Psycho-Emotional and Organizational Aspects of Burnout in A Sample of Romanian Teachers
Psycho-Emotional and Organizational Aspects of Burnout in A Sample of Romanian Teachers
net/publication/281633300
CITATIONS READS
21 1,139
2 authors, including:
            Eva Kallay
            Babeş-Bolyai University
            97 PUBLICATIONS 714 CITATIONS
SEE PROFILE
All content following this page was uploaded by Eva Kallay on 10 September 2015.
        ABSTRACT
       Burnout is an extremely debilitating mental health problem that affects not only
       the quality of life of those who suffer from it, their interpersonal relationships,
       but also the quality of their work. These aspects are extremely relevant in case of
       schoolteachers whose aim is to teach and shape the life of children and
       adolescents. The major objective of the present paper is to investigate the
       phenomenon of burnout in a sample of Romanian school teachers, identify some
       of the factors associated with it, thus delineating a portrait of those who suffer
       from this problem.
INTRODUCTION
*
 Corresponding author:
E-mail: [email protected]
332                            C. I. Vlăduţ, É. Kállay
         In the same time, teachers are expected to continually adapt and keep up
with new information and practices, to fulfill multiple demands in relatively short
periods of time, acquire modern pedagogical resources, and obtain high educational
results with their students. The community, parents, and supervisors have different
expectations, which pressure teachers to perform at their best. Unfortunately, these
increased responsibilities imposed by the educational system are not accompanied by
specific changes in training programs or opportunities to cope with these demands
(Travers & Cooper, 1996). In this context, early signs of occupational stress in the
educational area started to appear in Romania as well.
         Stressfulness of teaching is proven by the growing prevalence of burnout in
this population. Generally, 60% to 70% of the teachers present symptoms related to
stress, and approximately 30% present distinct symptoms of burnout (Hakanen,
Bakker, & Schaufeli, 2006; Bauer, Stamm, Virnich, Wissing, Kriston, Muller, et al.,
2005). Interestingly, teaching was recently classified as one of the most stressful
occupations, among other occupations which involve interpersonal relationships and
emotional labor (Johnson, Cooper, Cartwright, Donald, Taylor, & Millet, 2005).
         Pioneering studies defined burnout in teachers as similar to general stress
reactions (McGuire, 1979). However, advanced research delimited individual and
work-related factors that could cause burnout (e.g., like age, gender differences, age
of children taught, workload, etc., see Chang, 2009). In this early research, workload
appeared to be the most salient aspect that contributed to burnout and therefore a
couple of models examined teacher burnout in relation to workload (for example, the
Demand-Control Model proposed by Karasek in 1979, later expanded to Job
Demands-Resources Model by Demorouti, Bakker, Nachreiner, & Schaufeli, 2001;
also see Chang, 2009).
         Somewhat later, in the 1990’s, theoretical models started to examine the
interaction of teacher burnout with the work environment, where burnout was
defined as a function of “prolonged job strain that results from the inadequacy of
coping resources and the absence of equitable rewards in relation to the demands of
work-related stressors” (Blasé, 1982, p. 109). This idea was carried on to recent
research as well. Maslach's perspective in defining burnout as a multidimensional
construct became the dominant paradigm. This author defined burnout as a
“psychological syndrome which implies a prolonged response to chronic emotional
and interpersonal stressors on the job”, and which includes the following three
dimensions: exhaustion, cynicism, and inefficacy (Maslach, Schaufeli, & Leiter,
2001, p. 397).
         Firstly, the so called “root of burnout”, or the stress dimension, is
represented by exhaustion. This component is defined by feelings of depletion of
emotional and physical resources, in which workers perceive that they are no longer
able to efficiently perform at the psychological level (Maslach, Jackson, & Leiter,
1996). For teachers, we might speculate that exhaustion can lead to lower levels of
involvement and responsiveness to the needs of their students’.
Possible work areas related to teacher burnout have been recognized as a major
problem in organizations since the 1970’s (Sabanci, 2009). Having a
multidimensional structure, burnout can be determined by various working
conditions, and also by the individual’s psychological reactions to this environment.
In most cases, organizational research has focused on job characteristics (e.g., role
conflict, lack of resources, role ambiguity), but also on specific features of the
profession (e.g., human relations, the expression of emotions, organizational
expectations, workload, control, rewards, and so on) (Sabanci, 2009). Maslach and
Leiter (1997) argued that burnout results from a situation characterized by chronic
imbalance between job characteristics (e.g., demands) and employee characteristics
(e.g., needs). So, instead of considering one single cause of burnout, the authors
revealed six types of person-job mismatches as possible determinants of burnout.
These will be further described as related to teachers' work.
         In many professions, one of the most debated sources of burnout is
workload, aspect defined by the situation in which the demands of the work exceed
individual human capacities (Schaufeli & Enzmann, 1998). In the educational
domain, teachers are frequently overwhelmed by work-overload, and have of a
limited time to perform efficiently.
         Moreover, the excess of work-demands leads to an unexpected restriction of
creativity in the classroom, as well as the impossibility to enhance relationships with
colleagues, which in time may have a negative impact on the teachers' private lives
(Timms, Graham, & Cottrell, 2007). Of special interest is the phenomenon called
“de-skilling” described by Timms et. al., (2007), where workload may lead to the
& Dougherty, 1993). For instance, a study with over 600 American teachers has
indicated that financial satisfaction of the teachers is positively associated with better
school performance of students (Currall, Towler, Judge, & Kohn, 2005). Because of
this, some teachers are willing to stay longer in their current jobs, while being aware
that financial rewards may diminish in time (Murnane, Singer, & Willet, 1989).
Therefore, the existence of extrinsic and intrinsic rewards (such as pride in doing
something important) can define a workflow that supports both psychological
wellbeing, and physical health (Leiter & Maslach, 2004). Without any kind of
reward, people can become vulnerable to burnout, even more when the effort
invested is higher than the rewards received (Pillay, Goddard, & Wilss, 2005; van
Horn, Schaufeli, & Enzman, 1998; Unterbrink, Hack, Pfeifer, Buhl-Grießhaber,
Muller, Wesche, et al., 2007).
         Further approaching the issue of balance between effort and reward brings
into question the problem of fairness. This dimension defines the level of mutual
respect between employees, the fairness of decisions, and confirmations of people's
self-worth (Leiter & Maslach, 2004). Research based on the Equity Theory (Walster,
Berscheid, & Walster, 1973), and Effort-Reward Imbalance Model (Siegrist, 2002)
has found that a lack of reciprocity, or imbalanced social exchange processes are
strong predictors of burnout (Leiter et al., 2004). For instance, Taris, Van Horn,
Schaufeli, and Schreurs (2004) have shown that injustice perceived by teachers in
three types of relationships (with students, colleagues, school management) is
associated with emotional exhaustion. It seems that, the lack of reciprocity or the
exclusion from social interactions are experienced by teachers as a deviation from
fairness and thus can deteriorate self-regulation through weakening self-efficacy,
self-esteem and the feelings of belonging (Bellingrath, Rohleder, & Kudielka, 2010).
Likewise, imbalance between effort and reward is related to various health problems
(such as depression, sleep disorders, diabetes, cardiovascular diseases). Moreover,
psychosocial characteristics of the workplace can affect immune functioning
(Bellingrath, et al., 2010).
         Fairness is also considered to be another critical factor in the association
between the leadership style and burnout. Employees will be less susceptible to
burnout and more accepting of organizational change if supervisors are perceived as
being fair and supportive (Leiter & Maslach, 2004). Some authors have indicated
that in those schools where the supervisor inspires a sense of meaning to workers,
where teachers are given sufficient resources and rewards for their performances,
and are encouraged to engage in new opportunities sustaining professional
development, teachers report higher self-efficacy and work-engagement (Tschannen-
Moran & Woolfolk Hoy, 2007; Simbula, Guglielmi, & Schaufeli, 2010).
         Mutual respect is also a central aspect of the sense of community. This is
represented by the quality of social interactions at work, including aspects as mutual
support, conflict, closeness, and capacity to work in and as a team (Leiter &
Maslach, 2004). Most research in this area has focused on social support offered by
The literature has not been consistent in the investigation of demographic factors as
correlates of burnout; consequently results in this domain are somewhat
contradictory. The most debated areas within this category of individual
characteristics are: age, experience, gender differences, marital status, personality
characteristics, as well as self-efficacy, and social support.
          A common opinion shared by many studies is that younger teachers with
less work experience report higher levels of burnout (Kantas & Vassilaki, 1997;
Antoniou, Polychroni, & Vlachakis, 2006). Although people have a tendency to
confound age with experience, the literature clearly indicates that levels of burnout
diminish with age (Schaufeli & Enzmann, 1998; Maslach, 2006). Yang, Ge, Hu, Chi,
and Wang (2009) suggest that inexperienced and younger teachers report higher
stress than their more experienced colleagues because they have not yet acquired
diverse pedagogical abilities and display a negative self-evaluation at the beginning
of their profession. However, these findings must be interpreted with some caution
because of selective dropout. It is possible that those teachers who suffer from
burnout have already left their jobs, so that the remaining teachers, older and more
experienced represent the healthy group.
          For many novice teachers, the reality of teaching exceeds their initial
training and expectations towards their future profession. For some, engagement in
work and even the perceived support from supervisors and colleagues diminishes
after six months from employment (Goddard, O’Brien, & Goddard, 2006). This may
be attributed to the confrontation with a high number of demands and
responsibilities, most of the times in the absence of practice, and the perception of
the work environment as one that does not sustain innovative teaching (Goddard et.
al., 2006). Therefore, from the point of view of stress reported, work experience is
important. Major differences were found between novice and experienced teachers,
in many domains; experienced teachers having higher levels of pedagogical
knowledge, better class management, more adequate problem solving and decision
making abilities, and more appropriate attitudes towards students (Palmer, Stough,
Burdenski, & Gonzales, 2005).
          On the other hand, some studies have suggested somewhat different results.
More experienced teachers reported a higher degree of emotional exhaustion and
depersonalization, but also a higher feeling of professional accomplishment than
novice teachers (Sari, 2004), fact that might be explained by the misuse of adaptive
coping strategies in face of stress (Ozdemir, 2007).
          The premise regarding gender differences in the burnout refer to the
observation that females are more vulnerable to this phenomenon than males.
Although gender is not a powerful predictor of burnout (Maslach, Schaufeli, &
Leiter, 2001), a recent meta-analyses clarifies the relationship between the gender
dimension and burnout (Purvanova & Muros, 2010).
         Firstly, these authors draw attention to two motives for which it is important
to investigate gender differences in burnout. These are: (a) many studies
stereotypically assume that females are more susceptible to stress than males, fact
that can lead to discrimination in work-related responsibilities, and (b) the focus on
detecting burnout mostly in females might misguide research into ignoring burnout
in men.
         Secondly, we must take into consideration the fact that burnout is differently
experienced by males and females. Even though it is demonstrated that women tend
to report higher emotional exhaustion than men, and men report higher
depersonalization than women (Maslach et. al., 2001), these differences are
relatively small, as have been proven by Purvanova and Muros (2010). These results
can be explained through the Gender Role Theory (Eagly, 1987), which postulates
that women tend to express their emotional and physical exhaustion more openly
than men, while males tend to mask their emotions and deny experiencing stress.
This tendency may lead to unrecognizing different aspects of work-related stress in
men (Purvanova & Muros, 2010).
         In line with the statements mentioned above, teacher burnout related to
gender indicates similar results. Female teachers report higher levels of stress and
mental health difficulties, and higher levels of emotional exhaustion (Yang, Ge, Hu,
Chi, & Wang, 2009; Kovess-Masféty, Sevilla-Dedieu, Rios-Seidel, Nerrière, & Chan
Chee, 2006). Male teachers indeed indicate higher levels of depersonalization and
lower levels of personal accomplishment (Sari, 2004; Lau, Yuen, & Chan, 2005;
Shukla & Trivedi, 2008). It seems that most female teachers, in spite of the high
levels of stress experienced, are more satisfied with their workplace than men (Sari,
2004), fact that may suggest the higher prevalence and interest of women in this
profession. Of course this may not necessarily be the status quo in the case of
teachers, as results are quite contradictory. For instance, a couple of studies suggest
that there are no gender dissimilarities in burnout among teachers (Zhongying, 2008;
Skaalvik & Skaalvik, 2009; Yavuz, 2009). This might be due to different gender
roles or organizational culture.
         There are many other factors that may influence the level of burnout. We
shall briefly discuss the role of marital status, its importance being defined by social
support, and other personality characteristics. For instance, teachers who are married
or live in a relationship report lower levels of burnout and psychological distress
(Bauer et al., 2006). Other authors show that marital status can predict a small
percentage from exhaustion and depersonalization (Ozdemir, 2007).
         Besides this, high levels of burnout can be found in teachers high on
neuroticism, introversion, (Cano-Garcıa, Padilla-Munoz, & Carrasco-Ortiz, 2005),
type A personality, low on optimism (Otero-Lopez, Mariño, & Bolaño, 2008),
passive coping style (Mearns & Cain, 2003), low self-esteem (Dorman, 2003),
internal locus of control (Akca & Yaman, 2010). However, these variables provide a
In order to perform efficiently, teachers need both extrinsic and intrinsic resources,
as for instance, self-efficacy. The reason why we have chosen this particular
characteristic is based on the results offered by several studies which have proven to
have the strong protective role of self-efficacy against stress and burnout in teachers
(Brouwers, 2000; Brouwers, Evers, & Tomic, 2001). Teacher efficacy is defined as
the extent to which a teacher believes that she or he can influence student behavior
and academic achievements, especially students with difficulties or those with
especially low learning motivation (Henson 2001). Moreover, Bandura (1977)
considers that teacher self-efficacy can influence the level of effort placed in tasks,
their resistance in facing difficulties, their resilience, and the level of stress and
depression in coping with adversities. The idea is that when teachers have a positive
attitude towards their abilities tend to experience less stress and burnout than the
teachers who negatively assess their teaching abilities (Doménech-Betoret & Artiga,
2010).
         Altogether, teacher efficacy is a simple idea, but with a strong impact
(Tschannen-Moran & Woolfolk Hoy, 2007) on emotional health. This is because
high levels of efficacy in teachers are associated with positive educational outcomes,
both for teachers and students. However, on the other hand, low efficacy can
contribute to the appearance of occupational stress. Thus, those teachers who report a
high sense of self-efficacy are more engaged and enthusiastic about their work, are
open to innovations, consider their teaching methods as more efficient, and have a
tendency of creating and developing adequate conditions and relationships for
others, thereby having a higher work satisfaction (Skaalvik, & Skaalvik, 2010).
Moreover, high self-efficacy can influence a positive relationship between teachers
and parents (Skaalvik & Skaalvik, 2010).
         In spite of all these effects, teachers' high efficacy seems to depend on
several factors. For instance, school related elements that predict high efficacy are:
the positive perception of the school, the collaboration with parents and other
teachers, positive feedback (Tschannen-Moran & Woolfolk Hoy, 2007), school's
performances, student discipline (Caprara, Barbaranelli, Steca, & Malone, 2006), etc.
For instance, one factor that can significantly influence the level of efficacy is the
principal's leadership style, because in those schools where the supervisor can inspire
case, some authors explain that depressive symptoms may be a predictor of burnout
especially when the person has a background of depressive episodes, or depression is
present in the family (Nyklicek & Pop, 2005). On the other hand, one cannot exclude
the fact that burnout can be a risk factor for depression. Nyklicek and Pop (2005)
consider that people with burnout have a better memory of negative affective states,
thus become more prone to it. In this line of research, other authors suggest that the
risk of having depression is higher when burnout itself is more severe (Ahola,
Honkonen, Isometsa, Kalimo, Nykyri, Aromaa & Lonnqvist, 2005). This result is of
particular interest because men were more susceptible to this risk, fact which
emphasizes that not burnout should not be considered as an exclusively feminine
experience.
         As in the case of depression, the relationship between anxiety and burnout is
not clear. In general, at the workplace, a high level of anxiety may have a negative
impact on social integrity, productivity, work engagement, or lead to early retirement
(Linden & Muschalla, 2007). A high prevalence of anxiety has been revealed in
studies from the late 1970's, both in novice and experienced teachers (Coates &
Thoresen, 1974). In those years, teachers perceived similar sources of stress that
provoked anxiety, such as the measure in which teachers and their subject were liked
by students (this area was especially worrying for novices), time pressure, difficult
students, lack of financial and educational resources (Coates & Thoresen, 1974).
Some teachers may feel intense emotions at the beginning of their career, feeling
anxious if they think that were misunderstood, unfairly accused by others or treated
in a stereotypical way (Hargreaves, 2000). Moreover, teacher anxiety might be also
connected to self-efficacy, lack of experience, relationships with colleagues, parents,
or reform-induced changes (Chang, 2009).
         Regarding the relationship between burnout and anxiety, the literature
indicates that the two concepts superpose due to the fact that high levels of emotional
exhaustion may lead to increases in anxiety amidst stressful situations and thereby
reduce peoples' ability to cope with anxiety (Shirom & Ezrachi, 2003). Interestingly,
looking at gender differences, male teachers present a higher risk of anxiety
disorders along their life course than female teachers (Kovess-Masféty et al., 2006).
         Whatever the relationship between depression and burnout, or anxiety and
burnout might be, both associations could have negative effects, in terms of health
and well-being. For instance, a recent study on the working population has shown
that burnout can lead to prolonged fatigue, and vice-versa (Leone, Huibers,
Knottnerus, & Kant, 2009), results that lead us to subscribe to the necessity of early
interventions for this disorder.
STUDY
Objectives
The major objective of the present study is to investigate demographic,
organizational, and psycho-emotional implications of burnout among a sample of
Romanian teachers.
Participants
The present research includes a sample of 177 teachers from primary, secondary, and
high-schools from Cluj-Napoca, Romania. All the participants have given their
written consent to participate in the present study. 154 are female and 23 male
participants, with ages ranging between 22 to 64 years (mean age=39.8; SD=9.5).
60.55% came from urban environment and 39.45% from rural areas. 72.9% are
married, 19.2% are single, 6.8% divorced, and 0.92% widowers. Regarding
contentment with salary and familial financial situation, 38% reported that they are
not satisfied, 34% not satisfied at all, and 45% reported that they are content with
their financial status.
Procedure
Following a cross-sectional design, data was gathered through a set of questionnaires
sent to different schools from Cluj-Napoca, administrated with the help of the Cluj
County School Inspectorate. There, the questionnaires were assigned to the schools'
counselors, from where, were distributed to each school. Participation was voluntary
and confidential. From a total number of 300 sets, we received 182 valid forms, from
which five cases were removed due to missing values. The questionnaires were
recovered over a period of one month.
INSTRUMENTS
Personal data
This was made in order to evaluate some characteristics of the targeted population,
such as age, gender, level of education, residence (rural or urban environment),
marital status, work experience (in years), and satisfaction with financial situation
(with personal salary and family income).
Psychological Well-being
Developed by Ryff and colleagues (Ryff & Keyes, 1995), this instrument evaluates
six components of well-being: autonomy, environmental mastery, personal growth,
positive relations with others, purpose in life, and self-acceptance. This form
includes 84 items (long form, with 14 items per sub-scale). Cronbach’s alpha for the
whole scale is very high (0.94). Participants complete a 6-point response scale,
ranging from 1 (strongly disagree) to 6 (strongly agree).
RESULTS
First and foremost, our results show that burnout in the assessed sample is relatively
high on all three dimensions (Table 1).
Table 1.
Tridimensional burnout scores on a sample of Romanian teachers
Table 2.
Significant differences in areas of work-life depending on gender
Table 3.
Significant differences in areas of self-acceptance depending on residence
Table 4.
Psychosocial and organizational differences in teachers with
high (N = 88) and low (N = 89) emotional exhaustion
         As the results show, those teachers who report higher levels of emotional
exhaustion have significantly lower levels of confidence in their abilities to engage
students in class activities, trust significantly less their own capacity in developing
and implementing activities, and manage classroom activities. Regarding
psychological well-being, they also report significantly lower levels of
environmental mastery and personal growth. Indicators of emotional functioning
show that those who report higher levels of emotional exhaustion also report
significantly higher levels of depression, anxiety, and stress. Organizational variables
show similar patterns. Those teachers who report higher levels of emotional
Table 5.
Psychosocial and organizational differences in teachers with
high (N = 68) and low (N = 108) depersonalization
Table 6.
Psychosocial and organizational differences in teachers with
high (N = 94) and low (N = 83) inefficacy
         As our last table suggests, the differences found in the case of inefficacy are
similar to the results found in the other two dimensions of burnout. Those who report
high levels of professional accomplishment (inefficacy) (low burnout) also report
significantly stronger confidence in their ability to engage students in class activities,
in designing and implementing classroom activities, and general classroom
management. The same pattern is valid for well-being as well. Teachers with lower
levels of inefficacy also relate significantly lower levels of environmental mastery
and personal growth. Indicators of emotional health are consistent with previous
findings: significantly higher levels of stress, anxiety, and depression are
characteristics to low professional accomplishments. Regarding organizational
variables, the match between work-conditions and personal expectancies is better in
those teachers who report higher levels of professional accomplishments.
         More interesting details have been found when comparing teachers who
reported higher and lower levels of burnout. Significant differences have been found
on almost the same dimensions: those who present high levels of burnout on any of
the three dimensions (emotional exhaustion, depersonalization, and professional
accomplishment) also present significantly higher levels of stress, depression, and
anxiety. These results strongly resonate with those reported in the literature: mental
health problems have been found to be strongly associated with burnout.
Unfortunately, because of the nature of our study (cross-sectional assessment), we
cannot establish the temporary precedence in the onset of these disorders: did
depression, anxiety, stress precede or follow the installation of burnout.
         We have also found that those teachers who report higher levels of burnout
also report significantly lower levels of self-efficacy regarding the process of
teaching. These results indicate a strong relationship between teacher self-efficacy
and all the sub-dimensions of burnout, nevertheless we cannot establish the direction
of effect: did burnout installed by other reasons (e.g., proneness to emotional
disorders) negatively impact self-efficacy, or reduced confidence in teaching abilities
contributed to the installation of burnout.
         We have seen that in our sample, the most sensitive aspects of well-being
depending on levels of burnout are: environmental mastery, personal growth, and
positive relationships with others. These results should be interpreted with the same
caution as discussed above.
         This far we have talked about factors related to the individual. Next we will
discuss organizational factors related to burnout. Those who report high levels of
burnout have a significantly more negative perception of the organizational
environment they work in. Depending on the different dimensions of burnout,
different domains of work-environment seem to be affected. Again, it would be
important to investigate the degree to which work-environment induced burnout, or
burnout-related problems induced a biased perception of work conditions.
         In sum, we may say that importance of the present paper relies in evincing
burnout as a relatively frequent and harmful phenomenon among Romanian teachers.
It is also important because it revealed that (at last in the case of this sample),
burnout is less dependent on demographic variables, but may mostly been dependent
on person-dependent (self-efficacy, emotion-regulation strategies, personality, etc.)
and organizational factors. These results would further on prompt future research to
investigate the intricate relationships between personal and oriental factors, thus
assist the development of prevention and intervention strategies targeting the
amelioration of burnout symptoms and enhance teacher’s quality of life.
ACKNOWLEDGEMENT
This paper was supported by the Grant CNCSIS-Ideas No. 2440 from the National
University Research Council of Romania, awarded to Mircea Miclea.
REFERENCES
Ahola, K. (2007). Occupational burnout and health. (People and work research reports, 81).
          Helsinki, Finland: Finnish Institute of Occupational Health.
Ahola, K., Honkonen, T., Isometsa, E., Kalimo, R., Nykyri, E., Aromaa, A., & Lonnqvi, J.
          (2005). The relationship between job-related burnout and depressive disorders—
          results from the Finnish Health 2000 Study. Journal of Affective Disorders, 88, 55 –
          62.
Akça, F., & Yaman, B. (2010). The effects of internal-external locus of control variables on
          burnout levels of teachers. Procedia Social and Behavioral Sciences, 2, 3976–3980.
Alvarez, H. K. (2007). The impact of teacher preparation on responses to student aggression
          in the classroom. Teaching and Teacher Education, 23, 1113–1126.
Amundson, N. (2006). Challenges for career interventions in changing contexts. International
          Journal for Educational and Vocational Guidance, 6, 3–14.
Antoniou, A. S., Polychroni, F., & Vlachakis, A. N. (2006). Gender and age differences in
          occupational stress and professional burnout between primary and high-school
          teachers in Greece. Journal of Managerial Psychology, 21(7), 682-690.
Avtgis, T. A., & Rance, A. S. (2008). The relationship between trait verbal aggressiveness
          and teacher burnout syndrome in K–12 teachers. Communication Research Reports,
          25(1), 86–89.
Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioural change.
          Psychological Review, 84, 191-215.
Bauer, J., Stamm, A., Virnich, K., Wissing, K., Muller, U., Wirsching, M., & Schaarschmidt,
          U. (2006). Correlation between burnout syndrome and psychological and
          psychosomatic symptoms among teachers. International Archives of Occupational
          and Environmental Health, 79, 199–204.
Bauer, J., Unterbrink, T., Hack, A., Pfeifer, R., Buhl-Grießhaber, V., Müller, U., et al., (2007).
          Working conditions, adverse events and mental health problems in a sample of 949
          German teachers. International Archives of Occupational and Environmental
          Health, 80, 442–449.
Beer, J., & Beer, J. (1992). Burnout and stress, depression and self-esteem of teachers.
          Psychological Reports, 71, 1331-1336.
Bellingrath, S., Rohleder, N., & Kudielka, B. N. (2010). Healthy working school teachers
          with high effort–reward-imbalance and over-commitment show increased pro-
          inflammatory immune activity and a dampened innate immune defence. Brain,
          Behavior, and Immunity, 24, 1332–1339.
Blasé, J. J. (1982). A social–psychological grounded theory of teacher stress and burnout.
          Educational Administration Quarterly, 18(4), 93.
Brante, G. (2009). Multitasking and synchronous work: Complexities in teacher work.
          Teaching and Teacher Education, 25, 430–436.
Grau, R., Salanova, M., & Peirò, J. M. (2001). Moderator effects of self-efficacy on
          occupational stress. Psychology in Spain, 5(1), 63–74.
Greenglass, E. R., Burke R. J., & Konarski, R. (1997). The impact of social support on the
          development of burnout in teachers: examination of a model. Work & Stress, 11(3),
          267-278.
Greenglass, E. R., Fiksenbaum, L., & Burke, R. J. (1994). The relationship between social
          support and burnout over time in teachers. In R. Crandall & E. Perrewe (Eds.).
          Occupational Stress. A Handbook (pp. 239-249). New York: Taylor & Francis.
Hakanen, J. J., Bakker, A. B., & Schaufeli, W. B. (2006). Burnout and work engagement
          among teachers. Journal of School Psychology, 43(6), 495–513.
Hargreaves, A. (2000). Mixed emotions: Teachers' perceptions of their interactions with
Henson, R. K. (2001). Teacher self-efficacy: Substantive implications and measurement
          dilemmas, Teacher Efficacy Research, 1.
Ho, J. T. S. (1996). Stress, health and leisure satisfaction: the case of teachers. International
          Journal of Educational Management, 10(1), 41–48.
Jin, P., Yeung, A. S., Tang, T-O., & Low, R. (2008). Identifying teachers at risk in Hong
          Kong: Psychosomatic symptoms and sources of stress. Journal of Psychosomatic
          Research, 65, 357 –362.
Johnson, S., Cooper, C., Cartwright, S., Donald, I., Taylor, P., & Millet, C. (2005). The
          experience of work related stress across occupations. Journal of Managerial
          Psychology, 20 (2), 178-187.
Kahn, J. H., Schneider, K. T., Jenkins-Henkelman, T. M., & Moyle, L. L. (2006). Emotional
          social support and job burnout among high-school teachers: Is it all due to
          dispositional affectivity? Journal of Organizational Behavior, 27, 793–807.
Kantas, A., & Vassilaki, E. (1997). Burnout in Greek teachers: Main findings and validity of
          the Maslach Burnout Inventory. Work & Stress, 11(1), 96-100.
Karasek, R., & Theorell, T. (1990). Stress, productivity, and the reconstruction of working
          life. New York: Basic Books.
Konu A., Viitanen, E., & Lintonen, T. (2010). Teachers’ wellbeing and perceptions of
          leadership practices. International Journal of Workplace Health Management, 3(1),
          44-57.
Kovess-Masfety, V., Rios-Seidel, C., & Sevilla-Dedieu, C. (2007). Teachers’ mental health
          and teaching levels .Teaching and Teacher Education, 23, 1177–119.
Kovess-Masfety, V., Sevilla-Dedieu, C., Rios-Seidel, C., Nerrière, E., & Chan Chee, C.
          (2006). Do teachers have more health problems? Results from a French cross-
          sectional survey. BioMedCentral Public Health, 6, 101.
Lau, P. S., Yuen, M. T., & Chan, R. M. (2005). Do demographic characteristics make a
          difference to burnout among Hong Kong secondary school teachers? Social
          Indicators Research, 71, 491–516.
Laugaa, D., Rascle, N., & Bruchon-Schweitzer, N. (2008). Stress and burnout among French
          elementary school teachers: A transactional approach. Revue Européenne de
          Psychologie Appliqué, 58, 241–251.
Leiter, M. P., & Maslach, C. (2004). Areas of work-life: A structured approach to
          organizational predictorsnof job burnout. Research in Occupational Stress and Well-
          being, 3, 91-134.
Leone, S. S., Huibers, M. J. H., Knottnerus, A., & Kant, I. (2009). The temporal relationship
         between burnout and prolonged fatigue: A 4-year prospective cohort study. Stress
         and Health, 25, 365–374.
Leung, D. Y. P., & Lee, W. W. S. (2006). Predicting intention to quit among Chinese
         teachers: differential predictability of the components of burnout. Anxiety, Stress,
         and Coping, 19(2), 129 -14.
Linden, M., & Muschalla, B. (2007). Anxiety disorders and workplace-related anxieties.
         Journal of Anxiety Disorders, 21, 467–474.
Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the Depression Anxiety Stress Scales.
         2nd Edition. Sydney: Psychology Foundation.
Maslach, C. (2006). Understanding job burnout. In A. M. Rossi, P. L. Perrewe, & S. L. Sauter
         (Eds.), Stress and quality of working life: Current perspectives in occupational
         health (pp. 37-53). New York: Information Age Publishing.
Maslach, C., & Leiter, M. P. (1997). The truth about burnout. How organizations cause
         personal stress and what to do about it. San Francisco: Jossey-Bass Publishers.
Maslach, C., & Leiter, M. P. (2008). Early Predictors of Job Burnout and Engagement.
         Journal of Applied Psychology, 93, 498 –512.
Maslach, C., Jackson, S. E., & Leiter, M. P. (1996). Maslach Burnout Inventory. (3rd Ed.).
         Palo Alto, CA: Consulting Psychologists Press.
Maslach, C., Schaufeli, W. B., & Leiter, M. P. (2001). Job burnout. Annual Review of
         Psychology, 52, 397−422.
McGuire, W. H. (1979). Teacher burnout. Today's Education, 68, 5.
Mearns, J., & Cain, J. E. (2003). Relationship between teachers' occupational stress and their
         burnout and distress: Roles of coping and negative mood regulation expectancies.
         Anxiety, Stress and Coping, 16(1), 71–82.
Milfont, T., Denny, S., Ameratunga, S., Robinson, E., & Merry, S. (2008). Burnout and
         wellbeing: Testing the Copenhagen burnout inventory in New Zealand teachers.
         Social Indicators Research, 89(1), 169–177.
Murnane, J., Singer, J., & Willet, J. (1989). The influences of salaries and “opportunity costs”
         on teachers’ career choices: Evidence from North Carolina. Harvard Educational
         Review, 59(3), 325-346.
Nyklicek, Y., & Pop, V. J (2005). Past and familial depression predict current symptoms of
         professional burnout. Journal of Affective Disorders, 88, 63-68.
Otero-López, J. M., Mariño, M. J. S., & Bolaño, C. C. (2008). An integrating approach to the
         study of burnout in University Professors. Psicothema, 20, 766-772.
Ozdemir, Y. (2007).The role of classroom management efficacy in predicting teacher
         burnout. International Journal of Human and Social Sciences, 2, 4.
Palmer, D., Stough, L., Burdenski, T., & Gonzales, M. (2005). Identifying teacher expertise:
         An examination of researchers’ decision making. Educational Psychologist, 40, 13-
         26.
Papastylianou, A., Kaila M., & Polychronopoulos M. (2009). Teachers’ burnout, depression,
         role ambiguity and conflict. Social Psychology of Education, 12, 295-314.
Pillay, H., Goddard, R., & Wilss, L. (2005). Well-being, burnout and competence:
         Implications for teachers. Australian Journal of Teacher Education, 30(2), 15-21.
Purvanova, R. K., & Muros, J. P. (2010). Gender differences in burnout: A meta-analysis.
         Journal of Vocational Behavior, 77, 168–185.
Ramsey, G. (2000). Quality matters. Revitalising teaching: Critical times, critical choices.
          Sydney: New South Wales Department of Education and Training. Retrieved from
          http://www.det.nsw.edu.au/teachrev/reports/
Ryff, C. D., & Keyes, C. L. M. (1995). The structure of psychological well-being revised.
          Journal of Personality and Social Psychology, 69(4), 719-727.
Sabancı, A. (2009). The effect of primary school teachers’ burnout on organizational health.
          Procedings in Social and Behavioral Sciences, 1, 195-205.
Sari, H. (2004). An analysis of burnout and job satisfaction among Turkish special school
          headteachers and teachers, and the factors effecting their burnout and job
          satisfaction. Educational Studies, 30(3), 291-306.
Schaufeli, W. B., & Enzmann, D. (1998). The burnout companion to study and practice: A
          critical analysis. London: Taylor & Francis.
Schwarzer, R., & Hallum, S. (2008). Perceived teacher self-efficacy as a predictor of job
          stress and burnout: Mediation analyses. International Association of Applied
          Psychology, 57, 152-171.
Shirom, A., & Ezrachi, I. (2003). On the discriminant validity of burnout, depression and
          anxiety: A reexamination of the burnout measure. Anxiety, Stress and Coping, 16(1),
          83-97.
Shukla, A., & Trivedi, T. (2008). Burnout in Indian teachers. Asia Pacific Education Review,
          9(3), 320-334.
Simbula, S., Guglielmi, D., & Schaufeli, W. B. (2010). A three-wave study of job resources,
          self-efficacy, and work engagement among Italian schoolteachers. European
          Journal of Work and Organizational Psychology, 20(3), 285-304.
Skaalvik E. M., & Skaalvik S. (2010). Teacher self-efficacy and teacher burnout: A study of
          relations. Teaching and Teacher Education, 26, 1059-1069.
Skaalvik, E. M., & Skaalvik, S. (2010). Does school context matter? Relations with teacher
          burnout and job satisfaction. Teaching and Teacher Education, 25, 518-524.
Sonnenschein, M., Sorbi, M. J., van Doornen, L. J., Schaufeli, W. B., & Maas, C. J. (2007).
          Evidence that impaired sleep recovery may complicate burnout improvement
          independently of depressive mood. Journal of Psychosomatic Research, 62, 487–94.
Taris, T. W., Van Horn, J. E., Schaufeli, W. B., & Schreurs, P. J. G. (2004). Inequity, burnout
          and psychological withdrawal among teachers: A dynamic exchange model.
          Anxiety, Stress & Coping, 17(1), 103–122.
Timms, C., Graham, D., & Cottrell, D. (2007). I just want to teach. Queensland independent
          school teachers and their workload. Journal of Educational Administration, 45(5),
          569-586.
Travers, C. J., & Cooper, C. L. (1996). Teachers under pressure. Routledge, New-York.
Tschannen-Moran, M., & Woolfolk Hoy, A. (2007).The differential antecedents of self-
          efficacy beliefs of novice and experienced teachers. Teaching and Teacher
          Education, 23, 944–956.
Tschannen-Moran, M., Woolfolk-Hoy, A., & Hoy, W. K. (1998). Teacher efficacy: Its
          meaning and measure. Review of Educational Research, 68(2), 202–248.
Tsouloupas, C. N., Carson, R.L., Matthews, R., Grawitch, M. J., & Barber, L. K. (2010).
          Exploring the association between teachers’ perceived student misbehaviour and
          emotional exhaustion: the importance of teacher efficacy beliefs and emotion
          regulation. Educational Psychology, 30(2), 173–189.
   Unterbrink, T., Hack, A., Pfeifer, R., Buhl-Grießhaber, V., Muller, U., Wesche, H., et al.,
            (2007). Burnout and effort–reward-imbalance in a sample of 949 German teachers.
            International Archives of Occupational and Environmental Health, 80, 433–441.
   van Dick, R., & Wagner, U. (2001). Stress and strain in teaching: A structural equation
            approach. British Journal of Educational Psychology, 71, 243-259.
   van Horn, J. E.,Schaufeli, W.B., & Enzmann, D. (1999). Teacher burnout and lack of
            reciprocity. Journal of Applied Social Psychology, 29(1), 91-108.
   Van Petegem, K., Creemers, B. P. M., Rosseel, Y., & Aelterman, A. (2006). Relationships
            between teacher characteristics, interpersonal teacher behaviour and teacher
            wellbeing. Journal of Classroom Interaction, 1-27.
   Walster, E., Berscheid, E., & Walster, G. W. (1973). New directions in equity research.
            Journal of Personality and Social Psychology, 25, 151–176.
   Yang, X., C. Ge, B., Hu, T., Chi, L., & Wang, A. (2009). Relationship between quality of life
            and occupational stress among teachers. Public Health, 123, 750–755.
   Yavuz, M. (2009). An investigation of burn-out levels of teachers working in elementary and
            secondary educational institutions and their attitudes to classroom management.
            Educational Research and Reviews, 4(12), 642-649.
   Zhongying, S. (2008). Current situation of job burnout of junior high school teachers in
            Shangqiu urban areas and its relationship with social support. Frontiers of Education
            in China, 3(2), 295–309.