PROFESSIONAL BURNOUT Series in Applied Psychology: Social Issues and Questions Stevan E. Hobfoll, Editor-in-Chief Akamatsu, Stephens, Hobfoll, Crowther Family Health Psychology Crowther, Thnnenbaum, Hobfoll, Stephens Bulimia Nervosa: The Individual and Familial Context Hall, Hirschman, Graham, Zaragoza Sexual Aggression: Issues in Etiology and Assessment, Treatment and Policy SchaufeU, Maslach, Marek Professional Burnout: Recent Developments in Theory and Research Schroeder New Directions in Health Psychology Assessment Stephens, Crowther, Hobfoll, Tennenbaum Stress and Coping in Later-Life Families PROFESSIONAL BURNOUT: RECENT DEVELOPMENTS IN THEORY AND RESEARCH Edited by Wilmar B. Schaufeli University of Nijmegen, The Netherlands Christina Maslach University of California, Berkeley, USA Thdeusz Marek Jagiellonian University, Krakow, Poland USA Publishing Office Taylor & Francis 325 Chestnut Street, Suite 800 Philadelphia, PA 19106 Tel; (215) 625-8900 Fax: (215) 625·2940 Distribution Center Taylor & Francis 7625 Empire Drive Florence, KY 41042 Tel: (800) 634-7064 Fax: (800) 248·4724 UK Taylor & Francis II New Fetter Lane London EC4P 4EE Tel: +44 (0) 171 583 9855 Fax: +44 (0) 1718422298 PROFESSIONAL BURNOUT: Recent Developments In Theory and Research Copyright © 1993 by Thylor & Francis. All rights reserved. Printed in the United Slates of America. Except as permitted under the United Slates Copyright Act of 1976, no part of this publication may be reproduced or distributed in any form or by any means, or stored in a data base or retrieval system, '.vithout the prior written penrJssioii of the publisher. 67890 BRBR 987654 This book was set in Times Roman by Thylor & Francis. The editors were Janice Stern and Deena Williams Newman; the production supervisor was Peggy M. Rote; and the typesetters were Anahid Alvandian and Darrell Larsen. Cover design by Michelle Fleitz. Printing and binding by Braun-Brumfield, Inc. A CIP catalog record for this book is available from the British Library. @ The paper in this publication meets the requirements of the ANSI standard Z39,48·1984(Permanence of Paper). Library of Congress Cataloglng-In-Publicatlon Data Professional burnout: recent developments in theory and research I edited by Wilmar B. Schaufeli. Christina Maslach. Tadeusz Marek. p. cm. - (Series in applied psychology) Includes bibliographical references and index. I. Burnout (Psychology) 2. Job stress. 3. Stress (Psychology) I. Schaufeli, Wilmar, date. II. Maslach, Christina. m. Marek, Thdeusz. IV. Series: Series in applied psychology (New York, N.Y.) [DNLM: 1. Burnout, Professional-congresses. WM 172 P9635] BF48I. P77 1993 158.7-dc20 DNLMIDLC for Library of Congress 92-49131 ISBN 1-56032-683-2 ISSN 1048-8146 CONTENTS Contributors ix Preface xi 1 Historical and Conceptual Development of Burnout 1 Christina Maslach and Wilmar B. Schaufeli Historical Development of the Burnout Concept 2 Conceptual Issues 8 Conclusion 16 I INTERPERSONAL APPROACHES 2 Burnout: A Multidimensional Perspective 19 Christina Maslach A Multidimensional Model of Burnout 20 Multidimensional vs. Unidimensional Models of Burnout 26 Conceptual Implications of Research Directions 29 Social Relationships Revisited: A Return to Roots 31 Conclusion 32 3 Burnout: An Existential Perspective 33 Ayala M. Pines The Existential Perspective !lnd Definitions of Burnout 35 Burnout and Other Concepts 38 An Existential Model of Burnout 41 v vi CONTENTS Coping with Burnout 46 Conclusion 51 4 Burnout: A Perspective from Social Comparison Theory 53 Bram P. Buunk and Wilmar B. Schau/eli Social Comparison Theory, Stress, and Affiliation 54 Stressors in the Nursing Profession 56 Differential Correlates of the Burnout Dimensions 58 Social Comparison, Affiliation, and Isolation Under Stress 60 Upward Affiliation 62 Affective Consequences of Downward Comparison 64 Do Social Comparisons Matter? 65 Conclusion 66 II INDMDUAL APPROACHES 5 In Searcb of Tbeory: Some Ruminations on the Nature and Etiology of Burnout 75 Matthias Burisch Burnout as a Fuzzy Set 76 Research Traditions Relevant for Understanding Burnout 78 A Hierarchy of Theoretical Approaches to Burnout 83 An Action Model of Burnout 90 Conclusion 93 6 Burning Out: A Framework 95 Lennart Hallsten Some Weaknesses of the State Conception of Burnout 96 An Outline of the Process of Burning Out 98 Key Contributing Factors to Burning Out 100 Burning Out and Related Processes 102 Comparisons with Related Concepts 111 Conclusion 112 7 Conservation of Resources: A General Stress Theory Applied to Burnout 115 Stevan E. Hob/oil and John Freedy Models of Burnout 116 Conservation of Resources Theory 117 COR Theory and Intervention 125 Conclusions 129 CONTENTS vii III ORGANIZATIONAL APPROACHES 8 Role of Professional Self-Efficacy in the Etiology and Amelioration of Burnout 135 Cary Cherniss Burnout and Self-Efficacy: Lewin and Hall's Work 137 The Link Between Self-Efficacy and Burnout 138 Self-Efficacy and More Recent Views of Burnout 140 Domains of Professional Self-Efficacy 141 Enhancing Professional Self-Efficacy 143 9 Organizational Structure, Social Support, and Burnout 151 Jacques Winnubst Organizational Culture, Climate, and Ethics 152 Social Support in Relation to Stress and Burnout 155 Organizational Stressors and Burnout 157 Social Support, Structure, and Culture 159 Treating Burnout by Social Support Interventions 160 10 Impact of Professional Burnout on Creativity and Innovation 163 Czeslaw Noworol. Zbigniew Zarczynski. Magdalena FaJrowicz. and Tadeusz Marek Creativity and Innovation in Organizations 164 Current Research 170 Discussion and Conclusions 173 11 Burnout, Health, Work Stress, and Organizational Healthiness 177 Tom Cox. George Kuk, and Michael P. Leiter The Concept of Burnout 178 Burnout and Health 182 Well-Being and Burnout 184 Burnout and Stress 185 Stress, Burnout, and Organizational Healthiness 189 Conclusion 193 vIII CONTENTS IV METHODOLOGICAL ISSUES 12 Measurement of Burnout: A Review 199 Wilmar B. Schaufeli, Dirk Enzmann, and Noi!lle Girault Alternative Measures of Burnout 200 Burnout Measures with Limited Application 202 The Burnout Measure (BM) 205 The Maslach Burnout Inventory 207 Conclusions and Recommendations 211 Directions for Future Research 212 13 Burnout in Cross-National Settings: Generic and Model-Specific Perspectives 217 Robert T. Golembiewski, Katherine Scherb, and Robert A. Boudreau Emerging Empirical Research 218 Some Generic Evidence 227 Some Model-Specific Evidence 229 Discussion 234 14 Burnout as a Developmental Process: Consideration of Models 237 Michael P. Leiter Burnout as a Unitary Versus a Three-Component Construct 238 Burnout as a Developmental Process 244 Conclusions and Recommendations 249 V OUTLOOK 15 The Future of Burnout 253 Wilmar B. Schaufeli, Christina Maslach, and Tadeusz Marek What Do We Have? 254 What Do We Need? 256 Conclusion 259 References 261 Index 293 CONTRIBUmRS ROBERT A. BOUDREAU, Faculty of Management, University of Lethbridge, Lethbridge, Alberta, Canada TlK 3N4. MAlTHIAS BURISCH, Department of Psychology, University of Hamburg, von Melle Park 5, 2000 Hamburg 13, Germany. BRAM P. BUUNK, Department of Psychology, University of Groningen, Grote Kruistraat 112, 9712 TS Groningen, The Netherlands. CARY CHERNISS, Graduate School of Applied and Professional Psychology, Rutgers University, P.O. Box 819, New Brunswick, New Jersey 08855, USA. roM COX, Centre for Organizational Health and Development, Department of Psychology, University of Nottingham, Nottingham NG7 2RD, United Kingdom. DIRK ENZMANN, Department of Psychology, Technical University, Dovestrasse 1-5, 1000 Berlin 10, Germany. MAGDALENA FAFROWICZ, Institute of Psychology, Jagiellonian University, Golebia 13, 31-007 Krak6w, Poland. ROBERT T. GOLEMBIEWSKI, Department of Political Science, University of Georgia, Athens, Georgia 30602, USA. JOHN FREEDY, Medical University of South Carolina, 171 Ashley Avenue, Charleston, South Carolina 29425, USA. NOElLE GIRAULT, Department l'f Psychology, Rene Descartes University, 28 Rue Serpente, 75006 Paris, France. LENNART HALLSTEN, National Institute of Occupational Health, Division of Psychophysiology, Ekelundsvagen 16, 171 84 Solna, Sweden. Ix