Beyond the WEIRD Paradigm: Toward Inclusive Management Approaches to Burnout and Anxiety

Authors

  • Abd. Basith Arham Universitas Islam Tribakti Lirboyo Kediri
  • Ika Novita Sari Universitas Islam Tribakti Lirboyo Kediri
  • Abd. Hamid Cholili Universitas Islam Negeri Maulana Malik Ibrahim Malang

DOI:

https://doi.org/10.55352/mudir.v8i1.2961

Keywords:

Burnout, Anxiety, Cultural Humility, WEIRD Paradigm, Occupational Stress, Systematic Literature Review, Bibliometric Analysis, Cross-Cultural Psychology

Abstract

The phenomena of burnout and anxiety have become a serious concern in global mental health due to their impact on individual psychological well-being and productivity. Although research on work stress continues to grow, the literature remains largely dominated by Western perspectives, leaving sociocultural aspects in non-Western populations understudied. This systematic review aims to examine how sociocultural factors influence the prevalence, manifestations, and coping strategies for burnout and anxiety in adolescents and adults across various professions. This study followed PRISMA guidelines and searched the Scopus database through 2025. A total of 103 primary studies were selected after a screening process and methodological quality evaluation using the Joanna Briggs Institute (JBI) instrument. The analysis was conducted using narrative thematic analysis and supported by bibliometric mapping using VOS viewer software. The results indicate that cultural context plays a role in shaping experiences of burnout and anxiety. Several studies in collectivistic societies reported more frequent somatization symptoms, while studies in more individualistic societies tended to show a predominance of emotional exhaustion. Furthermore, this study found a predominance of WEIRD (Western, Educated, Industrialized, Rich, and Democratic) samples in the mental health literature, indicating a limited representation of non-Western cultures. Factors such as social stigma, hierarchical structures, and demands for self-sacrifice were associated with an increased risk of burnout, particularly in caregiving professions. Conversely, communal support and spirituality were reported as adaptive coping strategies in various Eastern cultural contexts. These findings underscore the importance of developing more culturally sensitive mental health interventions and organizational policies. However, the results of this study should be interpreted with caution, as the heterogeneity of cultural characteristics and study designs analyzed may limit the generalizability of the findings. Therefore, further research with a more diverse cross-cultural approach is needed to strengthen our understanding of burnout and anxiety in a global context.

References

Azadfar, Z., Khosravi, Z., Farah Bijari, A., & Abdollahi, A. (2022). The Persian version of the centrality of event scale (CES): Assessment of validity and reliability among Iranian university students. Brain and Behavior, 12(1). https://doi.org/10.1002/brb3.2448

Babenko, O., & Mosewich, A. (2017). In sport and now in medical school: examining students’ well-being and motivations for learning. International Journal of Medical Education, 8, 336–342. https://doi.org/10.5116/ijme.59b7.8023

Bekteshi, V. (2024). Decoding acculturative stress and psychological distress in Mexican immigrant women: insights from a path mediation analysis. BMC Women’s Health, 24(1). https://doi.org/10.1186/s12905-024-03494-1

Ben, B. C., Kim, J. J., & Lester, D. (2014). Enculturation and Suicidal Ideation Among Korea and U.S. University Students. Cross-Cultural Communication, 10(4), 1–4. https://doi.org/10.3968/4834

Bernal, G., Jiménez-Chafey, M. I., & Domenech Rodríguez, M. M. (2009). Cultural Adaptation of Treatments: A Resource for Considering Culture in Evidence-Based Practice. Professional Psychology: Research and Practice, 40(4), 361–368. https://doi.org/10.1037/A0016401

Borst, R. T., & Knies, E. (2023). Well-Being of Public Servants Under Pressure: The Roles of Job Demands and Personality Traits in the Health-Impairment Process. Review of Public Personnel Administration, 43(1), 159–184. https://doi.org/10.1177/0734371X211052674

Brady, G. M., Truxillo, D. M., Cadiz, D. M., Rineer, J. R., Caughlin, D. E., & Bodner, T. (2019). Opening the Black Box: Examining the Nomological Network of Work Ability and Its Role in Organizational Research. Journal of Applied Psychology, 105(6), 637–670. https://doi.org/10.1037/apl0000454

Bryant, G. A. (2022). Vocal communication across cultures: Theoretical and methodological issues. Philosophical Transactions of the Royal Society B: Biological Sciences, 377(1841). https://doi.org/10.1098/rstb.2020.0387

Burkhard, C., Cicek, S., Barzilay, R., Radhakrishnan, R., & Guloksuz, S. (2021). Need for Ethnic and Population Diversity in Psychosis Research. Schizophrenia Bulletin, 47(4), 889–895. https://doi.org/10.1093/schbul/sbab048

Chutiyami, M., Cheong, A. M. Y., Salihu, D., Bello, U. M., Ndwiga, D., Maharaj, R., Naidoo, K., Kolo, M. A., Jacob, P., Chhina, N., Ku, T. K., Devar, L., Pratitha, P., & Kannan, P. (2022). COVID-19 Pandemic and Overall Mental Health of Healthcare Professionals Globally: A Meta-Review of Systematic Reviews. Frontiers in Psychiatry, 12. https://doi.org/10.3389/fpsyt.2021.804525

Ciftci, A., Jones, N., & Corrigan, P. W. (2012). Mental Health Stigma in the Muslim Community. Journal of Muslim Mental Health, 7(1). https://doi.org/https://doi.org/10.3998/jmmh.10381607.0007.102

Curran, T., & Hill, A. P. (2019). Perfectionism is increasing over time: A meta-analysis of birth cohort differences from 1989 to 2016. Psychological Bulletin, 145(4), 410–429. https://doi.org/10.1037/BUL0000138

Du, H., Li, X., Lin, D., & Tam, C. C. (2014). Collectivistic orientation, acculturative stress, cultural self-efficacy, and depression: A longitudinal study among Chinese internal migrants. Community Mental Health Journal, 51(2), 239. https://doi.org/10.1007/S10597-014-9785-9

Fan, Y., Liu, X., & Li, C. (2024). Experience of naturally occurring peer support among people using psychiatric day-care in China: an interpretative phenomenology approach. Frontiers in Psychiatry, 15. https://doi.org/10.3389/fpsyt.2024.1349778

Gauditz, L. C. (2025). Activist burnout in No Borders: The case of a highly diverse movement. Transcultural Psychiatry, 62(2), 167–180. https://doi.org/10.1177/13634615241296292

Hassard, J., Teoh, K. R. H., Visockaite, G., Dewe, P., & Cox, T. (2018). The cost of work-related stress to society: A systematic review. Journal of Occupational Health Psychology, 23(1), 1–17. https://doi.org/10.1037/ocp0000069

Henrich, J., Heine, S. J., & Norenzayan, A. (2010). The weirdest people in the world? Behavioral and Brain Sciences, 33(2–3), 61–83. https://doi.org/10.1017/S0140525X0999152X

Hook, J. N., Davis, D. E., Owen, J., Worthington, E. L., & Utsey, S. O. (2013). Cultural humility: Measuring openness to culturally diverse clients. Journal of Counseling Psychology, 60(3), 353–366. https://doi.org/10.1037/A0032595

Hunter, R., Willis, K., & Smallwood, N. (2022). The workplace and psychosocial experiences of Australian junior doctors during the COVID-19 pandemic. Internal Medicine Journal, 52(5), 745–754. https://doi.org/10.1111/imj.15720

Jen, E., Chan, H. Y., & Cheung, H. N. (2024). Addressing adolescent social and emotional concerns: Insights from loneliness, burnout, and preferred conversation topics in Asian and UK contexts post-pandemic. Acta Psychologica, 247. https://doi.org/10.1016/j.actpsy.2024.104326

Karasz, A., Patel, V., Kabita, M., & Shimu, P. (2013). “Tension” in South Asian Women: Developing a Measure of Common Mental Disorder Using Participatory Methods. Progress in Community Health Partnerships: Research, Education, and Action, 7(4), 429–441. https://doi.org/10.1353/cpr.2013.0046

Kearney, M. D., Barg, F. K., Alexis, D., Higginbotham, E., & Aysola, J. (2022). Employee Health and Wellness Outcomes Associated with Perceived Discrimination in Academic Medicine: A Qualitative Analysis. JAMA Network Open, 5(1). https://doi.org/10.1001/jamanetworkopen.2021.45243

Kirmayer, L. J., & Pedersen, D. (2014). Toward a new architecture for global mental health. Transcultural Psychiatry, 51(6), 759–776. https://doi.org/10.1177/1363461514557202;PAGE:STRING:ARTICLE/CHAPTER

Kirmayer, L. J., & Ryder, A. G. (2016). Culture and psychopathology. Current Opinion in Psychology, 8, 143–148. https://doi.org/10.1016/J.COPSYC.2015.10.020

Klackl, J., Ochoa, D. P., Du, H., Jonas, E., Kashima, E. S., Ah Gang, G. C., & Kashima, Y. (2023). A WEIRD Theory? On the Prevalence of Western Folk Theory of Social Change in the West and Asia. Journal of Cross-Cultural Psychology, 54(2), 249–268. https://doi.org/10.1177/00220221221104962

Klein, V., Savaş, Ö., & Conley, T. D. (2022). How WEIRD and Androcentric Is Sex Research? Global Inequities in Study Populations. Journal of Sex Research, 59(7), 810–817. https://doi.org/10.1080/00224499.2021.1918050

Kohrt, B. A., Rasmussen, A., Kaiser, B. N., Haroz, E. E., Maharjan, S. M., Mutamba, B. B., De Jong, J. T. V. M., & Hinton, D. E. (2014). Cultural concepts of distress and psychiatric disorders: literature review and research recommendations for global mental health epidemiology. International Journal of Epidemiology, 43(2), 365–406. https://doi.org/10.1093/IJE/DYT227

Kuo, B. C. H. (2013). Collectivism and coping: Current theories, evidence, and measurements of collective coping. International Journal of Psychology, 48(3), 374–388. https://doi.org/10.1080/00207594.2011.640681;ISSUE:ISSUE:DOI

Lesener, T., Pleiss, L. S., Gusy, B., & Wolter, C. (2020). The Study Demands-Resources Framework: An Empirical Introduction. International Journal of Environmental Research and Public Health, 17(14), 5183. https://doi.org/10.3390/IJERPH17145183

Lie, J. J., Huynh, C., Scott, T. M., & Karimuddin, A. A. (2021). Optimizing Resident Wellness During a Pandemic: University of British Columbia’s General Surgery Program’s COVID-19 Experience. Journal of Surgical Education, 78(2), 366–369. https://doi.org/10.1016/j.jsurg.2020.07.017

Marsh, H. W., Dicke, T., Riley, P., Parker, P. D., Guo, J., Basarkod, G., & Martin, A. J. (2023). School principals’ mental health and well-being under threat: A longitudinal analysis of workplace demands, resources, burnout, and well-being. Applied Psychology: Health and Well-Being, 15(3), 999–1027. https://doi.org/10.1111/aphw.12423

Maslach, C., & Leiter, M. P. (2016). Understanding the burnout experience: Recent research and its implications for psychiatry. World Psychiatry, 15(2), 103–111. https://doi.org/10.1002/WPS.20311;REQUESTEDJOURNAL:JOURNAL:20515545;JOURNAL:JOURNAL:20515545;WGROUP:STRING:PUBLICATION

Matavovszky, D., Nguyen Luu, L. A., & Karner, O. (2024). Development of an instrument to assess the mental health of university students: validation of the Outcome Questionnaire-45 in a Hungarian sample. Frontiers in Psychology, 15. https://doi.org/10.3389/fpsyg.2024.1334615

Milenovic, M. S., Matejic, B. R., Simic, D. M., & Luedi, M. M. (2020). Burnout in Anesthesiology Providers: Shedding Light on a Global Problem. Anesthesia and Analgesia, 130(2), 307–309. https://doi.org/10.1213/ANE.0000000000004542

Muthukrishna, M., Bell, A. V., Henrich, J., Curtin, C. M., Gedranovich, A., McInerney, J., & Thue, B. (2020). Beyond Western, Educated, Industrial, Rich, and Democratic (WEIRD) Psychology: Measuring and Mapping Scales of Cultural and Psychological Distance. Psychological Science, 31(6), 678–701. https://doi.org/10.1177/0956797620916782;PAGEGROUP:STRING:PUBLICATION

Naidoo, T., Tomita, A., & Paruk, S. (2020). Burnout, anxiety and depression risk in medical doctors working in KwaZulu-Natal Province, South Africa: Evidence from a multisite study of resource-constrained government hospitals in a generalised HIV epidemic setting. PLoS ONE, 15(10 October). https://doi.org/10.1371/journal.pone.0239753

Olcoń, K., Allan, J., Fox, M., Everingham, R., Pai, P., Keevers, L., Mackay, M., Degeling, C., Cutmore, S. A., Finlay, S., & Falzon, K. (2022). A Narrative Inquiry into the Practices of Healthcare Workers’ Wellness Program: The SEED Experience in New South Wales, Australia. International Journal of Environmental Research and Public Health, 19(20). https://doi.org/10.3390/ijerph192013204

O’Malley, B. Y., Etoundi-Ngono, E., Hua, J., Nano, J. P., & Pipas, C. F. (2024). Evaluation of a Pilot Wellness Elective for Master of Public Health Students during the COVID-19 Pandemic. International Journal of Environmental Research and Public Health, 21(5). https://doi.org/10.3390/ijerph21050590

Puthillam, A. (2023). Too WEIRD, Too Fast? Preprints About COVID-19 in the Psychological Sciences. Collabra: Psychology, 9(1). https://doi.org/10.1525/collabra.74331

Ran, M. S., Hall, B. J., Su, T. T., Prawira, B., Breth-Petersen, M., Li, X. H., & Zhang, T. M. (2021). Stigma of mental illness and cultural factors in Pacific Rim region: a systematic review. BMC Psychiatry, 21(1). https://doi.org/10.1186/S12888-020-02991-5

Raposa, M. E., Mullin, G., Murray, R. M., Shepler, L. J., Castro, K. C., Fisher, A. B., Gallogly, V. H., Davis, A. L., Resick, C. J., Lee, J., Allen, J. A., & Taylor, J. A. (2023). Assessing the Mental Health Impact of the COVID-19 Pandemic on US Fire-Based Emergency Medical Services Responders: A Tale of Two Samples (The RAPID Study I). Journal of Occupational and Environmental Medicine, 65(4), E184–E194. https://doi.org/10.1097/JOM.0000000000002745

Rattray, J., Miller, J., Pollard, B., McCallum, L., Hull, A., Ramsay, P., Salisbury, L., Scott, T., Cole, S., & Dixon, D. (2024). A model of occupational stress to assess impact of COVID-19 on critical care and redeployed nurses: a mixed-methods study. Health and Social Care Delivery Research, 13(23), 1–32. https://doi.org/10.3310/PWRT8714

Rauschmayr, S., Schleicher, K., & Dohnke, B. (2023). Job Resources in the Police: Main and Interaction Effects of Social and Organizational Resources. Journal of Police and Criminal Psychology, 38(3), 716–727. https://doi.org/10.1007/s11896-023-09592-4

Riley, R., Spiers, J., Chew-Graham, C. A., Taylor, A. K., Thornton, G. A., & Buszewicz, M. (2018). “Treading water but drowning slowly”: What are GPs’ experiences of living and working with mental illness and distress in England? A qualitative study. BMJ Open, 8(5). https://doi.org/10.1136/bmjopen-2017-018620

Robba, H. C. S., Costa, A. A., Kozu, K. T., Silva, C. A., Farhat, S. C. L., & Ferreira, J. C. de O. A. (2022). Mental health impacts in pediatric nurses: a cross-sectional study in tertiary pediatric hospital during the COVID-19 pandemic. Revista Latino-Americana de Enfermagem, 30. https://doi.org/10.1590/1518-8345.5750.3530

Romsbotn, S., Eftedal, I., & Vaag, J. R. (2022). A Work Environment Under Pressure: Psychosocial Job Demands and Resources Among Saturation Divers. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.765197

Roychowdhury, K., Bhanja, R., & Biswas, S. (2022). Mapping the research landscape of Covid-19 from social sciences perspective: a bibliometric analysis. Scientometrics, 127(8), 4547–4568. https://doi.org/10.1007/s11192-022-04447-x

Salmela-Aro, K., & Upadyaya, K. (2014). School burnout and engagement in the context of demands-resources model. The British Journal of Educational Psychology, 84(Pt 1), 137–151. https://doi.org/10.1111/BJEP.12018

Sattar, K., Meo, S. A., & Yusoff, M. S. B. (2024). Decoding the interplay of medical professionalism, mental well-being, and coping in undergraduate medical students across culture: using structural equation modeling. Frontiers in Medicine, 11. https://doi.org/10.3389/fmed.2024.1468654

Shechter, A., & Norful, A. A. (2022). A Peripandemic Examination of Health Care Worker Burnout and Implications for Clinical Practice, Education, and Research. JAMA Network Open, 5(9), E2232757. https://doi.org/10.1001/jamanetworkopen.2022.32757

Smajlović, A., & Cilar Budler, L. (2025). Burnout and the stigma of help-seeking in nurses: A cross-sectional study. Acta Psychologica, 261. https://doi.org/10.1016/j.actpsy.2025.105792

Soto-Rubio, A., Giménez-Espert, M. D. C., & Prado-Gascó, V. (2020). Effect of emotional intelligence and psychosocial risks on burnout, job satisfaction, and nurses’ health during the covid-19 pandemic. International Journal of Environmental Research and Public Health, 17(21), 1–14. https://doi.org/10.3390/ijerph17217998

Surguladze, S., Sochos, A., Chkonia, E. D., & Montgomery, A. J. (2023). Editorial: Burnout in the health, social care and beyond: Integrating individuals and systems. Frontiers in Psychiatry, 14. https://doi.org/10.3389/fpsyt.2023.1166060

Trautmann, S., Rehm, J., & Wittchen, H. (2016). The economic costs of mental disorders. EMBO Reports, 17(9), 1245–1249. https://doi.org/10.15252/embr.201642951

Van Veldhoven, M., Van den Broeck, A., Daniels, K., Bakker, A. B., Tavares, S. M., & Ogbonnaya, C. (2020). Challenging the Universality of Job Resources: Why, When, and For Whom Are They Beneficial? Applied Psychology, 69(1), 5–29. https://doi.org/10.1111/apps.12211

Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., McIntyre, R. S., Choo, F. N., Tran, B., Ho, R., Sharma, V. K., & Ho, C. (2020). A longitudinal study on the mental health of general population during the COVID-19 epidemic in China. Brain, Behavior, and Immunity, 87, 40–48. https://doi.org/10.1016/J.BBI.2020.04.028

West, D., Krcmery, V., Szydlowski, S., Ramirez, B., & Costello, M. (2022). Preventing the Burnout Syndrome by Creating a Healthy & Healing Environment. Clinical Social Work and Health Intervention, 13(6), 76–79. https://doi.org/10.22359/cswhi_13_6_13

Winblad, N. E., Changaris, M., & Stein, P. K. (2018). Effect of Somatic Experiencing Resiliency-Based Trauma Treatment Training on Quality of Life and Psychological Health as Potential Markers of Resilience in Treating Professionals. Frontiers in Neuroscience, 12(FEB). https://doi.org/10.3389/FNINS.2018.00070

Wu, M. S., Schmitt, M., Zhou, C., Nartova-Bochaver, S., Astanina, N., Khachatryan, N., & Han, B. (2014). Examining Self-Advantage in the Suffering of Others: Cross-Cultural Differences in Beneficiary and Observer Justice Sensitivity Among Chinese, Germans, and Russians. Social Justice Research, 27(2), 231–242. https://doi.org/10.1007/S11211-014-0212-8

Xie, J., Piao, X., & Managi, S. (2023). Lessons on the COVID-19 pandemic: who are the most affected. Scientific Reports, 13(1). https://doi.org/10.1038/s41598-023-36493-7

Yao, L., & Zhang, L. (2024). Study on the psychological health status and influencing factors of operating room nursing staff. Medicine (United States), 103(29), e38780. https://doi.org/10.1097/MD.0000000000038780

Yehudai, M., Clark, M., Azzopardi, A., Romem Porat, S. L., Dagan, A., Reznik, A., & Isralowitz, R. (2023). COVID-19 Fear Impact on Israeli and Maltese Female “Help” Profession Students. International Journal of Environmental Research and Public Health, 20(5). https://doi.org/10.3390/ijerph20053968

Zhong, B. (2024). Exploring the Multifaceted Dimensions of Mental Health Stigma: Culture, Religion, and Healthcare Institutions. SHS Web of Conferences, 193, 02014. https://doi.org/10.1051/SHSCONF/202419302014

Downloads

Published

2026-05-13