{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T16:59:44Z","timestamp":1783702784383,"version":"3.55.0"},"reference-count":93,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T00:00:00Z","timestamp":1757548800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Research Council of the University of Patras, Greece"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Background and Objectives: Professional burnout threatens special education teachers\u2019 well-being and educational service quality through three psychological dimensions: emotional exhaustion, depersonalization, and personal achievement. Limited studies have employed behavioral data analysis to examine burnout patterns in special education and their relationships with demographic factors and contemporary stressors. This study aimed to (1) identify burnout levels among Greek special education teachers, (2) determine demographic risk factors, and (3) examine relationships between burnout dimensions and COVID-19 psychological impact. Materials and Methods: A cross-sectional study surveyed 114 special education teachers from Achaia and Aitoloakarnania prefectures, Greece (response rate: 87.7%), using the Maslach Burnout Inventory\u2013Educators Survey (MBI-ES) and demographic questionnaires. Behavioral data analysis integrates traditional statistics with advanced techniques, including cluster analysis and classification modeling. Results: Four distinct burnout profiles emerged: Low Burnout (36.8%), Moderate Emotional Exhaustion (30.7%), High Risk (21.9%), and Depersonalization-Dominant (10.5%). Overall burnout prevalence was low, with 73.7% showing minimal depersonalization and 67.5% maintaining high personal achievement. Employment status emerged as the strongest predictor of burnout risk. Emotional exhaustion was the primary predictor of COVID-19 psychological impact (r = 0.547, p &lt; 0.001), explaining 29.9% of pandemic-related distress variance. Male substitute teachers demonstrated the highest vulnerability to depersonalization, while experienced female permanent teachers showed resilience patterns. Conclusions: Behavioral data analysis revealed distinct burnout patterns enabling personalized interventions. Emotional exhaustion serves as both a key vulnerability factor and primary intervention target. These findings support targeted approaches to occupational health with implications for educational policy. Limitations include cross-sectional design and regional sampling. Future longitudinal studies should validate these patterns across diverse educational contexts.<\/jats:p>","DOI":"10.3390\/ijerph22091420","type":"journal-article","created":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T14:23:50Z","timestamp":1757600630000},"page":"1420","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Psychological Dimensions of Professional Burnout in Special Education: A Cross-Sectional Behavioral Data Analysis of Emotional Exhaustion, Personal Achievement, and Depersonalization"],"prefix":"10.3390","volume":"22","author":[{"given":"Paraskevi-Spyridoula","family":"Alexaki","sequence":"first","affiliation":[{"name":"Department of Management Science and Technology, University of Patras, 265 04 Patras, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3936-435X","authenticated-orcid":false,"given":"Hera","family":"Antonopoulou","sequence":"additional","affiliation":[{"name":"Department of Management Science and Technology, University of Patras, 265 04 Patras, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3197-2019","authenticated-orcid":false,"given":"Evgenia","family":"Gkintoni","sequence":"additional","affiliation":[{"name":"University General Hospital of Patras, 265 04 Patras, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikos","family":"Adamopoulos","sequence":"additional","affiliation":[{"name":"Department of Management Science and Technology, University of Patras, 265 04 Patras, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7924-5075","authenticated-orcid":false,"given":"Constantinos","family":"Halkiopoulos","sequence":"additional","affiliation":[{"name":"Department of Management Science and Technology, University of Patras, 265 04 Patras, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,9,11]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1177\/10634266221146495","article-title":"Special education teachers of color burnout, working conditions, and recommendations for EBD research","volume":"31","author":"Scott","year":"2023","journal-title":"J. Emot. Behav. Disord."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Sang, G., Yuan, C., Wang, M., Chen, J., Han, X., and Zhang, R. (2022). What causes burnout in special school physical education teachers? Evidence from China. Sustainability, 14.","DOI":"10.3390\/su142013037"},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Agyapong, B., Obuobi-Donkor, G., Burback, L., and Wei, Y. (2022). Stress, burnout, anxiety and depression among teachers: A scoping review. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph191710706"},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Brunsting, N.C., Cumming, M.M., Garwood, J.D., and Urquiza, N. (2023). Special education teachers\u2019 wellbeing and burnout. Handbook of Research on Special Education Teacher Preparation, Routledge.","DOI":"10.4324\/9781003297093-19"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1080\/08856257.2024.2351702","article-title":"Burnout among special education teachers: Exploring the interplay between individual and contextual factors","volume":"40","author":"Benigno","year":"2025","journal-title":"Eur. J. Spec. Needs Educ."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1177\/07419325211030562","article-title":"Burnout of Special Educators Serving Students with Emotional-Behavioral Disorders: A Longitudinal Study","volume":"43","author":"Brunsting","year":"2021","journal-title":"Remedial Spec. Educ."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1177\/0741932520924121","article-title":"Special educators\u2019 working conditions, self-efficacy, and practices use with students with emotional\/behavioral disorders","volume":"42","author":"Cumming","year":"2021","journal-title":"Remedial Spec. Educ."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1177\/10634266221099242","article-title":"Special educator burnout and fidelity in implementing behavior support plans: A call to action","volume":"31","author":"Garwood","year":"2023","journal-title":"J. Emot. Behav. Disord."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1177\/10634266211020258","article-title":"Teaching students with emotional\/behavioral disorders: Teachers\u2019 burnout profiles and classroom management","volume":"30","author":"Gilmour","year":"2022","journal-title":"J. Emot. Behav. Disord."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1177\/0888406420931497","article-title":"The emotional job demands of special education: A qualitative study of alternatively certified novices\u2019 emotional induction","volume":"44","author":"Stark","year":"2021","journal-title":"Teach. Educ. Spec. Educ."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1080\/09645292.2021.1914001","article-title":"Special education funding and teacher turnover","volume":"29","author":"Stock","year":"2021","journal-title":"Educ. Econ."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"104209","DOI":"10.1016\/j.tate.2023.104209","article-title":"Special educators\u2019 mental health and burnout: A comparison of general and teacher specific risk factors","volume":"132","author":"McGrew","year":"2023","journal-title":"Teach. Teach. Educ."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1007\/s12310-022-09534-1","article-title":"School demands and resources as predictors of student burnout among high school students","volume":"15","author":"Jagodics","year":"2023","journal-title":"Sch. Ment. Health"},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Llorca-Pellicer, M., Soto-Rubio, A., and Gil-Monte, P.R. (2021). Development of burnout syndrome in non-university teachers: Influence of demand and resource variables. Front. Psychol., 12.","DOI":"10.3389\/fpsyg.2021.644025"},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Liu, Z., Xie, Y., Sun, Z., Liu, D., Yin, H., and Shi, L. (2023). Factors associated with academic burnout and its prevalence among university students: A cross-sectional study. BMC Med. Educ., 23.","DOI":"10.1186\/s12909-023-04316-y"},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Salmela-Aro, K., Tang, X., and Upadyaya, K. (2022). Study demands-resources model of student engagement and burnout. Handbook of Research on Student Engagement, Springer.","DOI":"10.1007\/978-3-031-07853-8_4"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1016\/j.teln.2025.02.019","article-title":"Academic burnout among nursing students: The role of stress, depression, and anxiety within the Demand Control Model","volume":"20","author":"Sarfika","year":"2025","journal-title":"Teach. Learn. Nurs."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1659","DOI":"10.1007\/s00127-022-02268-0","article-title":"School burnout trends and sociodemographic factors in Finland 2006\u20132019","volume":"57","author":"Read","year":"2022","journal-title":"Soc. Psychiatry Psychiatr. Epidemiol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1364","DOI":"10.1080\/10409289.2021.1965395","article-title":"Early childhood special education teachers\u2019 job burnout and psychological stress","volume":"33","author":"Jeon","year":"2022","journal-title":"Early Educ. Dev."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1177\/87568705231180885","article-title":"School and intrapersonal predictors and stability of rural special education teacher burnout","volume":"42","author":"Ruble","year":"2023","journal-title":"Rural Spec. Educ. Q."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1177\/10634266221148974","article-title":"School leadership, climate, and professional isolation as predictors of special education teachers\u2019 stress and coping profiles","volume":"31","author":"Herman","year":"2023","journal-title":"J. Emot. Behav. Disord."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1442","DOI":"10.1037\/edu0000703","article-title":"Does instructional quality mediate the link between teachers\u2019 emotional exhaustion and student outcomes? A large-scale study using teacher and student reports","volume":"114","author":"Klusmann","year":"2022","journal-title":"J. Educ. Psychol."},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Wang, Y., and Wang, Y. (2022). The interrelationship between emotional intelligence, self-efficacy, and burnout among foreign language teachers: A meta-analytic review. Front. Psychol., 13.","DOI":"10.3389\/fpsyg.2022.913638"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1080\/15388220.2022.2041023","article-title":"Teacher victimization and teacher burnout: Multilevel moderating role of school climate in a large-scale survey study","volume":"21","author":"Yang","year":"2022","journal-title":"J. Sch. Violence"},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Siraj, R.A., Aldhahir, A.M., Alqahtani, J.S., Almarkhan, H.M., Alghamdi, S.M., Alqarni, A.A., Alhotye, M., Algarni, S.S., Alahmadi, F.H., and Alahmari, M.A. (2022). Burnout and Resilience among Respiratory Therapy (RT) Students during Clinical Training in Saudi Arabia: A Nationwide Cross-Sectional Study. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph192013047"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"104384","DOI":"10.1016\/j.tate.2023.104384","article-title":"Educator burnout in the age of COVID-19: A mediation analysis of perceived stressors, work sense of coherence, and sociodemographic characteristics","volume":"137","author":"McDaniel","year":"2024","journal-title":"Teach. Teach. Educ."},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Mota, A.I., Lopes, J., and Oliveira, C. (2021). Teachers\u2019 voices: A qualitative study on burnout in the Portuguese educational system. Educ. Sci., 11.","DOI":"10.3390\/educsci11080392"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"104503","DOI":"10.1016\/j.compedu.2022.104503","article-title":"Class size affects preservice teachers\u2019 physiological and psychological stress reactions: An experiment in a virtual reality classroom","volume":"188","author":"Huang","year":"2022","journal-title":"Comput. Educ."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1080\/1034912X.2020.1727421","article-title":"Stress and empathy in teachers at general and special education schools","volume":"69","author":"Jablan","year":"2022","journal-title":"Int. J. Disabil. Dev. Educ."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1080\/1034912X.2022.2092078","article-title":"Attitudes towards disability and burnout among teachers in inclusive schools in France","volume":"71","author":"Rohmer","year":"2024","journal-title":"Int. J. Disabil. Dev. Educ."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1016\/j.tate.2015.05.001","article-title":"Burnout in Irish teachers: Investigating the role of individual differences, work environment and coping factors","volume":"50","author":"Foley","year":"2015","journal-title":"Teach. Teach. Educ."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"827","DOI":"10.1007\/s41042-024-00154-5","article-title":"Teachers\u2019 Burnout\u2014The Role of Social Support, Gratitude, Hope, Entitlement and Loneliness","volume":"9","author":"Einav","year":"2024","journal-title":"Int. J. Appl. Posit. Psychol."},{"key":"ref_33","unstructured":"Education Support (2025, September 02). Teacher Wellbeing Index 2022. London: Education Support. Available online: https:\/\/www.educationsupport.org.uk\/media\/zoga2r13\/teacher-wellbeing-index-2022.pdf."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1080\/03055698.2014.930340","article-title":"Burnout and teacher self-efficacy among teachers working in special education institutions in Turkey","volume":"40","year":"2014","journal-title":"Educ. Stud."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1080\/0305569042000224233","article-title":"An analysis of burnout and job satisfaction among Turkish special school headteachers and teachers, and the factors effecting their burnout and job satisfaction","volume":"30","author":"Sari","year":"2004","journal-title":"Educ. Stud."},{"key":"ref_36","doi-asserted-by":"crossref","unstructured":"Liu, D., and Du, R. (2024). Psychological capital, mindfulness, and teacher burnout: Insights from Chinese EFL educators through structural equation modeling. Front. Psychol., 15.","DOI":"10.3389\/fpsyg.2024.1351912"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"19","DOI":"10.3991\/ijoe.v19i08.38509","article-title":"Burnout prevalence in special education teachers, and the positive role of ICTs","volume":"19","author":"Stathopoulou","year":"2023","journal-title":"Int. J. Online Biomed. Eng."},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Ruble, L., Cormier, C.J., McGrew, J., and Dueber, D.M. (2024). A comparison of measurement of stability and predictors of special education burnout and work engagement. Remedial and Special Education. Adv. Online Publ.","DOI":"10.1177\/07419325241265979"},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Li, J., and Jiang, Y. (2021). The research trend of big data in education and the impact of teacher psychology on educational development during COVID-19: A systematic review and future perspective. Front. Psychol., 12.","DOI":"10.3389\/fpsyg.2021.753388"},{"key":"ref_40","unstructured":"European Commission (2025, September 02). Promoting Inclusive Education: Addressing Challenges in Legislation, Educational Policy and Practice. Brussels: DG REFORM. Available online: https:\/\/reform-support.ec.europa.eu\/what-we-do\/skills-education-and-training\/promoting-inclusive-education-addressing-challenges-legislation-educational-policy-and-practice_en."},{"key":"ref_41","unstructured":"European Agency for Special Needs and Inclusive Education (2025, September 02). Country policy Review: Greece. Brussels: European Agency. Available online: http:\/\/www.european-agency.org\/sites\/default\/files\/agency-projects\/CPRA\/Phase2\/CPRA%20Greece.pdf."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"650","DOI":"10.1080\/1034912X.2022.2144810","article-title":"Profiles of teachers\u2019 work engagement in special education: The impact of burnout and job satisfaction","volume":"71","author":"Antoniou","year":"2024","journal-title":"Int. J. Disabil. Dev. Educ."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1080\/08856257.2020.1857931","article-title":"Professional burnout in general and special education teachers: The role of interpersonal coping strategies","volume":"37","author":"Pavlidou","year":"2022","journal-title":"Eur. J. Spec. Needs Educ."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"1120","DOI":"10.1007\/s43076-022-00240-0","article-title":"Teachers\u2019 Attitudes Towards Inclusive Education: A Cross-National Exploration","volume":"32","author":"Charitaki","year":"2022","journal-title":"Trends Psychol."},{"key":"ref_45","unstructured":"(2025, September 02). Law 4368\/2016. Measures for Accelerating Government Work and Other Provisions. Greek Government Gazette, A 21\/21.02.2016. Available online: https:\/\/natlex.ilo.org\/dyn\/natlex2\/r\/natlex\/fe\/details?p3_isn=104200&cs=17BRq8-NUVeQhysNPYHRBTVsNT0lJ6axN8is6jHzpyzuEKjTr56OOuJo21olopO4nlogu4B0FCVQ_nZW2a_k_Ag."},{"key":"ref_46","unstructured":"(2025, September 02). Law 4823\/2021. Upgrading the School and Other Provisions. Greek Government Gazette, A 136\/03.08.2021. (In Greek)."},{"key":"ref_47","doi-asserted-by":"crossref","unstructured":"Creswell, J., Poth, C.N., and Rawlins, P. (2023). Mapping Design Trends and Evolving Directions Using the Sage Handbook of Mixed Methods Research Design. The Sage Handbook of Mixed Methods Research Design, Sage Publications Ltd.","DOI":"10.4135\/9781529682663.n50"},{"key":"ref_48","doi-asserted-by":"crossref","unstructured":"Heus, P.D., and Diekstra, R.F.W. (1999). Do Teachers Burn Out More Easily? A Comparison of Teachers with Other Social Professions on Work Stress and Burnout Symptoms. Underst. Prev. Teach. Burn., 269\u2013284.","DOI":"10.1017\/CBO9780511527784.019"},{"key":"ref_49","unstructured":"Maslach, C., Jackson, S.E., and Leiter, M.P. (1996). Maslach Burnout Inventory-Educators Survey (MBI-ES). Maslach Burnout Inventory Manual, Consulting Psychologists Press. [3rd ed.]."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1002\/smi.1079","article-title":"Factor structure and psychometric properties of the Maslach Burnout Inventory-Educators Survey among elementary and secondary school teachers in Cyprus","volume":"22","author":"Kokkinos","year":"2006","journal-title":"Stress Health"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1111\/j.1365-2788.2003.00523.x","article-title":"Burnout in direct care staff in intellectual disability services: A factor analytic study of the Maslach Burnout Inventory","volume":"48","author":"Hastings","year":"2004","journal-title":"J. Intellect. Disabil. Res."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1111\/j.2044-8325.1993.tb00514.x","article-title":"The nature of burnout: A study of the three-factor model of burnout in human service and non-human service samples","volume":"66","author":"Evans","year":"1993","journal-title":"J. Occup. Organ. Psychol."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"871","DOI":"10.1037\/apl0001043","article-title":"Preretirement resources and postretirement life satisfaction change trajectory: Examining the mediating role of retiree experience during retirement transition phase","volume":"108","author":"Zhan","year":"2023","journal-title":"J. Appl. Psychol."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"438","DOI":"10.1080\/14427591.2022.2046139","article-title":"Becoming an academic retiree: A longitudinal study of women academics\u2019 transition to retirement experiences from a university in the Republic of Ireland","volume":"30","author":"Cahill","year":"2023","journal-title":"J. Occup. Sci."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1002\/pits.22633","article-title":"The longitudinal trajectories of teacher burnout and vigour across the scholar year: The predictive role of emotional intelligence","volume":"59","author":"Cece","year":"2022","journal-title":"Psychol. Sch."},{"key":"ref_56","doi-asserted-by":"crossref","unstructured":"Masdonati, J., Brazier, C.\u00c9., Kekki, M., Parmentier, M., and Neale, B. (2024). Qualitative longitudinal research in vocational psychology: A methodological approach to enhance the study of contemporary careers. Int. J. Educ. Vocat. Guid., 1\u201320.","DOI":"10.1007\/s10775-024-09692-5"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"19160216251321458","DOI":"10.1177\/19160216251321458","article-title":"Impact of the COVID-19 pandemic on retirement among Canadian otolaryngologists","volume":"54","author":"Sahlollbey","year":"2025","journal-title":"J. Otolaryngol.-Head Neck Surg."},{"key":"ref_58","doi-asserted-by":"crossref","unstructured":"Cuervo, H., and Vera-Toscano, E. (2025). Teacher retention and attrition: Understanding why teachers leave and their post-teaching pathways in Australia. Asia Pac. J. Educ., 1\u201318.","DOI":"10.1080\/02188791.2025.2473356"},{"key":"ref_59","doi-asserted-by":"crossref","unstructured":"Tzachrista, M., Gkintoni, E., and Halkiopoulos, C. (2023). Neurocognitive Profile of Creativity in Improving Academic Performance\u2014A Scoping Review. Educ. Sci., 13.","DOI":"10.20944\/preprints202307.1906.v1"},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"1235","DOI":"10.12688\/f1000research.141599.1","article-title":"Clinical neuropsychological characteristics of bipolar disorder, with a focus on cognitive and linguistic pattern: A conceptual analysis","volume":"12","author":"Gkintoni","year":"2023","journal-title":"F1000Research"},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"146","DOI":"10.28991\/ESJ-2023-SIED2-012","article-title":"Contributions of Neuroscience to Educational Praxis: A Systematic Review","volume":"7","author":"Gkintoni","year":"2023","journal-title":"Emerg. Sci. J."},{"key":"ref_62","doi-asserted-by":"crossref","unstructured":"Funke, C., Rothert-Schnell, C., Walsh, G., Mangi\u00f2, F., Pedeliento, G., and Takahashi, I. (2025). The digital stress scale: Cross-cultural application, validation, and development of a short scale. Rev. Manag. Sci., 1\u201337.","DOI":"10.1007\/s11846-025-00906-w"},{"key":"ref_63","doi-asserted-by":"crossref","unstructured":"Pisarska, A.M., Kryczka, A., and Castellone, D. (2025). Organizational trust as a driver of eudaimonic and digital well-being in IT professionals: A cross-cultural study. Sustainability, 17.","DOI":"10.3390\/su17115124"},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"9987","DOI":"10.1007\/s12144-025-07865-1","article-title":"Cross-cultural validation and standardization of the Impostor-Profile 30","volume":"44","author":"Ibrahim","year":"2025","journal-title":"Curr. Psychol."},{"key":"ref_65","doi-asserted-by":"crossref","unstructured":"Li, C., Meng, Z.X., Lin, Y.B., and Zhang, L. (2025). Cross-cultural adaptation and psychometric evaluation of the Chinese version of the sickness presenteeism scale-nurse (C-SPS-N): A cross-sectional study. BMC Nurs., 24.","DOI":"10.1186\/s12912-025-03113-w"},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1177\/00220221221123043","article-title":"Parenting culture(s): Ideal-parent beliefs across 37 countries","volume":"54","author":"Lin","year":"2023","journal-title":"J. Cross Cult. Psychol."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"1296","DOI":"10.1177\/10596011251316414","article-title":"A commentary on Palmer et al. (2025): Examinations of cross-cultural generalizability require data reflecting cross-cultural variability","volume":"50","author":"Crede","year":"2025","journal-title":"Group Organ. Manag."},{"key":"ref_68","doi-asserted-by":"crossref","unstructured":"Gkintoni, E., and Ortiz, P.S. (2023). Neuropsychology of Generalized Anxiety Disorder in Clinical Setting: A Systematic Evaluation. Healthcare, 11.","DOI":"10.20944\/preprints202307.1083.v1"},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"1","DOI":"10.28991\/esj-2021-01252","article-title":"Transformational Leadership and Digital Skills in Higher Education Institutes: During the COVID-19 Pandemic","volume":"5","author":"Antonopoulou","year":"2021","journal-title":"Emerg. Sci. J."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"405","DOI":"10.28991\/esj-2021-01286","article-title":"Associations between Traditional and Digital Leadership in Academic Environment: During the COVID-19 Pandemic","volume":"5","author":"Antonopoulou","year":"2021","journal-title":"Emerg. Sci. J."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"110","DOI":"10.26803\/ijlter.19.4.8","article-title":"Leadership Types and Digital Leadership in Higher Education: Behavioural Data Analysis from University of Patras in Greece","volume":"19","author":"Antonopoulou","year":"2020","journal-title":"Int. J. Learn. Teach. Educ. Res."},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"470","DOI":"10.1016\/j.jadohealth.2021.10.004","article-title":"Investigating protective factors associated with mental health outcomes in sexual minority youth","volume":"70","author":"Parmar","year":"2022","journal-title":"J. Adolesc. Health"},{"key":"ref_73","doi-asserted-by":"crossref","unstructured":"Versteeg, M., and Kappe, R. (2021). Resilience and higher education support as protective factors for student academic stress and depression during COVID-19 in the Netherlands. Front. Public Health, 9.","DOI":"10.3389\/fpubh.2021.737223"},{"key":"ref_74","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1080\/19012276.2023.2244678","article-title":"Protective factors against school burnout symptoms in Finnish adolescents","volume":"77","author":"Simonsen","year":"2025","journal-title":"Nord. Psychol."},{"key":"ref_75","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1080\/02673843.2022.2091938","article-title":"Resilience patterns of Swiss adolescents before and during the COVID-19 pandemic: A latent transition analysis","volume":"27","author":"Janousch","year":"2022","journal-title":"Int. J. Adolesc. Youth"},{"key":"ref_76","doi-asserted-by":"crossref","first-page":"1428","DOI":"10.1007\/s10826-021-01954-y","article-title":"Adolescent protective and risk factors for incarceration through early adulthood","volume":"30","author":"Barnert","year":"2021","journal-title":"J. Child Fam. Stud."},{"key":"ref_77","doi-asserted-by":"crossref","first-page":"102562","DOI":"10.1016\/j.eclinm.2024.102562","article-title":"Potential strategies for supporting mental health and mitigating the risk of burnout among healthcare professionals: Insights from the COVID-19 pandemic","volume":"71","author":"Collett","year":"2024","journal-title":"EClinicalMedicine"},{"key":"ref_78","doi-asserted-by":"crossref","unstructured":"Wilton, A.R., Sheffield, K., Wilkes, Q., Chesak, S., Pacyna, J., Sharp, R., and Athreya, A.P. (2024). The Burnout PRedictiOn Using Wearable aNd ArtIficial IntelligEnce (BROWNIE) study: A decentralized digital health protocol to predict burnout in registered nurses. BMC Nurs., 23.","DOI":"10.1186\/s12912-024-01711-8"},{"key":"ref_79","doi-asserted-by":"crossref","unstructured":"Forycka, J., Paw\u0142owicz-Szlarska, E., Burczy\u0144ska, A., Cegielska, N., Harendarz, K., and Nowicki, M. (2022). Polish medical students facing the pandemic\u2014Assessment of resilience, well-being and burnout in the COVID-19 era. PLoS ONE, 17.","DOI":"10.1371\/journal.pone.0261652"},{"key":"ref_80","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1177\/1078390320970640","article-title":"Implementing a protocol to address risk for burnout among mental health professionals","volume":"28","author":"Via","year":"2022","journal-title":"J. Am. Psychiatr. Nurses Assoc."},{"key":"ref_81","doi-asserted-by":"crossref","unstructured":"Leo, C.G., Sabina, S., Tumolo, M.R., Bodini, A., Ponzini, G., Sabato, E., and Mincarone, P. (2021). Burnout among healthcare workers in the COVID-19 era: A review of the existing literature. Front. Public Health, 9.","DOI":"10.3389\/fpubh.2021.750529"},{"key":"ref_82","doi-asserted-by":"crossref","unstructured":"S\u00f8vold, L.E., Naslund, J.A., Kousoulis, A.A., Saxena, S., Qoronfleh, M.W., Grobler, C., and M\u00fcnter, L. (2021). Prioritizing the mental health and well-being of healthcare workers: An urgent global public health priority. Front. Public Health, 9.","DOI":"10.3389\/fpubh.2021.679397"},{"key":"ref_83","doi-asserted-by":"crossref","first-page":"1294","DOI":"10.1111\/jan.15034","article-title":"Compassion fatigue, burnout and compassion satisfaction among emergency nurses: A path analysis","volume":"78","author":"Yu","year":"2022","journal-title":"J. Adv. Nurs."},{"key":"ref_84","doi-asserted-by":"crossref","unstructured":"Dr\u00fcge, M., Schladitz, S., Wirtz, M.A., and Schleider, K. (2021). Psychosocial burden and strains of pedagogues\u2014Using the job demands-resources theory to predict burnout, job satisfaction, general state of health, and life satisfaction. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18157921"},{"key":"ref_85","doi-asserted-by":"crossref","unstructured":"Gkintoni, E., Vantaraki, F., Skoulidi, C., Anastassopoulos, P., and Vantarakis, A. (2024). Gamified Health Promotion in Schools: The Integration of Neuropsychological Aspects and CBT\u2014A Systematic Review. Medicina, 60.","DOI":"10.3390\/medicina60122085"},{"key":"ref_86","doi-asserted-by":"crossref","unstructured":"Dr\u0103ghici, G.L., and Cazan, A.M. (2022). Burnout and maladjustment among employed students. Front. Psychol., 13.","DOI":"10.3389\/fpsyg.2022.825588"},{"key":"ref_87","doi-asserted-by":"crossref","unstructured":"Antonopoulou, H., Matzavinou, P., Giannoukou, I., and Halkiopoulos, C. (2025). Teachers\u2019 Digital Leadership and Competencies in Primary Education: A Cross-Sectional Behavioral Study. Educ. Sci., 15.","DOI":"10.3390\/educsci15020215"},{"key":"ref_88","doi-asserted-by":"crossref","first-page":"367","DOI":"10.26803\/ijlter.21.5.19","article-title":"Application of Gamification Tools for Identification of Neurocognitive and Social Function in Distance Learning Education","volume":"21","author":"Antonopoulou","year":"2022","journal-title":"Int. J. Learn. Teach. Educ. Res."},{"key":"ref_89","doi-asserted-by":"crossref","first-page":"238","DOI":"10.26803\/ijlter.18.9.13","article-title":"Transition from Educational Leadership to e-Leadership: A Data Analysis Report from TEI of Western Greece","volume":"18","author":"Antonopoulou","year":"2019","journal-title":"Int. J. Learn. Teach. Educ. Res."},{"key":"ref_90","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1111\/apps.12382","article-title":"How does chronic burnout affect dealing with weekly job demands? A test of central propositions in JD-R and COR-theories","volume":"72","author":"Bakker","year":"2023","journal-title":"Appl. Psychol."},{"key":"ref_91","doi-asserted-by":"crossref","first-page":"266.1","DOI":"10.31117\/neuroscirn.v6i4.266","article-title":"Making neuroscience a priority in Initial Teacher Education curricula: A call for bridging the gap between research and future practices in the classroom","volume":"6","author":"Sortwell","year":"2023","journal-title":"Neurosci. Res. Notes"},{"key":"ref_92","doi-asserted-by":"crossref","first-page":"262","DOI":"10.28991\/ESJ-2024-SIED1-016","article-title":"Cognitive Insights from Emotional Intelligence: A Systematic Review of EI Models in Educational Achievement","volume":"8","author":"Gkintoni","year":"2025","journal-title":"Emerg. Sci. J."},{"key":"ref_93","doi-asserted-by":"crossref","first-page":"931","DOI":"10.1007\/s10212-023-00731-3","article-title":"Interventions to reduce burnout in students: A systematic review and meta-analysis","volume":"39","author":"Madigan","year":"2024","journal-title":"Eur. J. Psychol. 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