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Burnout Volume 95, issue 5, Mai 2019

Author
Médecin du travail, Médecine du travail du personnel hospitalier et pathologies professionnelles, CHU de Lille
(Journée ASPP-HDF le 15 novembre 2018)
* Correspondance

Burnout syndrome is not recognized as an illness in the reference classifications (ICD-11, DSM-5).

The emergence of the syndrome involves four stages : enthusiasm, overinvestment, disillusionment, and, finally, burnout in the proper sense. Individuals affected lose all interest in their work and their professional—and even personal—circle. They will have used up all their reserves and feel completely exhausted and demotivated.

This syndrome can translate into varied manifestations of the emotional, cognitive, behavioral, and motivational—or even non-specific physical—variety, characterized by a gradual onset, all of which is at odds with the individual's former state. Beyond personal identification, collective identification is made possible by the occupational health team, which will identify every sign that is linked to the functioning of the structure (absenteeism or presenteeism, high turnover, movement of staff, quality of work, and social relations) or the health and safety of workers (workplace accidents, work-related illnesses, spontaneous medical visits, inability to work).

The care process seeks to treat the identified problem, as well as to act on the socioprofessional context at the root of the problem. Burnout is a reality but not an inevitability. It is a pathology that can be identified, but also prevented, by focusing on actions related to the quality of working life.

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