Burnout: Moving beyond the status quo.
Abstract
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 be. Fourth, the discriminant validity of the burnout construct is unsatisfactory. These fundamental problems, disregarded for decades, render burnout research inconclusive. This state of affairs (a) bears on researchers’ and practitioners’ ability to monitor and protect workers’ health and (b) prevents public health policymakers from producing authoritative recommendations. The burnout construct thus appears to not well serve the goal of promoting occupational health. The depression construct may offer occupational health specialists a way out of the “burnout impasse.” Depression is diagnosable. Like burnout, depression can be studied dimensionally (i.e., as a process) and examined from both an individual and a social standpoint. Methods for investigating the etiological link between depressive symptoms and disorders and job stress are available.
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There is an ongoing debate as to whether ENTS should be considered a disorder on its own or whether it should be a part of depression.
“There is an ongoing debate as to whether ENTS should be considered a disorder on its own or whether it should be a part of depression, with diverging evidence currently supporting both positions [26–32].”
From Psychological Treatment of Exhaustion Due to Persistent Non-Traumatic Stress: A Scoping Review. (2024) · cites this paper as [27]
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Self-citationShould Burnout Be Conceptualized as a Mental Disorder?
Nadon, L., De Beer, L. T., & Morin, A. J. S. (2022) · Behavioral Sciences · doi:10.3390/bs12030082 · Cited by 112 · see citing works
Cheng, H., Fan, Y., & Lau, H. C. W. (2022) · The International Journal of Human Resource Management · doi:10.1080/09585192.2022.2078991 · Cited by 99 · see citing works
Transcultural Adaptation of the Oldenburg Burnout Inventory (OLBI) for Brazil and Portugal
Sinval, J., Queirós, C. M. L., Pasian, S. R., & Marôco, J. P. (2019) · Frontiers in Psychology · doi:10.3389/fpsyg.2019.00338 · Cited by 89 · see citing works
De Beer, L. T., van der Vaart, L., Escaffi-Schwarz, M., De Witte, H., & Schaufeli, W. B. (2024) · European Journal of Psychological Assessment · doi:10.1027/1015-5759/a000797 · Cited by 270 · see citing works
Inquiry into the correlation between burnout and depression.
Schonfeld, I. S., Verkuilen, J., & Bianchi, R. (2019) · Journal of Occupational Health Psychology · doi:10.1037/ocp0000151 · Cited by 86 · see citing works
Self-citationVerkuilen, J., Bianchi, R., Schonfeld, I. S., & Laurent, É. (2020) · Assessment · doi:10.1177/1073191120911095 · Cited by 83 · see citing works
Self-citationThe Occupational Depression Inventory: A new tool for clinicians and epidemiologists
Bianchi, R., & Schonfeld, I. S. (2020) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2020.110249 · Cited by 79 · see citing works
Self-citationBurnout: Redefining its key symptoms
Tavella, G., Hadži-Pavlović, D., & Parker, G. B. (2021) · Psychiatry Research · doi:10.1016/j.psychres.2021.114023 · Cited by 79 · see citing works
A five‐sample confirmatory factor analytic study of burnout‐depression overlap
Bianchi, R., Schonfeld, I. S., & Verkuilen, J. (2020) · Journal of Clinical Psychology · doi:10.1002/jclp.22927 · Cited by 60 · see citing works
Self-citationIs Burnout Primarily Linked to Work-Situated Factors? A Relative Weight Analytic Study
Bianchi, R., García, G. M., & Rolland, J. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.623912 · Cited by 60 · see citing works
Self-citationBianchi, R. (2020) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2020.109954 · Cited by 50 · see citing works
Self-citationSchonfeld, I. S., & Bianchi, R. (2021) · Frontiers in Public Health · doi:10.3389/fpubh.2021.796401 · Cited by 48 · see citing works
Self-citationBurnout Syndrome and Depression
Bianchi, R., Schonfeld, I. S., & Laurent, É. (2017) · Springer eBooks · doi:10.1007/978-981-10-6577-4_14 · Cited by 47 · see citing works
Self-citationMemory bias toward emotional information in burnout and depression
Bianchi, R., Laurent, É., Schonfeld, I. S., Bietti, L. M., & Mayor, E. (2018) · Journal of Health Psychology · doi:10.1177/1359105318765621 · Cited by 44 · see citing works
Self-citationBurnout‐depression overlap: Nomological network examination and factor‐analytic approach
Bianchi, R., & Schonfeld, I. S. (2018) · Scandinavian Journal of Psychology · doi:10.1111/sjop.12460 · Cited by 45 · see citing works
Self-citationBurnout, Depression, and Borderline Personality: A 1,163-Participant Study
Bianchi, R., Rolland, J., & Salgado, J. F. (2018) · Frontiers in Psychology · doi:10.3389/fpsyg.2017.02336 · Cited by 37 · see citing works
Self-citationInterpretation bias toward ambiguous information in burnout and depression
Bianchi, R., Laurent, É., Schonfeld, I. S., Verkuilen, J., & Berna, C. (2018) · Personality and Individual Differences · doi:10.1016/j.paid.2018.07.028 · Cited by 36 · see citing works
Self-citationDepression at Work: Exploring Depression in Major US Companies from Online Reviews
Sen, I., Quercia, D., Constantinides, M., Montecchi, M., Capra, L., Šćepanović, S., & Bianchi, R. (2022) · Proceedings of the ACM on Human-Computer Interaction · doi:10.1145/3555539 · Cited by 35 · see citing works
Self-citationA Qualitative Reexamination of the Key Features of Burnout
Tavella, G., & Parker, G. B. (2020) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0000000000001155 · Cited by 35 · see citing works
Burnout: Re-examining its key constructs
Tavella, G., Hadži-Pavlović, D., & Parker, G. B. (2020) · Psychiatry Research · doi:10.1016/j.psychres.2020.112917 · Cited by 37 · see citing works
The physical activity paradox: a longitudinal study of the implications for burnout
de Vries, J. D., & Bakker, A. B. (2021) · International Archives of Occupational and Environmental Health · doi:10.1007/s00420-021-01759-y · Cited by 34 · see citing works
Abaoğlu, H., Demirok, T., & Kayıhan, H. (2020) · Scandinavian Journal of Occupational Therapy · doi:10.1080/11038128.2020.1735513 · Cited by 33 · see citing works
Distinguishing burnout from depression: An exploratory qualitative study
Tavella, G., & Parker, G. B. (2020) · Psychiatry Research · doi:10.1016/j.psychres.2020.113212 · Cited by 34 · see citing works
Nasharudin, N. A. M., Idris, M. A., Loh, M. Y., & Tuckey, M. R. (2020) · Scandinavian Journal of Psychology · doi:10.1111/sjop.12622 · Cited by 34 · see citing works
Is meaningful work the silver bullet? Perspectives of the social workers
Tan, K., Lew, T. Y., & Sim, A. K. S. (2019) · Journal of Asia Business Studies · doi:10.1108/jabs-09-2018-0267 · Cited by 30 · see citing works
van de Leur, J. C., Buhrman, M., Åhs, F., Rozental, A., & Jansen, G. B. (2020) · BMC Psychiatry · doi:10.1186/s12888-020-02907-3 · Cited by 30 · see citing works
Bianchi, R., & Schonfeld, I. S. (2024) · Work & Stress · doi:10.1080/02678373.2024.2364590 · Cited by 39 · see citing works
Self-citationHoben, M., Dymchuk, E., Corbett, K., Devkota, R., Shrestha, S., Lam, J., Banerjee, S., Chamberlain, S. A., Cummings, G. G., Doupe, M. B., et al. (2023) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2023.03.033 · Cited by 28 · see citing works
An exploratory study of the link between Machiavellianism and burnout
Mirkovic, D., & Bianchi, R. (2019) · Personality and Individual Differences · doi:10.1016/j.paid.2019.05.024 · Cited by 24 · see citing works
Self-citationBurnout and depressive symptoms are not primarily linked to perceived organizational problems
Bianchi, R., Mayor, E., Schonfeld, I. S., & Laurent, É. (2018) · Psychology Health & Medicine · doi:10.1080/13548506.2018.1476725 · Cited by 20 · see citing works
Self-citationProspective associations between burnout symptomatology and hair cortisol
Wendsche, J., Ihle, A., Wegge, J., Penz, M. S., Kirschbaum, C., & Kliegel, M. (2020) · International Archives of Occupational and Environmental Health · doi:10.1007/s00420-020-01528-3 · Cited by 20 · see citing works
Kodden, B., & Hupkens, L. (2019) · Journal of Management Policy and Practice · doi:10.33423/jmpp.v20i3.2230 · Cited by 20 · see citing works
Opoku, M. A., Yoon, H., Kang, S., & You, M. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18126641 · Cited by 19 · see citing works
Improving and Expanding Research on Burnout and Stress in the Academy
Pate, A. N., Reed, B. N., Cain, J. J., & Schlesselman, L. S. (2022) · American Journal of Pharmaceutical Education · doi:10.5688/ajpe8907 · Cited by 19 · see citing works
Burnout is associated with a depressive interpretation style
Bianchi, R., & Nogueira, D. D. S. (2019) · Stress and Health · doi:10.1002/smi.2897 · Cited by 19 · see citing works
Self-citationBianchi, R., & Schonfeld, I. S. (2021) · Personality and Individual Differences · doi:10.1016/j.paid.2021.111213 · Cited by 20 · see citing works
Self-citationPerbedaan Kejenuhan Belajar Siswa Full Day School dan Non Full Day School
Wahyuli, R., & Ifdil, I. (2020) · Jurnal Aplikasi IPTEK Indonesia · doi:10.24036/4.34380 · Cited by 17 · see citing works
The Trouble With Burnout: An Update on Burnout-Depression Overlap
Bianchi, R., Schonfeld, I. S., & Laurent, É. (2019) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2018.18091026 · Cited by 17 · see citing works
Self-citationPsychological Treatment of Exhaustion Due to Persistent Non-Traumatic Stress: A Scoping Review.
van de Leur, J. C., Jovicic, F., Åhslund, A., McCracken, L. M., & Buhrman, M. (2024) · International Journal of Behavioral Medicine · doi:10.1007/s12529-023-10185-y · Cited by 16 · see citing works
Prevalence Causes of Stress and Coping Strategies Among Malaysian University Lecturers
Isa, K., & Palpanadan, S. T. (2020) · International Journal of Higher Education · doi:10.5430/ijhe.v9n5p312 · Cited by 15 · see citing works
The love of pets in managing remote work challenges during Covid-19
Victor, B., & Mayer, C. (2022) · International Review of Psychiatry · doi:10.1080/09540261.2022.2151342 · Cited by 15 · see citing works
Burnout Among Nursing Home Care Aides and the Effects on Resident Outcomes
Gruneir, A., Chamberlain, S. A., Jensen, C., Cummings, G. G., Hoben, M., Boamah, S. A., Bosco, C., Ekhlas, S., Bolt, S., Rappon, T., et al. (2023) · Medical Care Research and Review · doi:10.1177/10775587231220072 · Cited by 13 · see citing works
Mata, K. K. C., & Tarroja, M. C. H. (2022) · Psychological Studies · doi:10.1007/s12646-022-00662-x · Cited by 12 · see citing works
Burnout, depression and paranoid ideation: a cluster-analytic study
Bianchi, R., & Janin, L. (2018) · Occupational Medicine · doi:10.1093/occmed/kqy150 · Cited by 12 · see citing works
Self-citationValidation of the Occupational Depression Inventory in Brazil: A study of 1612 civil servants
Bianchi, R., Cavalcante, D. C., Queirós, C. M. L., Santos, B. D., Verkuilen, J., & Schonfeld, I. S. (2023) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2023.111194 · Cited by 11 · see citing works
Self-citationYildirim, D. U., Şenyuva, E., & Kaya, E. (2024) · International Journal of Nursing Practice · doi:10.1111/ijn.13239 · Cited by 10 · see citing works
Tan, K., Eze, U. C., & Sun, Y. (2022) · Educational Studies · doi:10.1080/03055698.2022.2119370 · Cited by 10 · see citing works
Burned-out with burnout? Insights from historical analysis
Bianchi, R., Wac, K., Sowden, J. F., & Schonfeld, I. S. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.993208 · Cited by 11 · see citing works
Self-citationBurnout Stigma Inventory: Initial Development and Validation in Industry and Academia
May, R. W., Terman, J. M., Foster, G. C., Seibert, G. S., & Fincham, F. D. (2020) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.00391 · Cited by 10 · see citing works
Is a meta‐analytic approach to burnout's prevalence timely?
Laurent, É., Schonfeld, I. S., & Bianchi, R. (2018) · Psycho-Oncology · doi:10.1002/pon.4665 · Cited by 9 · see citing works
Self-citationPhysician burnout: let’s avoid unsubstantiated claims
Mirkovic, D., & Bianchi, R. (2018) · Nature Reviews Clinical Oncology · doi:10.1038/s41571-018-0150-8 · Cited by 9 · see citing works
Self-citationNon-conformism as precursor for self-efficacy and well-being among schoolteachers in the Netherlands
Kodden, B., van Ingen, R., & Langeweg, S. (2020) · Humanities and Social Sciences Communications · doi:10.1057/s41599-020-00551-6 · Cited by 8 · see citing works
Rachiotis, G., Syrgani, C., Symvoulakis, E. K., Dadouli, K., Papagiannis, D., Gourgoulianis, K. I., & Candilis, P. J. (2020) · Archives of Environmental & Occupational Health · doi:10.1080/19338244.2020.1842311 · Cited by 7 · see citing works
Sondhi, A., Harding, R., & Williams, E. P. (2024) · Police Practice and Research · doi:10.1080/15614263.2024.2426172 · Cited by 7 · see citing works
Nasharudin, N. A. M., Idris, M. A., & Loh, M. Y. (2020) · Journal of Human Behavior in the Social Environment · doi:10.1080/10911359.2019.1694616 · Cited by 6 · see citing works
Scrima, F., Foddai, E., Hamel, J., Carrein‐Lerouge, C., Codou, O., Montalan, B., Vallée, B., Zerhouni, O., Rioux, L., & Marchesa, P. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192114288 · Cited by 5 · see citing works
Does Enthusiasm for Work Lead to Typical Burnout? A Three‐Wave Panel Study with Caregivers1, 2
Igawa, J., Fukuzaki, T., Iotake, R., & Nakanishi, D. (2022) · Japanese Psychological Research · doi:10.1111/jpr.12407 · Cited by 5 · see citing works
The syndrome of burnout: A new spin or reinventing the wheel?
Saul, D., & Nikolitch, K. (2022) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2022.110914 · Cited by 5 · see citing works
The persistent burnout/depression problem
Meier, S. T. (2022) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2022.110913 · Cited by 5 · see citing works
Perinelli, E., Vignoli, M., Kröner, F., Müller, A., Genrich, M., & Fraccaroli, F. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2023.1222845 · Cited by 4 · see citing works
Coudevylle, G. R., Joing, I., Robin, N., Page, A. L., Marrot, G., & Vors, O. (2020) · Contextes et didactiques · doi:10.4000/ced.2456 · Cited by 4 · see citing works
On the “bubble” of burnout’s prevalence estimates
Laurent, É., Schonfeld, I. S., Bianchi, R., Hawryluck, L., & Brindley, P. G. (2018) · Intensive Care Medicine · doi:10.1007/s00134-018-5084-1 · Cited by 4 · see citing works
Self-citationTeacher well-being and burnout in English Language Teaching (ELT)
Hossain, K. I. (2025) · Social Sciences & Humanities Open · doi:10.1016/j.ssaho.2025.101856 · Cited by 5 · see citing works
Aldás-Villacís, A., & Poveda-Ríos, S. (2021) · PSICOLOGÍA UNEMI · doi:10.29076/issn.2602-8379vol5iss9.2021pp108-117p · Cited by 3 · see citing works
Creative Solutions and Professional Culture of Prison Staff
Tretyakov, I. L. (2021) · Lecture notes in networks and systems · doi:10.1007/978-3-030-89708-6_18 · Cited by 3 · see citing works
Attitudes toward treatment among sex offender treatment providers affect burnout and empathy
Mivshek, M. E., & Schriver, J. L. (2022) · Journal of Sexual Aggression · doi:10.1080/13552600.2022.2070293 · Cited by 3 · see citing works
Wartenberg, G., Aldrup, K., Grund, S., & Klusmann, U. (2026) · Review of Educational Research · doi:10.3102/00346543261455273 · Cited by 2 · see citing works
Neoliberalism and work-life balance among COVID-19 nurses
Robbins, J., & Freidus, A. (2024) · Human Organization · doi:10.1080/00187259.2024.2322975 · Cited by 2 · see citing works
Development and Validation of a Parental Burnout Scale for Parents of Young Children
Kim, K. H., Jeong, H. S., & Kim, Y. H. (2023) · Korean Journal of Human Ecology · doi:10.5934/kjhe.2023.32.6.707 · Cited by 2 · see citing works
Effect of Burnout Syndrome on work performance in administrative personnel
Palacios, V. A. F., Lara, S. D. A., Lara, M. B. E., Casco, A. D. P. R., Luzuriaga, D. M. L., & Maldonado, C. B. G. (2024) · Salud Ciencia y Tecnología · doi:10.56294/saludcyt20241185 · Cited by 2 · see citing works
Faculty burnout and its relationship to social and institutional support
Clubbs, B. H. (2020) · doi:10.32469/10355/78155 · Cited by 2 · see citing works
Burnout among healthcare professionals in Bangladesh: a narrative review
Arafat, S. M. Y., & Hossain, S. (2026) · Discover Mental Health · doi:10.1007/s44192-026-00514-4 · Cited by 1 · see citing works
Physician burnout and associated factors during the COVID-19 pandemic: a cross-sectional study
Reimann, R. S., Romano, F., & Cavatti, M. M. (2024) · Jornal Brasileiro de Psiquiatria · doi:10.1590/0047-2085-2023-0086 · Cited by 1 · see citing works
Garza, T., Reio, T. G., Perdomo, S. J. S., Alboroto, R., & McNaughtan, J. L. (2025) · Human Resource Development International · doi:10.1080/13678868.2025.2542895 · Cited by 1 · see citing works
Pehli̇vanoğlu, M. Ç., & Köse, E. (2020) · Journal of Business Research - Turk · doi:10.20491/isarder.2020.1099 · Cited by 1 · see citing works
Ceribeli, H. B., Abranches, A. D. F. P., & Pessoa, D. K. N. (2019)
Maarefi, F., & Hajati, Y. (2020) · Depiction of Health · doi:10.34172/doh.2020.33
Burnout Syndrome (Bs) Among Doctors During the Covid-19 Pandemic in Porto Velho-ro, BrazilPreprint
Reimann, R. S., Romano, F., & Cavatti, M. M. (2022) · Research Square · doi:10.21203/rs.3.rs-2124996/v1
Physician Burnout and Associated Risk Factors During the COVID-19 Pandemic: A Cross-Sectional StudyPreprint
Reimann, R. S., Romano, F., & Cavatti, M. M. (2023) · Research Square · doi:10.21203/rs.3.rs-2124996/v2
Gitau, J. K., Maranga, V., & Khayiya, R. A. (2023) · International Journal of Advanced Engineering and Management Research · doi:10.51505/ijaemr.2023.8310
The Stigma Attached to Burnout
Irvin Sam Schonfeld Ph.D., M. P. H., & Ph.D., R. B. (2025) · Wiley eBooks · doi:10.1002/9781394249626.ch04
Towch, S. V., & Pontes, H. M. (2025) · International Journal of Mental Health and Addiction · doi:10.1007/s11469-025-01603-1
Initial Slovak Adaptation of the Burnout Assessment Tool-Core Symptoms (bat-c) for Students
Gamrát, R., & Pavol, K. (2025) · Diskuze v psychologii · doi:10.5507/dvp.2025.008
Burnout as a clinical psychological phenomenon
Karpova, E. B., & Stupnikov, A. S. (2026) · Journal of Modern Foreign Psychology · doi:10.17759/jmfp.2026150111
Finding a Balance Between Being Connected and Well-Being
Nayak, A., Satpathy, I., & Jain, V. K. (2026) · IGI Global eBooks · doi:10.4018/979-8-3373-8307-1.ch016
Aranganathan, A., & Vidya, V. (2026) · Research Square · doi:10.21203/rs.3.rs-9927237/v1
Chen, L., Jesalva, Z. F., & Dellova, R. I. (2026) · Diversitas Journal · doi:10.48017/dj.v11i3.4166
- Authors
- Bianchi, R., Schonfeld, I. S., & Laurent, E.
- Venue
- International Journal of Stress Management
- Published
- 2019-02
- Volume
- 26
- Issue
- 1
- Pages
- 36-45
- ISSN
- 1072-5245 (ISSN-L)
- 1573-3424
- OpenAlex
- W2779036087
- Cited by
- 93
- References
- 101
- Citations by year
- 2026: 6 · 2025: 5 · 2024: 8 · 2023: 8 · 2022: 14 · 2021: 10 · 2020: 23 · 2019: 8 · 2018: 10 · 2017: 1
- FWCI
- 16.45
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Stress Management (publishedVersion)
- CUNY Academic Works (City University of New York) (submittedVersion)
- HAL (submittedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Burnout
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Keywords
- burnout, emotional exhaustion, depersonalization, personal accomplishment, construct validity, discriminant validity, occupational stress, occupational health, depression, depressive symptoms, employee health
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