Burnout as an occupational phenomenon: Navigating the Twilight Zone
1Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway; WorkWell Research Unit, North-West University, Potchefstroom, South Africa; Unit of Occupational Medicine, Karolinska Institutet, Stockholm, Sweden.
Psychiatry Research
|January 17, 2026
Summary
Burnout is classified as an occupational phenomenon in ICD-11. This commentary advocates for complementary organizational and clinical approaches to burnout assessment and management for effective prevention and referral.
Area of Science:
- Occupational Health Psychology
- Clinical Psychology
- Health Services Research
Background:
- The International Classification of Diseases, 11th Revision (ICD-11) classifies burnout as an occupational phenomenon.
- Ongoing debates exist regarding the conceptual and diagnostic status of burnout.
- Parker and Russo's (2025) review distinguishes "burning out" from "burnt out" but offers limited insight into practical workplace applications.
Purpose of the Study:
- To analyze the implications of classifying burnout as an occupational phenomenon under ICD-11.
- To propose a framework for integrating organizational and clinical approaches to burnout.
- To address the practical assessment and management of burnout in workplace contexts.
Main Methods:
- This is a commentary engaging with existing literature and reviews on burnout.
- It analyzes the ICD-11 classification of burnout.
- It proposes a dual-approach model for burnout management.
Main Results:
- Organizational screening can identify at-risk employees and modifiable job factors.
- Clinical diagnosis by health professionals is appropriate for referred cases.
- Viewing organizational and clinical approaches as complementary, rather than competing, is advocated.
Conclusions:
- A pragmatic stance integrating organizational and clinical strategies allows for effective burnout prevention and referral.
- This approach accommodates ongoing conceptual debates while addressing practical workplace needs.
- Maintaining distinct roles for organizational assessment and clinical diagnosis avoids methodological impasses.
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