Jürgen Steyer

Martin Jandl

Wolfgang P. Kaschka

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Acta Clin Croat,  Vol. 50,  (Suppl) No. 2,  2011 83Acta Clin Croat (Suppl. 2) 2011; 4th international epilepsy symposium in Pula – how to start seizure treatmentWORKSHOP BIOLOGICAL MECHANISMS IN SEVERE DEPRESSIONBURNOUT SYNDROME  PSYCHIATRIC DIAGNOSIS OR MERELY A SOCIETAL PROBLEM?Wolfgang P. Kaschka, Jürgen Steyer, Martin JandlUniversity of Ulm, Department of Psychiatry I, Zentrum für Psychiatrie Südwürttemberg, Weingartshofer Strasse 2, D-88214 RavensburgE-Mail: wolfgang.kaschka@zfp-zentrum.deA recent representative survey in Germany (per-formed by TNS Emnid) showed that more than 12% of all employees felt they could not keep up with their job demands. Th e present contribution provides an overview of burnout syndrome with special regard to history of the term ‘burnout’, symptomatology, at-tempts at deﬁ nition, staging, and available rating in-struments. Psychological models for the aetiology and pathogenesis of burnout, such as the demand-control model (Karasek, 1979) and the eﬀ ort-reward imbal-ance model (Siegrist and Peter, 2000) will be dis-cussed. A proposal of our group for the medical and psychiatric conceptualization of burnout syndrome will be presented. Finally, therapeutic options and challenges for further research will be mentioned.Literature1. Burisch, M. (2010) Das Burnout-Syndrom. 4. Auﬂ ., Spring-er, Heidelberg.2. Karasek, R.A. (1979) Job demands, job decision latitude, and mental strain: Implications for job redesign. Administrative Science Quarterly 24: 285-308.3. Maslach, C., Jackson, S.E. (1981) Maslach Burnout Inven-tory (“Human Services Survey”). Consulting Psychologists Press, Palo Alto, CA.4. Siegrist, J., Peter, R. (2000) Th e eﬀ ort-reward imbalance model. In: Schnall, P., Belkic, K., Landsbergis, P., Baker, D. (eds.): Th e workplace and cardiovascular disease. Occupa-tional Medicine, State of the Art Reviews 15: 83-87.

WORKSHOP - BIOLOGICAL MECHANISMS IN SEVERE DEPRESSION: Burnout Syndrome - Psychiatric Diagnosis or (Merely) a Societal Problem?

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