Burnout Examination



Burnout causes major concern in the field of occupational health and an important issue in the psychological and medical science literature. Burnout has been connected to various consequences for the individual, the family, the organization, and society. Burnout is not just fatigue or exhaustion. Burnout is a concept that has developed in a practical manner, with many definitions of the term. Burnout is not considered to be a mental disorder and no diagnostic guidelines are offered for its identification (World Health Organization, The ICD-10 classification of mental and behavioural disorders: Clinical descriptions and diagnostic guidelines. World Health Organization, Geneva, 1992). In spite of this, there are tests and objective as well as subjective markers to identify and map burnout. In this chapter, some of them are described and evaluated: the Maslach Burnout Inventory (MBI), the Copenhagen Burnout Inventory (CBI), the Oldenburg Burnout Inventory (OLBI), the Shirom–Melamed Burnout Measure (SMBM), and the Spanish Burnout Inventory (SBI). It has been suggested that a good understanding of the etiology and development of burnout could facilitate the early recognition of burnout.


Emotional Exhaustion Personal Accomplishment Maslach Burnout Inventory Burnout Syndrome Cognitive Weariness 
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  1. Alarcon, G. M. (2011). A meta-analysis of burnout with job demands, resources and attitudes. Journal of Vocational Behavior, 79, 549–562.CrossRefGoogle Scholar
  2. Alarcon, G. M., Eschleman, K. J., & Bowling, N. A. (2009). Relationships between personality variables and burnout: A meta-analysis. Work and Stress, 23(3), 244–263.CrossRefGoogle Scholar
  3. Armon, G. (2009). Do burnout and insomnia predict each other’s levels of change over time independently of the Job Demand Control-Support (JDC-S) model? Stress and Health, 25, 333–342.CrossRefGoogle Scholar
  4. Bährer-Kohler, S. (2011). Burnout for experts: Prevention in the context of working and living. Gerontology, Serbian National Journal (Accepted for publishing).Google Scholar
  5. Bakker, A. B., Schaufeli, W. B., Sixma, H. J., Bosveld, W., & van Dierendonck, D. (2000). Patient demands, lack of reciprocity, and burnout: A five-year longitudinal study among general practitioners. Journal of Organizational Behavior, 21, 425–441.CrossRefGoogle Scholar
  6. Bakker, A. B., Schaufeli, W. B., Leiter, M. P., & Taris, T. W. (2008). Work engagement: An emerging concept in occupational health psychology. Work and Stress, 22(3), 187–200.CrossRefGoogle Scholar
  7. Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for ­measuring depression. Archives of General Psychiatry, 4, 53–63.CrossRefGoogle Scholar
  8. Borritz, M., Rugulies, R., Bjorner, J., Villadsen, E., Mikkelsen, O. A., & Kristensen, T. S. (2006). Burnout among employees in human service work: Design and baseline findings of the PUMA study. Journal of Public Health, 34, 49–58.Google Scholar
  9. Brauchli, R., Bauer, G. F., & Hämmig, O. (2011). Relationship between time-based work-life conflict and burnout a cross-sectional study among employees in four large Swiss enterprises. Swiss Journal of Psychology, 70(3), 165–174.CrossRefGoogle Scholar
  10. Brenninkmeyer, V., Van Yperen, N. W., & Buunk, B. P. (2001). Burnout and depression are not identical twins: Is decline of superiority a distinguishing feature? Personality and Individual Differences, 30, 873–880.CrossRefGoogle Scholar
  11. Büssing, A., & Perrar, K. M. (1992). In Diestel S, Schmidt KH (2011) The Moderating Role of Cognitive Control Deficits in the Link From Emotional Dissonance to Burnout Symptoms and Absenteeism. Journal of Occupational Health Psychology, 16(3), 313–330.Google Scholar
  12. Chao, S. F., McCallion, P., & Nickle, T. (2011). Factorial validity and consistency of the Maslach Burnout Inventory among staff working with persons with intellectual disability and dementia. Journal of Intellectual Disability Research, 55(5), 529–536.PubMedCrossRefGoogle Scholar
  13. Cheung, F., So-kum Tang, C., & Tang, S. (2011). Psychological capital as a moderator between emotional labor, burnout, and job satisfaction among school teachers in China. International Journal of Stress Management, 18(4), 348–371.CrossRefGoogle Scholar
  14. Danhof-Pont, M. B., van Veen, T., & Zitman, F. G. (2011). Biomarkers in burnout: A systematic review. Journal of Psychosomatic Research, 70(6), 505–524.PubMedCrossRefGoogle Scholar
  15. Demerouti, E., Bakker, A. B., Nachreiner, F., & Schaufeli, W. B. (2001). The job demands–resources model of burnout. Journal of Applied Psychology, 86, 499–512.PubMedCrossRefGoogle Scholar
  16. Demerouti, E., Bakker, A. B., Vardakou, I., & Kantas, A. (2003). The convergent validity of two burnout instruments: A multitrait-multimethod analysis. European Journal of Psychological Assessment, 18, 296–307.Google Scholar
  17. Fisher, R., & Boer, D. (2011). What is more important for national wellbeing: Money or autonomy? A meta-analysis of wellbeing, burnout and anxiety across 63 societies. Journal of Personality and Social Psychology, 101(1), 164–184.CrossRefGoogle Scholar
  18. Gil-Monte P. R. (2005). El síndrome de quemarse por el trabajo (“burnout”). Una enfermedad laboral en la sociedad del bienestar [Burnout: An occupational illness in the well-being society]. Madrid: Pirámide.Google Scholar
  19. Gil-Monte, P. R., & Olivares Faúndez, V. E. (2011). Psychometric properties of the “Spanish Burnout Inventory” in Chilean professionals working to physical disabled people. The Spanish Journal of Psychology, 14(1), 441–451.PubMedCrossRefGoogle Scholar
  20. Glass, D. C., & McKnight, J. D. (1996). Perceived control, depressive symptomatology, and professional burnout: A review of the evidence. Psychology and Health, 11, 23–48.CrossRefGoogle Scholar
  21. Golembiewski, R. T., Munzenrider, R. F., & Stevenson, J. G. (1986). Phases of burnout: Developments in concepts and application. New York: Praeger.Google Scholar
  22. Hakanen, J. J., Bakker, A. B., & Jokisaari, M. (2011). A 35-year follow-up study on burnout among Finnish employees. Journal of Occupational Health Psychology, 16(3), 345–360.PubMedCrossRefGoogle Scholar
  23. Halbesleben, J. R. B., & Buckley, M. R. (2004). Burnout in organizational life. Journal of Management, 30, 859–879.Google Scholar
  24. Halbesleben, J. R. B., & Demerouti, E. (2005). The construct validity of an alternative measure of burnout: Investigating the English translation of the Oldenburg Burnout Inventory (OLBI). Work and Stress, 19(3), 208–220.CrossRefGoogle Scholar
  25. Hamilton, M. (1960). A rating scale for depression. Journal of Neurology, Neurosurgery, and Psychiatry, 23, 56–62.PubMedCrossRefGoogle Scholar
  26. Hamilton, M. (1967). Development of a rating scale for primary depressive illness. The British Journal of Social and Clinical Psychology, 6, 278–296.PubMedCrossRefGoogle Scholar
  27. Hamilton, M. (1980). Rating depressive patients. The Journal of Clinical Psychiatry, 41, 21–24.PubMedGoogle Scholar
  28. Hobfoll, S., & Freedy, J. (1993). Conservation of resources: A general stress theory applied to burnout. In W. B. Schaufeli, C. Maslach, & T. Marek (Eds.), Professional burnout: Recent developments in theory and research (pp. 115–133). Philadelphia: Taylor & Francis.Google Scholar
  29. Hobfoll, S. E., & Shirom, A. (2000). Conservation of resources theory: Applications to stress and management in the workplace. In R.T. Golembiewski (Ed.) Handbook of organization behavior (2nd Rev. ed.). New York: Marcel Dekker.Google Scholar
  30. Houkes, I., Winants, Y., Twellaar, M., & Verdonk, P. (2011). Development of burnout over time and the causal order of the three dimensions of burnout among male and female GPs. A three-wave panel study. BMC Public Health, 11, 240.PubMedCrossRefGoogle Scholar
  31. Kristensen, T. S., Borritz, M., Villadsen, E., & Christensen, K. B. (2005a). The Copenhagen Burnout Inventory: A new tool for the assessment of burnout. Work and Stress, 19(3), 192–207.CrossRefGoogle Scholar
  32. Kristensen, T. S., Hannerz, H., Hogh, A., & Borg, V. (2005b). The Copenhagen psychosocial questionnaire: A tool for the assessment and improvement of the psychosocial work environment. Scandinavian Journal of Work, Environment & Health, 31, 438–449.CrossRefGoogle Scholar
  33. Kumar, S., Hatcher, S., Dutu, G., Fischer, J., & Ma’u, E. (2011). Stresses experienced by psychiatrists and their role in burnout: A national follow-up study. The International Journal of Social Psychiatry, 57, 166–179.PubMedCrossRefGoogle Scholar
  34. Langballe, E. M., Innstrand, S. T., Aasland, O. G., & Falkum, E. (2011). The predictive value of individual factors, work-related factors, and work–home interaction on burnout in female and male physicians: A longitudinal study. Stress and Health, 27, 73–87.CrossRefGoogle Scholar
  35. Lasalvia, A., Bonetto, C., Bertani, M., Bissoli, S., Cristofalo, D., Marrella, G., & Ruggeri, M. (2009). Influence of perceived organisational factors on job burnout: Survey of community mental health staff. The British Journal of Psychiatry, 195, 537–544.PubMedCrossRefGoogle Scholar
  36. Le Blanc, P. M., Hox, J. J., Schaufeli, W. B., & Taris, T. W. (2007). Take care! The evaluation of a team-based burnout intervention program for oncology care providers. Journal of Applied Psychology, 92, 213–227.CrossRefGoogle Scholar
  37. Lee, R. T., & Ashfort, B. E. (1993). A longitudinal study of burnout among supervisors and managers: comparisons between the Leiter and Maslach (1988) and Golembiewski et al. (1986) models. Organizational Behavior and Human Decision Processes, 54, 369–398.CrossRefGoogle Scholar
  38. Lee, J., Lim, N., Yang, E., & Lee, S. M. (2011). Antecedents and consequences of three dimensions of burnout in psychotherapists: A meta-analysis. Professional Psychology: Research and Practice, 42(3), 252–258.CrossRefGoogle Scholar
  39. Leiter, M. P., & Durup, M. J. (1994). The discriminant validity of burnout and depression: A confirmatory factor analytic study. Anxiety, Stress, and Coping, 7, 357–373.CrossRefGoogle Scholar
  40. Leiter, M. P., & Maslach, C. (1988). Impact of interpersonal environment on burnout and organizational commitment. Journal of Organizational Behavior, 9, 297–308.CrossRefGoogle Scholar
  41. Mäkikangas, A., Hätinen, M., Kinnunen, U., & Pekkonen, M. (2011). Longitudinal factorial invariance of the Maslach Burnout Inventory-general survey among employees with Job-related psychological health problems. Stress and Health, 27, 347–352.CrossRefGoogle Scholar
  42. Maslach, C., & Jackson, S. E. (1984). Burnout in organizational settings. In S. Reinardy (2011) Newspaper journalism in crisis: Burnout on the rise, eroding young journalists’ career commitment. Journalism, 12(1), 33–50.Google Scholar
  43. Maslach, C., & Jackson, S. E. (1986). MBI: Maslach Burnout Inventory: Manual research edition. University of California, Palo Alto: Consulting Psychologists Press.Google Scholar
  44. Maslach, C., Jackson, S. E., & Leiter, M. P. (1996). Maslach Burnout Inventory manual (3rd ed.). Palo Alto: University of California/Consulting Psychologists Press.Google Scholar
  45. Maslach, C., Schaufeli, W. B., & Leiter, M. P. (2001). Job burnout. Annual Review of Psychology, 52, 397–422.PubMedCrossRefGoogle Scholar
  46. Maslach, C., Leiter, M., & Jackson, S. (2011). Making a significant difference with burnout interventions: Researcher and practitioner collaboration. Journal of Organizational Behavior. doi:10.1002/job.784.Google Scholar
  47. McKnight, J. D., & Glass, D. C. (1995). Perceptions of control, burnout, and depressive symptomatology: A replication and extension. Journal of Consulting and Clinical Psychology, 63, 490–494.PubMedCrossRefGoogle Scholar
  48. Melamed, S., Armon, G., Shirom, A., & Shapira, I. (2011). Exploring the reciprocal causal ­relationship between job strain and burnout: A longitudinal study of apparently healthy employed persons. Stress and Health, 27, 272–281.CrossRefGoogle Scholar
  49. Milićević Kalašić, A. (2009). Caregivers care with Alzheimer’s disease, prevention of caregivers burn-out. In S. Bahrer-Kohler (Ed.), Self management of chronic disease, Alzheimer’s disease (pp. 67–71). Heidelberg: Springer.Google Scholar
  50. Mosby, Inc. (2009). Mosby’s Medical dictionary (8th ed.). St. Louis: Elsevier.Google Scholar
  51. Moya-Albiol, L., Serrano, A., & Salvador, A. (2010). Burnout as an important factor in the psychophysiological responses to a work day in teachers. Stress and Health, 26, 382–393.CrossRefGoogle Scholar
  52. Nahrgang, J. D., Morgeson, F. P., & Hofmann, D. A. (2011). Safety at work: A meta-analytic investigation of the link between job demands, job resources, burnout, engagement, and safety outcomes. Journal of Applied Psychology, 96(1), 71–94.PubMedCrossRefGoogle Scholar
  53. Noor, N. M., & Zainuddin, M. (2011). Emotional labor and burnout among female teachers: Work–family conflict as mediator. Asian Journal of Social Psychology, 14, 283–293.CrossRefGoogle Scholar
  54. Poulsen, M. G., Poulsen, A. A., Khan, A., Poulsen, E. E., & Khan, S. (2011). Work engagement in cancer workers in Queensland: The flip side of burnout. Journal of Medical Imaging and Radiation Oncology, 55, 425–432.PubMedCrossRefGoogle Scholar
  55. Purvanova, R. K., & Muros, J. P. (2010). Gender differences in burnout: A meta-analysis. Journal of Vocational Behavior, 77, 168–185.CrossRefGoogle Scholar
  56. Qiao, H., & Schaufeli, W. B. (2011). The convergent validity of four burnout measures in a Chinese sample: A confirmatory factor-analytic approach. Applied Psychology: An International Review, 60(1), 87–111.CrossRefGoogle Scholar
  57. Reinardy, S. (2011). Newspaper journalism in crisis: Burnout on the rise, eroding young journalists’ career commitment. Journalism, 12(1), 33–50.CrossRefGoogle Scholar
  58. Roth, M., Morrone, K., Moody, K., Kim, M., Wang, D., Moadel, A., & Levy, A. (2011). Career burnout among pediatric oncologists. Pediatric Blood & Cancer, 57, 1168–1173.CrossRefGoogle Scholar
  59. Schaufeli, W. B. (2003). Past performance and future perspectives of burnout research. South African Journal of Industrial Psychology, 29, 1–15.Google Scholar
  60. Schaufeli, W., & Enzmann, D. (1998) The burnout companion to study and practice: A critical analysis. London: Taylor and Francis. In S. Reinardy (2011) Newspaper journalism in crisis: Burnout on the rise, eroding young journalists’ career commitment. Journalism, 12(1), 33–50.Google Scholar
  61. Schaufeli, W. B., & Greenglass, E. R. (2001). Introduction to special issue on burnout and health. Psychological Health, 16, 501–510.CrossRefGoogle Scholar
  62. Shirom, A., & Melamed, S. (2006). A comparison of the construct validity of two burnout measures in two groups of professionals. International Journal of Stress Management, 13(2), 176–200.CrossRefGoogle Scholar
  63. Steinhardt, M. A., Smith Jaggars, S. E., Faulk, K. E., & Gloria, C. T. (2011). Chronic work stress and depressive symptoms: Assessing the mediating role of teacher burnout. Stress and Health, 27, 420–429.CrossRefGoogle Scholar
  64. Taris, T. W., Le Blanc, P. M., Schaufeli, W. B., & Schreus, J. G. P. (2005). Are there causal relationships between the dimensions of the Maslach Burnout Inventory? A review and two longitudinal tests. Work and Stress, 19(3), 238–255.CrossRefGoogle Scholar
  65. Thorsen, V. C., Teten Tharp, A. L., & Meguid, T. (2011). High rates of burnout among maternal health staff at a referral hospital in Malawi: A cross-sectional study. BMC Nursing, 10, 9.
  66. Valente, L. E., Truzzi, A., Souza, W. F., Sousa Alves, G., de Oliveira Alves, C. E., Kenji Sudo, F., Lanna, M. E., Madeira Moreira, D., Engelhardt, E., & Laks, J. (2011). Health self-perception by dementia family caregivers: Sociodemographic and clinical factors. Arquivos de Neuro-Psiquiatria, 69(5), 739–744.PubMedCrossRefGoogle Scholar
  67. Vartiainen, M. (1989). JDS—Job Diagnostic Survey: A review to the method. Helsinki: Teknillinen korkeakoulu.Google Scholar
  68. Weber, A., & Jaekel-Reinhard, A. (2000). Burnout syndrome: A disease of modern societies? Occupational Medicine, 50(7), 512–517.PubMedCrossRefGoogle Scholar
  69. Wheeler, D. L., Vassar, M., Worley, J. A., & Barnes, L. (2011). A reliability generalization meta-analysis of coefficient alpha for the Maslach Burnout Inventory. Educational and Psychological Measurement, 71(1), 231–244.CrossRefGoogle Scholar
  70. Wlodarczyk D. & Lazarewicz M. (2011). Frequency and Burden with Ethical Conflicts and Burnout in Nurses. Nursing Ethics 18 (6), 847–861.Google Scholar
  71. World Health Organization. (1992). The ICD-10 classification of mental and behavioural disorders: Clinical descriptions and diagnostic guidelines. Geneva: World Health Organization.Google Scholar
  72. Zapf, D., & Holz, M. (2006). On the positive and negative effects of emotion work in organizations. European Journal of Work and Organizational Psychology, 15, 1–28.CrossRefGoogle Scholar

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© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Head of Mental Health Team Institute of Gerontology, BelgradeBelgradeSerbia

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