Exploring burnout and depression of Thai medical students: the psychometric properties of the Maslach burnout inventory

Pongtong Puranitee, Siam Saetang, Sutida Sumrithe*, Jamiu O. Busari, Walther N. K. A. van Mook, Sylvia Heeneman

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review


Objectives: To examine the psychometric properties of the Maslach Burnout Inventory-Student Survey (MBI-SS) Thai version and to determine the frequency of burnout and correlation between burnout and associated factors.

Methods: A cross-sectional study was conducted among undergraduate medical students using convenience sampling (n=545, 76.1% response rate, female 52.1%). Data were collected by a self-report survey. The MBI-SS was translated in Thai and tested for internal consistency using Cronbach's coefficient alpha. A confirmatory factor analysis was performed using as fit indices of the chi-square and degree of freedom ratio (chi(2)/df), Comparative Fit Index (CFI), the Goodness of Fit Index (GFI), the Non-normed Fit Index (NNFI), Akaike information criterion (AIC) and the Root Mean Square Error of Approximation (RMSEA). Spearman and Kendall's tau-b were used to identify correlations between burnout, depression and other factors.

Results: Interrater reliability was acceptable with Kappa of 0.83. Confirmatory factor analysis demonstrated good fit indices (chi(2)/df=197.62/83, CFI=0.97, GFI=0.95, NNFI=0.96, AIC=271.62 and RMSEA=0.06). Burnout had a weak, positive association with the PHQ-9 (r=0.294, df=2, p<0.001). The screening depression score had a significant, modest positive association with emotional exhaustion (r=0.469, df=4, p

Conclusions: The Thai version of the MBI-SS had adequate psychometric properties among Thai medical students and can be used to assess burnout among undergraduate medical students in Thailand. Burnout was associated with risk for depression. Further studies on other associated factors contributing to depression are suggested.

Original languageEnglish
Pages (from-to)223-229
Number of pages7
JournalInternational Journal of Medical Education
Publication statusPublished - 29 Nov 2019


  • Burnout
  • undergraduate medical student
  • medical education
  • medical student wellness
  • depression
  • US


Dive into the research topics of 'Exploring burnout and depression of Thai medical students: the psychometric properties of the Maslach burnout inventory'. Together they form a unique fingerprint.

Cite this