![]() There is no consensus on the measurement of OB (Poghosyan et al., 2009) and all identified published measures are Patient Reported Outcome Measures (PROMs) (Rotenstein et al., 2018 Guseva Canu et al., 2020), i.e., measures completed by the patient (Jokstad, 2018). The next step is thus to harmonise the measurement of OB. Therefore, the Network on the Coordination and Harmonization of European Occupational Cohorts (OMEGA-NET) decided to prioritise this issue (Guseva Canu et al., 2019) and to propose a harmonised definition of OB as a health outcome to be used in future longitudinal studies (Guseva Canu et al., 2020). With respect to OB, this lack of harmonisation in OB definition and measure is particularly salient, precluding a reliable estimation of its prevalence (Rotenstein et al., 2018) and triggering to exaggeration of this phenomenon as a 21st century epidemic (Bianchi, 2017 Mirkovic and Bianchi, 2019) or sometimes it can result in underestimation (Doulougeri et al., 2016). However, the lack of harmonisation regarding acceptable validity standards or criteria for various mental health measures (Haberer et al., 2013) directly challenges the EBM application in diagnosis and, subsequently, in treatment of mental health disorders. Nowadays, the application of the Evidence-Based Medicine (EBM) in diagnostic and prognostic processes used in healthcare is essential (Newman and Kohn, 2009). The WHO included burnout in the tenth revision of the international classification of diseases, but in the forthcoming eleventh revision (WHO, 2019), specified that it was a phenomenon and not a disease. ![]() The current situation reflects this semantic and methodological heterogeneity: even the World Health Organization (WHO) is uncertain how to deal with OB. The following 50 years of uncoordinated research resulted in multiple, somehow-contradictory definitions and measures of OB worldwide. Occupational Burnout (OB) is a relatively recent entity that was first mentioned in the literature in the late 1960s (Bradley, 1969).
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