Evidence map›Paper›PMID 34609405›Full record

ArticleRomanian journal of morphology and embryology = Revue roumaine de morphologie et embryologie

Association between burnout and immunological and endocrine alterations.

Adela Magdalena Ciobanu, Ana Claudia Damian, Cristina Neagu

Registry-linked trialOpen access · diamondAbstract read
In one paragraph

Article in Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologie. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05510414 (Evaluation of a Psychological Capital Intervention to Alleviate Burnout and Regulate Immunity Among Oncology Nurses), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.9field-weighted citation impact, top 33% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

NCT05510414 nacompletednot on this map

Evaluation of a Psychological Capital Intervention to Alleviate Burnout and Regulate Immunity Among Oncology Nurses: a Randomized Controlled Trial

TypeinterventionalSponsorGuangxi Medical UniversityRan2018 to 2020Enrolled87ConditionsBurnout, PsychologicalArmspsychological intervention based on psychological capital
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 18 citations in OpenAlex.

  1. Low Battery Alarm; A Scoping Review of Autistic Burnout.Journal of autism and developmental disorders · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Adela Magdalena CiobanuDepartment of Psychiatry, Prof. Dr. Alexandru Obregia Clinical Hospital of Psychiatry, Bucharest, Romania; clau_damian@yahoo.com.
Ana Claudia Damian
Cristina Neagu
Spitalul Clinic de Psihiatrie Alexandru Obregia · RO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWeather a psychological construct or a clinical entity, numerous studies have been focused on the biological link between stress, burnout, and biomarkers.

aimThe purpose of our study was to search the existing literature and summarize the immunological and endocrine alterations found in burnout patients and, also, to provide updated data for clinicians to use.

methodsWe performed a literature search in PubMed database using specific terms.

resultsThe primary focus of the literature seems to be the hypothalamic-pituitary-adrenal (HPA) axis, which may be affected due to chronic stress, which can be investigated by measuring hormonal responsiveness [corticotropin-releasing hormone (CRH), adrenocorticotropic hormone (ACTH), cortisol, prolactin, thyroid hormones]. An important challenge that this field is faced with is the pulsatile and diurnal fluctuation of them, which may not always be considered and the heterogeneity of burnout measurements. Many studies have explored the linking pathways between the immune system and chronic stress, but only a few have specifically evaluated this process for future diagnostic or prognostic biomarkers.

conclusionsBurnout has cumulative effects on our body and stress does not affect us in a singular direction, on the contrary, significant clinical implications are found, not only microscopic, but affective symptoms leading to anxiety and depression.

Indexed as

Hypothalamo-Hypophyseal SystemPituitary-Adrenal SystemAdrenocorticotropic HormoneBurnout, PsychologicalCorticotropin-Releasing HormoneHumansHydrocortisoneAdrenocorticotropic HormoneCorticotropin-Releasing HormoneHydrocortisone

Identifiers

PMID34609405
PMCPMC8597388
OpenAlexW3203066189

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.