Is burnout static or dynamic? A career transition perspective of employee burnout trajectories

Despite decades of theory and empirical research on employee burnout, its temporal and developmental aspects are still not fully understood. This lack of understanding is problematic because burnout is a dynamic phenomenon and burnout interventions may be improved by a greater understanding of who is likely to experience changes in burnout and when these changes occur. In this article, we advance existing burnout theory by articulating how the 3 burnout dimensions should differ in their pattern of change over time as a result of career transition type: organizational newcomers, internal job changers (e.g., promotions or lateral moves), and organizational insiders (i.e., job incumbents). We tested our model in a broad sample of 2,089 health care employees, with 5 measurement points over 2 years. Using random coefficient modeling, we found that burnout was relatively stable for organizational insiders but slightly dynamic for organizational newcomers and internal job changers. We also found that the dimensions of emotional exhaustion and depersonalization were more sensitive to career transition type than reduced personal accomplishment. Finding some differences among different types of employees as well as the dimensions of burnout may begin to explain longstanding inconsistencies between theory and research regarding the dynamics of burnout, offering directions for future research that address both dynamism and stability.     

Burnout during a long-term rehabilitation: comparing low burnout,high burnout – benefited,and high burnout – not benefited trajectories

Abstract

To focus rehabilitation activities among burnout clients more effectively, it is important to investigate who benefits from burnout interventions. This study (N=85) aimed at identifying burnout trajectories in terms of benefit, that is, subgroups of clients who share similar mean levels and changes in burnout during a one-year rehabilitation intervention (17 days in total) with a six-month follow-up. After identifying the burnout trajectories, the relations of the trajectories with factors describing the clients, antecedents, and consequences of burnout during the one-year intervention were examined. Three burnout trajectories were identified by growth mixture modeling: (a) low burnout (n=39), (b) high burnout – benefited (n=29), and (c) high burnout – not benefited (n=17). Positive changes were detected in antecedents and consequences among the clients in the low burnout and high burnout – benefited trajectories. Recovery from burnout was associated with increased job resources and decreased job demands, as well as with increased job satisfaction and decreased depression. It seems that more precise targeting of rehabilitation is needed since the trajectories revealed not only clients with mild symptoms, but also clients who probably received this treatment too late.     

What have we learned about burnout and health?

Abstract It has been a decade since an international group of scholars came together to discuss and debate the construct of job burnout. That conference, which took place in Krakow, Poland in 1990, was a major turning point in the development of this field. Not only did it bring together a wide range of theoretical perspectives and empirical data, it generated new directions for the work that needed to be done in the future (Schaufeli et al., 1993). Now that we are 10 years into that future, it would be worthwhile to assemble a new group of international scholars and discover what progress has been made. In essence, that is what the editors of this Special Issue have done. They have invited several of the leading burnout researchers from several continents to contribute their newest studies on this important social phenomenon. Thus this Special Issue affords us the opportunity to assess the strides that have been made since that first meeting in Krakow. So what have we now learned about burnout and its relation to health?     

Teachers’ burnout, depression, role ambiguity and conflict

The present study investigates issues associated with teachers’ burnout in primary education as related to depression and role conflict–ambiguity. At the time of the study the participants (562 teachers) were working in seventy nine (79) Primary Education State Schools in Greece (Athens and two prefectures in the southern part of the country). The results showed that of the three factors comprising the Burnout inventory (MBI, Maslach and Jackson, MBI: Maslach Burnout Inventory; manual research edition, 1986), (i.e., Emotional exhaustion, Personal accomplishment, Depersonalization) Emotional Exhaustion showed a statistically significant (positive) correlation with the factors that comprise: (a) the Scale of Depression (CES-D: Ensel, in: Lin et al. (eds.) Social support, life events and depression, 1986; Radloff, Applied Psychological Measurement 1: 385–401, 1977) such as Depressed affect, Somatic retarded activity and (b) Degree of Role Conflict (Role Conflict and Role Ambiguity Scale, Rizzo et al., Administrative Science Quarterly, 15:150–163, 1970, adapted in Greek by Koustelios and Kousteliou, Psychological Reports, 82:131–136, 1998); similarly, Positive affect (CES-D) and Degree of Role Clarity (Role Conflict and Role Ambiguity Scale) showed a statistically significant (negative) correlation with the same factor (Emotional exhaustion). Furthermore, a regression analysis performed with Personal accomplishment as the dependent variable showed that the (combined) factors of Role Ambiguity, Positive Affect and Somatic Retarded Activity contributed significantly to the prediction of the dependent variable; A third regression analysis performed with Depersonalization as dependent variable showed that Somatic Retarded Activity, Role Conflict, Positive Affect, Interpersonal Affect and Role Ambiguity contributed significantly to the prediction of this variable. Overall, the results showed that Greek teachers experience low-moderate levels of Burnout, Depression, Role conflict and Role ambiguity.     

Is burnout solely job‐related? A critical comment

Within the field‐dominating, multidimensional theory of burnout, burnout is viewed as a work‐specific condition. As a consequence, the burnout syndrome cannot be investigated outside of the occupational domain. In the present paper, this restrictive view of burnout's scope is criticized and a rationale to decide between a work‐specific and a generic approach to burnout is presented. First, the idea that a multidimensional conception of burnout implies a work‐restricted scope is deconstructed. Second, it is shown that the burnout phenomenon cannot be confined to work because chronic, unresolvable stress – the putative cause of burnout – is not limited to work. In support of an integrative view of health, it is concluded that the field‐dominating, multidimensional theory of burnout should abandon as groundless the idea that burnout is a specifically job‐related phenomenon and define burnout as a multi‐domain syndrome. The shift from a work‐specific to a generic approach would allow both finer analysis and wider synthesis in research on chronic stress and burnout.     

Predictors of burnout and health status in Samaritans’ listening volunteers

Samaritan listening volunteers provide emotional support to people in distress or suicidal. Samaritans’ has high volunteer turnover, which may be due to burnout. This study evaluated the role of demographic and psychosocial factors in predicting Samaritans listening volunteers’ burnout and health status. Samaritans’ listening volunteers (n = 216) from seven branches across UK completed an online survey to assess their levels of burnout (emotional exhaustion, depersonalisation, personal accomplishment), subjective health status, coping, empathy and social support. Overall, listeners showed low levels of burnout and good health. Regression analysis revealed that higher emotional exhaustion was predicted by younger age and avoidant coping style; higher depersonalisation was predicted by lower empathy fantasy and higher avoidant coping style; lower personal accomplishment scores were predicted by higher empathy personal distress and worse health status was predicted by more hours per week spent on listening duties, lower social support and higher avoidant coping style. Overall, different factors influenced different facets of burnout. However, higher use of avoidant coping style consistently predicted higher burnout and worse health status, suggesting avoidant coping is an important target for intervention.     

Jardin thérapeutique,outil de prévention du burnout

The aim of this research was to study the effect of the presence of a garden in a hospital care sector on caregiver burnout. Eighty-eight nurses and caregivers from 9 care sectors answered a questionnaire constructed from the theories and scales of Karasek and Theorell. Three types of services were compared (cognitive behavioral unit, palliative care, post-acute and rehabilitation care) with a garden adapted for therapeutic activities versus with a regular garden versus with no garden. The main result was a lesser incidence of burnout in care services with a garden that those without a garden, irrespective of the type of care service, along with an amplification of the benefit with specially-designed gardens. The feeling of strength, both physical and psychological, was less present when the care services did not have a garden. A trend toward an increase in musculoskeletal disorders in services with a therapeutic garden versus no garden was observed. Upon analyzing the results, the authors recommend particular attention in the designing of hospital gardens in order to facilitate the ergonomics of nursing work. The overall results advocate the use of the garden as a systemic structure conducive to work interactions in a specially-designed area.     

Does role stress predict burnout over time among health care professionals?

Abstract The main objective of this study is to test the effects over time of three role stress variables (role conflict, role ambiguity and role overload) on the three burnout dimensions (emotional exhaustion, depersonalization and personal accomplishment). Based on theoretical models on burnout and on meta-analytical research, it is hypothesized that the three role stress variables will predict changes over time in emotional exhaustion and depersonalization, but not in personal accomplishment. The results obtained by means of hierarchical regression analysis partially support the hypothesis. The three role stress variables predict emotional exhaustion over time. Role conflict and role overload predict depersonalization over time. Finally, contrary to expectations, role ambiguity predicts personal accomplishment over time.     

Does role stress predict burnout over time among health care professionals?

Abstract

The main objective of this study is to test the effects over time of three role stress variables (role conflict, role ambiguity and role overload) on the three burnout dimensions (emotional exhaustion, depersonalization and personal accomplishment). Based on theoretical models on burnout and on meta-analytical research, it is hypothesized that the three role stress variables will predict changes over time in emotional exhaustion and depersonalization, but not in personal accomplishment. The results obtained by means of hierarchical regression analysis partially support the hypothesis. The three role stress variables predict emotional exhaustion over time. Role conflict and role overload predict depersonalization over time. Finally, contrary to expectations, role ambiguity predicts personal accomplishment over time.     

Novice teachers’ experience of teaching: a dynamic aspect of burnout

This article addresses the question of how novice teachers perceive their work environment and how their perceptions affect burnout. Data were obtained from a questionnaire administered to novice teachers at the beginning and at the end of the school year. It was found that (1) novice teachers experienced high levels of burnout as early as the beginning of their first year of teaching; (2) novice teachers’ perception of their work environment at the beginning and at the end of their first year significantly and meaningfully explained their sense burnout; (3) three variables contribute to predicting burnout at the beginning and at the end of the first year of teaching: (a) lack of appreciation and professional recognition from students; (b) lack of appreciation and professional recognition from the public, and (c) lack of collaborative and supportive ambience.     

Grit: A unique protective factor of coaches well-being and burnout?

The main purpose of the current study was to examine how grit, neuroticism, perfectionism and perceived stress are uniquely associated with well-being and burnout among Norwegian coaches in a variety of sports. A sample of 107 coaches participated in the current study. A regression analysis revealed that grit uniquely predicted positive well-being, while neuroticism, perfectionism as well as perceived stress all contributed uniquely to predict well-being negatively. The variables uniquely explained 69% of the variance in the coaches' well-being. A second regression analysis showed that neuroticism, perfectionism and perceived stress all uniquely predicted burnout positively and together they accounted for 30% of the variance in the coaches’ burnout. The findings are discussed in terms of applied implications and possible future research.     

Does equity sensitivity moderate the relationship between effort–reward imbalance and burnout

The model of effort–reward imbalance (ERI) received considerable research attention in the job stress literature. However, very scarce research investigated individual differences as moderators between ERI and stress. The present study is aimed at examining the combined effects of ERI, overcommitment (OVC), and the interaction between ERI and overcommitment on burnout (i.e., emotional exhaustion, cynicism, and inefficacy) and the moderating role of equity sensitivity. A questionnaire measuring ERI, burnout, and equity sensitivity was administered to 159 employees. Regression analyses were conducted to test the proposed relations and moderating hypotheses. ERI was negatively related to inefficacy and overcommitment was positively related to emotional exhaustion and cynicism. In addition, equity sensitivity was found to moderate the effect of overcommitment on emotional exhaustion and inefficacy. The findings emphasize the detrimental effect overcommitment may have on employee's mental health and suggest that the ERI model components may be closely related to perceptions of organizational justice.     

Is mindfulness associated with stress and burnout among mental health professionals in Singapore?

High levels of stress and burnout have been reported among mental health professionals worldwide, including Singapore, with concerning potential implications for the quality of patient care. Mindfulness has been associated with decreased stress and burnout; however, associations between mindfulness, stress, and burnout have not been examined in Singapore. The aim of this study was to investigate whether mindfulness is associated with stress and burnout among healthcare professionals working in a mental health setting in Singapore. A total of 224 Singaporean mental health professionals completed a cross-sectional survey which included measures of: mindfulness (observe, describe, act with awareness, non-judge, and non-react), stress, and burnout (exhaustion and disengagement). Using multiple regression, significant negative associations were found between each of the mindfulness facets and: stress, exhaustion, and disengagement, while controlling for years of experience. Of the five mindfulness facets, act with awareness demonstrated the strongest negative association with all three variables. This study showed that mental health professionals in Singapore who have higher levels of mindfulness also have lower levels stress and burnout (disengagement and exhaustion). Future longitudinal research is warranted to better understand the directionality of these associations, with implications for the development of interventions aimed to reduce stress and burnout within this population.     

Facteurs de stress et burnout chez les enseignants de l’école primaire

This study examines the relations between the three dimensions of the burnout (emotional exhaustion, depersonalization and decrease of personal accomplishment) and their associations with stress factors as perceived by the teacher. Using a sample of 787 elementary school teachers, we put to the test a theoretical model with path analysis. We achieve with a structural model that brings to light that personal accomplishment is determined directly by personal exhaustion and indirectly through depersonalization. The latter is influenced by negative relations with parents. Except this effect, the model also shows that the others sources of stress influence directly the emotional exhaustion. This study also confirms the three-dimensional structure of the French version of the Maslach Burnout Inventory (MBI).     

Which occupational risk factors are associated with burnout in nursing? A meta-analytic study

Numerous empirical studies have suggested a link between occupational factors and the burnout syndrome. The effect sizes of the association reported vary widely in nursing professionals. The objective of this research was to assess the influence of five occupational factors (job seniority, professional experience, job satisfaction, specialization and work shift) on the three burnout dimensions (emotional exhaustion, depersonalization and personal accomplishment) in nursing. We conducted a meta-analysis with a total of 81 studies met to our inclusion criteria: 31 on job seniority; 29 on professional experience; 37 on job satisfaction; 4 on specialization; and 6 on work shift. The mean effect sizes found suggest that job satisfaction and, to a lesser extent, specialization were important factors influencing the burnout syndrome. The heterogeneity analysis showed that there was a great variability in all the estimates of the mean effect size. Various moderators were found to be significant in explaining the association between occupational factors and burnout. In conclusion, it is important to prevent the substantive moderators that are influencing these associations. The improved methodological variables explain most of the contradictory results found in previous research on this field.     

L’impact du burnout scolaire sur les comportements d’alcoolisation des adolescents

Objective

The aim of this study was to explore the impact of school-related burnout symptoms. on alcohol consumption habits among adolescents. Alcohol consumption is rather common among adolescents. Indeed, recent French research (Spilka et al., 2015) has shown that in a sample of 17-year-old adolescents up to 89.3% declared at least one alcohol consumption experience over lifetime, 58.9% experienced drunkenness over the last year, and 48.8% declared binge drinking experiences over last month. In the meantime, high-school students are exposed to a high level of school-related stress, which could lead to school-related burnout (Salmela-Aro et al., 2009). Previous studies have shown that school-related burnout is associated with several addictive behaviors, such as tobacco use (Moncla, Walburg, Milhaes, 2014) cannabis consumption (Walburg, Moncla, Milhaes, 2015) or problematic Facebook use (Walburg, Milhaes, Moncla, 2016). Therefore, the aim of the present study was to explore weather school-related burnout could influence alcohol use behaviors among high-school students.

The relation between overcommitment and burnout: does it depend on employee job satisfaction?

Using the Conservation of Resources (COR) theory as a framework, we hypothesized a maladaptive role played by overcommitment in the escalation of burnout. We further specified our model by testing an interaction effect of job satisfaction. By using a longitudinal design, we proposed a moderated mediational model in which burnout at Time 1 (T1) increases overcommitment, which in turn leads to more burnout one month later. We further expected to find a moderating role of job satisfaction in the link between overcommitment and burnout at Time 2 (T2). A group of 86 white-collar workers in personnel services in Italy (longitudinal response rate = 77.48%) participated in our study. The findings supported our hypotheses even when controlling for gender and role stressors. In particular, by using bootstrapping procedures to test mediation, we found evidence that employees reporting burnout tend to develop a maladaptive coping style, i.e., overcommitment, which in turn increases burnout over time. This relation was particularly strong for dissatisfied employees. These results highlight the importance of overcommitment for burnout escalation, as well as of job satisfaction, since it may mitigate, at least in the short term, the effect of such dysfunctional strategies.     

Dark and bright sides of thriving – school burnout and engagement in the Finnish context

School burnout is defined as exhaustion, cynicism and inadequacy as a student, and engagement can be conceptualized as study-related vigor, absorption and dedication. School burnout is increasing, particularly among students on an academic track, while at the end of elementary school almost half of the students no longer find school meaningful. School burnout and engagement were investigated by applying the demand-resource and stage-environment models. The results show that high school demands lead to burnout, while personal and school resources lead to school engagement. Burnout from school-context can also spillover to later depression, drop out and internet addiction, and engagement to overall satisfaction with life and success in educational pathways. In line with the stage-environment fit theory, educational transitions play a role in changes in school burnout trajectories. Adoption of a person-oriented approach revealed several different burnout-engagement profiles, including a profile in which students are at the same time both exhausted and engaged. The social context of peers, immigrant status, parents and teachers also play an important role in engagement and burnout.     

Examining links between coaching behaviors and collegiate athletes’ burnout levels using a longitudinal approach

Research on burnout in athletes reveals a range of potential negative effects including decreased performance, compromised physical and psychological well-being, and possible sport withdrawal. The current study was designed to: (a) examine if and how collegiate athletes’ levels of burnout change from the beginning to the end of a competitive season; and (b) determine if there is a predictive link between athletes’ perceptions of their coaches’ interpersonal styles and feedback behavior and changes in athletes’ level of burnout. Self-report measures were completed by 126 collegiate female athletes at two time-points. A repeated measures MANOVA revealed a significant time main effect showing increases over the season in two of the three burnout dimensions (reduced accomplishment and sport devaluation). Hierarchical regression analyses indicated that perceived coaching behaviors did explain a significant amount of the variability between athletes in their end of season burnout scores above and beyond that explained by their early season levels and their perceptions of their performance success. These results add to the growing body of literature on the utility of self-determination theory as a framework for examining psychosocial health and well-being in collegiate athletes. In addition, the longitudinal nature of this study provides information regarding potential changes in the dimensions of burnout as a function of time in the season and in response to perceptions of coaches’ behaviors.     

Six-month stability of individual differences in sports coaches’ burnout,self-compassion and social support

Using a three-wave prospective cross-lagged panel design, the study examined six-month stability of burnout, self-compassion and social support among sports coaches in terms of measurement invariance, mean-level change, rank-order stability, and structural stability. The participating coaches (N = 422; M_age = 44.48, SD = 11.03) completed an online questionnaire measuring self-compassion, social support, coach burnout and demographics at baseline and two follow-ups at three months and six months. The various forms of stability were assessed using structural equation modeling. There was no significant mean-level change in burnout, self-compassion, or social support, and all three constructs exhibited measurement invariance. Rank-order stability remained relatively high, ranging from 0.78 to 0.94 across the three time points. For all three constructs, covariances between latent factors were invariant over time, indicating high structural stability. While self-compassion and social support were positively related, both were negatively related to coach burnout. These results confirm the importance of preventing and addressing symptoms of burnout, low self-compassion and poor social support in sports settings.