Este material es publicado según los términos de la Licencia Creative Commons Atribución–NoComercial 4.0. Se
permite el uso, distribución y reproducción no comerciales y sin restricciones en cualquier medio, siempre que sea
debidamente citada la fuente primaria de publicación.
Disponible en htttp://www.revhph.sld.cu/
Revista del Hospital Psiquiátrico de
La Habana
Volumen 22 |Año 2025 | Publicación continua
ISSN: 0138-7103 | RNPS: 2030
_____________________________________________
Original
Characteristics of Burnout in Nurses from Sabzevar
University of Medical Sciences in Iran
Características del burnout en las enfermeras de
la Universidad de Ciencias Médicas de Sabzevar en Irán
Ayoub Tavakolian1
Fatemeh Arab Sahebi2
Ali Reza Moslem3
Hossein Fahimi 4
Zeinab Jalambadani5
1 Department of Emergency Medicine, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
2 M.D Student, Faculty of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran
3 Department of Anesthesiology, School of Medicine,Mashhad University of Medical Sciences,Mashhad,Iran
4 Department of Psychiatry, School of Medicine, Vasei Hospital, Sabzevar University of Medical Sciences, Sabzevar, Iran
5 Non-Communicable Diseases Research Center, Department of Community Medicine, Faculty of Medicine, Sabzevar
University of Medical Sciences, Sabzevar, Iran
Recibido: 26/01/2025
Aceptado: 02/05/2025
The relationship between psychosomatic and burnout and the level of emotional development in nurses from
Iran
Rev. Hosp. Psiq. Hab. Volumen 22 | Año 2025 | Publicación continua
Este material es publicado según los términos de la Licencia Creative Commons Atribución–NoComercial 4.0. Se permite
el uso, distribución y reproducción no comerciales y sin restricciones en cualquier medio, siempre que sea debidamente
citada la fuente primaria de publicación.
Abstract
Introduction: Burnout is caused by fatigue from working in a stressful environment, which
leads to antisocial behaviors among employees.
Objective: Describe the level of job burnout and its dimensions among teaching hospital
nurses from Sabzevar city, Iran.
Methods: This cross-sectional study involved 127 nurses at hospitals affiliated with
Sabzevar University of Medical Sciences in Iran. Job burnout was measured using a 25-
question MadSage questionnaire, whereas a separate questionnaire assessed emotional
awareness levels. Physical symptoms were evaluated through a 32-question checklist, and
difficulties in emotional regulation were measured with a 36-question survey. Data analysis
included descriptive statistics such as mean and standard deviation, as well as the Pearson
correlation coefficient and regression analysis, using SPSS version 20 software.
Results: The correlation between psychosomatic symptoms and burnout is significant in
most subscales (p < 0.05). Also, the correlation between psychosomatic symptoms and
burnout was 0.427 overall and significant (p < 0.001). The results of regression analysis
showed that burnout (B = 0.24), negative emotion regulation strategies (B = 0.27) and
emotional awareness (B = 0.21) significantly predict physical symptoms (p < 0.05).
Conclusion: The results showed that burnout, negative emotion regulation strategies, and
emotional awareness significantly predict physical symptoms. Future studies should involve
a broader population and explore additional factors related to physical and mental health. It
would also be helpful to measure these results in different working conditions, cities, and
hospitals.
Keywords: job burnout; emotional awareness levels; emotional symptoms
Resumen
Introducción: El síndrome de burnout se debe a la fatiga laboral en un entorno estresante,
lo que genera comportamientos antisociales en los empleados.
Objetivo: Describir el nivel de burnout laboral y sus dimensiones en enfermeras de
hospitales docentes de la ciudad de Sabzevar, Irán.
Métodos: Este estudio transversal involucró a 127 enfermeras de hospitales afiliados a la
Universidad de Ciencias Médicas de Sabzevar, Irán. El burnout laboral se midió mediante
un cuestionario MadSage de 25 preguntas, mientras que otro cuestionario evaluó los niveles
de conciencia emocional. Los síntomas físicos se evaluaron mediante una lista de
verificación de 32 preguntas, y las dificultades en la regulación emocional se midieron con
una encuesta de 36 preguntas. El análisis de datos incluyó estadísticas descriptivas como la
media y la desviación estándar, así como el coeficiente de correlación de Pearson y el análisis
de regresión, mediante el programa SPSS versión 20.
The relationship between psychosomatic and burnout and the level of emotional development in nurses from
Iran
Rev. Hosp. Psiq. Hab. Volumen 22 | Año 2025 | Publicación continua
Este material es publicado según los términos de la Licencia Creative Commons Atribución–NoComercial 4.0. Se permite
el uso, distribución y reproducción no comerciales y sin restricciones en cualquier medio, siempre que sea debidamente
citada la fuente primaria de publicación.
Resultados: La correlación entre los síntomas psicosomáticos y el burnout es significativa
en la mayoría de las subescalas (p < 0,05). Además, la correlación entre los síntomas
psicosomáticos y el síndrome de burnout fue de 0,427 en general y significativa (p < 0,001).
Los resultados del análisis de regresión mostraron que el síndrome de burnout (B = 0,24), las
estrategias de regulación emocional negativa (B = 0,27) y la conciencia emocional (B = 0,21)
predicen significativamente los síntomas físicos (p < 0,05).
Conclusión: Los resultados mostraron que el síndrome de burnout, las estrategias de
regulación emocional negativa y la conciencia emocional predicen significativamente los
síntomas físicos. Los estudios futuros deberían incluir una población más amplia y explorar
otros factores relacionados con la salud física y mental. También sería útil medir estos
resultados en diferentes condiciones laborales, ciudades y hospitales.
Palabras clave: burnout laboral; niveles de conciencia emocional; síntomas emocionales.
Introduction
Burnout is an occupational disease in people whose jobs involve client contact.(1) It can be
said that this syndrome is caused by fatigue from working in a stressful environment, which
leads to antisocial behavior among employees.(2) In general, burnout is divided into three
dimensions: emotional fatigue, depersonalization and feeling of ineffectiveness.
The first dimension is the same as the psychological stress variable, referred to as feelings of
pressure and a factor in the destruction of emotions. In this case, the person may become
apathetic; his work does not stimulate any positive emotions or feelings.(3)
The second has symptoms such as negative and emotionless reactions combined with
indifference to other employees and clients, a feeling of isolation, a decrease in daily activity
and means the person's psychological separation from his job, a feeling of failure and
inability, a decrease in the ability to recognize and a sense of injustice. This dimension
ultimately leads to a cruel response to those who usually receive services from that person.(3)
The last dimension of burnout reduces personal productivity and leads to a decrease in the
feeling of competence in performing personal tasks and a negative self-evaluation of the
work schedule.(3)
Studies indicate that working in high-stress environments, such as working in healthcare
settings, is associated with an increased risk of occupational injury, cardiovascular diseases,
mental health disorders, and burnout.(4,5) As a result, healthcare workers, including general
practitioners, specialists, nurses, and healthcare assistants, face greater burnout and more
psychosomatic illnesses than other occupations due to dealing with many factors such as
emotional, physical, managerial, and interpersonal pressures.(6) On the other hand, research
The relationship between psychosomatic and burnout and the level of emotional development in nurses from
Iran
Rev. Hosp. Psiq. Hab. Volumen 22 | Año 2025 | Publicación continua
Este material es publicado según los términos de la Licencia Creative Commons Atribución–NoComercial 4.0. Se permite
el uso, distribución y reproducción no comerciales y sin restricciones en cualquier medio, siempre que sea debidamente
citada la fuente primaria de publicación.
has shown that some factors, such as the ability to regulate emotions, can moderate work-
related stress and may help reduce symptoms of burnout.
However, little research has been conducted in this area. Although studies show that nurses
are exposed to job stress, burnout, and psychosomatic illnesses, studies in this field are
insufficient and require further investigation. Therefore, considering the characteristics of
working in a stressful hospital environment, this study was designed to describe the level of
burnout and its dimensions in teaching hospital staff in Sabzevar city.
Methods
A cross-sectional study was carried out. The participants were nurses from hospitals in
Sabzevar University of Medical Sciences. 127 nurses from Sabzevar Medical Sciences
hospitals who met the inclusion criteria were randomly included in the study, and after
obtaining consent and explaining the research process and objectives, they were assessed
using a 25-question Madsage questionnaire to measure burnout which has four subscales:
emotional exhaustion, personal performance, depersonalization, and conflict, that measure
both the severity and incidence of burnout symptoms. Its validity and reliability in Iranian
samples have been proven by Abi Hassanpour et al. (7)
In addition, the Emotional Awareness Levels Questionnaire was used to measure emotional
awareness levels. This scale includes 20 scenarios, each written in two to four sentences and
scored and evaluated based on a 5-point scale. These scores are added up to achieve the
highest possible total score of 100. Each scenario includes two people (self and other). These
scenes are designed to elicit four emotions: anger, fear, happiness, and sadness. Each scene
is presented on a separate page, and each scene is followed by two questions: How would
you feel? and How would the other person feel?.(8)
Responses are scored separately for each scene. Each response is scored separately for
emotions attributed to the self and the other. The lowest score (level zero) is for non-
emotional responses. In these responses, emotion is used more to describe thinking than
feelings. Level one reflects awareness of physiological cues, for example, ‘I feel tired’. Level
two includes words that express general, undifferentiated emotions, such as ‘I feel bad’.
Level three includes words that express specific, distinct emotions (such as happiness,
sadness, anger).
There are two scoring guides and a vocabulary list for scoring, which are available in a
classified form in the vocabulary list of all the levels mentioned, and its reliability and
validity have been proven in Iran by Khalili.
The relationship between psychosomatic and burnout and the level of emotional development in nurses from
Iran
Rev. Hosp. Psiq. Hab. Volumen 22 | Año 2025 | Publicación continua
Este material es publicado según los términos de la Licencia Creative Commons Atribución–NoComercial 4.0. Se permite
el uso, distribución y reproducción no comerciales y sin restricciones en cualquier medio, siempre que sea debidamente
citada la fuente primaria de publicación.
The Physical Symptoms Checklist questionnaire was used to measure physical symptoms. It
has 32 questions, and classifies symptoms into four categories.9 The checklist of Shabo,
Feizi, Afshar, Hassanzadeh, and Adibi, which has been used to measure physical symptoms
in patients with somatic symptom disorders, has 30 questions, and evaluates physical
symptoms in four areas: psychological, digestive, respiratory, and general.
The Emotional Regulation Difficulties Questionnaire, which has 36 questions10 and has been
evaluated by Basharat et al. in Iran, was also used.
Inclusion criteria:
- Having worked in the hospital for at least 6 months
Exclusion criteria during the study:
- Unwillingness to complete the questionnaires
Data collection tools:
The 25-item MADSIG questionnaire, which has 4 subscales: emotional exhaustion, personal
performance, depersonalization, and conflict, was used to measure both the severity and
frequency of symptoms of burnout, and its validity and reliability in Iranian samples have
been proven by Abi Hassanpour et al.(11)
Emotional Awareness Levels Questionnaire was also used. This scale includes 20 scenarios,
each written in two to four sentences and scored and evaluated on a 5-point scale. These
scores are added up to obtain the highest possible total score of 100. Each scenario involves
two people (self and other). These scenes are designed to elicit the four emotions of anger,
fear, happiness, and sadness. Each scene is presented on a separate page, and two questions
are asked after each scene: How would you feel? And how would the other person feel?(12)
Physical Symptoms Checklist Questionnaire was used to measure physical symptoms. It has
32 questions and classifies symptoms into four categories.(9)
The checklist of Shabo, Feizi, Afshar, Hassanzadeh, and Adibi, which has been used to
measure physical symptoms in patients with somatic symptom disorders, has 30 questions
and evaluates physical symptoms in four areas: psychological, digestive, respiratory, and
general.
Emotional Regulation Difficulties Questionnaire has 36 questions9 and was evaluated by
Basharat et al. in Iran.
The relationship between psychosomatic and burnout and the level of emotional development in nurses from
Iran
Rev. Hosp. Psiq. Hab. Volumen 22 | Año 2025 | Publicación continua
Este material es publicado según los términos de la Licencia Creative Commons Atribución–NoComercial 4.0. Se permite
el uso, distribución y reproducción no comerciales y sin restricciones en cualquier medio, siempre que sea debidamente
citada la fuente primaria de publicación.
Data Analysis Method
Descriptive statistics including mean and standard deviation and inferential statistics
including Pearson correlation coefficient were used to analyze the data. SPSS version 20
software was also used to process the data.
Ethical Approval
In this study, all procedures performed on human samples were conducted following the
relevant guidelines and regulations of the Helsinki Declaration. The study protocol was
approved by the Research Ethics Committee (IR.MEDSAB.REC.1399.057) in Sabzevar,
Iran.
Results
The mean age of the study participants was 33.2 years ± 7.7 years. 70 participants were male
(55.2 %) and 57 were female (44.8 %). 30 participants (28.7%) were single and 97 (71.3 %)
were married. The mean work experience among the participants was 10.1 ± 12.4 years.
The mean score of gastrointestinal symptoms among the participants was 24 ± 6. This number
was 3.1 ± 6.1 for psychological symptoms. Also, the mean score of respiratory symptoms
among the participants was 2.8 ± 2.2 and general skeletal symptoms were 6.1 ± 10.8. In total,
the mean score of physical symptoms among the participants was 15.8 ± 25.2.
Regarding the dimensions of burnout, the average score for the fatigue dimension was 32.4
± 16.1, for the competence dimension 15.4 ± 8.1, for the depersonalization dimension 9.1 ±
9.3, and for the engagement dimension 9.1 ± 5.1. The average score for emotional awareness
was 44.7. The average score for positive emotion regulation strategies was 10.4 ± 33.7, and
the average score for negative emotion regulation strategies was 10.9 ± 25.6.
Table 1 shows the correlation between different variables. As the table shows, the correlation
between psychosomatic symptoms and burnout is significant in most subscales (p < 0.05).
Besides, the correlation between psychosomatic symptoms and burnout was 0.427 in general
and significant at the level of (p < 0.001). Moreover, there is a significant correlation between
psychosomatic symptoms and burnout with emotion regulation strategies and emotional
awareness.
There was no significant correlation between job activity history and any of the categories of
psychosomatic symptoms. There was also no significant relationship between fatigue and
The relationship between psychosomatic and burnout and the level of emotional development in nurses from
Iran
Rev. Hosp. Psiq. Hab. Volumen 22 | Año 2025 | Publicación continua
Este material es publicado según los términos de la Licencia Creative Commons Atribución–NoComercial 4.0. Se permite
el uso, distribución y reproducción no comerciales y sin restricciones en cualquier medio, siempre que sea debidamente
citada la fuente primaria de publicación.
incompetence symptoms of burnout and job history. Only the depersonalization subscale has
a substantial relationship with work history.
Table 1. The correlation between psychosomatic symptoms and burnout
Burnout-
fatigue
Burnout-
incompetence
Burnout-
personality
distortion
Burnout-
conflict
Emotional
awareness
Positive
emotion
regulation
strategies
Work
history
0.290***
0.219*
0.255**
0.328***
0.257-***
0.313-***
0.033
Psychological
symptoms
0.367***
0.137***
0.071
0.131
0.330-***
0.342-***
0.067
Gastrointestinal
symptoms
0.508***
0.017
0.277**
0.095
0.118-
0.369-***
0.003
General
skeletal
symptoms
0.354***
0.116
0.145
0.082
0.196-*
0.347-***
0.022
Respiratory
symptoms
0.477***
0.132
0.192*
0.212*
0.325-***
0.435-***
0.018
All physical
symptoms
1.000***
0.144
0.410
0.273***
0.095-
0.504-***
0.106
Exhaustion-
fatigue
0.144
1.000***
0.010
0.132
0.182***
0.118
0.122
Burnout-
incompetence
0.410***
0.010
1.000***
0.649***
0.006-
0.295-***
*0.187
Burnout-
personality
distortion
0.273***
0.132
0.649***
1.000***
0.027-
0.270-***
0.188
Burnout-
conflict
Source: own elaboration
Note: p < 0.5* p < 0.01** p < 0.001***
The results of an ANOVA analysis comparing physical symptoms showed a significant
difference in fatigue between different hospital departments. However, there was no
significant difference in other dimensions of burnout between different hospital departments
(table 2).
Table 2. ANOVA analysis for burnout
Significance level
Source of changes
0.018*
Fatigue
0.542
Incompetence
0.480
Depersonalization
0.30
Conflict
0.185
Total burnout
Source: own elaboration
Note: p < 0.05*
The relationship between psychosomatic and burnout and the level of emotional development in nurses from
Iran
Rev. Hosp. Psiq. Hab. Volumen 22 | Año 2025 | Publicación continua
Este material es publicado según los términos de la Licencia Creative Commons Atribución–NoComercial 4.0. Se permite
el uso, distribución y reproducción no comerciales y sin restricciones en cualquier medio, siempre que sea debidamente
citada la fuente primaria de publicación.
The results of regression analysis showed that burnout (B = 0.24), negative emotion
regulation strategies (B = 0.27), and emotional awareness (B = 0.21) significantly predicted
physical symptoms (p < 0.05) (table 3).
Table 3. Relationship between burnout, negative emotion regulation strategies, and
emotional awareness with physical symptoms
Standard deviation
Significance level
Predictor variable
0.05
0.008*
Job burnout
0.133
0.003*
Negative emotion regulation strategies
0.138
0.008*
Emotional awareness
Source: own elaboration
Note: p < 0.01*
Discussion
In the present study, which was conducted on 127 nurses from different hospital departments,
it was shown that nurses in orthopedics, operating room, and eye departments had the lowest
burnout rates and in oncology, gynecology, and pediatric departments had the highest
burnout rates, which is not consistent with some studies. (13, 14) Besides, the results showed
that burnout, negative emotion regulation strategies, and emotional awareness significantly
predicted physical symptoms.
Mikaili conducted a study to investigate the relationship between thought-action belief fusion
and cognitive emotion regulation with occupational stress of nurses working in psychiatric
and neurology departments. The research method was a descriptive correlational type, and
the statistical sample of this study was 216 nurses from psychiatric and neurology
departments in West Azerbaijan, East Azerbaijan, and Ardabil provinces in 2015. The
Rachman Thought-Action Belief Fusion Questionnaire, the short form of the Garnpsycho
Cognitive Emotion Regulation Questionnaire, and the Occupational Stress Scale of the
Health and Safety Executive were used to collect data.
The results of the multivariate correlation coefficient showed that cognitive emotion
regulation strategies play a role of 28 % and thought-action belief fusion factors play a role
of 54.7 % in explaining occupational stress in nurses. There is a positive and significant
relationship between nurses' job stress and the strategy of catastrophizing, the factor of
The relationship between psychosomatic and burnout and the level of emotional development in nurses from
Iran
Rev. Hosp. Psiq. Hab. Volumen 22 | Año 2025 | Publicación continua
Este material es publicado según los términos de la Licencia Creative Commons Atribución–NoComercial 4.0. Se permite
el uso, distribución y reproducción no comerciales y sin restricciones en cualquier medio, siempre que sea debidamente
citada la fuente primaria de publicación.
feeling responsible for positive thoughts and feeling responsible for thoughts of avoiding
risk. However, with the strategy of acceptance, refocusing positively and refocusing on
planning negatively and significantly. As a result, the results showed that there is a
relationship between ineffective strategies and the belief in thought-action fusion with job
stress.(15)
In this study, nurses from the emergency, neurology, pediatrics, cardiology, ophthalmology,
surgery, orthopedics, internal medicine, ICU, operating room, and psychiatry departments of
Emdad, Vasei, and Heshmatiyeh hospitals in Sabzevar were included in the study. Four
questionnaires, including the 25-question Madsage questionnaire, the emotional awareness
levels questionnaire, the physical symptoms checklist questionnaire, and the emotional
regulation difficulties questionnaire, were used to measure different dimensions of burnout
and various psychosomatic symptoms. The results showed that nurses in the eye, emergency,
and orthopedics departments had the lowest rate of psychosomatic symptoms, and in the
pediatrics, ICU, and oncology departments had the highest rate of psychosomatic symptoms.
Nurses in the orthopedics, operating room, and ophthalmology departments had the lowest
rate of burnout, and in the oncology, gynecology, and pediatrics departments had the highest
rate of burnout. The results also showed that the correlation between psychosomatic
symptoms and burnout was significant. Also, there is a significant correlation between
psychosomatic symptoms and burnout with emotion regulation strategies and emotional
awareness.
There was no significant correlation between job activity history and any of the categories of
psychosomatic symptoms. There was no significant relationship between fatigue and
incompetence symptoms of burnout and job history. Only the depersonalization subcategory
has a significant relationship with work history. The results of the study also indicated that
burnout, negative emotion regulation strategies, and emotional awareness significantly
predict physical symptoms.
Lavasani studied the role of emotional intelligence, spiritual intelligence, and hard work in
nurses' burnout. The results indicated that there were negative and significant relationships
between emotional intelligence, spiritual intelligence, and hard work with burnout, and
stepwise regression analysis showed that hard work (the commitment component), spiritual
intelligence (the personal meaning-making component), and emotional intelligence (the
emotion regulation component) had significant coefficients in predicting nurses' burnout.
The findings also showed that the three components of commitment, personal meaning-
making, and emotion regulation explained 39 percent of the variation in nurses' burnout.(16)
The relationship between psychosomatic and burnout and the level of emotional development in nurses from
Iran
Rev. Hosp. Psiq. Hab. Volumen 22 | Año 2025 | Publicación continua
Este material es publicado según los términos de la Licencia Creative Commons Atribución–NoComercial 4.0. Se permite
el uso, distribución y reproducción no comerciales y sin restricciones en cualquier medio, siempre que sea debidamente
citada la fuente primaria de publicación.
In this study, the results showed that there was a significant correlation between
psychosomatic symptoms and burnout with emotion regulation strategies and emotional
awareness, which is in line with the above study. The results of the study also indicated that
burnout, negative emotion regulation strategies, and emotional awareness significantly
predicted physical symptoms.
Limitations and suggestions
In this study, we investigated the relationship between physical (psychosomatic) symptoms
and burnout and the level of emotional development in nurses at Sabzevar University of
Medical Sciences. For future studies, a broader statistical population can be used or other
conditions involved in physical and mental health and burnout can be investigated. It is also
suggested that these results be measured in different working conditions and other cities and
hospitals and the status of burnout and physical symptoms should be investigated.
Conclusion
The results showed that burnout, negative emotion regulation strategies, and emotional
awareness significantly predict physical symptoms. Future studies should involve a broader
population and explore additional factors related to physical and mental health. It would also
be helpful to measure these results across different working conditions, cities, and hospitals.
Bibliographic references
1. Malta G, Plescia F, Zerbo S, Verso MG, Matera S, Skerjanc A, et al. Work and
Environmental Factors on Job Burnout: A Cross-Sectional Study for Sustainable Work.
Sustainability. 2024;16(8):3228.
2. Anwar K, Sutisna AJ, Kusnady D, Marthalia L, Dera F. Effect of Burnout on
Performance of Marketing Employees. International Journal Of Education, Social Studies,
And Management (IJESSM). 2024;4(2):826-32.
3. AlMuzaini AS, AlRasheedi BS, AlShahrani FF, AlOtaibi HB, AlHagan JAM,
AlOtaibi KRH, et al. Workplace Well-being in Nursing: A Systematic Review of Trends in
Burnout, Job Satisfaction, and Retention. Journal of International Crisis and Risk
Communication Research. 2024:3103-17.
4. Ameen KJ, Faraj SA. Effect of job stress on job satisfaction among nursing staff in
Sulimani mental health hospitals. Mosul Journal of Nursing. 2019;7(2):109-19.
The relationship between psychosomatic and burnout and the level of emotional development in nurses from
Iran
Rev. Hosp. Psiq. Hab. Volumen 22 | Año 2025 | Publicación continua
Este material es publicado según los términos de la Licencia Creative Commons Atribución–NoComercial 4.0. Se permite
el uso, distribución y reproducción no comerciales y sin restricciones en cualquier medio, siempre que sea debidamente
citada la fuente primaria de publicación.
5. Fernández-Martínez S, Armas-Landaeta C, Pérez-Aranda A, Guzmán-Parra J,
Monreal-Bartolomé A, Carbonell-Aranda V, et al. Post-COVID job Stressors and Their
Predictive Role on Mental Health: A Cross-Sectional Analysis Between Physicians and
Nurses. SAGE Open Nursing. 2024;10:23779608241278861.
6. Kim M-J, Kang G-Y. The convergence study on the relationship between the job
stress and mental health of nurses. Journal of the Korea Convergence society. 2015;6(5):39-
47.
7. Namani E, Abedinpour Z, Bagheshani Z, Mogheiseh N. Investigating a Structural
Model of Nurses' Job Burnout Based on Psychological Well-Being and Organizational
Commitment with the Mediation of Religious Beliefs. Journal of Sabzevar University of
Medical Sciences. 2024;31(3):249-61.
8. Abi Hassanpour M, Pour S, Ghayour M. Explanation the role of self-efficacy in the
relationship between job burnout and psychological empowerment. Transformation
Management Journal. 2018;10(2):179-202.
9. Lane RD, Quinlan DM, Schwartz GE, Walker PA, Zeitlin SB. The Levels of
Emotional Awareness Scale: A cognitive-developmental measure of emotion. Journal of
personality assessment. 1990;55(1-2):124-34.
10. Bombardier C, Gorayeb R, Jordan J, Brooks WB, Divine G. The utility of the
Psychosomatic Symptom Checklist among hospitalized patients. Journal of behavioral
medicine. 1991;14:369-82.
11. Hebrani P. Evaluation of stress factors in nurses of different hospital wards. Journal
of fundamentals of Mental Health. 2008;10(39):231-7.
12. Balch CM, Shanafelt T. Combating stress and burnout in surgical practice: a review.
Thoracic surgery clinics. 2011;21(3):417-30.
13. Mikaeili N, Ghaffari M. Role of Thought action fusion and cognitive emotion
regulation strategies in predicting the job stress of psychiatric and neurology wards nurses.
Iranian Journal of Nursing Research. 2016;11(4):1-10.
14. Hasani-Moghadam S, Ganji J, Nia HS, Khani S. Examining the Improving Strategies
for Iranian Couple Communication Patterns: A Scoping Review. Current Research in
Medical Sciences. 2021;5(1):27-42.
The relationship between psychosomatic and burnout and the level of emotional development in nurses from
Iran
Rev. Hosp. Psiq. Hab. Volumen 22 | Año 2025 | Publicación continua
Este material es publicado según los términos de la Licencia Creative Commons Atribución–NoComercial 4.0. Se permite
el uso, distribución y reproducción no comerciales y sin restricciones en cualquier medio, siempre que sea debidamente
citada la fuente primaria de publicación.
Disclosure of interests
The authors declare that she has no conflict of interests.
Author contributions
Conceptualization: Ayoub Tavakolian, Fatemeh Arab Sahebi, Ali Reza Moslem,
Hossein Fahimi, Zeinab Jalambadani
Writing—original draft preparation and project: Ayoub Tavakolian, Fatemeh Arab
Sahebi, Ali Reza Moslem, Hossein Fahimi, Zeinab Jalambadani
Administration: Ayoub Tavakolian, Fatemeh Arab Sahebi, Ali Reza Moslem,
Hossein Fahimi, Zeinab Jalambadani
Methodology: Zeinab Jalambadani
Software: Zeinab Jalambadani
Validation: Zeinab Jalambadani
Formal analysis and investigation: Zeinab Jalambadani
Resources and data curation: Ayoub Tavakolian, Fatemeh Arab Sahebi, Ali Reza
Moslem, Hossein Fahimi,Zeinab Jalambadani
Visualization: Ayoub Tavakolian, Fatemeh Arab Sahebi, Ali Reza Moslem,
Hossein Fahimi, Zeinab Jalambadani
Supervision: Ayoub Tavakolian, Fatemeh Arab Sahebi, Ali Reza Moslem,
Hossein Fahimi, Zeinab Jalambadani
Writing—review and editing: Ayoub Tavakolian, Fatemeh Arab Sahebi, Ali Reza
Moslem, Hossein Fahimi, Zeinab Jalambadani
Funding acquisition: Ayoub Tavakolian, Fatemeh Arab Sahebi, Ali Reza Moslem,
Hossein Fahimi, Zeinab Jalambadani
All authors have read and agreed to the published version of the manuscript.