What is “severe burnout” and can its prevalence be assessed?

Bianchi, Renzo

doi:10.1007/s00134-014-3534-y

Cited by 13 publications

(12 citation statements)

References 5 publications

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“…Depression has both reliable diagnostic criteria and highly effective treatment options in contrast to burnout [ 55 , 56 ]. Therefore, our findings lend considerable support to the proposal that depression scales with clinically valid cutoffs should be used as complements to burnout questionnaires when clinically assessing burnout [ 54 ]. Interestingly, the HBI_sum decreased with the grade of major depression in MD .…”

Section: Discussionsupporting

confidence: 78%

“…Similar to the Finnish “Health 2000 study”, about half of those with severe burnout were affected by major depression [ 29 ]. Without valid cut-offs for severe (clinically relevant) burnout, Bianchi suggests using conservative cut-offs for studies on the overlap of severe burnout and depression [ 23 , 54 ]. Given Bianchis’ finding, that only 3% of the participants in his study of French teachers met the inclusion criteria for severe burnout by using a conservative cut-off [ 33 ], we decided to investigate the odds for major depression in the 3% of our participants with the highest HBI_sum.…”

Section: Discussionmentioning

confidence: 99%

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Depression-Burnout Overlap in Physicians

et al. 2016

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BackgroundWhether burnout is a distinct phenomenon rather than a type of depression and whether it is a syndrome, limited to three “core” components (emotional exhaustion, depersonalization and low personal accomplishment) are subjects of current debate. We investigated the depression-burnout overlap, and the pertinence of these three components in a large, representative sample of physicians.MethodsIn a cross-sectional study, all Austrian physicians were invited to answer a questionnaire that included the Major Depression Inventory (MDI), the Hamburg Burnout Inventory (HBI), as well as demographic and job-related parameters. Of the 40093 physicians who received an invitation, a total of 6351 (15.8%) participated. The data of 5897 participants were suitable for analysis.ResultsOf the participants, 10.3% were affected by major depression. Our study results suggest that potentially 50.7% of the participants were affected by symptoms of burnout. Compared to physicians unaffected by burnout, the odds ratio of suffering from major depression was 2.99 (95% CI 2.21–4.06) for physicians with mild, 10.14 (95% CI 7.58–13.59) for physicians with moderate, 46.84 (95% CI 35.25–62.24) for physicians with severe burnout and 92.78 (95% CI 62.96–136.74) for the 3% of participants with the highest HBI_sum (sum score of all ten HBI components). The HBI components Emotional Exhaustion, Personal Accomplishment and Detachment (representing depersonalization) tend to correlate more highly with the main symptoms of major depression (sadness, lack of interest and lack of energy) than with each other. A combination of the HBI components Emotional Exhaustion, Helplessness, Inner Void and Tedium (adj.R2 = 0.92) explained more HBI_sum variance than the three “core” components (adj.R2 = 0.85) of burnout combined. Cronbach’s alpha for Emotional Exhaustion, Helplessness, Inner Void and Tedium combined was 0.90 compared to α = 0.54 for the combination of the three “core” components.ConclusionsThis study demonstrates the overlap of burnout and major depression in terms of symptoms and the deficiency of the three-dimensional concept of burnout. In our opinion, it might be preferable to use multidimensional burnout inventories in combination with valid depression scales than to rely exclusively on MBI when clinically assessing burnout.

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Section: Discussionsupporting

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Depression-Burnout Overlap in Physicians

et al. 2016

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“…5 It should be noted that the criteria used for identifying "cases" of burnout have not only been arbitrary. They have also shown considerable heterogeneity from one study to another (Bianchi 2015;Doulougeri et al 2016), thereby jeopardizing between-study comparability. All in all, it must be acknowledged that the research dedicated to estimating the prevalence of burnout has been conspicuous by its vacuity.…”

Section: The Unresolved Problem Of Burnout Diagnosismentioning

confidence: 99%

Burnout Syndrome and Depression

Bianchi

Schonfeld

Laurent

2017

Understanding Depression

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We cannot have a successful science if we let our data lie to us. To attain cumulative knowledge, we must detect and correct those lies. If we do this, we can successfully apply Occam's razor and uphold the important principle of scientific parsimony. We can discover the simplicity at the deep structure level that underlies the apparent and confusing complexity at the surface structure level.-Schmidt (2010, p. 240).

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“…There is debate regarding the clinical validity of cut‐off points for grading the severity of this condition using the normatively referenced Maslach Burnout Inventory‐Human Services Survey . The MBI‐HSS tool was developed for research rather than clinical use and critical thresholds for high burnout are not well established . Despite this caveat, the limited evidence to date suggests that Australian and New Zealand radiation oncology trainees are at risk of burnout .…”

Section: Introductionmentioning

confidence: 99%

“…4 The MBI-HSS tool was developed for research rather than clinical use and critical thresholds for high burnout are not well established. 5 Despite this caveat, the limited evidence to date suggests that Australian and New Zealand radiation oncology trainees are at risk of burnout. 1 Therefore, understanding and describing strategies with potential to prevent burnout and optimise motivation are essential when considering the health, well-being, retention and productivity of radiation oncology trainees.…”

Section: Introductionmentioning

confidence: 99%

Optimising motivation and reducing burnout for radiation oncology trainees: A framework using self‐determination theory

Poulsen

2018

J Med Imag Rad Onc

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Radiation oncology trainees in Australia and New Zealand have relatively high levels of emotional exhaustion and depersonalisation which are core components of burnout. The stresses of a demanding clinical load, studying for exams as well as family commitments are all contributing factors. Self-Deter mination Theory (SDT) provides a framework for optimising motivation which may be intrinsic or extrinsic. The three core components of SDT are competence, relatedness and autonomy. These factors should be addressed at a college level, Institutional and a personal level if the best outcomes are to be achieved. An environment that supports the individual's experience of competency, relatedness and autonomy will foster motivation and work engagement which in turn will improve performance, energy, resilience and creativity and reduce levels of burnout.

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What is “severe burnout” and can its prevalence be assessed?

Cited by 13 publications

References 5 publications

Depression-Burnout Overlap in Physicians

Depression-Burnout Overlap in Physicians

Burnout Syndrome and Depression

Optimising motivation and reducing burnout for radiation oncology trainees: A framework using self‐determination theory

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