The DOI matches its Crossref record; 84 of the 84 references it cites were found in a registry or an index.
A clinical perspective on burnout: diagnosis, classification, and treatment of clinical burnout
Open accessAbstract
In clinical psychology, burnout is regarded as a mental disorder assessed in patients who apply for psychological treatment and no longer work because of their symptoms or experience of serious problems in functioning at work. This definition of burnout is mostly referred to as ‘clinical burnout’. The purpose of this article is to provide insight into how clinicians in The Netherlands establish a diagnosis of clinical burnout and how they fit it in their classification systems. An outline is given on how psychological interventions for burnout are applied in therapies. The different phases in the treatment of clinical burnout – crisis, recovery, prevention, and post burnout growth, as well as their accompanying interventions are described. It may be relevant for work and organizational psychologists to realize that biological processes may play a role in the development of clinical burnout. For the physiology of stress, it does not matter whether the stress is work-related or the result of stress in private life or both. Central to understanding clinical burnout is the lack of recovery of the (physiological) stress system. It is also argued that the relevance of questionnaires, for detecting who is at serious health risk, is limited.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“ED is characterized by a debilitating state of exhaustion coupled with severe impairments in working memory and attention and is considered the endstage of a severe burnout process that requires professional healthcare interventions (Grossi et al., 2015; van Dam, 2021).”
From Mediators during a Multimodal intervention for stress-induced exhaustion disorder (2024) · cites this paper as van Dam, 2021
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Diagnostic and Statistical Manual of Mental Disorders
American Psychiatric Association (2013) · doi:10.1176/appi.books.9780890425596 · Cited by 116,369
Helplessness: On Depression, Development, and Death
Seligman, M. E. P. (1975) · CERN Document Server (European Organization for Nuclear Research) · Cited by 6,181
Kotov, R., Krueger, R. F., Watson, D., Achenbach, T. M., Althoff, R. R., Bagby, R. M., Brown, T. A., Carpenter, W. T., Caspi, A., Clark, L. A., et al. (2017) · Journal of Abnormal Psychology · doi:10.1037/abn0000258 · Cited by 3,335
International Classification of Diseases
Jones, F. A. (1978) · Gut · doi:10.1136/gut.19.12.1175 · Cited by 2,919
Burnout and work engagement: the JD–R approach.
Bakker, A. B., Demerouti, E., & Sanz-Vergel, A. I. (2014) · Annual Review of Organizational Psychology and Organizational Behavior · doi:10.1146/annurev-orgpsych-031413-091235 · Cited by 2,486
Robert J. Hockey, G. (1997) · Biological Psychology · doi:10.1016/s0301-0511(96)05223-4 · Cited by 1,753
Mental fatigue: Costs and benefits
Boksem, M. A. S., & Tops, M. (2008) · Brain Research Reviews · doi:10.1016/j.brainresrev.2008.07.001 · Cited by 1,247
Job Demands—Resources theory and self-regulation: New explanations and remedies for job burnout
Bakker, A. B., & de Vries, J. D. (2021) · Anxiety, Stress, & Coping · doi:10.1080/10615806.2020.1797695 · Cited by 1,131
Annals of the New York Academy of Sciences
K, R. (1950) · The American Journal of the Medical Sciences · doi:10.1097/00000441-195006000-00023 · Cited by 1,130
Neurobiological and Systemic Effects of Chronic Stress
McEwen, B. S. (2017) · Chronic Stress · doi:10.1177/2470547017692328 · Cited by 1,059 · cited 3×
“values are established, which means that the organism sets a higher stress level as the default level (McEwen, 2017; Sterling, 2004).”
BackgroundPrevention of burnout: New perspectives
Maslach, C., & Goldberg, J. H. (1998) · Applied and Preventive Psychology · doi:10.1016/s0962-1849(98)80022-x · Cited by 991
International Classification of Diseases
Peery, M. L. (2014) · Wiley eBooks · doi:10.1002/9781118660584.ese1248 · Cited by 976
Sapolsky, R. M. (1994) · Medical Entomology and Zoology · Cited by 971
Geurts, S. A. E., & Sonnentag, S. (2006) · Scandinavian Journal of Work Environment & Health · doi:10.5271/sjweh.1053 · Cited by 970
Burnout prevention: A review of intervention programs
Awa, W. L., Plaumann, M., & Walter, U. (2010) · Patient Education and Counseling · doi:10.1016/j.pec.2009.04.008 · Cited by 827
on the clinical validity of the maslach burnout inventory and the burnout measure
Schaufeli, W. B., Bakker, A. B., Hoogduin, K. A. L., Schaap, C. P. D. R., & Kladler, A. (2001) · Psychology and Health · doi:10.1080/08870440108405527 · Cited by 797
Posttraumatic Growth: Theory, Research, and Applications
Tedeschi, R. G., Shakespeare-Finch, J., Taku, K., & Calhoun, L. G. (2018) · doi:10.4324/9781315527451 · Cited by 714
Clark, L. A., Cuthbert, B., Lewis-Fernández, R., Narrow, W. E., & Reed, G. M. (2017) · Psychological Science in the Public Interest · doi:10.1177/1529100617727266 · Cited by 688
Fritz, C., & Sonnentag, S. (2006) · Journal of Applied Psychology · doi:10.1037/0021-9010.91.4.936 · Cited by 679
Coping in Context: The Role of Stress, Social Support, and Personality in Coping
DeLongis, A., & Holtzman, S. (2005) · Journal of Personality · doi:10.1111/j.1467-6494.2005.00361.x · Cited by 541
Allostasis and the human brain: Integrating models of stress from the social and life sciences.
Ganzel, B. L., Morris, P., & Wethington, E. (2010) · Psychological Review · doi:10.1037/a0017773 · Cited by 415
Linden, M. (2013) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.1765 · Cited by 397 · cited 1×
“Psychotherapy may be emotionally demanding and stressful and therefore hinders recovery from chronic stress (Linden, 2013).”
BackgroundIs there a relationship between burnout and objective performance? A critical review of 16 studies
Taris, T. W. (2006) · Work & Stress · doi:10.1080/02678370601065893 · Cited by 393
van der Klink, J. J. L., Blonk, R. W. B., Schene, A. H., & van Dijk, F. J. H. (2003) · Occupational and Environmental Medicine · doi:10.1136/oem.60.6.429 · Cited by 378
Burnout Syndrome: A Disease of Modern Societies?
Weber, A., & Jaekel-Reinhard, A. (2000) · Occupational Medicine · doi:10.1093/occmed/50.7.512 · Cited by 354
How job demands, resources, and burnout predict objective performance: A constructive replication
Bakker, A. B., van Emmerik, H., & van Riet, P. (2008) · Anxiety Stress & Coping · doi:10.1080/10615800801958637 · Cited by 349
A motivational control theory of cognitive fatigue.
Hockey, G. R. J. (2010) · American Psychological Association eBooks · doi:10.1037/12343-008 · Cited by 307
Cognitive emotion regulation fails the stress test
Raio, C. M., Orederu, T. A., Palazzolo, L., Shurick, A. A., & Phelps, E. A. (2013) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1305706110 · Cited by 302
Demerouti, E., Bakker, A. B., & Leiter, M. P. (2014) · Journal of Occupational Health Psychology · doi:10.1037/a0035062 · Cited by 298
Give me a better break: Choosing workday break activities to maximize resource recovery.
Hunter, E. M., & Wu, C. (2016) · Journal of Applied Psychology · doi:10.1037/apl0000045 · Cited by 287
Farahani, N. S. (2019) · DOAJ (DOAJ: Directory of Open Access Journals) · doi:10.22070/cpap.2020.2902 · Cited by 277
Ahola, K., Toppinen‐Tanner, S., & Seppänen, J. (2017) · Burnout Research · doi:10.1016/j.burn.2017.02.001 · Cited by 276
Grossi, G., Perski, A., Osika, W., & Savic, I. (2015) · Scandinavian Journal of Psychology · doi:10.1111/sjop.12251 · Cited by 273
Job burnout and cognitive functioning: A systematic review
Deligkaris, P., Panagopoulou, E. P., Montgomery, A., & Masoura, E. V. (2014) · Work & Stress · doi:10.1080/02678373.2014.909545 · Cited by 268
Pedišić, Ž., Bennie, J. A., Timperio, A. F., Crawford, D. A., Dunstan, D. W., Bauman, A. E., & Salmon, J. (2014) · BMC Public Health · doi:10.1186/1471-2458-14-1249 · Cited by 260
Work stress and attentional difficulties: An initial study on burnout and cognitive failures
Linden, D. V. D., Keijsers, G. P. J., Eling, P., & Schaijk, R. V. (2005) · Work & Stress · doi:10.1080/02678370500065275 · Cited by 248
(2020) · Journal of Critical Reviews · doi:10.31838/jcr · Cited by 213
García-León, M. Á., Pérez-Mármol, J. M., Gonzalez-Pérez, R., García-Ríos, M. D. C., & Peralta-Ramírez, M. I. (2019) · Physiology & Behavior · doi:10.1016/j.physbeh.2019.02.001 · Cited by 197 · cited 1×
“This is seldomly a good idea in this phase because of the efforts it requires to adapt oneself to a new (work) environment while being already exhausted and experiencing difficulties in cognitive control (García-León et al., 2019; McCarthy & Lambert, 1999).”
BackgroundInternational Review of Industrial and Organizational Psychology 2002
(2002) · Wiley eBooks · doi:10.1002/9780470696392 · Cited by 197
Resolution, Relief, and Resignation: A Qualitative Study of Responses to Misfit at Work
Follmer, E. H., Talbot, D., Kristof‐Brown, A. L., Astrove, S. L., & Billsberry, J. (2017) · Academy of Management Journal · doi:10.5465/amj.2014.0566 · Cited by 190
Brouwers, E. P. M., Joosen, M. C. W., van Zelst, C., & van Weeghel, J. (2019) · Journal of Occupational Rehabilitation · doi:10.1007/s10926-019-09848-z · Cited by 155
Is it Time to Consider the “Burnout Syndrome†A Distinct Illness?
Bianchi, R., Schonfeld, I. S., & Laurent, E. (2015) · Frontiers in Public Health · doi:10.3389/fpubh.2015.00158 · Cited by 140
The Relationship Between Lifestyle Regularity and Subjective Sleep Quality
Monk, T. H., Reynolds, C. F., Buysse, D. J., DeGrazia, J. M., & Kupfer, D. J. (2003) · Chronobiology International · doi:10.1081/cbi-120017812 · Cited by 132
Schiavone, S., Colaianna, M., & Curtis, L. (2015) · Current Pharmaceutical Design · doi:10.2174/1381612821666150105143358 · Cited by 129
Profiles of Burnout, Coping Strategies and Depressive Symptomatology
Martínez, J. P., Méndez, I., Ruiz-Esteban, C., Fernández-Sogorb, A., & García-Fernández, J. M. (2020) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.00591 · Cited by 123
Oosterholt, B. G., van der Linden, D., Maes, J. H. R., Verbraak, M. J. P. M., & Kompier, M. A. J. (2011) · Scandinavian Journal of Work Environment & Health · doi:10.5271/sjweh.3256 · Cited by 117
Heffner, K. L., Kiecolt‐Glaser, J. K., Loving, T. J., Glaser, R., & Malarkey, W. B. (2004) · Journal of Behavioral Medicine · doi:10.1023/b:jobm.0000028497.79129.ad · Cited by 101
Assessing the Seeds of Relationship Decay
Lee, S., Rogge, R., & Reis, H. (2010) · Psychology Science · doi:10.1177/0956797610371342 · Cited by 97
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
The clinical utility of the Maslach Burnout Inventory in a clinical population.
Kleijweg, J. H. M., Verbraak, M. J. P. M., & van Dijk, M. K. (2013) · Psychological Assessment · doi:10.1037/a0031334 · Cited by 82
The Nature and Scope of Stressful Spousal Caregiving Relationships
Davis, L. L., Gilliss, C. L., Deshefy‐Longhi, T., Chestnutt, D. H., & Molloy, M. A. (2011) · Journal of Family Nursing · doi:10.1177/1074840711405666 · Cited by 76
Roohafza, H., Feizi, A., Afshar, H., Mazaheri, M., Behnamfar, O., Keshteli, A. H., & Adibi, P. (2016) · World Journal of Psychiatry · doi:10.5498/wjp.v6.i2.248 · Cited by 75
Michailidis, E., & Banks, A. P. (2016) · Work & Stress · doi:10.1080/02678373.2016.1213773 · Cited by 66
Wallace, J. E. (2017) · Journal of Workplace Behavioral Health · doi:10.1080/15555240.2017.1329628 · Cited by 63
Subgroup Analysis in Burnout: Relations Between Fatigue, Anxiety, and Depression
van Dam, A. (2016) · Frontiers in Psychology · doi:10.3389/fpsyg.2016.00090 · Cited by 62
Carnes, A. M. (2016) · Journal of Occupational and Organizational Psychology · doi:10.1111/joop.12163 · Cited by 57
The Psychobiology of Burnout: Are There Two Different Syndromes?
Mattie Tops, A., Boksem, M. A. S., Wijers, A. A., van Duinen, H., den Boer, J. A., Meijman, T. F., & Korf, J. (2007) · Neuropsychobiology · doi:10.1159/000106056 · Cited by 54
Karlson, B., Jönsson, P., & Österberg, K. (2014) · BMC Public Health · doi:10.1186/1471-2458-14-821 · Cited by 48
Brenninkmeijer, V., Vanyperen, N. W., & Buunk, B. P. (2001) · Social Psychology of Education · doi:10.1023/a:1011376503306 · Cited by 46
Panksepp, J., & Yovell, Y. (2014) · Psychopathology · doi:10.1159/000366208 · Cited by 43
van Dam, A., Keijsers, G. P. J., Eling, P., & Becker, E. S. (2011) · Work & Stress · doi:10.1080/02678373.2011.613648 · Cited by 43
A Handbook of Work and Organizational Psychology: Volume 2: Work Psychology
Drenth, J. P. H., & Thierry, H. (2013) · Research portal (Tilburg University) · Cited by 41
Cognitive impairments in former patients with work-related stress complaints – one year later
Eskildsen, A., Andersen, L. P., Pedersen, A. D., & Andersen, J. H. (2016) · Stress · doi:10.1080/10253890.2016.1222370 · Cited by 40
Influence of sleep on symptom improvement and return to work in clinical burnout
Sonnenschein, M., Sorbi, M. J., Verbraak, M. J. P. M., Schaufeli, W. B., Maas, C. J. M., & van Doornen, L. J. P. (2008) · Scandinavian Journal of Work Environment & Health · doi:10.5271/sjweh.1195 · Cited by 39
Protocollaire behandelingen in de ambulante geestelijke gezondheidszorg I
Keijsers, G. P. J., Minnen, A., & Hoogduin, C. A. L. (2004) · Bohn Stafleu van Loghum eBooks · doi:10.1007/978-90-313-7117-4 · Cited by 36
Impaired cognitive performance and responsiveness to reward in burnout patients: Two years later
van Dam, A., Keijsers, G. P. J., Eling, P., & Becker, E. S. (2012) · Work & Stress · doi:10.1080/02678373.2012.737550 · Cited by 36
Gatchel, R. J., Ray, C. T., Kishino, N. D., & Brindle, A. (2020) · The Wiley Encyclopedia of Health Psychology · doi:10.1002/9781119057840.ch182 · Cited by 32
Bednar, K., Voracek, M., & Tran, U. S. (2020) · Mindfulness · doi:10.1007/s12671-020-01492-6 · Cited by 30
Eurelings-Bontekoe, E. H. M., van Dam, A., Luyten, P., Verhulst, W. A. C. M., van Tilburg, C. A., de Heus, P., & Koelen, J. A. (2009) · Journal of Personality Assessment · doi:10.1080/00223890903087927 · Cited by 28
Dalgaard, V. L., Andersen, J. H., Pedersen, A. D., Andersen, L. P., & Eskildsen, A. (2020) · Stress · doi:10.1080/10253890.2020.1797673 · Cited by 25
[Stress as the cause of mental illness].
Åsberg, M., Grape, T., Krakau, I., Nygren, Å., Rohde, M., Wahlberg, A., & Währborg, P. (2010) · PubMed · Cited by 24
Level and Appraisal of Fatigue are Not Specific in Burnout
van Dam, A., Keijsers, G. P. J., Verbraak, M. J. P. M., Eling, P., & Becker, E. S. (2013) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.1869 · Cited by 23
Schoenborn, H. W. (1940) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.1940.tb19534.x · Cited by 20
Semeijn, J., Ruysseveldt, J. V., Vonk, G., & van Vuuren, T. (2019) · International Journal of Workplace Health Management · doi:10.1108/ijwhm-01-2019-0006 · Cited by 16
Structural Model of Coping and Emotions Produced by Taking a New Job
McCarthy, C. J., & Lambert, R. G. (1999) · Journal of Employment Counseling · doi:10.1002/j.2161-1920.1999.tb01009.x · Cited by 12
van Dam, A., Keijsers, G. P. J., Verbraak, M. J. P. M., Eling, P., & Becker, E. S. (2012) · Psychology · doi:10.4236/psych.2012.38087 · Cited by 11
Do employees with burnout prefer low-effort performance strategies?
van Dam, A., Eling, P. A. T. M., Keijsers, G. P. J., & Becker, E. S. (2013) · IIE Transactions on Occupational Ergonomics and Human Factors · doi:10.1080/21577323.2013.828666 · Cited by 9
Time to stop flogging a dead horse?
Canuto, K. (2019) · The Medical Journal of Australia · doi:10.5694/mja2.50217 · Cited by 9
Sauerland, M., Soyeaux, H. M., & Krajewski, J. (2015) · International Journal of Human Resources Development and Management · doi:10.1504/ijhrdm.2015.069973 · Cited by 9
Waarom duurt burn-out zo lang?
van Zweden, S. (2015) · Tijdschrift voor Psychotherapie · doi:10.1007/s12485-015-0002-2 · Cited by 5
Motives for (non) practicing demotion
Verheyen, T., & Guerry, M. (2018) · Employee Relations · doi:10.1108/er-01-2017-0024 · Cited by 4
Predictive RegulationPreprint
Mitts, J. (2014) · SSRN Electronic Journal · doi:10.2139/ssrn.2411816 · Cited by 2
Learning how to recover from stress-related disorders via internet-based interventions
Asplund, R. P. (2021) · Linköping studies in behavioural science · doi:10.3384/diss.diva-172685 · Cited by 1
[Diagnosis should not be confused with classification in psychiatry].
Beekman, A. T. F., & Hengeveld, M. W. (2014) · PubMed · Cited by 1
Research works printed but not linked: 11
- Åsberg M., 2010, Läkartidningen, 107, 1307
- Beekman A. T. F., 2014, Tijdschrift Voor Psychiatrie, 56, 531
- Cuijpers P., 2007, Depressie. Gids voor familieleden. [Depression, a guide for family members]
- Deligkaris P., 2014, Work & stress, 28, 107
- Glouberman D., 2007, The Joy of Burnout - How the end of the world can be a new beginning
- Sanders R., 2014, New evidence that chronic stress predisposes brain to mental illness
- Schaufeli W. B., 2007, De Psycholoog, 42, 534
- Van Dam A., 2015, Handbook on burnout and sleep deprivation: Risk factors, management strategies and impact on performance and behaviour, 113
- Van Dam A., 2017, Protocollaire behandelingen voor volwassenen met psychische klachten 3, 63
- Van Dam A., 2004, Uit de Brand. Omgaan met mensen met burnout [Out of the Fire. Dealing with people with burnout]
- Van der Voort., 2016, Bevorderen van participatie van cliënten met een psychische stoornis [improving participation of clients with a mental disorder]
Cited by
Sorted by citations
Individual-level interventions for reducing occupational stress in healthcare workers
Tamminga, S. J., Emal, L. M., Boschman, J. S., Levasseur, A., Thota, A. B., Ruotsalainen, J. H., Schelvis, R. M. C., Nieuwenhuijsen, K., & van der Molen, H. F. (2023) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd002892.pub6 · Cited by 148
Schaufeli, W. B., Witte, H. D., Hakanen, J., Kaltiainen, J., & Kok, R. (2023) · Scandinavian Journal of Work Environment & Health · doi:10.5271/sjweh.4093 · Cited by 89
Factors affecting healthcare workers burnout and their conceptual models: scoping review
Nagle, E., Griskevica, I., Rajevska, O., Ivanovs, A., Mihailova, S., & Skruzkalne, I. (2024) · BMC Psychology · doi:10.1186/s40359-024-02130-9 · Cited by 85
Cognitive function in clinical burnout: A systematic review and meta-analysis
Gavelin, H. M., Domellöf, M. E., Åström, E., Nelson, A., Launder, N. H., Neely, A. S., & Lampit, A. (2021) · Work & Stress · doi:10.1080/02678373.2021.2002972 · Cited by 108
Burnout: a comprehensive review
Demerouti, E. (2024) · Zeitschrift für Arbeitswissenschaft · doi:10.1007/s41449-024-00452-3 · Cited by 74
Metadata
- Authors
- van Dam, A.
- Affiliations
- Tilburg University (NL)
- Corresponding author
- van Dam, Arno
- ORCID
- van Dam, Arno
- Venue
- European Journal of Work and Organizational Psychology
- Publisher
- Informa UK Limited
- Published
- 2021-07-14
- Volume
- 30
- Issue
- 5
- Pages
- 732-741
- ISSN
- 1359-432X (ISSN-L)
- 1464-0643
- OpenAlex
- W3179381565
- Cited by
- 134
- References
- 84
- Citations by year
- 2026: 29 · 2025: 25 · 2024: 37 · 2023: 29 · 2022: 13 · 2021: 1
- FWCI
- 19.63
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- European Journal of Work and Organizational Psychology (publishedVersion, cc-by-nc-nd)
- Research portal (Tilburg University) (publishedVersion, cc-by-nc-nd)
- Data Archiving and Networked Services (DANS) (submittedVersion, cc-by-nc-nd)
- Topics
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational Health and Burnout
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Keywords
- burnout diagnosis, burnout recovery, burnout prevention, occupational stress, burnout questionnaire, health risk assessment
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review