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Psychol Res Behav Manag. 2016 Jun 14;9:139-46. doi: 10.2147/PRBM.S93846. eCollection 2016.

Longitudinal burnout-collaboration patterns in Japanese medical care workers at special needs schools: a latent class growth analysis.

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Department of Human Health Sciences, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Department of Human Development Education, Graduate School of Education, Hyogo University of Teacher Education, Kato, Hyogo, Japan.


The present study aimed to identify and characterize potential burnout types and the relationship between burnout and collaboration over time. Latent class growth analysis and the growth mixture model were used to identify and characterize heterogeneous patterns of longitudinal stability and change in burnout, and the relationship between burnout and collaboration. We collected longitudinal data at three time points based on Japanese academic terms. The 396 study participants included academic teachers, yogo teachers, and registered nurses in Japanese special needs schools. The best model included four types of both burnout and collaboration in latent class growth analysis with intercept, slope, and quadratic terms. The four types of burnout were as follows: low stable, moderate unstable, high unstable, and high decreasing. They were identified as involving inverse collaboration function. The results indicated that there could be dynamic burnout types, namely moderate unstable, high unstable, and high decreasing, when focusing on growth trajectories in latent class analyses. The finding that collaboration was dynamic for dynamic burnout types and stable for stable burnout types is of great interest. This was probably related to the inverse relationship between the two constructs.


burnout; collaboration; interprofessional care; latent class growth analysis; special needs schools

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