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Table 3 Crosswalks mapping raw (total) Emotional Exhaustion (EE), Depersonalization (DP), and Personal Accomplishment (PA) subscale scores to IRT-based scores and response profiles

From: Describing the emotional exhaustion, depersonalization, and low personal accomplishment symptoms associated with Maslach Burnout Inventory subscale scores in US physicians: an item response theory analysis

Raw (total) scores and corresponding IRT-scoresa

Probability of a US physician endorsing each item at a frequency of “once a week” or more

EE raw score

EE IRT

z-score (θ) (se)

EE IRT t-score (se)

EE itemsb

EE1: emotionally drained from work

\( {P}_{4_{EE1}} \)(θ)

EE2: used up at end of workday

\( {P}_{4_{EE2}} \)(θ)

EE3: fatigued when get up

\( {P}_{4_{EE3}} \)(θ)

EE5: burned out from work

\( {P}_{4_{EE5}} \)(θ)

EE6: frustrated by job

\( {P}_{4_{EE6}} \)(θ)

EE7: working too hard on job

\( {P}_{4_{EE7}} \)(θ)

EE4EE8: working with people is a real strain and/or puts too much stress on me

\( {P}_{8_{EE4 EE8}} \)(θ)

EE9: at the end of my rope

\( {P}_{4_{EE9}} \)(θ)

0

−2.51 (0.43)

24.92 (4.26)

0.000

0.000

0.000

0.000

0.002

0.003

0.002

0.000

1

−2.13 (0.32)

28.72 (3.21)

0.000

0.001

0.001

0.000

0.005

0.008

0.004

0.000

2

−1.91 (0.30)

30.92 (2.95)

0.000

0.002

0.001

0.000

0.009

0.014

0.005

0.001

3

−1.74 (0.28)

32.58 (2.82)

0.001

0.003

0.002

0.000

0.014

0.021

0.006

0.001

4

−1.60 (0.27)

33.96 (2.72)

0.001

0.005

0.003

0.000

0.020

0.030

0.008

0.002

5

−1.49 (0.27)

35.14 (2.67)

0.002

0.008

0.005

0.000

0.027

0.039

0.009

0.002

6

−1.38 (0.26)

36.20 (2.62)

0.003

0.012

0.007

0.001

0.036

0.050

0.011

0.003

7

−1.28 (0.26)

37.19 (2.58)

0.005

0.018

0.009

0.001

0.047

0.063

0.013

0.004

8

−1.19 (0.26)

38.10 (2.55)

0.008

0.026

0.012

0.002

0.059

0.077

0.015

0.005

9

−1.10 (0.25)

38.96 (2.53)

0.012

0.036

0.016

0.003

0.075

0.095

0.017

0.006

10

−1.02 (0.25)

39.78 (2.51)

0.016

0.049

0.021

0.004

0.091

0.113

0.019

0.007

11

−0.94 (0.25)

40.56 (2.49)

0.023

0.066

0.027

0.005

0.111

0.134

0.021

0.009

12

−0.87 (0.25)

41.30 (2.47)

0.031

0.084

0.033

0.007

0.131

0.155

0.024

0.010

13

−0.80 (0.25)

42.02 (2.45)

0.041

0.108

0.041

0.009

0.155

0.179

0.026

0.012

14

−0.73 (0.24)

42.71 (2.44)

0.055

0.138

0.051

0.012

0.181

0.205

0.029

0.015

15

−0.66 (0.24)

43.38 (2.43)

0.073

0.174

0.062

0.017

0.211

0.235

0.032

0.017

16

−0.60 (0.24)

44.04 (2.42)

0.121

0.259

0.091

0.029

0.277

0.296

0.035

0.024

17

−0.53 (0.24)

44.68 (2.41)

0.151

0.307

0.107

0.038

0.311

0.328

0.039

0.027

18

−0.47 (0.24)

45.30 (2.41)

0.187

0.359

0.127

0.048

0.347

0.361

0.043

0.031

19

−0.41 (0.24)

45.92 (2.40)

0.230

0.414

0.149

0.062

0.385

0.395

0.047

0.036

20

−0.35 (0.24)

46.53 (2.40)

0.279

0.472

0.175

0.079

0.424

0.431

0.051

0.042

21

−0.29 (0.24)

47.13 (2.40)

0.334

0.531

0.204

0.100

0.465

0.467

0.055

0.048

22

−0.23 (0.24)

47.73 (2.41)

0.344

0.541

0.209

0.104

0.471

0.473

0.060

0.049

23

−0.17 (0.24)

48.32 (2.41)

0.394

0.589

0.236

0.127

0.505

0.504

0.066

0.055

24

−0.11 (0.24)

48.91 (2.42)

0.457

0.644

0.271

0.158

0.546

0.540

0.072

0.063

25

−0.05 (0.24)

49.51 (2.44)

0.522

0.696

0.310

0.196

0.587

0.576

0.078

0.072

26

0.01 (0.25)

50.10 (2.45)

0.565

0.728

0.338

0.225

0.613

0.600

0.082

0.079

27

0.07 (0.25)

50.70 (2.48)

0.647

0.786

0.396

0.292

0.663

0.646

0.092

0.094

28

0.13 (0.25)

51.30 (2.50)

0.704

0.823

0.442

0.349

0.699

0.679

0.100

0.107

29

0.19 (0.25)

51.90 (2.53)

0.755

0.854

0.489

0.411

0.732

0.710

0.109

0.122

30

0.25 (0.26)

52.51 (2.57)

0.800

0.881

0.536

0.475

0.763

0.739

0.118

0.139

31

0.31 (0.26)

53.13 (2.61)

0.838

0.904

0.582

0.540

0.791

0.766

0.128

0.157

32

0.37 (0.26)

53.75 (2.65)

0.870

0.922

0.627

0.604

0.817

0.792

0.138

0.177

33

0.44 (0.27)

54.38 (2.69)

0.901

0.940

0.677

0.674

0.844

0.818

0.151

0.204

34

0.50 (0.27)

55.01 (2.74)

0.922

0.952

0.717

0.729

0.864

0.839

0.163

0.228

35

0.57 (0.28)

55.65 (2.80)

0.941

0.963

0.759

0.785

0.885

0.861

0.178

0.260

36

0.63 (0.29)

56.30 (2.85)

0.954

0.971

0.792

0.826

0.901

0.878

0.192

0.289

37

0.70 (0.29)

56.96 (2.92)

0.965

0.977

0.826

0.866

0.917

0.895

0.209

0.325

38

0.76 (0.30)

57.64 (2.99)

0.973

0.982

0.851

0.893

0.928

0.908

0.225

0.358

39

0.83 (0.31)

58.34 (3.07)

0.980

0.986

0.877

0.919

0.940

0.921

0.244

0.398

40

0.91 (0.32)

59.06 (3.17)

0.986

0.990

0.902

0.942

0.951

0.934

0.267

0.445

41

0.98 (0.33)

59.82 (3.30)

0.989

0.992

0.919

0.956

0.959

0.944

0.288

0.487

42

1.06 (0.34)

60.61 (3.45)

0.993

0.994

0.936

0.969

0.967

0.953

0.314

0.536

43

1.14 (0.35)

61.39 (3.54)

0.995

0.996

0.950

0.978

0.973

0.961

0.341

0.584

44

1.22 (0.37)

62.22 (3.66)

0.996

0.997

0.960

0.984

0.979

0.968

0.369

0.630

45

1.30 (0.37)

63.04 (3.74)

0.997

0.998

0.969

0.989

0.983

0.974

0.397

0.674

46

1.39 (0.38)

63.89 (3.81)

0.998

0.998

0.976

0.992

0.986

0.979

0.431

0.720

47

1.48 (0.39)

64.79 (3.90)

0.999

0.999

0.983

0.995

0.990

0.983

0.465

0.767

48

1.57 (0.40)

65.69 (3.99)

0.999

0.999

0.986

0.997

0.992

0.986

0.499

0.800

49

1.66 (0.40)

66.57 (3.97)

0.999

0.999

0.990

0.998

0.993

0.989

0.533

0.832

50

1.77 (0.41)

67.70 (4.08)

1.000

1.000

0.993

0.999

0.995

0.991

0.574

0.866

51

1.89 (0.41)

68.88 (4.14)

1.000

1.000

0.995

0.999

0.996

0.994

0.618

0.897

52

2.05 (0.44)

70.55 (4.42)

1.000

1.000

0.997

1.000

0.998

0.996

0.674

0.928

53

2.21 (0.46)

72.13 (4.63)

1.000

1.000

0.998

1.000

0.999

0.997

0.725

0.950

54

2.51 (0.52)

75.14 (5.25)

1.000

1.000

0.999

1.000

0.999

0.999

0.806

0.975

DP raw score

DP IRT

z-score (θ) (se)

DP IRT t-score (se)

DP itemsc

DP1: treat patients as impersonal objects

\( {P}_{4_{DP1}} \)(θ)

DP2: more callous toward people

\( {P}_{4_{DP2}} \)(θ)

DP3: worry job hardening me emotionally

\( {P}_{4_{DP3}} \)(θ)

DP4: don’t really care what happens to some patients

\( {P}_{4_{DP4}} \)(θ)

DP5: patients blame me for some problems

\( {P}_{4_{DP5}} \)(θ)

0

−1.52 (0.60)

34.81 (6.03)

0.004

0.000

0.002

0.003

0.059

1

−1.13 (0.53)

38.71 (5.32)

0.007

0.000

0.006

0.005

0.087

2

−0.78 (0.49)

42.19 (4.87)

0.014

0.001

0.015

0.009

0.122

3

−0.57 (0.48)

44.26 (4.85)

0.020

0.003

0.026

0.012

0.148

4

−0.41 (0.48)

45.91 (4.80)

0.026

0.005

0.039

0.015

0.171

5

−0.29 (0.49)

47.10 (4.93)

0.032

0.008

0.054

0.018

0.190

6

−0.15 (0.47)

48.54 (4.68)

0.041

0.014

0.076

0.022

0.214

7

0.01 (0.43)

50.06 (4.27)

0.053

0.026

0.112

0.029

0.244

8

0.14 (0.41)

51.39 (4.10)

0.066

0.043

0.152

0.035

0.270

9

0.26 (0.40)

52.61 (4.01)

0.080

0.068

0.198

0.042

0.296

10

0.38 (0.39)

53.76 (3.95)

0.097

0.105

0.253

0.050

0.324

11

0.49 (0.39)

54.86 (3.90)

0.116

0.154

0.313

0.059

0.350

12

0.59 (0.39)

55.94 (3.87)

0.135

0.214

0.373

0.068

0.375

13

0.70 (0.38)

57.00 (3.85)

0.159

0.296

0.444

0.079

0.403

14

0.80 (0.38)

58.04 (3.84)

0.184

0.385

0.511

0.092

0.428

15

0.91 (0.38)

59.08 (3.84)

0.215

0.493

0.583

0.107

0.457

16

1.01 (0.39)

60.11 (3.86)

0.247

0.591

0.647

0.123

0.484

17

1.12 (0.39)

61.15 (3.90)

0.284

0.692

0.711

0.142

0.514

18

1.22 (0.39)

62.19 (3.94)

0.322

0.770

0.762

0.162

0.540

19

1.32 (0.40)

63.23 (3.99)

0.361

0.833

0.807

0.185

0.567

20

1.43 (0.40)

64.29 (4.04)

0.407

0.885

0.849

0.212

0.595

21

1.54 (0.41)

65.38 (4.10)

0.454

0.923

0.883

0.242

0.623

22

1.65 (0.42)

66.53 (4.19)

0.503

0.949

0.910

0.274

0.650

23

1.77 (0.43)

67.73 (4.31)

0.555

0.968

0.933

0.313

0.679

24

1.89 (0.44)

68.94 (4.42)

0.607

0.980

0.951

0.355

0.706

25

2.01 (0.45)

70.13 (4.49)

0.656

0.987

0.964

0.399

0.732

26

2.14 (0.45)

71.42 (4.53)

0.706

0.992

0.974

0.448

0.758

27

2.30 (0.46)

72.97 (4.58)

0.761

0.996

0.983

0.510

0.788

28

2.49 (0.47)

74.93 (4.67)

0.816

0.998

0.990

0.583

0.820

29

2.73 (0.49)

77.32 (4.94)

0.871

0.999

0.995

0.670

0.855

30

3.05 (0.55)

80.49 (5.51)

0.923

1.000

0.998

0.770

0.893

PA raw score

PA IRT

z-score (θ) (se)

PA IRT t-score (se)

PA itemsd

PA1: Easily understand how patients feel

\( {P}_{4_{PA1}} \)(θ)

PA2: deal very effectively with problems of patients

\( {P}_{4_{PA2}} \)(θ)

PA3: positively influencing other people’s lives through work

\( {P}_{4_{PA3}} \)(θ)

PA4: feel very energetic

\( {P}_{4_{PA4}} \)(θ)

PA5: can easily create relaxed atmosphere with patients

\( {P}_{4_{PA5}} \)(θ)

PA6: exhilarated after working closely with patients

\( {P}_{4_{PA6}} \)(θ)

PA7: accomplished many worthwhile things in job

\( {P}_{4_{PA7}}\left(\theta \right) \)

PA8: deal with emotional problems very calmly

\( {P}_{4_{PA8}} \)(θ)

0

−3.91 (0.48)

10.91 (4.83)

0.217

0.083

0.002

0.013

0.019

0.002

0.001

0.110

1

−3.71 (0.45)

12.85 (4.54)

0.256

0.111

0.004

0.018

0.027

0.003

0.002

0.137

2

−3.56 (0.44)

14.36 (4.40)

0.288

0.138

0.006

0.022

0.035

0.004

0.003

0.159

3

−3.45 (0.43)

15.51 (4.33)

0.313

0.161

0.008

0.026

0.043

0.005

0.004

0.178

4

−3.34 (0.42)

16.65 (4.22)

0.340

0.187

0.010

0.030

0.052

0.006

0.005

0.199

5

−3.23 (0.42)

17.67 (4.16)

0.367

0.215

0.013

0.035

0.063

0.008

0.006

0.221

6

−3.14 (0.41)

18.64 (4.09)

0.390

0.241

0.017

0.040

0.074

0.010

0.008

0.240

7

−3.04 (0.40)

19.61 (4.01)

0.417

0.272

0.021

0.046

0.088

0.012

0.010

0.263

8

−2.95 (0.39)

20.52 (3.95)

0.441

0.302

0.027

0.052

0.102

0.014

0.013

0.285

9

−2.86 (0.39)

21.42 (3.89)

0.465

0.334

0.033

0.059

0.119

0.016

0.016

0.307

10

−2.77 (0.38)

22.28 (3.84)

0.489

0.367

0.042

0.066

0.138

0.019

0.020

0.331

11

−2.69 (0.38)

23.12 (3.79)

0.511

0.398

0.050

0.074

0.157

0.023

0.024

0.353

12

−2.61 (0.38)

23.94 (3.75)

0.533

0.430

0.061

0.082

0.178

0.026

0.029

0.375

13

−2.53 (0.37)

24.74 (3.72)

0.554

0.462

0.074

0.091

0.201

0.031

0.036

0.398

14

−2.45 (0.37)

25.52 (3.69)

0.576

0.495

0.089

0.101

0.226

0.036

0.043

0.422

15

−2.37 (0.37)

26.30 (3.66)

0.597

0.527

0.107

0.112

0.253

0.041

0.052

0.446

16

−2.29 (0.36)

27.07 (3.64)

0.618

0.560

0.129

0.124

0.283

0.048

0.063

0.470

17

−2.22 (0.36)

27.83 (3.62)

0.636

0.588

0.150

0.136

0.310

0.055

0.075

0.491

18

−2.14 (0.36)

28.58 (3.60)

0.656

0.619

0.178

0.150

0.343

0.063

0.090

0.515

19

−2.07 (0.36)

29.33 (3.59)

0.673

0.645

0.206

0.163

0.373

0.072

0.106

0.537

20

−1.99 (0.36)

30.08 (3.59)

0.692

0.675

0.241

0.180

0.409

0.083

0.126

0.561

21

−1.92 (0.36)

30.82 (3.58)

0.708

0.699

0.275

0.195

0.441

0.094

0.147

0.581

22

−1.84 (0.36)

31.57 (3.58)

0.725

0.726

0.318

0.214

0.478

0.108

0.174

0.605

23

−1.77 (0.36)

32.32 (3.58)

0.740

0.748

0.358

0.231

0.511

0.122

0.201

0.625

24

−1.69 (0.36)

33.07 (3.58)

0.757

0.772

0.406

0.253

0.548

0.139

0.236

0.647

25

−1.62 (0.36)

33.83 (3.59)

0.770

0.791

0.450

0.272

0.581

0.157

0.269

0.667

26

−1.54 (0.36)

34.60 (3.60)

0.785

0.812

0.501

0.296

0.617

0.178

0.311

0.688

27

−1.46 (0.36)

35.38 (3.61)

0.800

0.831

0.552

0.320

0.651

0.202

0.355

0.708

28

−1.38 (0.36)

36.17 (3.62)

0.813

0.849

0.601

0.346

0.685

0.229

0.403

0.728

29

−1.30 (0.36)

36.98 (3.64)

0.826

0.865

0.649

0.373

0.716

0.257

0.453

0.747

30

−1.22 (0.37)

37.80 (3.66)

0.838

0.879

0.694

0.400

0.746

0.288

0.503

0.765

31

−1.14 (0.37)

38.64 (3.68)

0.850

0.892

0.736

0.428

0.773

0.321

0.553

0.782

32

−1.05 (0.37)

39.50 (3.71)

0.862

0.906

0.778

0.460

0.801

0.361

0.609

0.800

33

−0.96 (0.37)

40.39 (3.74)

0.873

0.917

0.815

0.493

0.827

0.402

0.661

0.817

34

−0.87 (0.38)

41.30 (3.78)

0.884

0.928

0.847

0.525

0.850

0.445

0.710

0.832

35

−0.78 (0.38)

42.25 (3.82)

0.893

0.937

0.875

0.558

0.870

0.488

0.755

0.847

36

−0.68 (0.39)

43.23 (3.87)

0.903

0.946

0.900

0.593

0.890

0.537

0.799

0.862

37

−0.57 (0.39)

44.26 (3.92)

0.913

0.955

0.923

0.631

0.908

0.590

0.840

0.877

38

−0.47 (0.40)

45.33 (3.99)

0.922

0.961

0.939

0.664

0.923

0.636

0.871

0.890

39

−0.35 (0.41)

46.48 (4.07)

0.931

0.968

0.954

0.701

0.938

0.688

0.901

0.903

40

−0.23 (0.42)

47.69 (4.16)

0.939

0.973

0.966

0.736

0.949

0.736

0.925

0.915

41

−0.10 (0.43)

48.99 (4.27)

0.946

0.978

0.975

0.771

0.960

0.782

0.945

0.927

42

0.04 (0.44)

50.38 (4.37)

0.953

0.983

0.983

0.805

0.969

0.825

0.961

0.937

43

0.19 (0.44)

51.89 (4.42)

0.960

0.986

0.988

0.837

0.976

0.863

0.973

0.947

44

0.36 (0.45)

53.61 (4.52)

0.967

0.990

0.992

0.868

0.983

0.898

0.982

0.957

45

0.56 (0.46)

55.58 (4.62)

0.973

0.993

0.995

0.897

0.988

0.929

0.989

0.966

46

0.80 (0.47)

58.03 (4.73)

0.979

0.995

0.997

0.925

0.992

0.954

0.994

0.974

47

1.15 (0.52)

61.47 (5.21)

0.986

0.997

0.999

0.954

0.996

0.976

0.998

0.983

48

1.62 (0.61)

66.22 (6.07)

0.991

0.999

1.000

0.976

0.998

0.990

0.999

0.990

  1. The burnout symptom burden represented by subscale scores in this table can be interpreted based on the profile of likely item endorsements (i.e., a content-referenced score interpretation) as well as how far above or below the scores are relative to the mean score in a 2014 reference population of US physicians (i.e., a norm-referenced score interpretation). a A raw score on each subscale refers to the total (or sum) score on each subscale. Bolded rows correspond to IRT scores and response profiles that are at or closest to the mean for each subscale. b Items EE4 and EE8 were combined into one item (EE4EE8) to meet local independence assumptions. The probabilities shown for the combined EE4EE8 item represent the probability of a physician endorsing that working with people puts too much stress on him/her and/or is a real strain at a frequency of once a week or more at a particular score (i.e., a score of at least 8 on the combined EE4EE8 item). Higher scores on the EE subscale indicate more emotional exhaustion (and a higher burnout symptom burden). An EE item with > 0.50 probability of endorsement indicates a physician is likely to endorse feeling that particular EE symptom at a frequency of once a week or more at a particular score. c Higher scores on the DP subscale indicate more depersonalization (and a higher burnout symptom burden). A DP item with > 0.50 probability of endorsement indicates a physician is likely to endorse feeling that particular DP symptom at a frequency of once a week or more at a particular score. d Higher scores on the PA subscale indicate more personal accomplishment (and a lower symptom burden); whereas, lower scores on the PA subscale indicate a lower sense of personal accomplishment (and higher burnout symptom burden). A PA item with < 0.50 probability of endorsement indicates a physician is unlikely to endorse feeling that particular PA indicator at a frequency of once a week or more at a particular score