Burnout-depression overlap: Nomological network examination and factor-analytic approach.

Burnout has been defined as a condition in which individuals are left exhausted by a long-term confrontation with unmanageable job stressors. The question of whether burnout reflects anything other than depressive responses to unresolvable stress remains an object of debate. In this 911-participant study (83% female; mean age: 42.36), we further addressed the issue of burnout-depression overlap. Burnout was assessed with the exhaustion subscale of the Maslach Burnout Inventory-General Survey (MBI-GS) and depression with the PHQ-8. The relationships of burnout and depression with three job-related variables - illegitimate work tasks, work-nonwork interference, and job satisfaction - and three "context-free" variables - social support, general health status, and trait anxiety - were examined. Burnout and depression were found to be strongly correlated, to cluster together, and to exhibit overlapping nomological networks. Remarkably, the average correlations of burnout and depression with job-related variables were almost identical. A principal component analysis and a principal axis factor analysis both showed that the items of the MBI-GS and of the PHQ-8 loaded on a single dimension. All in all, our findings are consistent with the view that burnout is a depressive condition. The distinction between burnout and depression may be an instance of the jangle fallacy.

[1]  Shaun Sellars,et al.  Help deliver Christmas cheer , 2019, British Dental Journal.

[2]  É. Laurent,et al.  Burnout: Moving beyond the status quo. , 2017, International Journal of Stress Management.

[3]  Florence Baingana,et al.  Social determinants of mental disorders and the Sustainable Development Goals: a systematic review of reviews. , 2018, The lancet. Psychiatry.

[4]  J. Salgado,et al.  Burnout, Depression, and Borderline Personality: A 1,163-Participant Study , 2018, Front. Psychol..

[5]  É. Laurent,et al.  Burnout Syndrome and Depression , 2018 .

[6]  É. Laurent,et al.  Editorial commentary: Burnout in cardiology-Going to the heart of the misunderstanding. , 2018, Trends in cardiovascular medicine.

[7]  R. Bianchi,et al.  Burnout and depression: Causal attributions and construct overlap , 2019, Journal of health psychology.

[8]  R. de Graaf,et al.  The interplay between emotional exhaustion, common mental disorders, functioning and health care use in the working population. , 2017, Journal of psychosomatic research.

[9]  É. Laurent,et al.  Burnout or depression: both individual and social issue , 2017, The Lancet.

[10]  A. Bakker,et al.  Born and Bred to Burn out: A Life-Course View and Reflections on Job Burnout , 2017, Journal of occupational health psychology.

[11]  L. D. de Beer,et al.  Exploring demands from the perspective of employees identified as being at risk of burnout , 2017, International journal of qualitative studies on health and well-being.

[12]  J. Prins,et al.  The contribution of work characteristics, home characteristics and gender to burnout in medical residents , 2016, Advances in Health Sciences Education.

[13]  Jay Verkuilen,et al.  Confirmatory Factor Analysis Of Burnout And Depressive Symptoms: (507302017-001) , 2017 .

[14]  W. Schaufeli Burnout: A Short Socio-Cultural History , 2017 .

[15]  C. Chang,et al.  Occupational Health Psychology: Work, Stress, and Health , 2016 .

[16]  É. Laurent,et al.  Burnout and depression: Label-related stigma, help-seeking, and syndrome overlap , 2016, Psychiatry Research.

[17]  Edmund T. Rolls,et al.  A non-reward attractor theory of depression , 2016, Neuroscience & Biobehavioral Reviews.

[18]  Christina Maslach,et al.  Understanding the burnout experience: recent research and its implications for psychiatry , 2016, World psychiatry : official journal of the World Psychiatric Association.

[19]  Resilience: Distinct Construct or Conglomerate of Existing Traits? , 2016, Industrial and Organizational Psychology.

[20]  Eric Laurent,et al.  Burnout-depression overlap: a review. , 2015, Clinical psychology review.

[21]  Norbert K. Semmer,et al.  Illegitimate tasks as a source of work stress , 2015, Work and stress.

[22]  É. Laurent,et al.  Is burnout separable from depression in cluster analysis? A longitudinal study , 2015, Social Psychiatry and Psychiatric Epidemiology.

[23]  V. Haines,et al.  The multilevel determinants of workers’ mental health: results from the SALVEO study , 2015, Social Psychiatry and Psychiatric Epidemiology.

[24]  Eric Laurent,et al.  Is burnout a depressive disorder? A reexamination with special focus on atypical depression. , 2014 .

[25]  É. Laurent,et al.  Is burnout solely job-related? A critical comment. , 2014, Scandinavian journal of psychology.

[26]  Richard E. Lucas,et al.  Assessing the validity of single-item life satisfaction measures: results from three large samples , 2014, Quality of Life Research.

[27]  J. Hakanen,et al.  Relationship between burnout and depressive symptoms: A study using the person-centred approach , 2014 .

[28]  D. Pizzagalli,et al.  Depression, stress, and anhedonia: toward a synthesis and integrated model. , 2014, Annual review of clinical psychology.

[29]  P. Willner,et al.  The neurobiology of depression and antidepressant action , 2013, Neuroscience & Biobehavioral Reviews.

[30]  L. Judd,et al.  Overt irritability/anger in unipolar major depressive episodes: past and current characteristics and implications for long-term course. , 2013, JAMA psychiatry.

[31]  M. Wichers The dynamic nature of depression: a new micro-level perspective of mental disorder that meets current challenges , 2013, Psychological Medicine.

[32]  E. Seifritz,et al.  Helplessness: a systematic translational review of theory and evidence for its relevance to understanding and treating depression. , 2011, Pharmacology & therapeutics.

[33]  Gene M. Alarcon A meta-analysis of burnout with job demands, resources, and attitudes , 2011 .

[34]  Bettina B. Hoeppner,et al.  Comparative utility of a single-item versus multiple-item measure of self-efficacy in predicting relapse among young adults. , 2011, Journal of substance abuse treatment.

[35]  P Kuppens,et al.  Categories versus dimensions in personality and psychopathology: a quantitative review of taxometric research , 2011, Psychological Medicine.

[36]  Christopher P. Cerasoli,et al.  Relationships between psychological, physical, and behavioural health and work performance: A review and meta-analysis , 2011 .

[37]  N. Christakis,et al.  Social network determinants of depression , 2011, Molecular Psychiatry.

[38]  Denna L. Wheeler,et al.  A Reliability Generalization Meta-Analysis of Coefficient Alpha for the Maslach Burnout Inventory , 2011 .

[39]  T. Strine,et al.  The PHQ-8 as a measure of current depression in the general population. , 2009, Journal of affective disorders.

[40]  Andy Field,et al.  Discovering statistics using SPSS: and sex and drugs and rock 'n' roll, 3rd Edition , 2009 .

[41]  Christina Maslach,et al.  Early predictors of job burnout and engagement. , 2008, The Journal of applied psychology.

[42]  J. Lönnqvist,et al.  Interventions in Relation to Occupational Burnout: The Population-Based Health 2000 Study , 2007, Journal of occupational and environmental medicine.

[43]  W. Schaufeli,et al.  Efficacy or inefficacy, that's the question: Burnout and work engagement, and their relationships with efficacy beliefs , 2007, Anxiety, stress, and coping.

[44]  Anthony D. Ong,et al.  Oxford handbook of methods in positive psychology. , 2007 .

[45]  A. Shirom,et al.  A Comparison of the Construct Validity of Two Burnout Measures in Two Groups of Professionals , 2006 .

[46]  Johannes Berkhof,et al.  Mood reactivity to daily negative events in early adolescence: relationship to risk for psychopathology. , 2006, Developmental psychology.

[47]  Stephen A. Woods,et al.  Measuring the Big Five with single items using a bipolar response scale , 2005 .

[48]  Ebbe Villadsen,et al.  The Copenhagen Burnout Inventory: A new tool for the assessment of burnout , 2005 .

[49]  Arie Shirom,et al.  Reflections on the study of burnout , 2005 .

[50]  Toon W. Taris,et al.  Are there causal relationships between the dimensions of the Maslach Burnout Inventory? A review and two longitudinal tests , 2005 .

[51]  C. Cooper,et al.  The relationship between job satisfaction and health: a meta-analysis , 2005, Occupational and Environmental Medicine.

[52]  I. Parker Criteria for qualitative research in psychology , 2004 .

[53]  A. Pickles,et al.  Natural categories or fundamental dimensions: On carving nature at the joints and the rearticulation of psychopathology , 2003, Development and Psychopathology.

[54]  R. Spitzer,et al.  The PHQ-9: A new depression diagnostic and severity measure , 2002 .

[55]  F. Quitkin Depression With Atypical Features: Diagnostic Validity, Prevalence, and Treatment. , 2002, Primary care companion to the Journal of clinical psychiatry.

[56]  G. Chrousos,et al.  Organization of the stress system and its dysregulation in melancholic and atypical depression: high vs low CRH/NE states , 2002, Molecular Psychiatry.

[57]  W. Schaufeli,et al.  Job burnout. , 2001, Annual review of psychology.

[58]  R. Spitzer,et al.  The PHQ-9: validity of a brief depression severity measure. , 2001, Journal of general internal medicine.

[59]  L. Berkman,et al.  From social integration to health: Durkheim in the new millennium. , 2000, Social science & medicine.

[60]  R. Nesse Is depression an adaptation? , 2000, Archives of general psychiatry.

[61]  R. Elliott,et al.  Evolving guidelines for publication of qualitative research studies in psychology and related fields. , 1999, The British journal of clinical psychology.

[62]  K. Kendler,et al.  Causal relationship between stressful life events and the onset of major depression. , 1999, The American journal of psychiatry.

[63]  Wilmar B. Schaufeli,et al.  The Burnout Companion to Study and Practice: A Critical Analysis , 1998 .

[64]  C. Maslach,et al.  The Truth about Burnout: How Organizations Cause Personal Stress and What to Do about It , 1997 .

[65]  S. Jackson,et al.  Maslach burnout inventory manual , 1996 .

[66]  Bruce G. Link,et al.  Social conditions as fundamental causes of disease. , 1995, Journal of health and social behavior.

[67]  Michael P. Leiter,et al.  The discriminant validity of burnout and depression: A confirmatory factor analytic study , 1994 .

[68]  R. Kessler,et al.  Chronic stress, acute stress, and depressive symptoms , 1990, American journal of community psychology.

[69]  J. Kiecolt-Glaser,et al.  Chronic stress and depressive disorders in older adults. , 1990, Journal of abnormal psychology.

[70]  Elliot Aronson,et al.  Career burnout: Causes and cures. , 1988 .

[71]  O. Wolkowitz,et al.  Controllable and uncontrollable stress in humans: alterations in mood and neuroendocrine and psychophysiological function. , 1987, The American journal of psychiatry.

[72]  P. Brill The need for an operational definition of burnout. , 1984, Family & community health.

[73]  E. McDaniel Social Origins of Depression: A Study of Psychiatric Disorder in Women , 1980 .

[74]  H. Freudenberger Staff burn-out , 1974 .

[75]  A. Beck,et al.  An inventory for measuring depression. , 1961, Archives of general psychiatry.

[76]  M. Lorr Rating scales and check lists for the evaluation of psychopathology. , 1954, Psychological bulletin.