Prevalence of burnout among psychiatrists: A systematic review and meta-analysis

Background: Burnout is a consequence of chronic occupational stress exposure. Psychiatrists are prone to burnout due to specific work-related factors. This study examined the burnout prevalence among psychiatrists. Methods: The study protocol was registered in PROSPERO (CRD42020204615). We searched MEDLINE, EMBASE, CENTRAL, PsycINFO, Web of Science,, and OpenGrey for relevant publications. Random-effect meta-analysis was performed. We used subgroup analysis and meta-regression to reveal any association of geographical region, survey year, participants' age, gender, and response rate with burnout. Results: Thirty-six studies involving 5481 participants were included. The prevalence of overall burnout was 25.9% [11.1%–40.7%] as measured by a Maslach Burnout Inventory (MBI) and 50.3% [30.9%–69.8%] as measured by a Copenhagen Burnout Inventory (CBI). The pooled prevalence was 43.5% [27.9%–59%] for high emotional exhaustion (EE), 28.2% [17.5%–38.9%] for high depersonalization (DP), and 32.4% [3.4%–61.3%] for low personal accomplishment (PA). The mean scores of 22-item MBI subscales were 21.51 [18.64%–24.38%] for EE, 6.57 [5.53%–7.62%] for DP, and 31.83 [25.73%–37.94%] for PA. European psychiatrists revealed (p = 0.045) lower EE score (20.82; 95% CI 7.24–24.41) measured by 22-item MBI compared to their non-European colleagues (24.99; 95% CI 23.05–26.94). Other results include mean scores for 16-item MBI-General Survey, burnout rates, and scores in CBI subscales. Limitations: The main limitation was high heterogeneity in terms of statistics, screening methods, burnout definitions, and cut-off points utilized in included studies. Conclusions: Burnout is highly prevalent among psychiatrists. Future research should focus on finding consensus on burnout screening, longitudinal evaluation of psychiatrists' burnout predictors, and development of effective intervention strategies. © 2022 Elsevier B.V.

Bykov K.V. 1 , Zrazhevskaya I.A. 1 , Topka E.O. 2 , Peshkin V.N. 1 , Dobrovolsky A.P.3 , Isaev R.N.4 , Orlov A.M.5
Elsevier B.V.
  • 1 Peoples' Friendship University of Russia (RUDN University), Moscow, Russian Federation
  • 2 Mental Hospital №13, Moscow Healthcare Department, Moscow, Russian Federation
  • 3 Mental Hospital №4, Moscow Healthcare Department, Moscow, Russian Federation
  • 4 Doctor Isaev Clinic, Moscow, Russian Federation
  • 5 Medical Center ‘Korsakov’, Moscow, Russian Federation
Ключевые слова
Burnout; Meta-analysis; Prevalence; Psychiatrists; Psychiatry
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