PT Journal AU Oosterholt, BG Van der Linden, D Maes, JH Verbraak, MJ Kompier, MA TI Burned out cognition – cognitive functioning of burnout patients before and after a period with psychological treatment SO Scandinavian Journal of Work, Environment & Health PD 7VL PY 2012 BP 358 EP 369 IS 4 DI 10.5271/sjweh.3256 WP https://www.sjweh.fi/show_abstract.php?abstract_id=3256 DE burnout; chronic stress; cognition; cognitive behavioral therapy; cognitive control; cognitive functioning; cognitive process; executive control; executive function; executive functioning; fatigue; psychological treatment; stress; work stress SN 0355-3140 AB '

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OBJECTIVES ': 'Many employees with burnout report cognitive difficulties. However, the relation between burnout and cognitive functioning has hardly been empirically validated. Moreover, it is unknown whether the putative cognitive deficits in burnout are temporary or permanent. Therefore, the purpose of the study was to answer two related questions: (i) Is burnout associated with self-reported cognitive difficulties and with deficits in a specific and well-defined set of executive functions? (ii) Do these putative self-reported cognitive difficulties and deficits in executive functioning in burnout diminish after a 10-week period of cognitive behavioral therapy?

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METHODS ': 'Sixteen employees with burnout were compared with sixteen matched healthy employees on self-reported cognitive difficulties and tests measuring the basic executive functions, namely, updating, inhibition, and switching, on two test occasions. The interval between the test occasions was ten weeks, during which the burnout individuals received cognitive behavioral therapy.

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RESULTS ': 'On the first test occasion, and relative to healthy individuals, individuals with burnout reported more cognitive difficulties and showed deficits in the “updating” function. No group differences were found regarding the “inhibition” and “switching” functions, although individuals with burnout generally responded slower than healthy individuals on the latter test. Even though after the ten-week treatment period individuals with burnout revealed positive changes regarding burnout symptoms, general health, and self-reported cognitive difficulties, no evidence was found for improved cognitive test performance.

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CONCLUSIONS ': 'These findings suggest that either (i) burnout leads to permanent cognitive deficits, (ii) subjective burnout complaints reduce faster than deficits in cognitive test performance, or (iii) cognitive deficits are a cause rather than a consequence of burnout.

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