Burnout and Depression: Two Entities or One?

J Clin Psychol. 2016 Jan;72(1):22-37. doi: 10.1002/jclp.22229. Epub 2015 Oct 9.

Abstract

Objectives: The purpose of this study was to examine the overlap in burnout and depression.

Method: The sample comprised 1,386 schoolteachers (mean [M]age = 43; Myears taught = 15; 77% women) from 18 different U.S. states. We assessed burnout, using the Shirom-Melamed Burnout Measure, and depression, using the depression module of the Patient Health Questionnaire.

Results: Treated dimensionally, burnout and depressive symptoms were strongly correlated (.77; disattenuated correlation, .84). Burnout and depressive symptoms were similarly correlated with each of 3 stress-related factors, stressful life events, job adversity, and workplace support. In categorical analyses, 86% of the teachers identified as burned out met criteria for a provisional diagnosis of depression. Exploratory analyses revealed a link between burnout and anxiety.

Conclusions: This study provides evidence that past research has underestimated burnout-depression overlap. The state of burnout is likely to be a form of depression. Given the magnitude of burnout-depression overlap, treatments for depression may help workers identified as "burned out."

Keywords: burnout; depression; depressive symptoms; job adversity; occupational stress; social support.

MeSH terms

  • Adult
  • Burnout, Professional / diagnosis*
  • Burnout, Professional / epidemiology
  • Depression / diagnosis*
  • Depression / epidemiology
  • Depressive Disorder / diagnosis*
  • Depressive Disorder / epidemiology
  • Faculty / statistics & numerical data*
  • Female
  • Humans
  • Life Change Events
  • Male
  • Middle Aged
  • Social Support
  • United States / epidemiology