At least three methodological problems affect the study by Katsavouni et al. (2016). First, there are currently no diagnostic criteria for burnout, neither in the DSM-5, nor in the ICD-10. Second, one extremely important variable was omitted from this study of firefighters, namely, depression. Third, the authors did not control for relevant nonoccupational factors such as stressors occurring outside of work.
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This is a pre-copyedited, author-produced version of an article accepted for publication in Occupational Medicine following peer review. The version of record (see Recommended Citation) is available online at: http://occmed.oxfordjournals.org/, doi:10.1093/occmed/kqv184.