ArticlePsychoneuroendocrinology2019
Examining reactivity patterns in burnout and other indicators of chronic stress.
Article in Psychoneuroendocrinology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
19 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- The Relationship between Flow Experience and Burnout Symptoms: A Systematic Review.International journal of environmental research and public health · 2022Pooled it
- Pooled it
- Pooled it
- Associations between burnout symptoms and social behaviour: exploring the role of acute stress and vagal function.BMC public health · 2022Trial
- The Impact of Burnout on Body Composition in Medical Staff.Medicina (Kaunas, Lithuania) · 2026Article
- Simultaneous Analysis of Biomarkers in Human Hair for Evaluating Chronic Tobacco Smoke Exposure and Stress/Relaxation Using Online In-Tube Solid-Phase Microextraction Coupled with Liquid Chromatography-Tandem Mass Spectrometry.Molecules (Basel, Switzerland) · 2026Article
- Reliability and reactivity of heart rate variability and pupillometry in response to controlled autonomic perturbations in university students.Behavior research methods · 2025Article
- Association Between Phasic Vagal-Mediated Heart Rate Variability and Momentary Exhaustion in Daily Life.Stress and health : journal of the International Society for the Investigation of Stress · 2025Article
- The association between hair cortisol and burnout is moderated by age, psychosocial, and immunological markers.Brain, behavior, & immunity - health · 2025Article
- Simultaneous Determination of Tobacco Smoke Exposure and Stress Biomarkers in Saliva Using In-Tube SPME and LC-MS/MS for the Analysis of the Association between Passive Smoking and Stress.Molecules (Basel, Switzerland) · 2024Article
- Cortisol Reactivity to Acute Psychosocial Stress in Physician Burnout.Biomedicines · 2024Article
- Teacher stress in social interactions in the light of polyvagal theory. An ambulatory assessment approach to teachers' heart rate and heart rate variability.Frontiers in neuroscience · 2024Article
- The STRESS-EU database: A European resource of human acute stress studies for the worldwide research community.Neuroscience applied · 2024Article
- Validation of an ELISA kit to measure allopregnanolone in human and equine hair.Journal of veterinary diagnostic investigation : official publication of the American Association of Veterinary Laboratory Diagnosticians, Inc · 2023Article
- Psychophysiological Stress Reactivity in Monozygotic Twins with and without Takotsubo Syndrome.Biomedicines · 2022Article
- Determining the direction of prediction of the association between parasympathetic dysregulation and exhaustion symptoms.Scientific reports · 2022Article
- Respiration rate during a stress task moderates neuroticism and perceived stress in older adults.Current issues in personality psychology · 2022Article
- Systemic Catecholaminergic Deficiency in Depressed Patients with and without Coronary Artery Disease.Journal of clinical medicine · 2021Article
- Maternal Mental Health and Parenting Stress and Their Relationships to Characteristics of the Child With Fragile X Syndrome.Frontiers in psychiatry · 2021Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
introductionBurnout symptomatology is associated with various negative health consequences; however, the mechanisms underlying these associations remain unclear. One potential pathway involves alterations in the acute stress response. The aims of the present study were to examine burnout-associated alterations in stress-reactivity patterns, during a standardized social stressor compared to a control condition, as well as to examine whether effects associated with greater burnout symptomatology were distinct from other, conceptually overlapping indicators of chronic stress (i.e. depressive symptomatology and elevated hair cortisol concentration [HCC]). MATERIALS AND
methodsIn a randomized two-factor design a total of 70 employed males with varying burnout symptoms but without evidence of physical or psychiatric disease were exposed to the Trier Social Stress Test for Groups (TSST-G) or a non-stressful control condition. Acute stress reactivity was assessed using self-report stress measures and non-invasive biomarkers. Associations among acute stress reactivity, burnout and depressive symptoms (assessed with self-report measures), as well as HCC were analysed using repeated measure ANCOVAs and moderation analysis.
resultsBurnout symptomatology was associated with elevated stress perception independent of the experimental condition. In addition, depressive symptomatology was associated with enhanced anticipatory appraisal, whereas HCC was not related to any subjective stress measure. On a physiological level, burnout and depressive symptomatology, as well as HCC were associated with a pattern of blunted cardiovascular reactivity, however the timing of this effect varied.
conclusionOur results indicate burnout-associated modulations in stress reactivity, which diverge, at least partly, from other indicators of chronic stress.
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