Diagnostic accuracy of the Single‐item Measure of Burnout (Japanese version) for identifying medical resident burnout

Abstract

Background Burnout is a psychological syndrome consisting of emotional exhaustion, cynicism, and decreased professional efficacy. The Maslach Burnout Inventory (MBI) is widely used as the standard measure. However, the MBI is lengthy and not free to use, which makes it a less than ideal tool for regularly assessing burnout. The single question burnout measure (SMB) is a novel and simple measure of burnout, which is associated well with emotional exhaustion and has sufficient diagnostic performance for burnout. This study aimed to evaluate the concurrent and convergent validity of the Japanese version of the single‐item measure of burnout (SMB‐J) compared with the MBI. Methods Ninety‐four medical residents volunteered to complete the MBI‐General Survey (MBI‐GS) and the SMB‐J. We assessed the concurrent (sensitivity and specificity) and convergent validity of the SMB‐J compared with the MBI‐GS. Results The sensitivity for identifying burnout using the SMB‐J was 53.8%, and the specificity was 88.2%. The area under the receiver operating characteristic curve (AUC) was 0.71. MBI‐GS scores on the subscales of Emotional Exhaustion (r = 0.509, p < 0.0001) and Cynicism (r = 0.57, p < 0.0001) strongly correlated with the SMB‐J scores. Conclusions We concluded that for identifying burnout among Japanese medical residents, the psychometric properties of the SMB‐J are comparable to those of the original version of the SMB. Although the SMB‐J has low sensitivity to detect burnout, it is more convenient to use than the MBI.

Association between mental health and duty hours of postgraduate residents in Japan: a nationwide cross-sectional study

“…A single-item measure of burnout (SMB) was used to assess burnout, and respondents selected one of five options to indicate the level of burnout. The validation of the SMB was assessed in previous studies and was well correlated with emotional exhaustion and depersonalization on the Maslach Burnout Inventory, which are both core concepts of burnout 23 – 25 . Stress and satisfaction were rated on a 5-point Likert scale.…”

Burnout y desempeño laboral durante la pandemia covid-19

“…En este sentido, estos valores atípicos puedan deberse al aumento de la tensión emocional suscitada en la pandemia, los problemas en la gestión administrativa: mal liderazgo, ausencia de capacitaciónadiestramiento, deficientes diseños de puesto de trabajo, exceso de carga laboral y auto exigencias muy altas en el personal. 14 Solo 3 servidores tuvieron evaluaciones regulares y ninguno insuficiente. No es de extrañarse entonces, que la presión de mantener un ritmo progresivo de cumplimiento interfiera en la salud mental y física.…”

Relationship between COVID-19 care and burnout among postgraduate clinical residents in Japan: a nationwide cross-sectional study

“… 19 20 The Japanese version has a sensitivity of 54% and a specificity of 88% for the diagnosis of burnout, which were comparable to those of the original version. 20 Each question was rated on a 5-point Likert scale, the scoring for which is described in the online supplemental appendix 1 .…”