Clinical Psychology Commons^™

A Solution For Breaking The Impasse Of Burnout Measurement, Renzo Bianchi, Irvin Sam Schonfeld

Publications and Research

In view of the profound problems affecting burnout’s conceptualization and measurement and because there is now robust evidence that burnout is a depressive condition, we recommend that occupational health specialists shift their focus from burnout to depression. A measure of job-related depressive symptoms, the Occupational Depression Inventory (ODI), has recently been developed. Advantageously, the ODI resolves many of the persistent problems linked to burnout while being consistent with burnout researchers’ original aim of assessing a work-attributed form of distress. The ODI includes a diagnostic algorithm that allows investigators to estimate the prevalence of depressive disorders that individuals specifically ascribe to …

Yoga As A Complimentary And Alternative Medicine Approach For Teacher Psychological Distress And Burnout: The Impact Of Online Yoga, Amber M. Sepsey

Wayne State University Dissertations

Teacher psychological distress and burn out, especially in the first 5 years of employment, has been well documented (DeAngelis & Presley, 2011; Brackett, et al., 2010; Kokkinos, 2007; Montgomery & Rupp, 2005; Kyriacou, 2001). Not only are teachers at high-risk for psychological distress, their mood and presentation have been shown to impact classroom functioning and child academic and emotional outcomes (Davis, 2003; Sutton & Wheatley, 2003). Given the robust impact of teacher mental health on their personal well-being as well as child outcomes, much work has been done to assess potential interventions aimed at reducing teacher distress and improving emotional …

The Occupational Depression Inventory—A Solution For Estimating The Prevalence Of Job-Related Distress, Renzo Bianchi, Irvin Sam Schonfeld

Publications and Research

We are concerned about researchers’ reliance on the burnout construct and the MBI-GS to estimate the prevalence of job-related distress. In this paper, we first describe some of the problems plaguing the burnout construct and its measures. Then, we present the Occupational Depression Inventory, a new instrument designed to help occupational health specialists get a clearer view of the mental health status of the workforce (Bianchi and Schonfeld, 2020).

Occupational Depression, Cognitive Performance, And Task Appreciation: A Study Based On Raven’S Advanced Progressive Matrices, Renzo Bianchi, Irvin Sam Schonfeld

Publications and Research

The Occupational Depression Inventory (ODI) was recently developed to assess depressive symptoms that individuals specifically attribute to their work. Research on the criterion validity of the instrument is still in its infancy. In this study, we examined whether the ODI predicted performance on, and appreciation of, a cognitively challenging test. In light of the link established between clinical depression and neuropsychological impairment, and considering that individuals with depressive symptoms are more likely to feel helpless under challenging circumstances, we hypothesized that occupational depression would be associated with poorer cognitive performance and a darkened appreciation of the task undertaken. We relied …

Empathy And Risk For Compassion Fatigue Among Immigrant African Pastors In The United States, Paul Affar Meenu

Walden Dissertations and Doctoral Studies

The importance of caregiver empathy in positive client outcomes has been established in the literature. However, helping traumatized people has a potentially deleterious emotional effect on the helping professional, putting them at risk for compassion fatigue. The stress-process model provided the framework for the study. Survey data were collected from 138 immigrant African pastors in the United States. Compassion fatigue dimensions were measured by the Professional Quality of Life Scale, and empathy dimensions were measured by the Empathy Assessment Index. Results of multivariate canonical correlation analysis revealed that empathy predicts compassion fatigue susceptibility. Pastors who scored low on empathy subscales …

Is Burnout A Depressive Condition? A 14-Sample Meta-Analytic And Bifactor Analytic Study, Renzo Bianchi, Jay Verkuilen, Irvin S. Schonfeld, Jari J. Hakanen, Markus Jansson-Fröjmark, Guadalupe Manzano-García, Eric Laurent, Laurenz L. Meier

Publications and Research

There is no consensus on whether burnout constitutes a depressive condition or an original entity requiring specific medical and legal recognition. In this study, we examined burnout–depression overlap using 14 samples of individuals from various countries and occupational domains (N = 12,417). Meta-analytically pooled disattenuated correlations indicated (a) that exhaustion—burnout’s core—is more closely associated with depressive symptoms than with the other putative dimensions of burnout (detachment and efficacy) and (b) that the exhaustion–depression association is problematically strong from a discriminant validity standpoint (r = .80). The overlap of burnout’s core dimension with depression was further illuminated in 14 exploratory structural …

Potential For Burnout, Coping Styles, And Help Seeking Attitudes Of Human Service Providers In A State Psychiatric Hospital, Alison Aulsbrook

Walden Dissertations and Doctoral Studies

AbstractAlthough there is an abundance of literature on the relationship between burnout and coping styles among providers, this study explored the gap in research about the relationship of these factors to help seeking attitudes. The purpose of this study was to examine the relationship between burnout, coping styles and attitudes toward seeking professional psychological help among a sample of 76 human service providers, guided by cognitive appraisal theory. Burnout in participants who work at a state psychiatric hospital in Texas was measured using the Maslach Burnout Inventory. Coping styles were measured using the Coping Inventory for Stressful Situations which measures …

The Occupational Depression Inventory: A New Tool For Clinicians And Epidemiologists, Renzo Bianchi, Irvin Sam Schonfeld

Publications and Research

Background: Depressive symptoms induced by insurmountable job stress and sick leave for mental health reasons have become a focal concern among occupational health specialists. The present study introduces the Occupational Depression Inventory (ODI), a measure designed to quantify the severity of work-attributed depressive symptoms and establish provisional diagnoses of job-ascribed depression. The ODI comprises nine symptom items and a subsidiary question assessing turnover intention. Methods: A total of 2254 employed individuals were recruited in the U.S., New Zealand, and France. We examined the psychometric and structural properties of the ODI as well as the nomological network of work-attributed depressive symptoms. …

Memory Bias Toward Emotional Information In Burnout And Depression, Renzo Bianchi, Eric Laurent, Irvin Sam Schonfeld, Lucas M. Bietti, Eric Mayor

Publications and Research

A sample of 1015 educational staff members, exhibiting various levels of burnout and depressive symptoms, underwent a memory test involving incident encoding of positive and negative words and a free recall task. Burnout and depression were each found to be associated with increased recall of negative items and decreased recall of positive items. Results remained statistically significant when controlling for history of depressive disorders. Burnout and depression were not related to mistakes in the reported words, or to the overall number of recalled words. This study suggests that burnout and depression overlap in terms of memory biases toward emotional information.

First Responder Mental Health, Kira Swensen, Timothy Keady, Maren Wright Voss

All Current Publications

Communities spend thousands of dollars on first responders to protect them physically: body armor for law enforcement officers, heat resistant gear for firefighters, gloves and reflective clothing for Emergency Medical Services (EMS) personnel. Supporting and investing in programs related to first responders’ mental health is equally important in keeping their minds safe. First responders train long hours each year to stay prepared for almost any situation. In the past, training has centered around physical safety and job efficiency. In recent years, efforts have been made to include mental health training and reduce the stigma associated with mental health for first …

Clinical Trainees' Experience Of Burnout And Its Relationship To Supervision, Amanda Weaver

Dissertations

Burnout is a phenomenon that has recently gotten a lot of attention in research and media, but there is still a need to understand burnout among clinical trainees. Burnout is characterized by emotional exhaustion, a sense of cynicism, and a reduced sense of personal accomplishment. This qualitative study attempted to understand clinical trainees’ experience of burnout, the factors they believed were contributing factors to their burnout, and how supervision impacted this experience. The participants included six trainees who were enrolled in a clinical or counseling doctorate program, have experienced or are currently experiencing burnout, and had at least six months …

Self-Care Domains, Benefits Of Self-Care In Graduate-Level Training Programs, And Ways To Incorporate Self-Care Education And Practices In Graduate-Level Training Programs, Krystel Segovia

Dissertations

A literature review was conducted to examine the concept of self-care as a proactive means to manage the stressors of life, enhance professional competency, and live a well-balanced lifestyle, particularly for graduate-level psychology students. Different levels of distress, including stress, compassion fatigue, and burnout, were researched and discussed. The various domains of self-care were discussed as were the benefits of engaging in regular self-care practices. Finally, various ways to incorporate self-care into already established graduate-level training programs at universities and practicum training sites were discussed to enhance the training experience as well as mitigate burnout in the novel clinician.

Exploring Predictive Variables Of Burnout In Students Attending Eastern Caribbean Medical Schools, Denise Deloris Lewis

Walden Dissertations and Doctoral Studies

The medical students of the Eastern Caribbean medical schools form a cohort of international students completing their clinical years of training on the Islands. They experience a degree of burnout though to a lesser extent than indicted in the literature. The Maslach Burnout Inventory General Survey Student (MBI-GS(S) and a structured questionnaire of sociodemographic qualities and the medical education process items, were used to assess the relationship between the predictive variables and burnout. An N=96 was obtained from the student population. The data collected was analyzed using a series of multiple linear regression. The findings of the linear regression were …

A Five-Sample Confirmatory Factor Analytic Study Of Burnout-Depression Overlap, Renzo Bianchi, Irvin Sam Schonfeld, Jay Verkuilen

Publications and Research

Objective: It has been asserted that burnout—a condition ascribed to unresolvable job stress—should not be mistaken for a depressive syndrome. In this confirmatory factor analytic study, the validity of this assertion was examined.

Methods: Five samples of employed individuals, recruited in Switzerland and France, were mobilized for this study (N = 3,113). Burnout symptoms were assessed with the Shirom–Melamed Burnout Measure, the Maslach Burnout Inventory (MBI)—General Survey, and the MBI for Educators. Depressive symptoms were measured with the PHQ‐9.

Results: In all five samples, the latent factors pertaining to burnout’s components correlated on average more highly with the latent Depression …

Locus Of Control And Mindfulness As Moderators Of The Job Demand-Control Model: Effects On Burnout, Basia Andrejko-Gworek

Walden Dissertations and Doctoral Studies

AbstractBurnout is considered a health hazard of contemporary workplaces and additional research is needed to identify protective factors against this phenomenon. The job demand-control model specifies job control as the key buffer against strains, but empirical support for its buffer hypothesis is limited. The present study accounted for both structural and person factors and tested a revised hindrance job demand-control model in prediction of burnout. By incorporating the challenge-hindrance stress framework with tenets of the transactional stress framework and the differential reactivity of personality theory, it was proposed that inclusion of hindrance stressors (i.e., interpersonal conflict, role conflict and organizational …

Self-Care Practices, Work Experience, Educational Setting, And Burnout Among School Counselors, Paul Sylvester-Nwosu

Walden Dissertations and Doctoral Studies

AbstractSchool counselors should be well-adjusted in their personal and professional lives and possess a keen, accurate perception of their self-care practices. However, people drawn to careers in school counseling are often at risk of developing burnout due to high professional demands and limited resources supporting their self-care and well-being. The purpose of this quantitative correlational study was to investigate the relationship between the independent variables of self-care practices, years of work experience, and educational settings and the dependent variable of levels of burnout among practicing school counselors in K-12 suburban educational settings in the Mid-Atlantic region of the United States. …

Impact Of Adverse Childhood Experiences On Direct Care Workers Working With Juveniles, Brittany Anne Shaughnessy

Walden Dissertations and Doctoral Studies

This study investigated the impact of adverse childhood experiences (ACEs) on the development of vicarious traumatization (VT) and burnout among direct care staff working in juvenile justice residential facilities. Measures used included the ACE module of the 2012 Behavioral Risk Factor Surveillance System historical to assess for ACEs, the Trauma and Attachment Belief Scale (TABS) to measure VT, and Maslach Burnout Inventory Human Services Survey (MBI-HSS) to measure burnout. Workplace organization was also included in data collection and analysis as a covariate as past research has indicated a relationship between workplace organization and burnout and VT. A covariate of workplace …

Engaging In Self-Care: Do Mental Health Care Providers Practice What They Preach?, Nancy L. Lashley

Dissertations

Self-care has been identified as a critical protective factor against the adverse effects of career-related stress among mental health care professionals. The need for utilization of adequate self-care practices among mental health care professionals remains critical with the number of mental health care professionals endorsing clinically significant levels of anxiety, depression, and suicidal ideations. Research has identified the need and importance of self-care among mental health care providers as well as the adverse consequences of inadequate self-care. This literature review examined the methods and strategies mental health care providers are using to engage in self-care including complementary and alternative methods. …

Mindfulness In Medicine: Modified Mindfulness-Based Stress Reduction (Mbsr) Program Among Future Doctors, Virtue Sankoh

Dissertations, Theses, and Capstone Projects

Medical trainees are at particular risk for stress-related illness, including mental health problems such as suicidal ideation, substance abuse, and mood disorders. A vast literature on mindfulness-based stress reduction (MBSR), consisting of mindfulness education and structured meditative practices, has consistently demonstrated that MBSR and related mindfulness-based interventions improve mental and physical health, as well as one’s overall sense of well-being. Moreover, theorists and researchers have begun to suggest further that mindfulness plays a particular role in social cognition, or social-emotional learning. Medical schools have long been interested in ways to improve the “soft skills” related to interpersonal connectedness that are …

Redefining Burnout: Exploring Common Conceptualizations And The Neurophysiology Of Chronic Stress To Establish An Integrated Allostatic Model, Danny A. Guzzi

Dissertations

Burnout is a widely researched stress-related phenomenon associated with numerous adverse outcomes for employees and organizations. Unfortunately, burnout is not well understood and research to this point has been flawed due to a lack of consensus on the definition, dimensionality, and context of the construct. Prevalent conceptualizations of burnout have been criticized for being arbitrarily developed without solid theoretical foundation and for failing to clearly distinguish burnout from depression or other work-related conditions such as compassion fatigue, secondary traumatization, and vicarious traumatization. The current project first examines relevant literature to identify commonalities among prevalent burnout conceptualizations. Then relevant stress research …

Emotional And Spiritual Well-Being As Predictors Of Burnout Among Doctoral Clinical Psychology Trainees, Garret L. Blankenship

Doctor of Psychology (PsyD)

It has been observed in prior studies that student spiritual engagement and attribution tends to decline throughout graduate clinical training in psychology (Eisele, 2016; Fisk et al., 2013). This is problematic considering the inverse relationship between spirituality and stress (Calicchia & Graham, 2006) and the protection it provides against burnout. Also protective against burnout, and correlated with spirituality, is Emotional Intelligence (EI; Kaur, Sambasivan, & Kumar, 2013). Both EI and spirituality are related to lower burnout, less depression, and greater life-satisfaction (Kroska et al., 2017). Despite burnout being a common experience for graduate students in medical school (Amir, Kumari, Olivetta, …

An Exploratory Structural Equation Modeling Bi-Factor Analytic Approach To Uncovering What Burnout, Depression, And Anxiety Scales Measure, Irvin Sam Schonfeld, Jay Verkuilen, Renzo Bianchi

Publications and Research

In this study, we addressed the ongoing debate about what burnout and depression scales measure by conducting an exploratory structural equation modeling (ESEM) bifactor analysis. A sample of 734 U.S. teachers completed a survey that included the Center for Epidemiologic Studies Depression scale (CES-D-10), the depression module of the Patient Health Questionnaire (PHQ-9), the Generalized Anxiety Disorder scale (GAD-7), and the Maslach Burnout Inventory (MBI), which contains emotional exhaustion (EE), depersonalization (DP), and (diminished) personal accomplishment (PA) subscales. Job adversity and workplace support were additionally measured for the purpose of a nomological network analysis. EE, burnout’s core, was more highly …

Mindfulness Training For Pre-Service Teachers Using Ecological Momentary Assessment, Emily A. Hattouni

Graduate Student Theses, Dissertations, & Professional Papers

There is a high-rate of burnout among teachers around the US often linked with the increasing stressors and demands (e.g., Iancu, Rusu, Măroiu, Păcurar, & Maricuțoiu, 2018). Additionally, Jennings and Greenberg (2009) demonstrated the importance of teachers’ social and emotional competence for promoting well-being and academic success in classrooms. Stress that is overwhelming or unaddressed can lead to teacher burnout, but there may be effective ways of promoting self-care among teachers, such as mindfulness-based practices. The current project included psychoeducation on the applications of mindfulness for teachers and repeated collections of self-report questionnaires to investigate the utility of mindfulness-training for …

Stress And Support In Health Service Psychology Students : Predictors Of Burnout And Vigor, Dylan Alexander Corp

Legacy Theses & Dissertations (2009 - 2024)

Students in health service psychology (HSP) training programs (i.e., doctoral programs in clinical, counseling, or school psychology) have reported experiencing greater burnout (i.e., energetic exhaustion) and lower vigor (i.e., energetic arousal) than typical workers. Given that greater burnout and lower vigor are associated with negative outcomes like poor health and client care, the purpose of the present study was to understand burnout and vigor in HSP students. Specifically, the present study sought to test the Conservations of Resources theory of stress (CORT) by replicating previous findings that threatening work-related stress and the supervisory working alliance (SWA) predicted HSP students’ burnout …

Response To "From A Polemic Paradox To A Proper Perspective Of Job Burnout And Job Satisfaction, Eric Laurent, Irvin Sam Schonfeld, Renzo Bianchi

Publications and Research

Juárez García and colleagues considered that “part of the conceptual and empirical problem of burnout is that many researchers force it into a biomedical disease model despite its being a psychosocial one.” Problematically, these authors’ scholastic argument a priori excludes biological or bodily factors from psychological conceptualizations. Scientists usually face considerable difficulties when trying to describe complex processes. If the understanding of biological processes sheds light on the complex processes that bear on burnout, then there is no reason to exclude research on those processes.

Inquiry Into The Correlation Between Burnout And Depression, Irvin Sam Schonfeld, Jay Verkuilen, Renzo Bianchi

Publications and Research

The extent to which burnout refers to anything other than a depressive condition remains an object of controversy among occupational health specialists. In three studies conducted in two different countries and two different languages, we investigated the discriminant validity of burnout scales by evaluating the magnitude of the correlation between (latent) burnout and (latent) depression. In Study 1 (N = 911), burnout was assessed with the Maslach Burnout Inventory–General Survey’s Exhaustion subscale and depression with the depression module of the Patient Health Questionnaire (PHQ). In Study 2 (N = 1,386), the Shirom–Melamed Burnout Measure was used to assess burnout and …

Burnout And Self-Stigma Of Seeking Psychological Help In Military Healthcare Providers, Odelia N. Mcfadden

PCOM Psychology Dissertations

Military healthcare providers (HCPs) are tasked with maintaining the military’s mission readiness while balancing the roles of being providers and military members themselves. As such, military HCPs serve in various settings, including hospitals, clinics, ships, and austere environments. Military HCPs may experience a host of occupational stressors, such as long deployments, being in the line of fire, seeing dead or injured comrades, responding to mass casualty events, having excessive caseloads, and working prolonged hours. These factors make military HCPs susceptible to burnout. Unfortunately, stigma of seeking psychological help is prevalent in the military and may deter individuals from seeking the …

Burnout: Moving Beyond The Status Quo, Renzo Bianchi, Irvin Sam Schonfeld, Éric Laurent

Publications and Research

Burnout has been defined as a job-induced syndrome combining emotional exhaustion, depersonalization/cynicism, and a sense of reduced personal accomplishment. In this article, we expand on past analyses of burnout by reviewing key, yet overlooked, problems affecting the construct. We concomitantly examine the implications of these problems for the overall validity of burnout research. Our work shows that burnout research is undermined by 4 main problems. First, what constitutes a case of burnout is unclear. Second, the basic conceptualization and operationalization of burnout are ill aligned. Third, burnout is unlikely to be the specifically job-induced syndrome it has been posited to …

A Program Of Research On Burnout-Depression Overlap, Irvin Sam Schonfeld

Publications and Research

The article describes a program of research aimed at unraveling the nature of the relationship of job-related burnout to depression. The research tends to show that burnout symptoms are depressive symptoms and what is termed a state of burnout often reflects an episode of depression.

The Role Of Self-Care As It Pertains To Compassion Satisfaction, Burnout, And Secondary Traumatic Stress Among Suicide Prevention Crisis Hotline Staff, Crystal T. Henson

Dissertations

The present study was designed to explore the role of an agency/supervisor to increase self-care participation among suicide prevention crisis hotline staff. The impact self-care participation was found to increase compassion satisfaction while decreasing both burnout and secondary traumatic stress in this population of helpers. Self-care is meant to be a preventative measure to help increase an individual’s overall well-being and can also impact job satisfaction. As helpers, self-care is often recommended to those individuals with whom they are working; however, helpers have historically not followed their own recommendations. Research has shown that those helpers with higher levels of compassion …