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Burnout is usually discussed as exhaustion from sustained work stress, but exhaustion does not always come from the same place. A person may feel depleted across ordinary life, mainly worn down by work itself, or most strained by direct contact with clients, patients, students, customers, or members.
The Copenhagen Burnout Inventory, or CBI, separates those patterns into three scale means: personal burnout, work burnout, and client-related burnout. That structure is the strength of the instrument. It avoids forcing every answer into one official total and instead asks where exhaustion is concentrated.
CBI scores are self-report evidence of exhaustion burden, not a medical diagnosis. A high work-burnout score can point toward workload, schedule, staffing, role design, conflict, or emotional labor. A high personal-burnout score can also reflect illness, caregiving, grief, poor sleep, or pressure outside work.
The World Health Organization places burn-out in the occupational context and does not classify it as a medical condition. CBI results can help a person, team, clinician, or occupational-health contact discuss exhaustion more precisely, but persistent fatigue, mood symptoms, safety risk, or impaired functioning may need support beyond a questionnaire score.
Complete all 19 CBI items from the same recent pattern. The report appears only after every response is selected.
Never / almost never to Always; others use degree wording from To a very low degree to To a very high degree.19 / 19 answered.Personal burnout, Work burnout, and Client-related burnout first. These three domain means are the formal CBI result.If a response was clicked by mistake, return to that item and change it. The domain means, chart, highest-burden items, and recommendation text update from the completed answer set.
Start with the highest domain and the number of domains at or above 50. One high domain suggests a more focused exhaustion pattern. Two or three domains at or above 50 suggest a broader burden that should not be reduced to one personal habit or one isolated work event.
| Pattern | Practical reading | Useful check |
|---|---|---|
| Personal burnout highest | General exhaustion is leading the profile. | Review recovery, sleep, health, caregiving load, and whether work strain is spilling outside work. |
| Work burnout highest | The job itself looks like the clearest source of depletion. | Review workload, schedule, staffing, role clarity, interruptions, and morning dread about the workday. |
| Client-related burnout highest | People-facing work is carrying the most strain. | Review exposure intensity, difficult interactions, handoffs, emotional boundaries, and recovery after direct contact. |
| Two or three domains at or above 50 | Exhaustion is not sitting in one narrow area. | Review work conditions and recovery conditions together. |
| All domains below 50 | The profile is below the attention line, but the highest domain can still be a watch point. | Repeat under similar conditions if the same domain keeps rising. |
The 50-point line is a practical reference, not a diagnosis. The PUMA values are comparison anchors from a human-service worker sample, not targets for every occupation, country, or team.
A high score should not be overread as proof of one cause. Compare the highest domain with the highest-burden items and the real work or life context. If the score seems surprising, inspect the answer review for a mistaken response or a question answered from a different time frame.
CBI scoring converts every response to a 0 to 100 value and averages the converted values within each domain. The instrument does not require one overall total. The three domain means carry the formal interpretation because personal, work-related, and client-related exhaustion can move differently.
Frequency and degree items share the same numeric line: the lowest response scores 0, the middle response scores 50, and the highest response scores 100. Work item 13 is reverse-scored because having enough energy for family and friends points away from work burnout. Reversing that item keeps higher final work-burnout values aligned with greater exhaustion burden.
Each domain mean is the average of converted item scores in that domain.
Here, s is each converted 0 to 100 item score and n is the number of answered items in the domain. For example, six personal-burnout item scores of 50, 75, 50, 25, 75, 50 sum to 325, so Personal burnout is 325 / 6 = 54.2/100 after one-decimal rounding.
| Response position | Frequency wording | Degree wording | Score |
|---|---|---|---|
| Lowest | Never / almost never | To a very low degree | 0 |
| Low | Seldom | To a low degree | 25 |
| Middle | Sometimes | Somewhat | 50 |
| High | Often | To a high degree | 75 |
| Highest | Always | To a very high degree | 100 |
| Domain | Items | Response mix | What it measures |
|---|---|---|---|
| Personal burnout | 6 | Six frequency items | General physical and psychological exhaustion. |
| Work burnout | 7 | Three degree items and four frequency items | Exhaustion perceived as related to work, with item 13 reverse-scored. |
| Client-related burnout | 6 | Four degree items and two frequency items | Exhaustion tied to direct people-facing work. |
The report adds comparison aids around the three means. Cross-domain mean summarizes the current profile for orientation only. Profile rounds the three domain means into a compact label. PUMA gap subtracts each PUMA mean from the current domain score.
| Report element | How it is built | How to use it |
|---|---|---|
| 50-point count | Counts domains with mean scores at or above 50. | Shows whether exhaustion is concentrated or broader. |
| PUMA gap | Current domain mean minus the PUMA anchor for that domain. | Provides a comparison cue, not a diagnostic rule. |
| Highest-burden items | Sorts item scores from highest to lower, with item order breaking ties. | Turns a domain score into specific discussion points. |
| Burnout distribution map | Plots current domain means against PUMA anchors. | Shows profile shape while the table preserves exact values. |
CBI is a self-report assessment of exhaustion burden. It does not diagnose a medical or mental health condition, and it does not prove that one cause explains the score.
A completed run shows Personal burnout at 62.5/100, Work burnout at 39.3/100, and Client-related burnout at 20.8/100. The highest domain is personal burnout, so the result should include recovery, sleep, health, and non-work strain rather than assuming direct client work is the main driver.
Another run returns 45.8/100 personal, 57.1/100 work, and 33.3/100 client-related burnout. The 50-point count is 1/3. The follow-up should focus on work demands, schedule, staffing, and role pressure before treating the result as general fatigue.
A teacher-like profile shows Personal burnout at 37.5/100, Work burnout at 50.0/100, and Client-related burnout at 58.3/100. Direct people-facing strain leads, but work burnout is also at the attention line. That points toward boundary, exposure, and workload review together.
If the progress display says 18 / 19 answered, the domain means and map are not final. Complete the missing item before using Highest domain, 50-point count, or highest-burden item guidance.
No. The CBI is interpreted through three scale means: Personal burnout, Work burnout, and Client-related burnout. Cross-domain mean is only an orientation aid.
The energy-outside-work item points in the opposite direction from exhaustion. Reversing it means higher final work-burnout scores consistently mean greater exhaustion burden.
No. The 50-point line is an attention reference on the 0 to 100 scale. It should trigger closer review of the domain, the high-scoring items, and the real work or recovery context.
The client-related scale can be worded for clients, patients, students, customers, or members. The label changes the wording and result language, not the scoring rule.
Use the answer review to find a mistaken response or a question answered from a different time frame. Correct it, then reread the domain means and highest-burden items.