Korczak D, Huber B
Institut für Grundlagen- und Programmforschung, Nymphenburgerstr. 47, 80335, München, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2012 Feb;55(2):164-71. doi: 10.1007/s00103-011-1404-0.
Burnout is widely known as a work-related syndrome that is associated by serious individual and social consequences. The aim of the HTA report "Differential diagnostic of the burnout syndrome" published by DIMDI in 2010 was to determine how burnout can be diagnosed and distinguished from other disorders. Based on a systematic literature review of 36 databases, 852 studies published between 2004 and 2009 were identified. After considering inclusion and exclusion criteria, 25 medical and one ethical study remained. The study evidence is predominantly low. Self-assessment tools are mainly used. The analysis showed that no standardized, common valid procedure exists to obtain a burnout diagnosis. Overall the problem is to measure a phenomenon that is not exactly defined. It is primarily important to distinguish burnout from depression, alexithymia, feeling unwell, and the concept of prolonged exhaustion. Beside the need for a valid definition, further research is needed, particularly high-quality, long-term studies, to broaden the understanding of the syndrome. Furthermore, a standardized, internationally accepted and valid procedure for diagnosing burnout is necessary.
职业倦怠是一种广为人知的与工作相关的综合征，会带来严重的个人和社会后果。德国医学与健康照护资讯中心（DIMDI）于2010年发布的卫生技术评估报告《职业倦怠综合征的鉴别诊断》旨在确定如何诊断职业倦怠，并将其与其他疾病区分开来。基于对36个数据库的系统文献综述，共识别出2004年至2009年间发表的852项研究。在考虑纳入和排除标准后，剩下25项医学研究和1项伦理学研究。研究证据大多质量较低，主要使用自我评估工具。分析表明，不存在用于获得职业倦怠诊断的标准化、通用有效的程序。总体而言，问题在于衡量一个定义并不精确的现象。将职业倦怠与抑郁症、述情障碍、身体不适以及长期疲惫的概念区分开来至关重要。除了需要一个有效的定义外，还需要进一步开展研究，尤其是高质量的长期研究，以加深对该综合征的理解。此外，需要一个标准化、国际认可且有效的职业倦怠诊断程序。
