Burn-out: Eigenständige Erkrankung oder Wegbereiter der Depression?^[*]

Studien belegen, dass Burn-out vorwiegend eine stressbedingte Erschöpfungskrankheit ist, an deren Entstehung psychosoziale Faktoren und eine individuelle Disposition beteiligt sind. Als Folge der Stressbelastung werden zentralnervöse und periphere Reaktionen von unterschiedlicher Schnelligkeit und Bedeutung ausgelöst.

^* Dieser Beitrag ist erstmals erschienen in Zs.f.Orthomol. Med. 2013; 11: 4–8

• Literatur

• 1 Kratzer N. Burn-out: Fehldiagnose oder Epidemie?. Dtsch Ärztebl 2012; 109: A2246-A2248
• 2 Wittchen HU, Jacobi F, Rehm J et al. The size and burden of mental disorders and other disorders of the brain in Europe 2010. Eur Neuropsychopharmacol 2011; 21: 655-679
• 3 Kaschka WP, Korczak D, Broich K et al. Modediagnose Burn-out. Dtsch Ärztebl Int 2011; 108: 781-787
• 4 Burisch M. Das Burnout-Syndrom. 3. Aufl. Heidelberg: Springer Medizin; 2006
• 5 Linden M. Posttraumatic embitterment disorder. Psychother Psychosom 2003; 72: 195-202
• 6 Kumari M, Badrick E, Chandola T et al. Measures of social position and cortisol secretion in an aging population: Findings from the Whitehall II-study. Psychosom Med 2010; 72: 27-34
• 7 Pruessner JC, Hellhammer DH, Kirschbaum C. Burnout perceived stress and cortisol response at awakening. Psychosom Med 1999; 61: 197-204
• 8 Wolf A, Wolf F, Susa M. Burnout und Chronic Fatigue-Syndrom. J Preventive Med 2008; 4: 170-180
• 9 Freudenberger H. A patient in need of mothering. Psychoanalytic Rev 1973; 60: 7-14
• 10 Karasek R, Theorell T. Healthy work: Stress, reproductivity, and the reconstruction of working life. New York: Basic Books; 1990
• 11 Karasek RA, Theorell T, Schwartz J et al. Job characteristics in relation to the prevalence of myocardial infarction in the US Health Examination Survey (HES) and the Health and Nutrition Examination Survey (HANES). Am J Public Health 1988; 78: 910-918
• 12 Siegrist J. Adverse health effects of high-effort/low-reward conditions. J Occup Health Psychol 1996; 1: 27-41
• 13 Siegrist J, Starke D, Chandola T et al. The measurement of effort-reward imbalance at work: European comparisons. Soc Sci Med 2004; 58: 1483-1499
• 14 Stansfeld SA, Fuhrer R, Shipley MJ et al. Work characteristics predict psychiatric disorder: prospective results from the Whitehall II study. Occup Environ Med 1999; 56: 302-307
• 15 Blackmore ER, Stansfeld SA, Weller I et al. Major depressive disorders and work stress: Results from a National Population survey. Am J Public Health 2007; 97: 2088-2093
• 16 Fagundes CP, Murray DM, Hwang BS et al. Sympathetic and Parasympathetic activity in cancer-related fatigue: More evidence for a physiological substrate in cancer survivors. Psychoneuroendocrinology 2011; 36: 1137-1147
• 17 Thayer JF, Sternberg E. Beyond Heart Rate Variability. Vagal regulation of allostatic systems. Ann NY Acad Sci 2006; 1088: 361-372
• 18 Thayer JF. The importance of inhibition: Central and peripheral manifestations of nonlinear inhibitory processes in neural systems. Dose Response 2006; 4: 2-21
• 19 Tracey KJ. Reflex control of immunity. Nat Rev Immunol 2009; 9: 418-428