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In a nutshell
- Healthcare workers who work more than 52 hours per week show physical changes in brain regions responsible for decision-making and emotional control.
- The study found that overworked individuals had up to 19% larger volume in certain brain regions, with changes correlating directly to hours worked.
- These brain alterations may help explain why chronic overwork leads to cognitive problems, emotional exhaustion, and mental health issues.
SEOUL, South Korea — Your brain might be physically changing if you’re clocking those extra hours at work each week—and researchers warn it’s not necessarily for the better. Research from a team of South Korean scientists reveals that healthcare workers regularly working beyond 52 hours weekly show measurable differences in brain regions connected to how we think and process emotions.
The research, published in Occupational and Environmental Medicine, gives us some of the first solid evidence that overwork doesn’t just make you feel burned out—it might actually be reshaping your brain’s physical structure.
The Science Behind Overworked Brains
Researchers from three Korean universities compared brain scans of 110 healthcare workers. They classified 32 participants as “overworked” (putting in 52+ hours weekly) and 78 as “non-overworked.” Using advanced brain imaging techniques, they looked for volume differences across brain regions.
The results were eye-opening. The overworked group had a part of their frontal lobe—specifically the left caudal middle frontal gyrus—roughly 19% larger than their less-worked peers. Further analysis found increased volume in 17 different brain regions, including several areas tied to both thinking and feeling.
“This study provides novel evidence that overwork is associated with structural brain changes, particularly in regions related to executive function and emotional regulation,” the researchers noted in their findings. These brain regions handle everything from how we make choices to how we regulate our feelings—abilities that typically suffer when we’re exhausted from too much work.
Not All Brain Growth Is Good
Surprisingly, the changes showed up as increases rather than decreases in brain volume. While larger brain regions might sound beneficial, the researchers caution against this assumption. In brain science, structural changes in either direction can signal the brain adapting to stress—and not all adaptations help in the long run.
According to the paper, “These findings suggest that long working hours may induce neuroadaptive changes, potentially impacting cognitive and emotional health.”
The study also found correlations between weekly working hours and the degree of brain volume changes—the more hours worked, the more pronounced the brain changes became in several key regions.

The Real-World Impact
For the millions of Americans who routinely work well beyond 40 hours weekly, these findings might help explain why they experience emotional exhaustion, decreased productivity, and trouble concentrating. According to estimates from the International Labour Organisation cited in the study, “over 800,000 individuals die annually due to long working hours, underscoring its profound impact on global health outcomes.”
The changes were most noticeable in parts of the brain like the middle frontal gyrus, insula, and superior temporal gyrus—structures that play key roles in emotional processing and decision-making. What’s particularly worrying is that these same areas often show abnormalities in people suffering from depression and anxiety.
While the study focused on healthcare workers, who’ve faced extraordinary pressure in recent years, these findings may apply to other high-stress professions too. The researchers point to chronic stress and sleep disruption—common companions of long work hours—as possible mechanisms causing these brain changes.
Rethinking Work-Life Balance
These findings raise important questions about workplace policies. Should regulations on working hours be stricter? How might employers better protect worker wellbeing? And can these brain changes reverse if working conditions improve?
This was a pilot study with limitations—it observed differences at one point in time rather than tracking changes over months or years. But it provides some of the first biological evidence confirming what overworked employees experience: pushing beyond reasonable hours takes a real physical toll on the brain.
For anyone who’s experienced mental fog, emotional instability, or decision-making problems from chronic overwork, this research validates that these experiences have a physical basis in the brain, not just a psychological one.
Paper Summary
Methodology
The researchers conducted a pilot study using data from 110 healthcare workers in Korea. Participants were categorized into two groups: overworked (≥52 hours/week; 32 participants) and non-overworked (<52 hours/week; 78 participants). They used two main imaging techniques: atlas-based volume extraction and voxel-based morphometry (VBM). The first technique measured brain volumes in specific regions, while VBM analyzed brain volume differences at the voxel level (tiny 3D pixels) across the whole brain. Both analyses controlled for age, sex, and total intracranial volume. The researchers then performed correlation analyses to explore relationships between weekly working hours and brain volume in regions that showed significant differences.
Results
The atlas-based analysis found that the overworked group had a 19% larger volume in the left caudal middle frontal gyrus compared to the non-overworked group. The VBM analysis revealed increased volume in 17 brain regions in the overworked group, including the left middle frontal gyrus, left precentral gyrus, left rolandic operculum, bilateral superior frontal gyrus, right superior temporal gyrus, and left insular cortex. Correlation analyses showed positive associations between weekly working hours and brain volume changes in multiple regions, suggesting that longer working hours corresponded with greater structural changes in these brain areas. These regions are associated with executive function and emotional regulation.
Limitations
The study had several important limitations. As a pilot study with a relatively small sample size, the findings may not be generalizable to broader populations. Its cross-sectional nature limits the ability to establish causal relationships between overwork and the observed brain changes. The binary classification of working hours (≥52 hours vs. <52 hours) may be overly simplistic compared to more detailed stratifications used in other studies. The study didn’t control for all potential lifestyle factors that might influence brain volume. Additionally, the sample consisted solely of healthcare workers in Korea, limiting generalizability to other occupations and cultures. Finally, the mechanisms behind the observed brain changes remain speculative without longitudinal data.
Funding and Disclosures
The study was supported by the Ministry of Education of the Republic of Korea and the National Research Foundation of Korea (grant number: NRF-2021R1C1C1008871). Additional support came from Chung-Ang University Research Grants in 2023. The funding bodies played no role in the study design, data collection, analysis, interpretation, writing, or decision to submit the paper for publication. The authors declared no competing interests.
Publication Information
The study, titled “Overwork and changes in brain structure: a pilot study,” was published in Occupational and Environmental Medicine in 2025 (doi:10.1136/oemed-2025-110057). The research was conducted by a team including Wonpil Jang, Sungmin Kim, YouJin Kim, Seunghyun Lee, Joon Yul Choi, and Wanhyung Lee from Yonsei University, Chung-Ang University, and Pusan National University in Korea.







