{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T13:06:54Z","timestamp":1789218414379,"version":"build-2803163510"},"reference-count":50,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T00:00:00Z","timestamp":1785715200000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["nyaspubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Ann NY Acad Sci"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Burnout continues to shape discussions of stress and mental health in the workplace. This paper contends that the burnout framework is inadequate because it overlooks crucial aspects of the job\u2010related distress it purports to capture. The narrow symptom focus of the burnout construct has little theoretical or empirical justification and omits red\u2010flag features of severe distress, such as suicidality. The paper examines how the issue of burnout's symptom scope relates to other controversial facets of the construct, including its largely prefabricated character. It is emphasized that occupational health specialists have other options at their disposal. Alternatives anchored in the anxio\u2010depressive spectrum provide a more comprehensive and clinically grounded account of job\u2010related distress and offer clearer thresholds for decision and action. Given these options, approaching burnout as the default indicator of job\u2010related distress is unwarranted. Occupational medicine physicians should assess anxiety and depression when examining workers under stress, while inquiring into work\u2010related factors that may contribute to the emergence and maintenance of these conditions. Possible objections to the recommendation to look beyond burnout are discussed.<\/jats:p>","DOI":"10.1111\/nyas.70366","type":"journal-article","created":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T13:38:51Z","timestamp":1785764331000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["On the Limitations of Burnout as an Indicator of Job\u2010Related Distress"],"prefix":"10.1111","volume":"1562","author":[{"given":"Renzo","family":"Bianchi","sequence":"first","affiliation":[{"name":"Norwegian University of Science and Technology  Trondheim Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,3]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.23.289996"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra2302878"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/02678370500385913"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.4337\/9781035315888.00017"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev\u2010orgpsych\u2010120920\u2010050527"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1037\/abn0000954"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ynstr.2021.100320"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291713001979"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.131.3.271"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1196\/annals.1314.001"},{"key":"e_1_2_8_12_1","volume-title":"Helplessness: On Depression, Development, and Death","author":"Seligman M. 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