Journal of Modern Foreign Psychology
2026. Vol. 15, no. 1, 127–135
doi:10.17759/jmfp.2026150111
ISSN: 2304-4977 (online)
Burnout as a clinical psychological phenomenon
Abstract
Context and relevance. The article provides an overview of current foreign research on burnout from the perspective of clinical psychology. Burnout, a widespread condition associated with workplace stressors in many countries, not only has negative socio-economic consequences, but also presents a range of challenges at various levels of human functioning, including physical and mental health. Objective. To explore various definitions and descriptions of burnout, as well as the main diagnostic criteria for this condition. To analyze the mental disorders and somatic symptoms associated with burnout described in modern studies. To describe the main approaches to the differential diagnosis of burnout and other mental disorders, as well as to analyze the study of biological markers of burnout. Results. The main ways of further research of burnout from the perspective of a biopsychosocial model are outlined. The need for a systematic study of burnout, the establishment of its boundaries from other conditions and the identification of biomarkers for the development of diagnostic criteria is noted.
General Information
Keywords: burnout, diagnostic criteria, mental disorders, somatic disorders, differential diagnosis, and biological markers
Journal rubric: Medical Psychology
Article type: review article
DOI: https://doi.org/10.17759/jmfp.2026150111
Received 31.10.2025
Revised 31.10.2025
Accepted
Published
For citation: Karpova, E.B., Stupnikov, A.S. (2026). Burnout as a clinical psychological phenomenon. Journal of Modern Foreign Psychology, 15(1), 127–135. (In Russ.). https://doi.org/10.17759/jmfp.2026150111
© Karpova E.B., Stupnikov A.S., 2026
License: CC BY-NC 4.0
References
- Зражевская, И.А., Быков, К.В., Топка, Э.О., Пешкин, В.Н., Исаев, Р.Н., Орлов, А.М. (2020). Эволюция представлений о синдроме эмоционального выгорания. Психиатрия, 18(4), 127—138. https://doi.org/10.30629/2618-6667-2020-18-4-127-140
Zrazhevskaya I.A., Bykov K.V., Topka E.O., Peshkin V.N., Isaev R.N., Orlov A.M. (2020). The evolution of representations about the syndrome of emotional burnout. Psychiatry, 18(4), 127—138. (In Russ.). https://doi.org/10.30629/2618-6667-2020-18-4-127-140 - Карпова, Э.Б., Ступников, А.С., Самерханова, К.М., Машкауцан, Ю.А. (2024). Психические и соматические симптомы, связанные с эмоциональным выгоранием: систематический обзор исследований. Клиническая и специальная психология, 13(3), 5—22. https://doi.org/10.17759/cpse.2024130301
Karpova, E.B., Stupnikov, A.S., Samerkhanova, K.M., Mashkautsan, Y.A. (2024). Mental and somatic symptoms associated with emotional burnout. A systematic review of research. Clinical Psychology and Special Education, 13(3), 5—22. (In Russ.). https://doi.org/10.17759/cpse.2024130301 - Чутко, Л.С., Рожкова, А.В., Сурушкина, С.Ю., Анисимова, Т.И., Дидур, М.Д. (2019). Клинические проявления синдрома эмоционального выгорания. Журнал неврологии и психиатрии им. С.С. Корсакова, 119(1), 14—16. https://doi.org/10.17116/jnevro201911901114
Chutko, L.S., Rozhkova, A.V., Surushkina, S.Yu., Anisimova, T.I., Didur, M.D. (2019). Clinical manifestations of burnout. S.S. Korsakov Journal of Neurology and Psychiatry, 119(1), 14—16. (In Russ.). https://doi.org/10.17116/jnevro201911901114 - Almén, N. (2021). A cognitive behavioral model proposing that clinical burnout may maintain itself. International Journal of Environmental Research and Public Health, 18(7), Article 3446. https://doi.org/10.3390/ijerph18073446
- Alzahrani, M.A., Alamri, H.A., Alshehri, M.A., Ayyashi, M.M., Alqarni, S.A., Alshehri, S.H., Alshehri, M.S., Alqahtani, M.M., Alasmari, N.H., Alsabban, A.M., Alshahrani, A.S. (2023). Assessing the relationship between burnout syndrome and irritable bowel syndrome among medical health providers and medical students in Saudi Arabia. Journal of Medicine and Life, 16(2), 277—283. https://doi.org/10.25122/jml-2022-0242
- Angelini, G. (2023). Big five model personality traits and job burnout: A systematic literature review. BMC psychology, 11(1), Article 49. https://doi.org/10.1186/s40359-023-01056-y
- Baptista, M.N., Hauck-Filho, N., Cardoso, H.F. (2022). The overlap between burnout and depression through a different lens: A multi-method study. Journal of Affective Disorders Reports, 10, Article 100437. https://doi.org/10.1016/j.jadr.2022.100437
- Bianchi, R., Schonfeld, I. S., & Laurent, E. (2019). Burnout: Moving beyond the status quo. International Journal of Stress Management, 26(1), 36–45. https://doi.org/10.1037/str0000088
- Bianchi, R., Schonfeld, I.S., Verkuilen, J. (2020). A five-sample confirmatory factor analytic study of burnout-depression overlap. Journal of clinical psychology, 76(4), 801—821. https://doi.org/10.1002/jclp.22927
- Boussayala, G., Tannoubi, A., Hagan, J.E., Amoadu, M., Srem-Sai, M., Bonsaksen, T., Henchiri, H., Chtioui, M.K., Bouguerra, L., Azaiez, F. (2025). Is it time to address burnout in the military? Initial psychometric validation of the Maslach burnout inventory among Tunisian military personnel (A-MBI-MP). Behavioral Sciences, 15(3), Article 385. https://doi.org/10.3390/bs15030385
- Brijová, E., Mlynárová, V., Mlynár, P., Birknerová, Z., Uher, I. (2022). Classification of determinants of burnout syndrome in terms of personality traits of public administration managers. Social Sciences, 11(9), Article 413. https://doi.org/10.3390/socsci11090413
- Chmiel, J., Malinowska, A. (2025). Neural correlates of burnout syndrome based on electroencephalography (EEG)—a mechanistic review and discussion of burnout syndrome cognitive bias theory. Journal of Clinical Medicine, 14(15), Article 5357. https://doi.org/10.3390/jcm14155357
- Crudden, G., Margiotta, F., Doherty, A.M. (2023). Physician burnout and symptom of anxiety and depression: Burnout in Consultant Doctors in Ireland Study (BICDIS). PLoS One, 18(3), Article e0276027. https://doi.org/10.1371/journal.pone.0276027
- De Beer, L.T., Hakanen, J.J., Schaufeli, W.B., De Witte, H., Glaser, J., Kaltiainen, J., Seubert, C., Morin, A.J.S. (2025). The burnout-depression conundrum: Investigating construct-relevant multidimensionality across four countries and four patient samples. Psychology & Health, 40(8), 1358—1385. https://doi.org/10.1080/08870446.2024.2321358
- de Godoy, C., Lima, A., Hino, P., Taminato, M., Okuno, M., Fernandes, H. (2025). Burnout syndrome and accidents in primary healthcare nursing workers: A scoping review. BMC Nursing, 24, Article 410. https://doi.org/10.1186/s12912-025-03004-0
- Deneva, T., Ianakiev, Y., Keskinova, D. (2019). Burnout syndrome in physicians—Psychological assessment and biomarker research. Medicina (Kaunas), 55(5), Article 209. https://doi.org/10.3390/medicina55050209
- Edú-Valsania, S., Laguía, A., Moriano, J.A. (2022). Burnout: A review of theory and measurement. International Journal of Environmental Research and Public Health, 19(3), Article 1780. https://doi.org/10.3390/ijerph19031780
- Freudenberger, H.J. (1974). Staff burn-out. Journal of Social Issues, 30(1), 159—165. https://doi.org/10.1111/j.1540-4560.1974.tb00706.x
- Gavelin, H.M., Domellöf, M.E., Åström, E., Nelson, A., Launder, N.H., Stigsdotter-Neely, A., Lampit, A. (2021). Cognitive function in clinical burnout: A systematic review and meta-analysis. Work & Stress, 36(1), 86—104. https://doi.org/10.1080/02678373.2021.2002972
- Golonka, K., Mojsa-Kaja, J., Popiel, K., Marek, T., Gawlowska, M. (2017). Neurophysiological markers of emotion processing in burnout syndrome. Frontiers in psychology, 8, Article 2155. https://doi.org/10.3389/fpsyg.2017.02155
- Guseva Canu, I., Marca, S.C., Dell’Oro, F., Balázs, Á., Bergamaschi, E., Besse, C., Bianchi, R., Bislimovska, J., Koscec Bjelajac A., Bugge, M., Busneag, C.I., Çağlayan, Ç., Cernițanu, M., Costa Pereira C., Dernovšček Hafner, N., Droz, N., Eglite, M., Godderis, L., Gündel, H., ... Wahlen, A. (2021). Harmonized definition of occupational burnout: A systematic review, semantic analysis, and Delphi consensus in 29 countries. Scandinavian Journal of Work, Environment & Health, 47(2), 95—107. https://doi.org/10.5271/sjweh.3935
- Hammarström P., Rosendahl, S., Gruber, M., Nordin, S. (2023). Somatic symptoms in burnout in a general adult population. Journal of Psychosomatic Research, 168, Article 111217. https://doi.org/10.1016/j.jpsychores.2023.111217
- Heinemann, L.V., Heinemann, T. (2017). Burnout research: Emergence and scientific investigation of a contested diagnosis. Sage Open, 7(1), Article 2158244017697154. https://doi.org/10.1177/2158244017697154
- Hod K., Melamed, S., Dekel, R., Maharshak, N., Sperber, A.D. (2020). Burnout, but not job strain, is associated with irritable bowel syndrome in working adults. Journal of Psychosomatic Research, 134, Article 110121. https://doi.org/10.1016/j.jpsychores.2020.110121
- Ježková Petrů, G., Zychová, K., Drahotová, K., Kuralová, K., Kvasničková Stanislavská, L., Pilař, L. (2023). Identifying the communication of burnout syndrome on the Twitter platform from the individual, organizational, and environmental perspective. Frontiers in Psychology, 14, Article 1236491. https://doi.org/10.3389/fpsyg.2023.1236491
- Kalliomäki, J., Jansen, G. (2021). Development of a chronic stress diagnosis. Journal of Rehabilitation Medicine—Clinical Communications, 4, Article 1000064 https://doi.org/10.2340/20030711-1000064
- King, J., AlJneibi, N., King, R. (2021). The urgent need for diagnostic criteria and further understanding of burnout syndrome. Ibnosina Journal of Medicine and Biomedical Sciences, 13(02), 54—59. https://doi.org/10.4103/ijmbs.ijmbs_37_21
- Koutsimani, P., Montgomery, A., Georganta, K. (2019). The relationship between burnout, depression, and anxiety: A systematic review and meta-analysis. Frontiers in Psychology, 10, Article 284. https://doi.org/10.3389/fpsyg.2019.00284
- Li, Z., Wu, M., Zhang, X., Yan, K., Wang, X., Xu, H., Li, P., Liu, Y., Deng, Q., Li, X., Wang, Q., Li, M., Wang, Y., Hao, Y., He, L., Tang, Y., Liu, T., Peng, P., Wu, Q. (2024). Interrelationships of stress, burnout, anxiety, depression, quality of life and suicidality among Chinese residents under Standardized Residency Training: A network analysis. Annals of Medicine, 56(1), Article 2433030 https://doi.org/10.1080/07853890.2024.2433030
- Lindegård, A., Wastensson, G., Hadzibajramovic, E., Grimby-Ekman, A. (2019). Longitudinal associations between cardiorespiratory fitness and stress-related exhaustion, depression, anxiety and sleep disturbances. BMC Public Health, 19, Article 1726. https://doi.org/10.1186/s12889-019-8081-6
- Lindsäter, E., Svärdman, F., Wallert, J., Ivanova, E., Söderholm, A., Fondberg, R., Nilsonne, G., Cervenka, S., Lekander, M., Rück, C. (2022). Exhaustion disorder: scoping review of research on a recently introduced stress-related diagnosis. BJPsych Open, 8(5), Article e159. https://doi.org/10.1192/bjo.2022.559
- Lopes, A., da Graça, I., Machado, K., de Alcântara, T. (2022). Diagnosis of Burnout Syndrome in professionals from primary to tertiary health care: A bibliographic review. Research, Society and Development, 11(16). Article e578111638631 https://doi.org/10.33448/rsd-v11i16.38631
- Maslach, C., Jackson, S.E. (1981). The measurement of experienced burnout. Journal of organizational behavior, 2(2), 99—113. https://doi.org/10.1002/job.4030020205
- Metlaine, A., Sauvet, F., Gomez-Merino, D., Boucher, T., Elbaz, M., Delafosse, J.Y., Leger, D. Chennaoui, M. (2018). Sleep and biological parameters in professional burnout: A psychophysiological characterization. PLoS One, 13(1), Article e0190607. https://doi.org/10.1371/journal.pone.0190607
- Mota, A.I., Lopes, J., Oliveira, C. (2023). The burnout experience among teachers: A profile analysis. Psychology in the Schools, 60(10), 3979—3994. https://doi.org/10.1002/pits.22956
- Nakamura, H., Nagase, H., Yoshida, M., Ogino, K. (1999). Natural killer (NK) cell activity and NK cell subsets in workers with a tendency of burnout. Journal of psychosomatic research, 46(6), 569—578. https://doi.org/10.1016/S0022-3999(99)00009-4
- Nunes, A., Palma-Moreira, A. (2024). Toxic leadership and turnover intentions: The role of burnout syndrome. Administrative Sciences, 14(12), Article 340. https://doi.org/10.3390/admsci14120340
- Panagioti, M., Panagopoulou, E., Bower, P., Lewith, G., Kontopantelis, E., Chew‐Graham, C., Dawson, S., van Marwijk, H., Geraghty, K., Esmail, A. (2017). Controlled interventions to reduce burnout in physicians: A systematic review and meta-analysis. JAMA Internal Medicine, 177(2), 195—205. https://doi.org/10.1001/jamainternmed.2016.7674
- Penz, M., Stalder, T., Miller, R., Ludwig, V.M., Kanthak, M.K., Kirschbaum, C. (2018). Hair cortisol as a biological marker for burnout symptomatology. Psychoneuroendocrinology, 87, 218—221. https://doi.org/10.1016/j.psyneuen.2017.07.485
- Pihlaja, M., Peräkylä, J., Erkkilä, E. H., Tapio, E., Vertanen, M., Hartikainen, K.M. (2023). Altered neural processes underlying executive function in occupational burnout—Basis for a novel EEG biomarker. Frontiers in Human Neuroscience, 17, Article 1194714. https://doi.org/10.3389/fnhum.2023.1194714
- Porciuncula, AM., Venâncio, S.A., da Silva, C.M.F.P. (2020). Burnout syndrome in family health strategy managers. Ciencia & Saude Coletiva, 25(4), 1555—1566. https://doi.org/10.1590/1413-81232020254.22072018
- Quesada-Puga, C., Izquierdo-Espin, F.J., Membrive-Jimenez, M.J., Aguayo-Estremera, R., Cañadas-De La Fuente, G.A., Romero-Bejar, J.L., Gomez-Urquiza, J.L. (2024). Job satisfaction and burnout syndrome among intensive-care unit nurses: A systematic review and meta-analysis. Intensive and Critical Care Nursing, 82, Article 103660. https://doi.org/10.1016/j.iccn.2024.103660
- Rothe, N., Steffen, J., Penz, M., Kirschbaum, C., Walther, A. (2020). Examination of peripheral basal and reactive cortisol levels in major depressive disorder and the burnout syndrome: A systematic review. Neuroscience & Biobehavioral Reviews, 114, 232—270. https://doi.org/10.1016/j.neubiorev.2020.02.024
- Sanchez-Gomez, M., Breso, E. (2020). In pursuit of work performance: Testing the contribution of emotional intelligence and burnout. International Journal of Environmental Research and Public Health, 17(15), Article 5373. https://doi.org/10.3390/ijerph17155373
- Schaufeli, W.B., Desart, S., De Witte, H. (2020). Burnout assessment tool (BAT)—development, validity, and reliability. International Journal of Environmental Research and Public Health, 17(24), Article 9495. https://doi.org/10.3390/ijerph17249495
- Schonfeld, I.S., Bianchi, R. (2016). Burnout and depression: Two entities or one? Journal of Clinical Psychology, 72(1), 22—37. https://doi.org/10.1002/jclp.22229
- Tavares, H.H.F., da Silva, H.D.S., Miranda, I.M.M., Braga, M.S., Santos, R. de O., Guerra, H.S. (2020). Factors associated with Burnout Syndrome in medical students. O Mundo da Saúde, 44(1), 280—289. https://doi.org/10.15343/0104-7809.202044280289
- Tavella, G., Hadzi-Pavlovic, D., Parker, G. (2021). Burnout: Redefining its key symptoms. Psychiatry Research, 302, Article 114023. https://doi.org/10.1016/j.psychres.2021.114023
- Tavella, G., Parker, G. (2024). Differentiating 'pure' and comorbid self-identified burnout: Diagnostic and management implications. Australasian Psychiatry, 32(3), 192—195. https://doi.org/10.1177/10398562241236119
- Toker, S., Shirom, A., Shapira, I., Berliner, S., Melamed, S. (2005). The association between burnout, depression, anxiety, and inflammation biomarkers: C-reactive protein and fibrinogen in men and women. Journal of Occupational Health Psychology, 10(4), 344—362. https://doi.org/10.1037/1076-8998.10.4.344
- Tóth‐Király, I., Morin, A., Salmela‐Aro, K. (2021). Reciprocal associations between burnout and depression: An 8‐year longitudinal study. Applied Psychology, 70(4), 1691—1727. https://doi.org/10.1111/apps.12295
- van Dam, A. (2021). A clinical perspective on burnout: Diagnosis, classification, and treatment of clinical burnout. European Journal of Work and Organizational Psychology, 30(5), 732—741. https://doi.org/10.1080/1359432X.2021.1948400
- Vidotti, V., Ribeiro, R.P., Galdino, M.J.Q., Martins, J.T. (2018). Burnout Syndrome and shift work among the nursing staff. Revista Latino-Americana de Enfermagem, 26, Article e3022. https://doi.org/10.1590/1518-8345.2550.3022
- Wurm, W., Vogel, K., Holl, A., Ebner, C., Bayer, D., Mörkl, S., Szilagyi, I., Hotter, E., Kapfhammer, H., Hofmann, P. (2016). Depression-burnout overlap in physicians. PLoS ONE, 11(3), Article e0149913. https://doi.org/10.1371/journal.pone.0149913
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Contribution of the authors
Аuthors contributed equally to the research, data analysis, and preparation of this manuscript.
Аuthors participated in the discussion of the results and agreed on the final text of the manuscript.
Conflict of interest
The authors declare no conflict of interest.
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