Skip to main content
Original Article

Content Comparison of Patient-Reported Outcome Instruments Used to Measure Burnout

Published Online:https://doi.org/10.1027/1015-5759/a000210

The aim of this article is to compare the content of patient-reported outcome (PRO) burnout measures and to examine the degree of overlap between them and psychosocial difficulties (PSD) experienced by persons with burnout. The most frequently used PRO and qualitative studies were identified in two systematic literature reviews. Psychosocial difficulties identified in both sources were standardized and a qualitative content comparison was performed. Seven PROs and seven qualitative studies were selected. Energy and drive, emotional functions and work were key themes of both sources. Disparities were observed for problems in areas such as sleep, attention or family relationships, which were reported in several qualitative studies, but are seldom addressed in PROs. Several areas important to persons with burnout, such as family relationships, are seldom measured by currently used PROs. From a biopsychosocial perspective, these instruments cannot therefore be considered comprehensive enough to capture the whole experience of burnout and should be improved.

References

  • Bakker, A. B., Demerouti, E., & Schaufeli, W. B. (2002). Validation of the Maslach Burnout Inventory – General survey: An Internet study. Anxiety, Stress, and Coping, 15, 245–260. First citation in articleCrossrefGoogle Scholar

  • Billeter-Koponen, S., & Freden, L. (2005). Long-term stress, burnout and patient-nurse relations: Qualitative interview study about nurses’ experiences. Scandinavian Journal of Caring Sciences, 19, 20–27. doi: SCS318 [pii] 10.1111/j.1471-6712.2005.00318.x First citation in articleCrossrefGoogle Scholar

  • Brenninkmeyer, V., Van Yperen, N. W., & Buunk, B. P. (2001). Burnout and depression are not identical twins: Is decline of superiority a distinguishing feature? Personality and Individual Differences, 30, 873–880. doi: 10.1016/S0191-8869(00)00079-9 First citation in articleCrossrefGoogle Scholar

  • Cieza, A., Geyh, S., Chatterji, S., Kostanjsek, N., Ustun, B., & Stucki, G. (2005). ICF linking rules: An update based on lessons learned. Journal of Rehabilitation Medicine, 37, 212–218. doi: 10.1080/16501970510040263 First citation in articleCrossrefGoogle Scholar

  • Córdoba, L., Tamayo, J., González, M., Martínez, M., Rosales, A., & Barbato, S. (2011). Adaptation and validation of the Maslach Burnout Inventory-Human Services Survey in Cali, Colombia. Colombia Médica, North America, 42, 286–293. First citation in articleCrossrefGoogle Scholar

  • Demerouti, E., Bakker, A. B., Vardakou, I., & Kantas, A. (2003). The convergent validity of two burnout instruments – A multitrait-multimethod analysis. European Journal of Psychological Assessment, 19, 12–23. doi: 10.1027/1015-5759.19.1.12 First citation in articleLinkGoogle Scholar

  • Fischer, J., Kumar, S., & Hatcher, S. (2007). What makes psychiatry such a stressful profession? A qualitative study. Australasian Psychiatry, 15, 417–421. doi: 10.1080/10398560701439699 First citation in articleCrossrefGoogle Scholar

  • Garrosa, E., Moreno-Jimenez, B., Liang, Y., & Gonzalez, J. L. (2008). The relationship between socio-demographic variables, job stressors, burnout, and hardy personality in nurses: an exploratory study. International Journal of Nursing Studies, 45, 418–427. doi: 10.1016/j.ijnurstu.2006.09.003 First citation in articleCrossrefGoogle Scholar

  • Gillespie, M., & Melby, V. (2003). Burnout among nursing staff in accident and emergency and acute medicine: A comparative study. Journal of Clinical Nursing, 12, 842–851. doi: 10.1046/j.1365-2702.2003.00802.x First citation in articleCrossrefGoogle Scholar

  • Gustafsson, G., Norberg, A., & Strandberg, G. (2008). Meanings of becoming and being burnout–phenomenological-hermeneutic interpretation of female healthcare personnel’s narratives. Scandinavian Journal of Caring Sciences, 22, 520–528. doi: 10.SCS559 [pii] 10.1111/j.1471-6712.2007.00559.x First citation in articleCrossrefGoogle Scholar

  • Halbesleben, J. (2005). The construct validity of an alternative measure of burnout: Investigating the English translation of the Oldenburg Burnout Inventory. Work & Stress, 19, 208 doi: 10.1080/02678370500340728 First citation in articleCrossrefGoogle Scholar

  • Kaschka, W. P., Korczak, D., & Broich, K. (2011). Burnout: A fashionable diagnosis. Deutsches Ärzteblatt International, 108, U781–U789. doi: 10.3238/arztebl.2011.0781 First citation in articleGoogle Scholar

  • Lundgren-Nilsson, A., Jonsdottir, I. H., Pallant, J., & Ahlborg, G. Jr. (2012). Internal construct validity of the Shirom-Melamed Burnout Questionnaire (SMBQ). BMC Public Health, 12, 1 doi: 10.1186/1471-2458-12-1 First citation in articleCrossrefGoogle Scholar

  • Maslach, C., Jackson, S. E., & Leiter, M. P. (1996). The Maslach Burnout Inventory (MBI) (3rd ed.). Consulting Psychologists Press. First citation in articleGoogle Scholar

  • Maslach, C., Schaufeli, W. B., & Leiter, M. P. (2001). Job burnout. Annual Review of Psychology, 52, 397–422. doi: 10.1146/annurev.psych.52.1.397 First citation in articleCrossrefGoogle Scholar

  • McCray, L. W., Cronholm, P. F., Bogner, H. R., Gallo, J. J., & Neill, R. A. (2008). Resident physician burnout: Is there hope? Family Medicine, 40, 626–632. First citation in articleGoogle Scholar

  • Milfont, T. L., Denny, S., Ameratunga, S., Robinson, E., & Merry, S. (2008). Burnout and wellbeing: Testing the Copenhagen Burnout Inventory in New Zealand teachers. Social Indicators Research, 89, 169–177. First citation in articleCrossrefGoogle Scholar

  • Parker, P. A., & Kulik, J. A. (1995). Burnout, self- and supervisor-rated job performance, and absenteeism among nurses. Journal of Behavioral Medicine, 18, 581–599. doi: 10.1007/BF01857897 First citation in articleCrossrefGoogle Scholar

  • Pereira, S. M., Fonseca, A. M., & Carvalho, A. S. (2011). Burnout in palliative care: A systematic review. Nursing Ethics, 18, 317–326. doi: 10.18/3/317 [pii] 10.1177/0969733011398092 First citation in articleCrossrefGoogle Scholar

  • Poulopoulos, C. (2010). Staff perceptions about stress and staff burnout in drug treatment organisations: A qualitative comparative study in Greece and the UK. Therapeutic Communities, 3, 31. First citation in articleGoogle Scholar

  • Prins, J. T., Gazendam-Donofrio, S. M., Tubben, B. J., van der Heijden, F. M. M. A., de Wiel, H. B. M. V., & Hoekstra-Weebers, J. E. H. M. (2007). Burnout in medical residents: A review. Medical Education, 41, 788–800. doi: 10.1111/j.1365-2923.2007.02797.x First citation in articleCrossrefGoogle Scholar

  • Raedeke, T. D., & Smith, A. L. (2001). Development and preliminary validation of an athlete burnout measure. Journal of Sport and Exercise Psychology, 23(4), 281–306. PubMed PMID: ISI:000172628600003. First citation in articleCrossrefGoogle Scholar

  • Rehnsfeldt, A., & Arman, M. (2008). A pilgrimage on the road to understanding of life in experiences of cancer and burnout syndrome. Scandinavian Journal of Caring Sciences, 22, 275–283. doi: 10.1111/j.1471-6712.2007.00531.x First citation in articleCrossrefGoogle Scholar

  • Schabracq, M. J., Winnubst, J. A. M., & Cooper, C. L. (2002). The handbook of work and health psychology. Chichester, UK: John Wiley. First citation in articleCrossrefGoogle Scholar

  • Schaufeli, W. B., Bakker, A. B., Hoogduin, K., Schaap, C., & Kladler, A. (2001). On the clinical validity of the Maslach Burnout Inventory and the Burnout Measure. Psychology & Health, 16, 565–582. doi: 10.1080/08870440108405527 First citation in articleCrossrefGoogle Scholar

  • Schaufeli, W. B., Leiter, M. P., & Maslach, C. (2009). Burnout: 35 years of research and practice. Career Development International, 14, 204–220. doi: 10.1108/13620430910966406 First citation in articleCrossrefGoogle Scholar

  • Severinsson, E. (2003). Moral stress and burnout: Qualitative content analysis. Nursing & Health Sciences, 5, 59–66. doi: 10.1046/j.1442-2018.2003.00135.x First citation in articleCrossrefGoogle Scholar

  • Sharp, L. A., Woodcock, C., Holland, M. J. G., Duda, J. L., & Cumming, J. (2010). Validation of the Athlete Burnout Questionnaire with youth athletes. Journal of Sport & Exercise Psychology, 32, S218–S219. First citation in articleGoogle Scholar

  • Stamm, B. H. (2010). The Concise ProQOL Manual. 2nd Ed. Pocatello, ID: ProQOL.org. First citation in articleGoogle Scholar

  • Trufelli, D. C., Bensi, C. G., Garcia, J. B., Narahara, J. L., Abrao, M. N., Diniz, R. W., … Del Giglio, A. (2008). Burnout in cancer professionals: A systematic review and meta-analysis. European Journal of Cancer Care, 17, 524–531. doi: 10.1111/j.1365-2354.2008.00927.x First citation in articleGoogle Scholar

  • WHO . (2001). International Classification of Functioning, Disability and Health: ICF. Geneva, Switzerland: World Health Organization. First citation in articleGoogle Scholar

  • Yeh, W. Y., Cheng, Y., Chen, C. J., Hu, P. Y., & Kristensen, T. S. (2007). Psychometric properties of the Chinese version of Copenhagen burnout inventory among employees in two companies in Taiwan. International Journal of Behavioral Medicine, 14, 126–133. doi: 10.1007/BF03000183 First citation in articleCrossrefGoogle Scholar