryngectomy on return to work

Introducción: La laringectomía total es una de las cirugías oncológicas más mutilantes. No existen estudios específicos que evalúen el retorno laboral después de la misma. Pacientes y métodos: Se realizó un estudio transversal de una muestra de 116 pacientes laringectomizados que se hallaban libres de enfermedad y con un seguimiento mínimo de 2 años desde la laringectomía total. Se les realizó una encuesta dirigida a conocer la situación laboral, tanto previa como posterior. En el momento de la cirugía 62 (53%) estaban activos laboralmente, 40 (35%) estaban jubilados y 14 (12%) tenían una situación de invalidez. Resultados: El 60% tenía profesiones con bajo grado de cualificación, siendo el grupo más numeroso los trabajadores de la construcción. De los 62 pacientes laboralmente activos en el momento de la laringectomía total 29 pasaron a inactivos y 33 (53%) mantuvieron la actividad laboral. Los factores más importantes para mantener la actividad laboral fueron el nivel de cualificación profesional y el método de rehabilitación vocal. El 80% de los pacientes con cualificación alta-intermedia mantuvieron su trabajo, frente al 35% en los de cualificación profesional baja (p < 0,001). El 70% de los pacientes con prótesis fonatoria mantuvo la actividad laboral, frente a un 31% de los pacientes rehabilitados con erigmofonía (p=0,004). La regresión logística confirmó estas variables como independientes para seguir trabajando. Conclusiones: Este es el primer estudio que analiza el impacto de la laringectomía total en la situación laboral. Los factores más importantes para volver a trabajar fueron tener un trabajo cualificado alto-intermedio y la utilización de prótesis fonatoria como método de rehabilitación vocal (AU)

Introduction: Total laryngectomy is one of the most mutilating oncological operations. There are no specific studies evaluating return to work after this surgery. Patients and methods: A cross-sectional study was performed on a sample of 116 laryngectomized patients who were disease- free and had a minimum follow-up of 2 years from total laryngectomy. A survey was conducted to find out their employment situation before and after surgery. At the time of surgery, 62 (53%) were working, 40 (35%) were retired and 14 (12%) were in a disability situation. Results: 60% had professions with low qualification requirements, the largest group being construction workers. Of the 62 patients active at the time of total laryngectomy, 29 became inactive and 33 (53%) maintained their work activity. The most important factors in maintaining work activity were the level of professional qualification and the method of vocal rehabilitation. Eighty percent of the patients with high-intermediate qualification maintained their jobs, compared to 35% of those with low professional qualifications (P < .001). Seventy percent of the patients with voice prostheses maintained their work activity, compared to 31% of the patients rehabilitated with oesophageal voice (P = .004). Logistic regression confirmed these as independent variables for continuing to work. Conclusions: This is the first study that analyzes the impact of total laryngectomy on the work situation. The most important factors for a return to work were having a high-intermediate skilled job and the use of voice prosthesis as a method of vocal rehabilitation (AU)

Incidencia de la incapacidad temporal por contingencia común en España según la actividad económica de la empresa / Incidence of non-work-related sickness absence in spain by economic activity of the company

Objetivo: La gestión de la incapacidad temporal por contingencias comunes (ITcc) en España se centra más en el control de su duración que en prevenir su incidencia. El objetivo de este trabajo es proporcionar valores de la incidencia de ITcc por ramas de actividad económica para orientar su gestión hacia la prevención. Métodos: Estudio retrospectivo basado en 646.337 afiliados al régimen general incluidos en la Muestra Continua de Vidas Laborales de 2009, que notifican 133.812 primeros episodios de ITcc iniciados en 2009. La tasa de incidencia, y su IC95%, se calculó con modelos de regresión de Poisson, cruda y ajustada por edad, tamaño de la empresa y categoría ocupacional, separadamente para hombres y mujeres. Resultados: La tasa de incidencia total por 100 personas-años fue de 29,8 (hombres: 24,7; IC95%:24,5-24,9 y mujeres: 36,3; IC95%: 36,0-36,5). Según ramas de actividad económica, las tasas de incidencia crudas más elevadas en los hombres fueron «Suministro de agua, saneamiento y residuos» (35,4) y «Actividades sanitarias» (33,9), y en las mujeres en «Actividades sanitarias» (48,3), «Administración pública» (41,2) y «Transporte y almacenamiento» (41,0). Conclusiones: Las empresas podrán comparar su incidencia de ITcc con estos valores de referencia para determinar si su incidencia está dentro del rango de valores esperados, lo que puede ayudarles a tomar decisiones orientadas a la prevención de las bajas por enfermedad común

Introduction: The management of sickness absence due to non-work-related diseases in Spain has typically focused on the control of its duration. The goal of this study was to provide estimates for the incidence of sickness absence due to nonwork-related diseases by economic activity to help shift the focus of management of sickness absence towards prevention. Methods: Retrospective study based on 646,337 workers and 133,812 episodes of sickness absence started in 2009, from the Working Continuous Life Sample. Incidence rate and its 95% confidence interval (CI) were calculated using Poisson regression models, crude and adjusted for age, company size, and occupational category, separately for men and women. Results: The overall incidence rate was 29.8 per 100 person-years; 24.7 (95%CI: 24.5-24.9) in men and 36.3 (36.0- 36.5) in women. By economic activity, the highest crude incidence rates in men were found in «Water supply, sanitation and wastes» (35.4) and «Health activities» (33.9); for women, «Health activities» (48.3), «Public administration» (41.2) and «Transportation and storage» (41.0) were the highest sectors. Conclusions: Companies can compare their sickness absence incidence rates to these benchmark values to determine if they are within the expected reference range, which may guide management decisions more towards the prevention of sickness absence

Una nueva forma de comunicación entre reumatología y atención primaria: la consulta virtual / A new form of communication between rheumatology and primary care: the virtual consultation

La prevalencia de las enfermedades reumáticas ha aumentado en los últimos años y la consulta virtual de reumatología puede ser útil para reducir el número de visitas innecesarias y priorizar aquellas que requieran una atención precoz. La consulta virtual asocia la telemedicina y las telecomunicaciones. En este estudio se describen las características de las consultas virtuales realizadas a un Servicio de Reumatología en el periodo de un año, objetivándose que más de la mitad se pueden resolver sin necesidad de citar al paciente. Con la consulta virtual se ha conseguido: 1) tener un contacto cercano con el médico de atención primaria, 2) solucionar con rapidez las dudas sobre la enfermedad reumática de sus pacientes, 3) mejorar su formación en las enfermedades reumáticas y 4) priorizar a aquellos pacientes que requieran una valoración precoz por parte de un reumatólogo (AU)

In recent years, the prevalence of rheumatic diseases has increased. The virtual consultation of rheumatology could help to avoid unnecessary visits and attend those who need an early visit. The virtual consultation is associated with telemedicine and telecommunication. The objective of this study is to describe the characteristics of all virtual consultations performed in the Rheumatology Service during a one year period. More than a 50% were resolved without giving the patients an appointment. With virtual consultation we have achieved: 1) a closer contact with primary care, 2) rapid resolution of doubts about rheumatic disease in patients, 3) improvement of training in rheumatic disorders and 4) prioritizing those patients requiring early assessment by a rheumatologist (AU)

Hacia un nuevo marco que regule la valoración médica de la capacidad/ incapacidad laboral. Propuestas de mejora y áreas de cambio / Towards a new framework for medical assessment of capacity / incapacity. Proposals for improvement and change areas

CONCLUSIONES: En la incapacidad temporal se hace necesaria la modificación de las entidades y de las competencias de control y seguimiento de la baja. Posibilitar el alta médica parcial para una reincorporación gradual al trabajo tras bajas prolongadas. Compatibilizar baja médica y alta para trabajos con exigencias distintas. Compartir información clínico sanitaria y laboral entre todas las entidades implicadas en la incapacidad temporal. Tarjetas sanitarias que permitan acceso a la historia clínica. Historia clínica única. Ficha de valoración ocupacional (requerimientos laborales) para trabajadores en Incapacidad. En la incapacidad permanente debe de procederse a modificar la composición y competencias del órgano valorador 'EVI equipo de valoración de incapacidades incrementando el componente técnico, médico, preventivo y laboral. Modificar los 'grados' de incapacidad o su valoración en cuanto a baremos lesiones permanentes no invalidantes, incapacidad permanente parcial, la total y la gran invalidez. Modificar el concepto y referencia de profesión habitual ligado al de la incapacidad en seguridad social. Con la evaluación más correcta y completa acorde con los requerimientos del trabajo, incluyendo tareas, sector de la actividad, capacitación, riesgos, y circunstancias especiales del trabajo, Valoración preventiva de la incapacidad y el trabajo. Resolución de controversias entre el no apto y la no incapacidad. Conocer el impacto de la incapacidad tanto temporal como permanente, elaborando un mapa de la incapacidad con los datos básicos para analizar las enfermedades, su consecuencia incapacitante laboral y su presentación en la población. La incapacidad como indicador de salud pública y salud laboral

CONCLUSIONS: Modification of entities and powers of control and monitoring is necessary in low temporary disability. Enable high medical part for a gradual return to work after prolonged low. Compatible medical and high and low for jobs with different requirements. Share health and labor clinical information between all entities involved in temporary disability. health cards that allow access to the medical history. History only clinic. Sheet occupational assessment (job requirements) for workers on disability. In the permanent disability must proceed to change the composition and powers of the titrator body 'EVI disability assessment team increasing the technical component, medical, preventive and labor. Modify the 'degree' of disability or valuation regarding permanent non-disabling injuries scales, permanent partial disability, total and severe disability. Modify the reference concept and usual profession linked to the social security disability. with the most accurate and complete assessment in line with job requirements, including tasks, area of activity, training, risks and special circumstances of the work, preventive assessment of disability and work. Resolution of disputes between unfit and not disability. Knowing the impact of both temporary incapacitation or permanent, preparing a map of the disability with basic data to analyze disease, disabling consequence labor and presentation in the population. The inability as an indicator of public health and occupational health

Calificación y valoración de la enfermedad profesional: Análisis de la situación actual y propuestas de mejora / Qualification and evaluation on occupational diseases: Analysis of the current situation and proposals for improvement

INTRODUCCIÓN: El trabajo es fuente de desarrollo e integración social de las personas, pero también puede ser origen de alteraciones de la salud, de forma que el trabajador pierda su capacidad de esfuerzo y producción que le aseguraba su subsistencia, e incluso de la de sus familiares dependientes. La cobertura de estas situaciones de necesidad de los trabajadores afectados por patologías contraídas en su trabajo que les impiden asegurar la subsistencia propia y de su familia han sido el origen de los sistemas de Seguridad Social. OBJETIVO: Dar a conocer el procedimiento para la calificación y valoración de la Enfermedad Profesional. METODOLOGÍA: Análisis de los conceptos y criterios legales y competenciales, así como el desarrollo de elementos científicos y prácticos de ayuda. DISCUSIÓN: Los criterios para la calificación y valoración de la Enfermedad Profesional, se basan no solo en la inclusión de la patología en anexo 1 del R. D. 1299/2006, sino también en el establecimiento del diagnóstico clínico y pruebas complementarias, la exposición laboral suficiente previa a la aparición de la patología, la correlación coherente entre la patología y el intervalo de tiempo entre la exposición y el efecto, y, la ausencia de factores extra-laborales que hayan actuado con la suficiente intensidad para constituir la base de un diagnóstico diferencial

INTRODUCTION: Work is a source of development and social integration, but it can also be a source of health disorders, so that the worker loses his capacity and production effort that ensured their livelihood, and even their dependents. Social Security systems provide coverage to workers that have work-related diseases that impede them to maintain themselves and their families. OBJECTIVE: Introduce the procedure for qualification and assessment of occupational disease. METHODOLOGY: Analysis of legal and jurisdictional concepts and criteria, as well as the development of scientific and practical support elements. DISCUSSION: The criteria for qualification and assessment of occupational disease, are based not only in the inclusion of disease in Annex 1 RD 1299/2006, but also in establishing the clinical diagnosis and complementary tests, occupational exposure sufficient prior to the onset of the disease, consistent correlation between disease and the time interval between exposure and effect, and the absence of extra-occupational factors that have acted with enough intensity to form the basis of a differential diagnosis

Risk reclassification analysis investigating the added value of fatigue to sickness absence predictions.

BACKGROUND: Prognostic models including age, self-rated health and prior sickness absence (SA) have been found to predict high (≥ 30) SA days and high (≥ 3) SA episodes during 1-year follow-up. More predictors of high SA are needed to improve these SA prognostic models. The purpose of this study was to investigate fatigue as new predictor in SA prognostic models by using risk reclassification methods and measures. METHODS: This was a prospective cohort study with 1-year follow-up of 1,137 office workers. Fatigue was measured at baseline with the 20-item checklist individual strength and added to the existing SA prognostic models. SA days and episodes during 1-year follow-up were retrieved from an occupational health service register. The added value of fatigue was investigated with Net Reclassification Index (NRI) and integrated discrimination improvement (IDI) measures. RESULTS: In total, 579 (51 %) office workers had complete data for analysis. Fatigue was prospectively associated with both high SA days and episodes. The NRI revealed that adding fatigue to the SA days model correctly reclassified workers with high SA days, but incorrectly reclassified workers without high SA days. The IDI indicated no improvement in risk discrimination by the SA days model. Both NRI and IDI showed that the prognostic model predicting high SA episodes did not improve when fatigue was added as predictor variable. CONCLUSION: In the present study, fatigue increased false-positive rates which may reduce the cost-effectiveness of interventions for preventing SA.

Grado de efecto de las variables sociodemográficas, laborales, organizativas y del entorno en la duración de la incapacidad temporal por contingencias comunes en España / Effect of the sociodemographic, occupational, organisational and environmental variables on the duration of temporary sick leave in Spain

OBJETIVO: Analizar la relación de distintas variables asociadas con la duración de la incapacidad temporal por contingencia común (ITCC) y determinar su grado de efecto. DISEÑO: Retrospectivo, descriptivo. Emplazamiento: España. PARTICIPANTES: 598.988 procesos de ITCC del total de trabajadores del Régimen General protegidos en una Mutua de Accidentes de Trabajo y Enfermedades Profesionales durante el periodo de 2005 a 2010. MEDICIONES PRINCIPALES: Se analizó la asociación entre las características demográficas, laborales, organizativas y del entorno y la duración mediana de la ITCC, indicando los valores p de cada prueba, y se estimó el índice del tamaño del efecto (d) para comprobar la relevancia de dicha relación, empleando el coeficiente de correlación de pearson (rxy), eta cuadrado (2) y V de Cramer (V). RESULTADOS: La duración mediana de la ITCC fue de 32 días. Se constatan relaciones significativas con la edad, género, nacionalidad, antigüedad en la empresa; salario, tipo de contrato; sector, actividad, y tamaño empresa y región. Así, se encuentra una mayor duración de las bajas en los trabajadores de grandes empresas, mujeres, con nacionalidad española y que trabajan en actividades agrarias, sanitarias, administración y hostelería. La edad además ejerce un efecto considerable (rxy = 0,134) en la duración de las bajas, sobre todo a partir de 44 años. CONCLUSIONES: Tan solo la edad mostró evidencias de un efecto considerable sobre la duración de la ITCC, aun cuando también se relacionó con el resto de características demográficas, laborales, organizativas y del entorno. Además se evidenció la existencia de efectos cruzados entre variables que pueden provocar ocasionalmente errores en la interpretación de los resultados

OBJECTIVES: This study examines the relationship, and relevance of the effect between the duration of the cases of temporary sick leave, as an indicator of absenteeism, and several characteristics (sociodemographic, labor, organizational and the environment) of workers covered by the Social Security System in Spain. Method: A retrospective analysis was conducted on 598,988 processes, between 15 and 365 days. The relationships between length of absence, and several characteristics such as demographic, sociodemographic, occupational, organizational and environment characteristicswere determined (using P values). The mean duration for each of the features is described, and the size effect is calculated to estimate the importance of the relationships found. RESULTS: There were significant relationships between the duration of temporary sick leave and several demographic characteristics (gender, age, nationality and length of service), occupational (wages, type of contract), organizational (economic sector, activity and size company), the environmental (region, state) characteristics. The age also showed a significant size effect (rxy = .134), especially after age 44. CONCLUSIONS: Only age had a significance effect on the duration of work absence, although there was also a relationship with the rest of the demographic, occupational and work environment characteristics. There was also evidence of a cross-effects between the variables, which could cause errors in interpreting the results

Absenteeism amongst health workers--developing a typology to support empiric work in low-income countries and characterizing reported associations.

The contribution of inadequate health worker numbers and emigration have been highlighted in the international literature, but relatively little attention has been paid to absenteeism as a factor that undermines health-care delivery in low income countries. We therefore aimed to review the literature on absenteeism from a health system manager's perspective to inform needed work on this topic. Specifically, we aimed to develop a typology of definitions that might be useful to classify different forms of absenteeism and identify factors associated with absenteeism. Sixty-nine studies were reviewed, only four were from sub-Saharan Africa where the human resources for health crisis is most acute. Forms of absenteeism studied and methods used vary widely. No previous attempt to develop an overarching approach to classifying forms of absenteeism was identified. A typology based on key characteristics is proposed to fill this gap and considers absenteeism as defined by two key attributes, whether it is: planned/unplanned, and voluntary/involuntary. Factors reported to influence rates of absenteeism may be broadly classified into three thematic categories: workplace and content, personal and organizational and cultural factors. The literature presents an inconsistent picture of the effects of specific factors within these themes perhaps related to true contextual differences or inconsistent definitions of absenteeism.

[Analysis of sick leaves due to mental and behavioral problems]. / Duración de las licencias médicas FONASA por trastornos mentales y del comportamiento.

BACKGROUND: In Chile, the number of sick leaves due to mental health problems has systematically increased in recent years. AIM: To perform an analysis of sick leaves due to mental problems managed by the Fondo Nacional de Salud (FONASA) during 2008. MATERIAL AND METHODS: Analysis of all sick leaves awarded during 2008 for mental or behavioral problems, that were managed at FONASA. A negative binomial regression, was performed to predict the effects of different variables on the total duration of sick leaves. RESULTS: A total of 546,477 sick leaves were awarded to 198,752 individuals (2.27 per subject). The mean duration of each leave was 15.6 days. Summing all leaves, the lapse off work was 98 ± 96 days (median 65 days). Women had longer leaves than men. The type of medical leave, occupation, working for private or public institutions, economic activity and diagnosis were significantly associated with duration of time off work. CONCLUSIONS: Sick leaves for mental problems are prolonged and related to gender and socioeconomic variables.

Duración de las licencias médicas FONASA por trastornos mentales y del comportamiento / Analysis of sick leaves due to mental and behavioral problems

Background: In Chile, the number of sick leaves due to mental health problems has systematically increased in recent years. Aim: To perform an analysis of sick leaves due to mental problems managed by the Fondo Nacional de Salud (FONASA) during 2008. Material and Methods: Analysis of all sick leaves awarded during 2008for mental or behavioral problems, that were managed at FONASA. A negative binomial regression, was performed to predict the effects of different variables on the total duration of sick leaves. Results: A total of546,477 sick leaves were awarded to 198,752 individuals (2.27per subject). The mean duration of each leave was 15.6 days. Summing all leaves, the lapse off work was 98 ± 96 days (median 65 days). Women had longer leaves than men. The type of medical leave, occupation, working for private or public institutions, economic activity and diagnosis were significantly associated with duration of time off work. Conclusions: Sick leaves for mental problems are prolonged and related to gender and socioeconomic variables.

Factors associated with long-term sick leave in sick-listed employees: a systematic review.

OBJECTIVE: The objective of this systematic review was to investigate which factors are associated with continued sick leave among workers on sick leave for at least 6 weeks. METHODS: A systematic literature search was performed in Medline, EMBASE and PsycINFO, based on combinations of MeSH terms and free text words. Only cohort studies of workers on sick leave for more than 6 weeks at baseline were included. Outcome was measured in terms of factors related to long-term sick leave. The factors were classified first as predisposing, precipitating or perpetuating factors, and then as individual or work-related factors. Methodological quality was assessed for all studies and the strength of the evidence for each factor was assessed using the levels of evidence rating system. RESULTS: Five cohort studies fulfilled all inclusion criteria and 77 factors were investigated. Of these, 16 different significant factors associated with long-term sick leave were identified and were all classified as predisposing factors. Evidence was found for 14 individual factors and two work-related factors. The level of evidence was found to be insufficient for all factors except older age and history of sick leave, which were found to have weak evidence. CONCLUSIONS: Based on this review, there is weak evidence that older age and history of sickness absence are factors associated with long-term sick leave in sick-listed employees. There is insufficient evidence for an effect of other individual or work-related factors on long-term sick leave. There are no published studies on perpetuating factors related to long-term sick leave.

Causas de absentismo en educación física en ESO / Causes of absenteeism to Physical Education clases in Secondary Schools

Fundamento: El presente estudio valora la incidencia de las lesiones invalidantes en las clases de Educación Física en los alumnos de Educación Secundaria de la Comunidad de Madrid. Métodos: Se registran la no participación y sus causas en 38 grupos (926 alumnos) de 1º y 3º de ESO de la Comunidad de Madrid durante un mes del curso escolar. Resultados: Aparecen 8 (0,86%) alumnos lesionados en Educación Física y 31 (3,35%) alumnos lesionados fuera de las clases de Educación Física. Conclusiones: Los resultados demuestran la escasa incidencia de lesiones invalidantes producidas durante las clases de Educación Física, frente al número total de participaciones en clase. Las faltas de asistencia e inactividad debidas a enfermedades comunes y a lesiones producidas en actividades fuera de la clase de Educación Física superan a las producidas en las clases (AU)

Background: This research tries to evaluate the incidence of disabling injuries during Physical Education (PE) classes in Secondary school students living in the Autonomous Region of Madrid. Methods: A total of 925 students (38 classes) attending grades 1 to 3 in Secondary Schools participated in the study. During one month, all events related to attendance or absence were analysed. Results: There was an 0.86% (8 students) injury incidence in PE classes compared to a 3.35% (31 students) injury incidence outside the PE classes. Conclusion: The results show a low injury incidence during PE classes at school. School non- attendance due to common diseases and injuries occurred during PE classes was in a relationship 4:1 (AU)

Creencias irracionales en profesores y su relación con el malestar docente / Teacher irrational beliefs and their relation with educational uneasiness

En el presente trabajo se estudia la relación entre la presencia de creencias irracionales en profesores y las puntuaciones en distintas medidas de malestar docente. Para ello, a los sujetos (71 profesores de educación secundaria) se les aplicó la escala Escala de Creencias Irracionales del Profesor (TIBS, Teacher Irrational Beliefs Scale) y se analizó su relación con las puntuaciones en las pruebas Cuestionario de Burnout del Profesorado-Revisado (CBP-R), Symptoms Checklist-90-R (SCL-90-R) y Beck Oepression Inventory (BOl). Los resultados muestran un elevado nivel de desgaste profesional y una correlación positiva y significativa de las creencias irracionales del profesor con todas las variables del malestar docente consideradas en este estudio. En concreto, las actitudes de baja tolerancia a la frustración juegan un papel fundamental en los niveles de estrés, depresión y sintomatología física

This paper examines the relation between teacher irrational beliefs and different measures of teacher uneasiness. For this aim, 71 secondary education teachers answered the Teacher Irrational Beliefs Scale (TIBS). The relation between TIBS scores and scores from Teacher Burnout Questionnaire-Revised (CBP-R), Symptoms Checklist-90-R (SCL-90-R) and Beck Oepression Inventory (BOl) was analyzed. Results show a high level of burnout and a sig nificant positive correlation between teacher irrational beliefs and all teacher uneasiness variables considered in this research. Particularly, attitudes of low tolerance to frustration influence significantly the le veis of stress, depression and physical symptoms