Psychometric Properties of the Copenhagen Burnout Inventory in a Sample of Medical Students in Kazakhstan

Aidos K Bolatov; Telman Z Seisembekov; Altynay Zh Askarova; Bakhyt Igenbayeva; Dariga S Smailova; Hengameh Hosseini

doi:10.11621/pir.2021.0202

Psychometric Properties of the Copenhagen Burnout Inventory in a Sample of Medical Students in Kazakhstan

Psychol Russ. 2021 Jun 30;14(2):15-24. doi: 10.11621/pir.2021.0202. eCollection 2021.

Authors

Aidos K Bolatov¹, Telman Z Seisembekov¹, Altynay Zh Askarova¹, Bakhyt Igenbayeva¹, Dariga S Smailova², Hengameh Hosseini³

Affiliations

¹ Astana Medical University, Nur-Sultan, Kazakhstan.
² Kazakhstan's School of Public Health, Almaty, Kazakhstan.
³ University of Scranton, Scranton, PA, USA.

Abstract

Background: The Copenhagen Burnout Inventory (CBI) has demonstrated good psychometric properties among different populations, but there is no known data on its validity among Russian-speaking medical students. The CBI-Student Survey focuses only on fatigue, but measures exhaustion in four different life domains: Personal Burnout (PB), Studies-Related Burnout (SRB), Colleague-Related Burnout (CRB), and Teacher-Related Burnout (TRB).

Objective: To investigate the psychometric properties of the Russian version of the Copenhagen Burnout Inventory-Student Survey (R-CBI-S).

Design: A cross-sectional study was carried out among 771 medical students at Astana Medical University (Nur-Sultan, Kazakhstan). Statistical analyses included test-retest reliability, internal consistency, item analysis, convergent and concurrent validity, and confirmatory factor analysis. Concurrent validity was evaluated by bivariate correlations of R-CBI-S with anxiety, depression, and satisfaction with the study.

Results: Test-retest reliability showed an ICC of 0.81. All item-total correlations for the total scale were positive (range 0.31-0.76). The Cronbach's alpha coefficient was 0.94 (0.896 for PB, 0.884 for SRB, 0.874 for CRB, and 0.926 for TRB). The Barlett's sphericity test result was significant (p < 0.001), and the KMO measure of sampling adequacy exceeded 0.947. Convergent validity analysis results: PB (AVE = 0.52, CR = 0.87), SRB (AVE = 0.50, CR = 0.87), CRB (AVE = 0.51, CR = 0.86), TRB (AVE = 0.56, CR = 0.88). The R-CBI-S achieved good levels of goodness-of-fit indices (RMSEA = 0.0611; CFI= 0.940; TLI = 0.933).

Conclusion: The test results indicated that the R-CBI-S scale appears to be a reliable and valid instrument. The R-CBI-S may be a useful tool in future research to identify burnout factors based on specific life domains for developing effective prevention measures among medical students.

Keywords: Copenhagen Burnout Inventory; Kazakhstan; burnout; medical students; validation.