Burnout subtypes among Brazilian primary care professionals: Validation of the long and short Brazilian versions of the ‘Burnout Clinical Subtype questionnaire’ (BCSQ-36/BCSQ-12)

Principal Investigator(s): View help for Principal Investigator(s) Marcelo Demarzo, Mente Aberta – Brazilian Center for Mindfulness and Health Promotion, Department of Preventive Medicine, Universidade Federal de São Paulo, UNIFESP, São Paulo, Brazil. Hospital Israelita Albert Einstein, São Paulo, Brazil.; Javier Garcia-Campayo, Primary Care Prevention and Health Promotion Research Network (RedIAPP), Zaragoza, Spain. Miguel Servet Hospital and University of Zaragoza. RedIAPP, Instituto Aragonés de Ciencias de la Salud, Zaragoza, Spain; David Martinez-Rubio, Red de Excelencia “Investigación en Procesos, Mecanismos y Tratamientos Psicológicos para la Promoción de la Salud Mental” – PROMOSAM (PSI2014-56303-REDT), Spain. Psicoforma, Valencia, Spain.; Joao Luiz Miraglia, Mente Aberta – Brazilian Center for Mindfulness and Health Promotion, Department of Preventive Medicine, Universidade Federal de São Paulo, UNIFESP, São Paulo, Brazil.; Marcio Sussumu Hirayama, Mente Aberta – Brazilian Center for Mindfulness and Health Promotion, Department of Preventive Medicine, Universidade Federal de São Paulo, UNIFESP, São Paulo, Brazil.; Vera Morais Antonio de Salvo, Mente Aberta – Brazilian Center for Mindfulness and Health Promotion, Department of Preventive Medicine, Universidade Federal de São Paulo, UNIFESP, São Paulo, Brazil; Karen Cicuto, Mente Aberta – Brazilian Center for Mindfulness and Health Promotion, Department of Preventive Medicine, Universidade Federal de São Paulo, UNIFESP, São Paulo, Brazil; Maria Lucia Favarato, Mente Aberta – Brazilian Center for Mindfulness and Health Promotion, Department of Preventive Medicine, Universidade Federal de São Paulo, UNIFESP, São Paulo, Brazil.; Vinicius Terra, Mente Aberta – Brazilian Center for Mindfulness and Health Promotion, Department of Preventive Medicine, Universidade Federal de São Paulo, UNIFESP, São Paulo, Brazil; Marcelo Batista de Oliveira, Mente Aberta – Brazilian Center for Mindfulness and Health Promotion, Department of Preventive Medicine, Universidade Federal de São Paulo, UNIFESP, São Paulo, Brazil.; Mauro García-Toro, Department of Psychology, University of the Balearic Islands, Spain.; Marta Modrego-Alarcón, Primary Care Prevention and Health Promotion Research Network (RedIAPP), Zaragoza, Spain. ; Jesus Montero-Marin, Primary Care Prevention and Health Promotion Research Network (RedIAPP), Zaragoza, Spain.

Version: View help for Version V1

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Project Citation:

Demarzo, Marcelo, Garcia-Campayo, Javier, Martinez-Rubio, David, Miraglia, Joao Luiz, Hirayama, Marcio Sussumu, de Salvo, Vera Morais Antonio, … Montero-Marin, Jesus. Burnout subtypes among Brazilian primary care professionals: Validation of the long and short Brazilian versions of the ‘Burnout Clinical Subtype questionnaire’ (BCSQ-36/BCSQ-12). Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 2019-04-14. https://doi.org/10.3886/E109282V1

Project Description

Summary: Background:Primary healthcare (PC) professionals show high levels of burnout. A new model of burnout has been developed to distinguish three clinical subtypes: “frenetic”, “under-challenged” and “worn-out”. The aim of this study was to assess the psychometric properties of the Brazilian version of the burnout subtypes among Brazilian PC professionals, and its possible associations with other psychological health-related outcomes and socio-demographic and labor variables. Methods:An online cross-sectional study conducted among Brazilian PC professionals was developed. Data on socio-demographic and labor characteristics were collected. Participants answered the “Burnout Clinical Subtypes Questionnaire” (BCSQ-36/BCSQ-12), “Maslach Burnout Inventory-General Survey” (MBI-GS), “Hospital Anxiety/Depression Scale” (HADS), “Positive/Negative Affect Schedule” (PANAS) and a “Visual Analogue Scale” (VAS) of guilt at work. The structure of the models was examined by confirmatory factor analysis; internal consistency by omega values; convergence with other constructs by Pearson’s correlations and multivariate linear regression and relationships with socio-demographic and labor variables by logistic regression.Results:A total of 407 participants were included in the study. The analyses found the bifactor was the model with the best fit to the data in all the burnout subtype scales using the long BCSQ-36, allowing the use of a general factor for each burnout subtype. The three-correlated first-order factors model fit better to the short BCSQ-12. Internal consistence was appropriate. The convergence between the long and short versions of the BCSQ was adequate, and the relationships between the burnout subtypes and the psychological health-related variables, reflected diverse characteristics for the distinct burnout profiles. The socio-demographic and labor data were differentialy related to the burnout subtypes, facilitating identification. Discussion:The Brazilian version of the BCSQ showed appropriate psychometrics to be used in PC professionals. The different burnout subtypes should be considered when designing specific interventions adjusted to the distinct characteristics associated with each clinical profile.

Funding Sources: Mente Aberta – Brazilian center for Mindfulness and Health Promotion; Dharamsala Institute of Mindfulness and Compassion Psychotherapy of Zaragoza (Spain)

Scope of Project

Subject Terms: [BCSQ; , burnout; , Primary care; , Brazil; , Validation studies; , Bifactor; , questionnaire; ]

Geographic Coverage: Brazil

Time Period(s): 5/2015 – 7/2015

Collection Date(s): 5/2015 – 7/2015

Universe: Brazilian primary health care professionals

Data Type(s): survey data

Collection Notes: Online procedure

Methodology

Response Rate: Not specified

Sampling: A cross-sectional validation study in PC (primary healthcare) health professionals affiliated to the Brazilian Society of Family and Community Medicine (SBMFC), or registered at the Open University of the Unified National Health System (UNA-SUS) of the Federal University of São Paulo (UNIFESP), or working at the city of Santos or Santo André (both in the state of São Paulo).

Data Source: Sponsored survey

Collection Mode(s): web-based survey

Scales: Data on socio-demographic and labor characteristics were collected, and several Likert-type scales were used.
Burnout Clinical Subtypes Questionnaire (BCSQ-36/BCSQ-12)
Maslach Burnout Inventory-General Survey (MBI-GS)
Hospital Anxiety/Depression Scale (HADS)
Positive/Negative Affect Schedule (PANAS)
Visual Analogue Scale (VAS) of guilt at work.

Weights: Participants situated above the 75th percentile (P75) for each burnout subtype were considered to have “high scores”, whereas those situated below the 75thpercentile were considered to have “low scores”

Unit(s) of Observation: , Individuals

Geographic Unit: Sao Paulo, Brazil

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V1 [2019-04-14]

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