Evidence map›Paper›PMID 42479264›Full record

ArticleClinical rheumatology2026

The Treatment-Related Burnout Scale for Rheumatic Diseases: Development and Preliminary Validation.

Gulsah Yasa Ozturk, Burhan Fatih Kocyigit, Huseyin Selvi, Ibrahim Bashan, Burak Okyar

Abstract readValidation Study
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In one paragraph

Article in Clinical rheumatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Gulsah Yasa OzturkDepartment of Physical Medicine and Rehabilitation, University of Health Sciences, Adana City Research and Training Hospital, Adana, Türkiye.ORCID http://orcid.org/0000-0002-9033-5095
Burhan Fatih KocyigitDepartment of Physical Medicine and Rehabilitation, University of Health Sciences, Adana City Research and Training Hospital, Adana, Türkiye. bfk2701@hotmail.com.ORCID http://orcid.org/0000-0002-6065-8002
Huseyin SelviDepartment of Medical Education, Faculty of Medicine, Mersin University, Mersin, Türkiye.ORCID http://orcid.org/0000-0002-3513-0003
Ibrahim BashanDepartment of Medical Education, Faculty of Medicine, Mersin University, Mersin, Türkiye.ORCID http://orcid.org/0000-0002-0034-2727
Burak OkyarDepartment of Rheumatology, University of Health Sciences, Adana City Research and Training Hospital, Adana, Türkiye.ORCID http://orcid.org/0000-0002-9028-9930

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

INTRODUCTION/

objectivesTo develop and validate the Treatment-Related Burnout Scale for Rheumatic Diseases and to evaluate treatment-related burnout levels and associated factors in patients with rheumatologic diseases.

methodsThis methodological and descriptive study was conducted with two independent patient samples with rheumatologic diseases. In the first stage, a draft scale was developed through literature review and expert consultation. Content validity was assessed using the Davis technique. Exploratory factor analysis and reliability analyses were performed in a sample of 260 participants. In the second stage, confirmatory factor analysis and regression analyses were conducted in an independent sample of 248 participants. Internal consistency was evaluated using Cronbach's alpha and composite reliability, while convergent validity was assessed using average variance extracted.

resultsFollowing item analysis and exploratory factor analysis, the final scale consisted of 28 items and four subdimensions: Emotional and Cognitive Exhaustion, Treatment-Related Exhaustion, Disease-Related Functional Burden, and Healthcare System and Treatment Process Burden. The four-factor structure explained 63.30% of the total variance. Confirmatory factor analysis indicated an acceptable, although not optimal, model fit (χ

conclusionThe Treatment-Related Burnout Scale for Rheumatic Diseases provides preliminary evidence of validity and reliability as a multidimensional instrument for assessing treatment-related burnout in patients with rheumatologic diseases. The scale may contribute to clinical assessment and future research by providing a comprehensive evaluation of psychosocial burden related to long-term treatment processes. Key Points • The Treatment-Related Burnout Scale for Rheumatic Diseases (TBS-RD) is a newly developed 28-item instrument designed to assess treatment-related burnout in emotional, cognitive, functional, and healthcare system-related domains. •Exploratory and confirmatory factor analyses confirmed a four-factor structure. The total scale showed a Cronbach's alpha of 0.966, with composite reliabilities ranging from 0.81 to 0.95 for the subscales. • Patients with rheumatological diseases experienced moderate treatment-related burnout, with emotional and cognitive exhaustion being the most significant factors. • Gender was significantly associated with emotional and cognitive exhaustion, highlighting the importance of individualized, psychosocially informed clinical management.

Indexed as

Burnout, PsychologicalRheumatic DiseasesAdultAgedEmotional ExhaustionFactor Analysis, StatisticalFemaleHumansMaleMiddle AgedPsychometricsReproducibility of ResultsSurveys and QuestionnairesBurnoutPsychologicalReliability and validityReproducibility of resultsRheumatic diseasesScales

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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.