Burnout and cognitive impairment: Associated with serum BDNF in a Chinese Han population

He, Shuchang; Zhang, Y. Y.; Zhan, Jin-Qiong; Wang, C.; Du, Xiangdong; Yin, Guiqin; Cao, Bo; Ning, Yu; Soares, Jair C.; Zhang, Xiang Y

doi:10.1016/j.psyneuen.2017.01.002

Cited by 41 publications

(28 citation statements)

References 66 publications

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“…According to van der Linden et al (2005), burnout subjects reveal difficulties in voluntary control over attention and the difficulties vary with the severity of burnout symptoms. The latest findings of He et al (2017) confirmed cognitive impairments in burnout subjects who had lower scores of immediate memory and attention and a lower total score of Repeatable Battery for the Assessment of Neuropsychological Status (RBANS). He et al (2017) demonstrated that lower cognitive performance in burnout was associated with decreased brain-derived neurotrophic factor (BDNF).…”

Section: Introductionmentioning

confidence: 69%

Cognitive Impairments in Occupational Burnout – Error Processing and Its Indices of Reactive and Proactive Control

et al. 2017

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The presented study refers to cognitive aspects of burnout as the effects of long-term work-related stress. The purpose of the study was to investigate electrophysiological correlates of burnout to explain the mechanisms of the core burnout symptoms: exhaustion and depersonalization/cynicism. The analyzed errorrelated electrophysiological markers shed light on impaired cognitive mechanisms and the specific changes in information-processing in burnout. In the EEG study design (N = 80), two components of error-related potential (ERP), error-related negativity (ERN), and error positivity (Pe), were analyzed. In the non-clinical burnout group (N = 40), a significant increase in ERN amplitude and a decrease in Pe amplitude were observed compared to controls (N = 40). Enhanced error detection, indexed by increased ERN amplitude, and diminished response monitoring, indexed by decreased Pe amplitude, reveal emerging cognitive problems in the non-clinical burnout group. Cognitive impairments in burnout subjects relate to both reactive and unconscious (ERN) and proactive and conscious (Pe) aspects of error processing. The results indicate a stronger 'reactive control mode' that can deplete resources for proactive control and the ability to actively maintain goals. The analysis refers to error processing and specific task demands, thus should not be extended to cognitive processes in general. The characteristics of ERP patterns in burnout resemble psychophysiological indexes of anxiety (increased ERN) and depressive symptoms (decreased Pe), showing to some extent an overlapping effect of burnout and related symptoms and disorders. The results support the scarce existing data on the psychobiological nature of burnout, while extending and specifying its cognitive characteristics.

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Section: Introductionmentioning

confidence: 69%

Cognitive Impairments in Occupational Burnout – Error Processing and Its Indices of Reactive and Proactive Control

et al. 2017

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“…All of the objects were measured with a Chinese version of the Maslach Burnout Inventory-General Survey scale (MBI-GS) [25,26]. In the MBI-GS scale, burnout was assessed in three dimensions: emotional exhaustion (EE) (tiredness, somatic symptoms and decreased emotional resources), depersonalization (DP) (developing negative, cynical attitudes and impersonal feelings), and diminished professional accomplishment (PA) (feelings of incompetence, inefficiency and inadequacy) [27].…”

Section: Assessment Of Burnoutmentioning

confidence: 99%

“…Total scores on each of the three subscales were stratified into high, moderate or low tertiles. The cutoffs for each tertile of burnout were empirically determined based on the previous data in the Chinese population: low EE < 11, moderate EE 11-15, high EE ≥ 15; low DP < 9, moderate DP 9-12, high DP ≥ 12; low PA < 19, moderate PA 19-22, high PA ≥ 22 [26]. The MBI has been translated into Chinese version and showed satisfactory reliability and validity; the internal consistency coefficient of the three dimensions was 0.896, 0.747, and 0.825 [28].…”

Section: Assessment Of Burnoutmentioning

confidence: 99%

The prevalence and correlates of burnout among Chinese preschool teachers

Shen

et al. 2020

BMC Public Health

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Background: A series of studies have suggested that teachers are likely to experience professional burnout in various regions around the world. To date, no known research has been conducted to investigate the prevalence and correlates of burnout among preschool teachers in China. This study examined the level of self-reported burnout and correlates of burnout among Chinese preschool teachers. Methods: A cross-sectional study was conducted among1795 preschool teachers in Tianjin, China, during August 2018-October 2018. The validated Chinese version of the 15-item Maslach Burnout Inventory was used to assess burnout. A self-administered questionnaire collected the sociodemographic factors. The psychological factors were collected by the Chinese version of the 20-item Center for Epidemiologic Studies Depression Scale (CES-D) and the Perceived Stress Scale-14.Results: The prevalence of burnout in Chinese preschool teachers was 53.2% (95% CI:51%─56%). Burnout rate was significantly decreased in overweight (P = 0.001, OR = 0.58, 95% CI: 0.42-0.79) and obesity (P = 0.048, OR = 0.75, 95% CI: 0.56-1.00) teachers compared with teachers with normal weight. The type of school (P = 0.007, OR = 1.45, 95% CI: 1.11-1.91), income satisfaction (P = 0.001, OR = 0.67, 95% CI: 0.53-0.86), depression (P < 0.001, OR = 3.08, 95% CI: 2.34-4.05) and perceived stress (P < 0.001, OR = 1.15, 95%CI: 1.13-1.18) were significantly associated with burnout. Conclusions:The prevalence of burnout among preschool teachers in Tianjin, China, is high. Burnout was significantly associated with BMI, the type of school, income satisfaction, depression and perceived stress among Chinese preschool teachers.

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“…A recent study suggests that reduction in brain-derived neurotrophic factor (BDNF) is associated with burnout as a result of inhibition of the HPA axis, which after years of chronic stress can lead to impaired neurogenesis and eventually neuron-atrophy [25]. In a large non-clinical burnout population, these reduced levels of BDNF were indeed found and appeared to have a mediating effect in the relationship between burnout and specifically prefrontal cognitive functioning (attention and immediate memory) [26].…”

Section: Cognitive Functioning In Non-clinical Burnoutmentioning

confidence: 99%

Cognitive functioning, sleep quality, and work performance in non-clinical burnout: The role of working memory

et al. 2020

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We investigated the relationship between cognitive functioning, work performance, and sleep in non-clinical burnout. In a working population, an online survey was conducted with additional online neuropsychological tests of varying complexity, measuring attention and different components of working memory, of which the coordinating subcomponent the 'Central Executive' is thought to be the most vulnerable to stress. Results indicate that nonclinical burnout is associated with more-though not severe-sleep problems, more depressive complaints, impaired work performance, and with both subjective and objective cognitive impairments. Compared with healthy respondents (N = 107), people with non-clinical burnout (N = 17) had a significantly poorer performance on the tests of the visuospatial sketchpad and the Central Executive of the working memory. Our study also indicates that more complex tests may be more sensitive in detecting cognitive dysfunction in non-clinical burnout. Furthermore, a relationship was found between dual-task performance and work performance. Regarding to sleep quality, in our sample of people with non-clinical burnout, there were no severe sleep problems. In the entire sample, however, insomnia was significantly related to subjective, but not objective, cognitive functioning, and also not to work performance.

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Burnout and cognitive impairment: Associated with serum BDNF in a Chinese Han population

Cited by 41 publications

References 66 publications

Cognitive Impairments in Occupational Burnout – Error Processing and Its Indices of Reactive and Proactive Control

Cognitive Impairments in Occupational Burnout – Error Processing and Its Indices of Reactive and Proactive Control

The prevalence and correlates of burnout among Chinese preschool teachers

Cognitive functioning, sleep quality, and work performance in non-clinical burnout: The role of working memory

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