title: Long-term sickness absence due to burnout: absentees' experiences.
abstract: In the late 1990s, there was a marked increase in Sweden in long-term sickness absence with mental diagnoses. In the extensive research on burnout, little attention has been paid to the link with sickness absence. Our aim in this study was to discover what caused burnout, or such severe stress that it led to long-term sickness absence (> 28 days). We interviewed 32 individuals on long-term sickness absence with a diagnosis of burnout and used grounded theory to analyze the data. We believe that events prior to the sickness absence can be understood as a process of emotional deprivation, and we described the process in terms of a flight of stairs with eight steps: "The Burnout Stairs." We argue that the emotion conveying the process of emotional deprivation is unacknowledged shame, which has its basis in poor social relations at work. We discuss the study's limitations and the need for further research in this field.
authors.affiliation: Karlstad University, Karlstad, Sweden. ulla-britt.eriksson@kau.se
authors.forename: Ulla-Britt
authors.initials: UB
authors.lastname: Eriksson
authors.forename: Bengt
authors.initials: B
authors.lastname: Starrin
authors.forename: Staffan
authors.initials: S
authors.lastname: Janson
mesh_terms: D000041:Absenteeism; D000328:Adult; D002055:Burnout, Professional / Q000523:psychology*; D005260:Female; D006304:Health Status; D006801:Humans; D007389:Internal-External Control; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D036301:Qualitative Research; D012649:Self Concept; D012944:Social Support; D012959:Socioeconomic Factors; D013548:Sweden / Q000453:epidemiology