Subtypes in clinical burnout patients enrolled in an employee rehabilitation program: differences in burnout profiles, depression, and recovery/resources-stress balance

Abstract Background Burnout is generally perceived a unified disorder with homogeneous symptomatology across people (exhaustion, cynicism, and reduced professional efficacy). However, increasing evidence points to intra-individual patterns of burnout symptoms in non-clinical samples such as students...

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Main Authors: Kathrin Bauernhofer, Daniela Bassa, Markus Canazei, Paulino Jiménez, Manuela Paechter, Ilona Papousek, Andreas Fink, Elisabeth M. Weiss
Format: Article
Language:English
Published: BMC 2018-01-01
Series:BMC Psychiatry
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12888-018-1589-y
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author Kathrin Bauernhofer
Daniela Bassa
Markus Canazei
Paulino Jiménez
Manuela Paechter
Ilona Papousek
Andreas Fink
Elisabeth M. Weiss
author_facet Kathrin Bauernhofer
Daniela Bassa
Markus Canazei
Paulino Jiménez
Manuela Paechter
Ilona Papousek
Andreas Fink
Elisabeth M. Weiss
author_sort Kathrin Bauernhofer
collection DOAJ
description Abstract Background Burnout is generally perceived a unified disorder with homogeneous symptomatology across people (exhaustion, cynicism, and reduced professional efficacy). However, increasing evidence points to intra-individual patterns of burnout symptoms in non-clinical samples such as students, athletes, healthy, and burned-out employees. Different burnout subtypes might therefore exist. Yet, burnout subtypes based on burnout profiles have hardly been explored in clinical patients, and the samples investigated in previous studies were rather heterogeneous including patients with various physical, psychological, and social limitations, symptoms, and disabilities. Therefore, the aim of this study is to explore burnout subtypes based on burnout profiles in clinically diagnosed burnout patients enrolled in an employee rehabilitation program, and to investigate whether the subtypes differ in depression, recovery/resources-stress balance, and sociodemographic characteristics. Methods One hundred three patients (66 women, 37 men) with a clinical burnout diagnosis, who were enrolled in a 5 week employee rehabilitation program in two specialized psychosomatic clinics in Austria, completed a series of questionnaires including the Maslach Burnout Inventory – General Survey (MBI-GS), the Beck Depression Inventory, and the Recovery-Stress-Questionnaire for Work. Cluster analyses with the three MBI-GS subscales as clustering variables were used to identify the burnout subtypes. Subsequent multivariate/univariate analysis of variance and Pearson chi-square tests were performed to investigate differences in depression, recovery/resources-stress balance, and sociodemographic characteristics. Results Three different burnout subtypes were discovered: the exhausted subtype, the exhausted/cynical subtype, and the burned-out subtype. The burned-out subtype and the exhausted/cynical subtype showed both more severe depression symptoms and a worse recovery/resources-stress balance than the exhausted subtype. Furthermore, the burned-out subtype was more depressed than the exhausted/cynical subtype, but no difference was observed between these two subtypes with regard to perceived stress, recovery, and resources. Sociodemographic characteristics were not associated with the subtypes. Conclusions The present study indicates that there are different subtypes in clinical burnout patients (exhausted, exhausted/cynical, and burned-out), which might represent patients at different developmental stages in the burnout cycle. Future studies need to replicate the current findings, investigate the stability of the symptom patterns, and examine the efficacy of rehabilitation interventions in different subtypes.
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spelling doaj.art-56a35aac6b9c42deb4c5d385e14c99222022-12-21T20:30:58ZengBMCBMC Psychiatry1471-244X2018-01-0118111310.1186/s12888-018-1589-ySubtypes in clinical burnout patients enrolled in an employee rehabilitation program: differences in burnout profiles, depression, and recovery/resources-stress balanceKathrin Bauernhofer0Daniela Bassa1Markus Canazei2Paulino Jiménez3Manuela Paechter4Ilona Papousek5Andreas Fink6Elisabeth M. Weiss7Department of Psychology, University of GrazDepartment of Psychology, University of GrazDepartment of Psychology, University of InnsbruckDepartment of Psychology, University of GrazDepartment of Psychology, University of GrazDepartment of Psychology, University of GrazDepartment of Psychology, University of GrazDepartment of Psychology, University of GrazAbstract Background Burnout is generally perceived a unified disorder with homogeneous symptomatology across people (exhaustion, cynicism, and reduced professional efficacy). However, increasing evidence points to intra-individual patterns of burnout symptoms in non-clinical samples such as students, athletes, healthy, and burned-out employees. Different burnout subtypes might therefore exist. Yet, burnout subtypes based on burnout profiles have hardly been explored in clinical patients, and the samples investigated in previous studies were rather heterogeneous including patients with various physical, psychological, and social limitations, symptoms, and disabilities. Therefore, the aim of this study is to explore burnout subtypes based on burnout profiles in clinically diagnosed burnout patients enrolled in an employee rehabilitation program, and to investigate whether the subtypes differ in depression, recovery/resources-stress balance, and sociodemographic characteristics. Methods One hundred three patients (66 women, 37 men) with a clinical burnout diagnosis, who were enrolled in a 5 week employee rehabilitation program in two specialized psychosomatic clinics in Austria, completed a series of questionnaires including the Maslach Burnout Inventory – General Survey (MBI-GS), the Beck Depression Inventory, and the Recovery-Stress-Questionnaire for Work. Cluster analyses with the three MBI-GS subscales as clustering variables were used to identify the burnout subtypes. Subsequent multivariate/univariate analysis of variance and Pearson chi-square tests were performed to investigate differences in depression, recovery/resources-stress balance, and sociodemographic characteristics. Results Three different burnout subtypes were discovered: the exhausted subtype, the exhausted/cynical subtype, and the burned-out subtype. The burned-out subtype and the exhausted/cynical subtype showed both more severe depression symptoms and a worse recovery/resources-stress balance than the exhausted subtype. Furthermore, the burned-out subtype was more depressed than the exhausted/cynical subtype, but no difference was observed between these two subtypes with regard to perceived stress, recovery, and resources. Sociodemographic characteristics were not associated with the subtypes. Conclusions The present study indicates that there are different subtypes in clinical burnout patients (exhausted, exhausted/cynical, and burned-out), which might represent patients at different developmental stages in the burnout cycle. Future studies need to replicate the current findings, investigate the stability of the symptom patterns, and examine the efficacy of rehabilitation interventions in different subtypes.http://link.springer.com/article/10.1186/s12888-018-1589-yBurnoutBurnout subtypesBurnout profilesPerson-oriented approachCluster analysisDepression
spellingShingle Kathrin Bauernhofer
Daniela Bassa
Markus Canazei
Paulino Jiménez
Manuela Paechter
Ilona Papousek
Andreas Fink
Elisabeth M. Weiss
Subtypes in clinical burnout patients enrolled in an employee rehabilitation program: differences in burnout profiles, depression, and recovery/resources-stress balance
BMC Psychiatry
Burnout
Burnout subtypes
Burnout profiles
Person-oriented approach
Cluster analysis
Depression
title Subtypes in clinical burnout patients enrolled in an employee rehabilitation program: differences in burnout profiles, depression, and recovery/resources-stress balance
title_full Subtypes in clinical burnout patients enrolled in an employee rehabilitation program: differences in burnout profiles, depression, and recovery/resources-stress balance
title_fullStr Subtypes in clinical burnout patients enrolled in an employee rehabilitation program: differences in burnout profiles, depression, and recovery/resources-stress balance
title_full_unstemmed Subtypes in clinical burnout patients enrolled in an employee rehabilitation program: differences in burnout profiles, depression, and recovery/resources-stress balance
title_short Subtypes in clinical burnout patients enrolled in an employee rehabilitation program: differences in burnout profiles, depression, and recovery/resources-stress balance
title_sort subtypes in clinical burnout patients enrolled in an employee rehabilitation program differences in burnout profiles depression and recovery resources stress balance
topic Burnout
Burnout subtypes
Burnout profiles
Person-oriented approach
Cluster analysis
Depression
url http://link.springer.com/article/10.1186/s12888-018-1589-y
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