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Burnout - Coggle Diagram
Burnout
Consequences
Increased allostatic load
Structural and functional brain changes
Reduced neuroplasticity
Impaired neurogenesis
Lower serum BDNF levels
Thinning of the medial frontal cortex
Bilateral increase in amygdala volumes
Reduced grey matter volumes
Reduced caudate and putamen volumes
Functional disconnection between the amygdala and ACC/medial prefrontal cortex (mPFC)
Impaired ability to down-regulate the response to emotional stress
Excito-toxicity
Elevated CRH and ACTH levels
Increased release of glucocorticoids
Systemic inflammation
Immunosuppression
Metabolic syndrome
Cardiovascular disease
Premature death
Depression
Changes in cognition
Deficits in non-verbal memory
Deficits in visual and auditory attention
Deficits in response control
Sleep problems
Non-restorative sleep
Reduced sleep quality
Feeling unrefreshed
Sleepiness/fatigue during the day
Accelerated aging
Shorter leucocyte telomere lengths
Increased levels of cholesterol and triglycerides,
Higher risk of developing Type II diabetes
Increased BMI
Responses
Sustained activation of the
autonomic nervous system
First system to respond
Activation of SAM axis
Elevated blood pressure
Elevated heart rate
Release of catecholamines
Adrenaline
Noradrenalin
Responsible of ‘fight and flight’ adaptive responses
Dysfunction of the sympathetic adrenal medullary axis
Avoid return to homeostasis
Hypothalamic-pituitary-adrenal axis
Avoid return to homeostasis
Activated by the limbic system
Corticotropin releasing hormone is released
Adrenocortotropic hormone released
Glucocorticoids secretion
Alterations cortisol levels
Associated with short-term energetic effects
Suppression of the immune system
Increases in blood sugar,
Higher DHEA-S levels
Other endocrine systems
Higher prolactin levels
Tools
Maslach Burnout Inventory
MBI
Dexamethasone suppression test
DST
Adrenal cortex sensitivity tests
Low dose ACTH
Brain imaging studies
What is?
State of exhaustion
Result of prolonged and excessive workplace stress
Reduced sense of professional accomplishment
Chronic stress not sucessfully managed
Residual factor that may affect health status
Listlessness
Depersonalization
Loss of empathy
Mental torpor
Syndrome
Not appear to have a genetic
contribution
Contributed by unhealthy habits
Hypocortisolemic state
In few and rare cases hypercortisolism
Mediator
Methylation mechanisms