title: Coping with stress and types of burnout: explanatory power of different coping strategies.
abstract: BACKGROUND
  Burnout occurs when professionals use ineffective coping strategies to try to protect themselves from work-related stress. The dimensions of 'overload', 'lack of development' and 'neglect', belonging to the 'frenetic', 'under-challenged' and 'worn-out' subtypes, respectively, comprise a brief typological definition of burnout. The aim of the present study was to estimate the explanatory power of the different coping strategies on the development of burnout subtypes.
  
  
  METHODS
  This was a cross-sectional survey with a random sample of university employees, stratified by occupation (n = 429). Multivariate linear regression models were constructed between the 'Burnout Clinical Subtypes Questionnaire', with its three dimensions -overload, lack of development and neglect- as dependent variables, and the 'Coping Orientation for Problem Experiences', with its fifteen dimensions, as independent variables. Adjusted multiple determination coefficients and beta coefficients were calculated to evaluate and compare the explanatory capacity of the different coping strategies.
  
  
  RESULTS
  The 'Coping Orientation for Problem Experiences' subscales together explained 15% of the 'overload' (p<0.001), 9% of the 'lack of development' (p<0.001), and 21% of the 'neglect' (p<0.001). 'Overload' was mainly explained by 'venting of emotions' (Beta = 0.34; p<0.001); 'lack of development' by 'cognitive avoidance' (Beta = 0.21; p<0.001); and 'neglect' by 'behavioural disengagement' (Beta = 0.40; p<0.001). Other interesting associations were observed.
  
  
  CONCLUSIONS
  These findings further our understanding of the way in which the effectiveness of interventions for burnout may be improved, by influencing new treatments and preventive programmes using features of the strategies for handling stress in the workplace.
authors.affiliation: Faculty of Health Sciences and Sports, University of Zaragoza, Huesca, Spain ; Department of Psychiatry, University of Zaragoza, Zaragoza, Spain ; REDIAPP "Red de Investigación en Actividades Preventivas y Promoción de la Salud" (Research Network on Preventative Activities and Health Promotion), Zaragoza, Spain.
authors.forename: Jesus
authors.initials: J
authors.lastname: Montero-Marin
authors.affiliation: Psychiatry Service, Miguel Servet University Hospital, Zaragoza, Spain.
authors.forename: Javier
authors.initials: J
authors.lastname: Prado-Abril
authors.affiliation: Department of Preventive Medicine, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brasil.
authors.forename: Marcelo Marcos
authors.initials: MM
authors.lastname: Piva Demarzo
authors.affiliation: Department of Psychology, University of Zaragoza, Teruel, Spain ; REDIAPP "Red de Investigación en Actividades Preventivas y Promoción de la Salud" (Research Network on Preventative Activities and Health Promotion), Zaragoza, Spain.
authors.forename: Santiago
authors.initials: S
authors.lastname: Gascon
authors.affiliation: Department of Psychiatry, University of Zaragoza, Zaragoza, Spain ; Psychiatry Service, Miguel Servet University Hospital, Zaragoza, Spain ; REDIAPP "Red de Investigación en Actividades Preventivas y Promoción de la Salud" (Research Network on Preventative Activities and Health Promotion), Zaragoza, Spain.
authors.forename: Javier
authors.initials: J
authors.lastname: García-Campayo
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D002055:Burnout, Professional / Q000523:psychology*; D004644:Emotions / Q000502:physiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D012307:Risk Factors; D013315:Stress, Psychological; D011795:Surveys and Questionnaires; D014495:Universities; D000078329:Workforce; D017132:Workplace / Q000523:psychology