Internal construct validity of the Shirom-Melamed Burnout questionnaire (SMBQ)
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BACKGROUND: Burnout is a mental condition defined as a result of continuous and long-term stress exposure, particularly related to psychosocial factors at work. This paper seeks to examine the psychometric properties of the Shirom-Melamed Burnout Questionnaire (SMBQ) for validation of use in a clinical setting. METHODS: Data from both a clinical (319) and general population (319) samples of health care and social insurance workers were included in the study. Data were analysed using both classical and modern test theory approaches, including Confirmatory Factor Analysis (CFA) and Rasch analysis. RESULTS: Of the 638 people recruited into the study 416 (65%) persons were working full or part time. Data from the SMBQ failed a CFA, and initially failed to satisfy Rasch model expectations. After the removal of 4 of the original items measuring tension, and accommodating local dependency in the data, model expectations were met. As such, the total score from the revised scale is a sufficient statistic for ascertaining burnout and an interval scale transformation is available. The scale as a whole was perfectly targeted to the joint sample. A cut point of 4.4 for severe burnout was chosen at the intersection of the distributions of the clinical and general population. CONCLUSION: A revised 18 item version of the SMBQ satisfies modern measurement standards. Using its cut point it offers the opportunity to identify potential clinical cases of burnout.
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SMBQ's psychometric characteristics and factorial validity have been supported.
“SMBQ’s psychometric characteristics and factorial validity have been supported [30, 33]”
From Psychological inflexibility explains distress in parents whose children have chronic conditions (2018) · cites this paper as [33]
The Results section supports the psychometric properties of a revised 18-item SMBQ, reporting reliability and invariance across the general-population and clinical samples. But its confirmatory factor analyses did not support either tested structure of the original 22-item questionnaire; exploratory analysis only partially supported the four-factor structure. The unqualified claim of supported factorial validity therefore overstates the findings. (LLM, conf=0.88)
Experimental — accuracy not yet measuredThe cut-off scores for burnout on the SMBQ are 2.75-3.74 indicating low burnout, 3.75-4.46 indicating high burnout, and ≥4.47 indicating pathological level of burnout.
“The cut-off scores for burnout on the SMBQ are 2.75–3.74 indicating low burnout, 3,75–4,46 indicating high burnout and ≥ 4.47 indicating pathological level of burnout.”
From Psychological inflexibility explains distress in parents whose children have chronic conditions (2018) · cites this paper as [33]
The Results (Internal construct and factorial validity; page not provided) establish an SMBQ cut point for severe burnout, so the source supports the general idea of a severity threshold. It gives that cut point as 4.4, not ≥4.47, and does not provide the claimed low- and high-burnout ranges or label a range 'pathological.' (LLM, conf=0.88)
Experimental — accuracy not yet measuredThe measures were translated and back translated for previous studies, except the Cognitive Fusion Questionnaire (CFQ) which was translated for this study by a group of researchers with long experience in acceptance-, mindfulness-, and value-based interventions.
“The measures have been translated and back translated for previous studies [33, 36–38], except the Cognitive Fusion Questionnaire (CFQ) that was translated for this study by a group of researchers with long experience in acceptance-, mindfulness-, and value-based interventions.”
From Psychological inflexibility explains distress in parents whose children have chronic conditions (2018) · cites this paper as [33]
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- Authors
- Lundgren-Nilsson, Å., Jonsdottir, I. H., Pallant, J., & Ahlborg, G.
- Affiliations
- The University of Melbourne (AU)
- University of Gothenburg (SE)
- ORCID
- Pallant, Julie
- Venue
- BMC Public Health
- Published
- 2012-01-03
- Volume
- 12
- Issue
- 1
- Pages
- 1-1
- ISSN
- 1471-2458 (ISSN-L)
- PMC
- PMC3307433
- OpenAlex
- W2148425918
- Cited by
- 626
- References
- 35
- Citations by year
- 2026: 27 · 2025: 58 · 2024: 81 · 2023: 58 · 2022: 63 · 2021: 54 · 2020: 37 · 2019: 46 · 2018: 44 · 2017: 47 · 2016: 43 · 2015: 27 · 2014: 20 · 2013: 18 · 2012: 3
- FWCI
- 32.72
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Gothenburg University Publications Electronic Archive (Gothenburg University) (acceptedVersion)
- Minerva Access (University of Melbourne) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Burnout
- Keywords
- burnout, psychometric validation, Rasch analysis, confirmatory factor analysis, scale revision, healthcare workers, occupational stress
- MeSH terms
- Adult, Burnout, Professional, Factor Analysis, Statistical, Female, Health Personnel, Humans, Male, Middle Aged, Psychometrics, Surveys and Questionnaires, Stress, Psychological, Sweden
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