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Full-Text Articles in Health Psychology

Self-Compassion And Adherence In Five Medical Samples: The Role Of Stress, Fuschia M. Sirois, Jameson K. Hirsch Apr 2018

Self-Compassion And Adherence In Five Medical Samples: The Role Of Stress, Fuschia M. Sirois, Jameson K. Hirsch

ETSU Faculty Works

Emerging evidence indicates self-compassion can be beneficial for medical populations and for medical adherence; yet, research to date has not fully examined the reasons for this association. This study examined the association of dispositional self-compassion to adherence across five medical samples and tested the extent to which perceived stress accounted for this association. Five medical samples (total N = 709), including fibromyalgia, chronic fatigue syndrome, and cancer patients, recruited from various sources, completed online surveys. Self-compassion was positively associated with adherence in all five samples. A meta-analysis of the associations revealed a small average effect size (average r = .22, …


Food For Thought: The Effects Of Past And Present Food Insecurity On Subjective Well-Being And Child Behavior, Jena C. Styka Jan 2018

Food For Thought: The Effects Of Past And Present Food Insecurity On Subjective Well-Being And Child Behavior, Jena C. Styka

Senior Independent Study Theses

Food insecurity arises when one does not have physical, social, or economic access to safe, sufficient, and nutritious food. According to the United States Department of Agriculture (2016), food insecurity affects 15.6 million U.S. households. Its effects go beyond the physical consequences that might arise from not having adequate nutrition, influencing subjective well-being and behavior in both adults and children. This 2 x 2 quasi-experiment investigated how current and prior food insecurity influenced depression, anxiety, stress, life satisfaction, and happiness in parents, as well as how it influenced child behavior. Results indicated that prior experiences of food insecurity resulted in …


A Laboratory Study Of Stress Reactions To Witnessing A Police Killing Of An Unarmed Black Man: Discrimination, Distress Tolerance, Ethnic Identity, And Risk-Taking, Michael A. Trujillo Jan 2018

A Laboratory Study Of Stress Reactions To Witnessing A Police Killing Of An Unarmed Black Man: Discrimination, Distress Tolerance, Ethnic Identity, And Risk-Taking, Michael A. Trujillo

Theses and Dissertations

Black individuals have been disproportionately targeted by law enforcement, most notably in shooting deaths at the hands of police, and has contributed to a general distrust of law enforcement. A rise in citizen journalism has helped document excessive use of force by police on video; however, little is known how individuals respond to viewing this type of media. A history of race-based stress is likely to contribute to an expectation of racism and may impact how individuals respond to videos of the treatment of unarmed Black men at the hands of police, with some evidence suggesting ethnic identity may moderate …


Using Functional Infrared Thermal Imaging To Measure Stress Responses, Julia Tenaya Kandus Jan 2018

Using Functional Infrared Thermal Imaging To Measure Stress Responses, Julia Tenaya Kandus

Cal Poly Humboldt theses and projects

The stress response reflects a coordinated pattern of physiological changes that serves the adaptive function of increasing an organism’s ability to cope with situations that require action or defense. The changes in blood flow associated with the stress response may be detectable using the relatively new research technique of functional infrared thermal imaging (fITI). The present study was designed to determine the time-course and topography of temperature changes in human faces during the experience of a stressor. Infrared images were taken from 29 female participants while they completed the mental arithmetic component of the Trier Social Stress Test (TSST). Continuously …


Burnout-Depression Overlap: Nomological Network Examination And Factor-Analytic Approach, Renzo Bianchi, Irvin Sam Schonfeld Jan 2018

Burnout-Depression Overlap: Nomological Network Examination And Factor-Analytic Approach, Renzo Bianchi, Irvin Sam Schonfeld

Publications and Research

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 jobrelated variables – illegitimate work tasks, work-nonwork interference, and job satisfaction – and three “context-free” variables …


Anger Without Agency: Exploring The Experiences Of Stress In Adolescent Girls, Elin A. Björling, Narayan B. Singh Oct 2017

Anger Without Agency: Exploring The Experiences Of Stress In Adolescent Girls, Elin A. Björling, Narayan B. Singh

The Qualitative Report

Although a great deal of research has measured stressful life events and stress-related symptoms in adolescents, little research has qualitatively examined the experience of stress in teens. The purpose of this study was to utilize thematic analysis to explore how teen girls described their experiences of stress. Thirty-one girls, ages 14–18, were recruited for a study examining stress and stress-related symptoms. As part of this study, they participated in an open-ended, qualitative interview about their personal experiences of stress. Themes included the mind of stress, emotionally shutting out others, and “growing out of it.” The overarching finding was that all …


Coping With The Subterranean Environment: A Thematic Content Analysis Of The Narratives Of Cave Explorers, Raymond R. Macneil, Jelena Brcic Sep 2017

Coping With The Subterranean Environment: A Thematic Content Analysis Of The Narratives Of Cave Explorers, Raymond R. Macneil, Jelena Brcic

Journal of Human Performance in Extreme Environments

In addition to various physical obstacles, the cave environment presents numerous psychological stressors that challenge human explorers. Sources of psychological stress include logistic issues (e.g., limitations to access, communication, and the availability of equipment), a lack of normal sensory stimuli, isolation and confinement, high performance demands, and social conflict associated with team coordination and requirements for cooperation. Thus, the success and safety of caving expeditions depend on the ability of explorers to effectively cope with highly stressful conditions and task demands. This was the first study to investigate coping within the context of caving and cave exploration. Utilizing scoring criteria …


The Moderating Effects Of Positive Religious/Spiritual Coping On Teachers’ Pain And Stress, Dawn Green Aug 2017

The Moderating Effects Of Positive Religious/Spiritual Coping On Teachers’ Pain And Stress, Dawn Green

Electronic Theses and Dissertations

The objective of this internet-based survey was to investigate the effects of positive religious or spiritual coping strategies on teachers’ chronic pain reports. Teachers in the United States may represent a vulnerable group due to a high prevalence of risk factors for chronic pain conditions. Teachers have been identified to experience high stress (Johnson, et al., 2005; Kyriacou, 2001) and report poor job satisfaction (Wang, Hall, & Rahimi, 2015), which are associated with development of chronic pain conditions (Kopec & Sayre, 2004). Religious coping strategies have been associated with beneficial associations with stress and health (Reutter & Bigatti, 2014). The …


Does Social Support Diminish Depression In Students? Evidence From Athletes And Greek Life, Benjamin Chartoff, Myra Beth Bundy May 2017

Does Social Support Diminish Depression In Students? Evidence From Athletes And Greek Life, Benjamin Chartoff, Myra Beth Bundy

Kentucky Journal of Undergraduate Scholarship

Depression and stress are extremely prevalent in college students. The goal of the current study was to examine if social support from athletic teams and fraternities or sororities are related to lower levels of depression and stress than that found in students normally. Participants (N=134) were asked to fill out a questionnaire with scales of depression, stress and social support. It was hypothesized that members of Greek life and student-athletes will show higher levels of social support and lower levels of depression compared to a control group of students. The results supported these hypotheses and suggest that joining social groups …


Maternal Stress And Stress Symptomatology In Children, Emily Klipa Apr 2017

Maternal Stress And Stress Symptomatology In Children, Emily Klipa

Undergraduate Distinction Papers

With stress being referred to as the “health epidemic of the 21st century” by the World Health Organization, questions arise about not only how this epidemic affects adults, but also how stress may affect today’s children. Research indicates that stress impacting parents trickle down to children, and the effects can be palpable. In this study the author examined maternal stress as well as stress related symptoms and illnesses in their children. Participants are mothers of children age’s five to ten. The protocol included completion of a four part online survey addressing demographic information, perceived stress, and recent stressful life …


Research Methods In Occupational Health Psychology, Irvin Sam Schonfeld, Chu-Hsiang Chang Jan 2017

Research Methods In Occupational Health Psychology, Irvin Sam Schonfeld, Chu-Hsiang Chang

Publications and Research

http://www.springerpub.com/occupational-health-psychology.html

Occupational Health Psychology (OHP) is a rapidly expanding interdisciplinary field that focuses on the science and practice of psychology in promoting and developing workplace health- and safety-related initiatives. This comprehensive text for undergraduate and graduate survey courses is the first to encompass a wide range of key issues in OHP. It draws from the domains of psychology, public health, preventive medicine,nursing, industrial engineering, law, and epidemiology to focus on the theory and practice of protecting and promoting the health, well-being, and safety of individuals in the workplace and improving the quality of work life.

The text addresses key psychosocial …


Effects Of Cumulative Risk On Asthma Outcomes In Urban Children And Adolescents, Samantha A. Miadich Jan 2017

Effects Of Cumulative Risk On Asthma Outcomes In Urban Children And Adolescents, Samantha A. Miadich

Theses and Dissertations

Pediatric asthma disproportionately affects racial/ethnic minority children and children living in low-income, urban areas. Many families living in low-income, urban areas experience a number of stressors that can place children/adolescents at risk for worse asthma outcomes. This study examined the impact of a cumulative risk model of stressors (e.g., ED visits, quick-relief medication use, lung function, asthma control, QOL) in urban children (7-12 years) with persistent asthma. This study further aimed to examine both the original cumulative risk model and an adolescent-specific cumulative risk model as predictors of asthma outcomes in a sample of 60 adolescents (13-17 years). Asthma-related caregiver …


Relationship Of Stress, Sleep, Physical Activity, And Food Insecurity On Eating Behaviors And Obesity, Amy Lee Richards Jan 2017

Relationship Of Stress, Sleep, Physical Activity, And Food Insecurity On Eating Behaviors And Obesity, Amy Lee Richards

Electronic Theses and Dissertations

There is an urgent need to find effective interventions to prevent and reduce obesity as it is associated with chronic disease and decreased quality of life. Gaining a better understanding of how modifiable variables such as stress, sleep, physical activity, and food insecurity are related to eating behaviors associated with obesity is essential to guide the direction of future interventions and research. Interventions that hold promise need to be tested to determine if they have merit or not. This dissertation presents three papers. Two papers are cross-sectional studies evaluating associations between eating behaviors, obesity, and modifiable variables (stress, sleep, physical …


An Integrated Behavioral Model Of Healthcare Utilization Among Transgender And Gender-Nonconforming Adults, Megan Elizabeth Sutter Jan 2017

An Integrated Behavioral Model Of Healthcare Utilization Among Transgender And Gender-Nonconforming Adults, Megan Elizabeth Sutter

Theses and Dissertations

Transgender and gender-nonconforming (TGNC) individuals in the United States experience significant marginalization due to stigma enacted at the structural, interpersonal, and individual levels. As a result, this population has reported increased behavioral and physical health needs, as well as unique barriers to healthcare. Moreover, TGNC individuals have reported greater experiences of childhood abuse compared to cisgender individuals. The cumulative experiences of stigma-related stressors and adverse childhood experiences put this population at risk for the development of mental and physical health problems, increasing need for health services. However, TGNC individuals have reported being denied medical care and postponing seeking care due …


Occupational Stressors And Health Outcomes For Nurses Working In Correctional Or Non-Correctional Settings, Alyssa R. Zabin May 2016

Occupational Stressors And Health Outcomes For Nurses Working In Correctional Or Non-Correctional Settings, Alyssa R. Zabin

University Scholar Projects

Due to the nature of their work, nurses often face unique occupational stressors and health outcomes. It is important to understand the source of this occupational stress and its affect on health, so that improvements can be made. This study sought to examine occupational stress and health outcomes for both correctional and non-correctional nurses across the continental United States. A survey regarding occupational stressors, community characteristics, individual beliefs, and health outcomes was completed by the nurses (N=459). Predictors including demographic factors, work related stressors, community/network factors, individual beliefs, and health conditions were investigated using linear and Poisson regression …


An Analysis Of The Factors Influencing Bored And Emotional Eating: Should Bored Eating Exist As A Separate Construct?, Erin Elizabeth Stuck May 2016

An Analysis Of The Factors Influencing Bored And Emotional Eating: Should Bored Eating Exist As A Separate Construct?, Erin Elizabeth Stuck

USC Aiken Psychology Theses

Emotional eating pertains to eating in response to negative emotional experiences, and can occur for a variety of reasons. Individuals may emotionally eat as a means of submerging themselves into positive reinforcing states, as a way of coping, or as a distraction from their negative emotional experience (Cialdini, 1973; Kemp, Bui, & Grier, 2013; and Spoor et al., 2006). Historically, emotional eating has included boredom. Recent research has suggested that bored eating may be a separate construct from emotional eating (Koball et al., 2012). Thus, the present study investigated the variables associated with both emotional eating and bored eating with …


Burnout-Depression Overlap: A Study Of New Zealand Schoolteachers, Renzo Bianchi, Irvin Sam Schonfeld, Eric Mayor, Eric Laurent Jan 2016

Burnout-Depression Overlap: A Study Of New Zealand Schoolteachers, Renzo Bianchi, Irvin Sam Schonfeld, Eric Mayor, Eric Laurent

Publications and Research

We examined the overlap of burnout with depression in a sample of 184 New Zealand schoolteachers. Burnout and depressive symptoms were strongly correlated with each other (r = .73; disattenuated correlation: .82) and moderately correlated with dysfunctional attitudes, ruminative responses, and pessimistic attributions. All the participants with high frequencies of burnout symptoms were identified as clinically depressed. Suicidal ideation was reported by 36% of those participants. Three groups of teachers emerged from a two-step cluster analysis: “low burnout-depression,” “medium burnout-depression,” and “high burnout-depression.” The correlation between the affective-cognitive and somatic symptoms of depression was similar in strength to the burnout-depression …


The Effect Of Stress Coping Techniques In Sports, Lestter Yeh Jan 2016

The Effect Of Stress Coping Techniques In Sports, Lestter Yeh

CMC Senior Theses

The first part of this literature review goes over the biological and psychological aspects of stress. The cause of stress can be linked back to a primitive instinct known as “fight or flight.” The “fight or flight” instinct is triggered by several chemical reactions in the body starting from a signal from the amygdala to the sympathetic nervous system. Stress can also be categorized into internal and external stress. Further research links stress to sports. Many studies show that stress coping techniques such as meditation, self-talk, rituals, etc. are beneficial to athletes during competition. Suggested avenues of further research are …


Burnout And Depression: Label-Related Stigma, Help-Seeking, And Syndrome Overlap, Renzo Bianchi, Jay Verkuilen, Romain Brisson, Irvin Sam Schonfeld, Eric Laurent Jan 2016

Burnout And Depression: Label-Related Stigma, Help-Seeking, And Syndrome Overlap, Renzo Bianchi, Jay Verkuilen, Romain Brisson, Irvin Sam Schonfeld, Eric Laurent

Publications and Research

We investigated whether burnout and depression differed in terms of public stigma and help-seeking attitudes and behaviors. Secondarily, we examined the overlap of burnout and depressive symptoms. A total of 1046 French schoolteachers responded to an Internet survey in November–December 2015. The survey included measures of public stigma, help-seeking attitudes and behaviors, burnout and depressive symptoms, self-rated health, neuroticism, extraversion, history of anxiety or depressive disorder, social desirability, and sociodemographic variables.The burnout label appeared to be less stigmatizing than the depression label. In either case, however, fewer than 1% of the participants exhibited stigma scores signaling agreement with the proposed …


The Relationship Between Self-Compassion, Sleep Quality, And Perceived Stress Among Undergraduate And Graduate Students, Michael Unger Jan 2016

The Relationship Between Self-Compassion, Sleep Quality, And Perceived Stress Among Undergraduate And Graduate Students, Michael Unger

PCOM Psychology Dissertations

Research has indicated that sleep problems are prevalent in college students. Current studies show that over half of college students report that they are poor-quality sleepers. The consequences of poor sleep quality include increased stress, substance use, and mental health issues. Poor sleep hygiene is one of the many factors that contribute to poor sleep quality in college students. Although research has identified contributing factors and consequences of sleep problems in college students, less attention has been given to factors that may serve as a buffer against the effects of poor sleep quality. This study introduces and discusses self-compassion as …


The Relationship Between Self-Regulation And Stress, Sleep, And Behavioral Health, Clayton I. Brock Jan 2016

The Relationship Between Self-Regulation And Stress, Sleep, And Behavioral Health, Clayton I. Brock

CMC Senior Theses

The goal of this research was to investigate multiple aspects of self-regulation and their relationship to stress, sleep, and behavioral health. Participants (N=89, 55 females, 29 males, and 5 did not list their sex) were recruited from a high-risk Midwest high school. Participants reported their own self-regulatory ability, sleep, stress, and behavioral problems. Nail samples were also collected from a subset of the participants to assay for cortisol and DHEA. Several measures of self-regulation were found to correlate with sleep quality, behavioral problems, and perceived stress. The natural log of the ratio of cortisol to DHEA was positively correlated with …


Urban Stressors And Child Asthma: An Examination Of Child And Caregiver Models, Gillian G. Leibach Jan 2016

Urban Stressors And Child Asthma: An Examination Of Child And Caregiver Models, Gillian G. Leibach

Theses and Dissertations

The purpose of the present study was to examine how low-income, racial and ethnic minority, urban families experience and manage their child’s asthma. The rationale for this study stems from existing literature on asthma disparities and documented predictors of increased asthma morbidity and mortality. In particular, this study considered how specific types of stress may disproportionately impact low-income, racial and ethnic minority, urban families that have a child with asthma. This study aimed to determine associations between urban stressors (stressful life events, perceived discrimination, subjective socioeconomic status) and child asthma outcomes (emergency department visits, school days missed, asthma control), and …


Stress And Somatic Symptoms: Rumination And Negative Affect As Moderators, Melissa Joy Garner Jan 2016

Stress And Somatic Symptoms: Rumination And Negative Affect As Moderators, Melissa Joy Garner

Clinical Psychology Dissertations

This study examined the relationships between stress, negative affect, rumination, and somatic symptoms among older adolescents. The following hypotheses were investigated: 1) greater number of life stressors would predict greater somatic symptoms, 2) rumination would moderate the relationship between stressors and somatic symptoms, 3) negative affect would also moderate the relationship between stressors and somatic symptoms, and 4) a three-way interaction between stress, rumination and negative affect would significantly predict somatic symptoms. Participants were 363 (71.1% female) university students with a mean age of 19.06 years (SD=2.06 years) who completed eight weekly online questionnaires, assessing levels of rumination …


Burnout And Depression: Label-Related Stigma, Help-Seeking, And Syndrome Overlap, Renzo Bianchi, Jay Verkuilen, Romain Brisson, Irvin Sam Schonfeld, Eric Laurent Jan 2016

Burnout And Depression: Label-Related Stigma, Help-Seeking, And Syndrome Overlap, Renzo Bianchi, Jay Verkuilen, Romain Brisson, Irvin Sam Schonfeld, Eric Laurent

Publications and Research

We investigated whether burnout and depression differed in terms of public stigma and help-seeking attitudes and behaviors. Secondarily, we examined the overlap of burnout and depressive symptoms. A total of 1046 French schoolteachers responded to an Internet survey in November–December 2015. The survey included measures of public stigma, help-seeking attitudes and behaviors, burnout and depressive symptoms, self-rated health, neuroticism, extraversion, history of anxiety or depressive disorder, social desirability, and socio-demographic variables. The burnout label appeared to be less stigmatizing than the depression label. In either case, however, fewer than 1% of the participants exhibited …


The Use Of Peer Mentoring To Decrease Stress In Student Registered Nurse Anesthetists, Elise G. Head Dec 2015

The Use Of Peer Mentoring To Decrease Stress In Student Registered Nurse Anesthetists, Elise G. Head

Doctoral Projects

Nurse anesthesia programs throughout the nation are extremely competitive with strict admissions criteria and demanding curriculum. Students enrolled in these programs, termed Student Registered Nurse Anesthetists (SRNAs), experience high average daily stress levels throughout their enrollment in a nurse anesthesia program (NAP). This quantitative study examined whether there is a decrease in SRNA average daily perceived stress when peer mentoring is employed. Inclusion criterion was all SRNAs enrolled in a single 3 year, post-baccalaureate Doctor of Nursing Practice (DNP) NAP at a comprehensive Carnegie research university with Southern Regional Education Board-Level 1 designation. Fifty-six SRNAs were surveyed using a modified …


Utilization Of A Focus Group To Evaluate The Perceived Stress Levels And Coping Mechanisms Of Student Registered Nurse Anesthetists, Cillora Hicks Dec 2015

Utilization Of A Focus Group To Evaluate The Perceived Stress Levels And Coping Mechanisms Of Student Registered Nurse Anesthetists, Cillora Hicks

Doctoral Projects

Each year, thousands of Student Registered Nurse Anesthetists (SRNAs) matriculate into a nurse anesthesia educational program, confronted with unforeseen challenges and stressors. Although a certain amount of stress is essential to stimulate learning, excessive stress can have dire consequences in delaying a students’ academic and clinical progression. The purpose of this Capstone Project was to explore and describe the perceptions of 12 SRNAs relevant to their stress levels and coping behaviors in the management of academic and personal stress. The clinical research questions guiding the study examined the stress levels and coping behaviors of the SRNAs as measured by the …


A Neurobiological Pathway That Mediates Stress-Induced Drug Use, Oliver Vranjkovic Oct 2015

A Neurobiological Pathway That Mediates Stress-Induced Drug Use, Oliver Vranjkovic

Dissertations (1934 -)

Cocaine addiction represents a tremendous health and financial burden on our society and the high rate of relapse to cocaine use in abstinent addicts represents a major barrier to effective therapy. Thus, understanding the factors that contribute to relapse and the underlying neurobiological processes is important for guiding the development of treatment for addiction. Stressful life events often trigger drug use in recovering addicts. The contribution of stress to drug use is problematic due to the unpredictable and often uncontrollable nature of stress. A growing literature indicates that norepinephrine and corticotropin releasing factor (CRF) in the brain play key roles …


One-Session Mindfulness Meditation: The Effects Of Stress Anticipation, Christina Dorothy Colgary Aug 2015

One-Session Mindfulness Meditation: The Effects Of Stress Anticipation, Christina Dorothy Colgary

Seton Hall University Dissertations and Theses (ETDs)

The current study concerns three main questions that are related to mindfulness meditation: the benefits of a brief preventative one-session mindfulness meditation, the effects of mindfulness meditation compared to a concentrative meditation, and correlations between rumination and stress when facing anticipated and unanticipated stressors. Type of meditation and whether or not participants could anticipate an upcoming stressor were varied in four conditions. Participants completed one 20-minute session of either mindfulness meditation or guided imagery meditation and were informed of a speech preparation task either before or after completing the meditation. Both one-session of mindfulness meditation and guided imagery meditation were …


A Randomized Controlled Trial Of Koru: A Mindfulness Program For College Students And Other Emerging Adults., Jeffrey M Greeson, Michael K Juberg, Margaret Maytan, Kiera James, Holly Rogers May 2015

A Randomized Controlled Trial Of Koru: A Mindfulness Program For College Students And Other Emerging Adults., Jeffrey M Greeson, Michael K Juberg, Margaret Maytan, Kiera James, Holly Rogers

College of Science & Mathematics Departmental Research

OBJECTIVE: To evaluate the effectiveness of Koru, a mindfulness training program for college students and other emerging adults.

PARTICIPANTS: Ninety students (66% female, 62% white, 71% graduate students) participated between Fall 2012 and Spring 2013.

METHODS: Randomized controlled trial. It was hypothesized that Koru, compared with a wait-list control group, would reduce perceived stress and sleep problems, and increase mindfulness, self-compassion, and gratitude.

RESULTS: As hypothesized, results showed significant Group (Koru, Wait-List)×Time (Pre, Post) interactions for improvements in perceived stress (F[1, 76.40]=4.50, p=.037, d=.45), sleep problems (F [1, 79.49]=4.71, p=.033, d=.52), mindfulness (F [1, 79.09]=26.80, p

CONCLUSIONS: Results support the …


Burnout-Depression Overlap: A Review, Renzo Bianchi, Irvin Sam Schonfeld, Eric Laurent Jan 2015

Burnout-Depression Overlap: A Review, Renzo Bianchi, Irvin Sam Schonfeld, Eric Laurent

Publications and Research

Whether burnout is a form of depression or a distinct phenomenon is an object of controversy. The aim of the present article was to provide an up-to-date review of the literature dedicated to the question of burnout–depression overlap. A systematic literature search was carried out in PubMed, PsycINFO, and IngentaConnect. A total of 92 studies were identified as informing the issue of burnout–depression overlap. The current state of the art suggests that the distinction between burnout and depression is conceptually fragile. It is notably unclear how the state of burnout (i.e., the end stage …