PROSPERO

International prospective register of systematic reviews

Job burnout as a predictor of physical, psychological and professional consequences: a

systematic review of prospective studies
Denise Salvagioni, Flavia Sant´Anna, Francine Melanda, Selma Andrade, Alberto Duran, Arthur Mesas

Citation
Denise Salvagioni, Flavia Sant´Anna, Francine Melanda, Selma Andrade, Alberto Duran, Arthur
Mesas. Job burnout as a predictor of physical, psychological and professional consequences: a
systematic review of prospective studies. PROSPERO 2015 CRD42015028047 Available from:
https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42015028047

Review question
What are the physical, psychological and professional consequences for employees with burnout as
analyzed in longitudinal studies?

Searches
We will search the following electronic bibliographic databases: PubMed, Science Direct, PsycINFO,
SciELO, LILACS and Web of Science with these terms:
a) PubMed: ((burnout[Title]) AND (longitudinal[Title/Abstract] OR prospective[Title/Abstract] OR
cohort[Title/Abstract] OR case control[Title/Abstract] OR case-control[Title/Abstract] OR "follow-
up"[Title/Abstract] OR "follow up"[Title/Abstract])). b) Science Direct: TITLE(burnout) and TITLE-ABSTR-
KEY(longitudinal OR prospective OR cohort OR case control OR case-control OR follow-up OR "follow up").
c) PsycINFO: Title: burnout AND Abstract: longitudinal OR prospective OR cohort OR case control OR case-
control OR follow-up OR follow up.
d) SciELO: burnout and longitudinal OR prospectivo OR coorte OR caso-controle OR caso controle OR
seguimento.
e) LILACS: burnout [Palavras do título] and longitudinal OR prospectivo OR coorte OR caso-controle OR
caso controle OR seguimento [Palavras do resumo].
f) Web of Science: Title=(burnout) AND Title/Summary=(longitudinal OR prospective OR cohort OR case
control OR case-control OR follow up OR follow-up). No restrictions of language, publication period.

Types of study to be included

The included works must be original studies with quantitative data, published in complete article format in
journals with an editorial board, which deal with burnout and which have a longitudinal study design (cohort
or case-control) and which submit data on the consequences of individuals in burnout, and which seek to
analyze burnout as an exposure (risk factor).

Condition or domain being studied

Physical, psychological or professional consequences (outcomes) of burnout (exposure).

Participants/population
Employees.

Intervention(s), exposure(s)
Burnout is a syndrome of emotional exhaustion and cynicism that occurs frequently among individuals who
do ‘peoplework’ of some kind. A key aspect of the burnout syndrome is increased feelings of emotional
exhaustion. As their emotional resources are depleted, workers feel they are no longer able to give of
themselves at a psychological level. Another aspect is the development of negative, cynical attitudes and
feelings about one’s clients. A third aspect of the burnout syndrome is the tendency to evaluate oneself
negatively, particularly with regard to one’s work with clients.
Workers feel unhappy about themselves and dissatisfied with their accomplishments on the job.

Comparator(s)/control
Cohort or case control. A group of healthy individuals.

Context

Page: 1 / 4
 PROSPERO
International prospective register of systematic reviews

Main outcome(s)
Physical, psychological or professional consequences of burnout.

Additional outcome(s)
Physical, psychological or professional consequences of burnout.

Data extraction (selection and coding)

This phase has not been completed. Titles and/or abstracts of studies retrieved using the search strategy
and those from additional sources will be screened independently by two review authors to identify studies
that potentially meet the inclusion criteria outlined above. The full text of these potentially eligible studies will
be retrieved and independently assessed for eligibility by two review team members. Any disagreement
between them over the eligibility of particular studies will be resolved through discussion with a third
reviewer. Extracted information will include: lead author, title, publication year, journal, venue of the study
objectives, the study population characteristics, follow-up, instruments used in data collection, study design
(case-control or cohort), dependent variables and independent , used statistical analysis and control
variables (if any), main findings and identified constraints, classification of outcomes in physical,
psychological or professional assessment score of methodological quality and finally quote from conflicts of
interest.

Risk of bias (quality) assessment

One author will assess the risk of bias in included studies by considering the following characteristics:
1. The size of the final follow-up sample is greater than 100 persons.
2. The exposed and unexposed cohorts belong to the same community;
3. The determination of the exposure (independent variable) is given by insurance records or structured
interviews;
4. The determination of the outcome (dependent variable) is given by insurance records or structured
interviews;
5. The outcome of interest is investigated at baseline and excluded from the longitudinal analysis;
6. Follow-up losses are described;
7. The main adjustment factors in the analysis are selected: age and sex/gender;
8. Any additional adjustment factors are selected: education, marital status, occupation, depression or health
aspects;
9. Uses measures of association between dependent and independent variables.

Strategy for data synthesis

We will provide a narrative synthesis of the findings from the included studies, structured around the
physical, psychological or professional consequences of burnout.

Analysis of subgroups or subsets

None planned.

Contact details for further information

Denise Salvagioni
denisealbieri@yahoo.com.br

Organisational affiliation of the review

Universidade Estadual de Londrina (UEL)
www.uel.br

Review team members and their organisational affiliations

Miss Denise Salvagioni. IFPR/UEL
Miss Flavia Sant´Anna. UEL
Miss Francine Melanda. UEL
Dr Selma Andrade. UEL
Dr Alberto Duran. UEL
Dr Arthur Mesas. UEL

Type and method of review

Page: 2 / 4
 PROSPERO
International prospective register of systematic reviews

Anticipated or actual start date

19 August 2014

Anticipated completion date

31 March 2016

Funding sources/sponsors
CNPQ

Conflicts of interest
None known

Language
English

Country
Brazil

Stage of review
Review Ongoing

Subject index terms status

Subject indexing assigned by CRD

Subject index terms

Anxiety Disorders; Humans; Mental Disorders; Occupational Health; Physical Examination; Prospective
Studies; Stress, Psychological; Workload

Date of registration in PROSPERO

09 November 2015

Date of publication of this version

09 November 2015

Details of any existing review of the same topic by the same authors
Stage of review at time of this submission

Stage Started Completed

Preliminary searches No Yes

Piloting of the study selection process No Yes

Formal screening of search results against eligibility criteria Yes No

Data extraction Yes No

Risk of bias (quality) assessment No No

Data analysis No No

Versions
09 November 2015

PROSPERO
This information has been provided by the named contact for this review. CRD has accepted this information in good
faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission

Page: 3 / 4
 PROSPERO
International prospective register of systematic reviews

is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any
associated files or external websites.

Page: 4 / 4

Powered by TCPDF (www.tcpdf.org)