{"id":"https://openalex.org/W7221068552","doi":"https://doi.org/10.3389/fpubh.2026.1881851","title":"Leadership, burnout, and organizational mental health: a neuroscience-informed perspective","display_name":"Leadership, burnout, and organizational mental health: a neuroscience-informed perspective","publication_year":2026,"publication_date":"2026-10-09","ids":{"openalex":"https://openalex.org/W7221068552","doi":"https://doi.org/10.3389/fpubh.2026.1881851","pmid":"https://pubmed.ncbi.nlm.nih.gov/42920658","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13690747"},"language":"en","primary_location":{"id":"doi:10.3389/fpubh.2026.1881851","doi":"https://doi.org/10.3389/fpubh.2026.1881851","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpubh.2026.1881851","pdf_url":"https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2026.1881851/pdf","source":{"id":"https://openalex.org/S2595931848","display_name":"Frontiers in Public Health","issn_l":"2296-2565","issn":["2296-2565"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Public Health","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2026.1881851/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5158059524","display_name":"Gisele Kitayama","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210089393","display_name":"World Health Organization Regional Office for the Americas","ror":"https://ror.org/008kev776","country_code":"US","type":"government","lineage":["https://openalex.org/I4210089393","https://openalex.org/I4210105654"]},{"id":"https://openalex.org/I66804793","display_name":"Pan American Health Organization (Cuba)","ror":"https://ror.org/01p1fe256","country_code":"CU","type":"healthcare","lineage":["https://openalex.org/I4210089393","https://openalex.org/I4210105654","https://openalex.org/I66804793"]}],"countries":["CU","US"],"is_corresponding":true,"raw_author_name":"Gisele Kitayama","raw_affiliation_strings":["PAHO Country Office, Pan American Health Organization"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"PAHO Country Office, Pan American Health Organization","institution_ids":["https://openalex.org/I4210089393","https://openalex.org/I66804793"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5065793678","display_name":"Federico Gerardo de Cosio","orcid":"https://orcid.org/0000-0003-4616-7212","observed_orcids":["https://orcid.org/0000-0003-4616-7212"]},"institutions":[{"id":"https://openalex.org/I4210089393","display_name":"World Health Organization Regional Office for the Americas","ror":"https://ror.org/008kev776","country_code":"US","type":"government","lineage":["https://openalex.org/I4210089393","https://openalex.org/I4210105654"]},{"id":"https://openalex.org/I4210105654","display_name":"World Health Organization","ror":"https://ror.org/01f80g185","country_code":"CH","type":"government","lineage":["https://openalex.org/I4210105654"]}],"countries":["CH","US"],"is_corresponding":false,"raw_author_name":"Federico Gerardo de Cosio","raw_affiliation_strings":["Retired, Pan American Health Organization/World Health Organization"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Retired, Pan American Health Organization/World Health Organization","institution_ids":["https://openalex.org/I4210089393","https://openalex.org/I4210105654"]}]}],"institutions":[],"countries_distinct_count":3,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5158059524"],"corresponding_institution_ids":["https://openalex.org/I4210089393","https://openalex.org/I66804793"],"apc_list":{"value":3150,"currency":"CHF","value_usd":3801},"apc_paid":{"value":3150,"currency":"CHF","value_usd":3801},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.77261953,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"14","issue":null,"first_page":"1881851","last_page":"1881851"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12704","display_name":"Stress and Burnout Research","score":0.8525000214576721,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T12704","display_name":"Stress and Burnout Research","score":0.8525000214576721,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10795","display_name":"Healthcare professionals\u2019 stress and burnout","score":0.0860000029206276,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12869","display_name":"Occupational Health and Burnout","score":0.03880000114440918,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/burnout","display_name":"burnout","score":0.9800000190734863},{"id":"https://openalex.org/keywords/leadership","display_name":"leadership","score":0.9150000214576721},{"id":"https://openalex.org/keywords/organizational-mental-health","display_name":"organizational mental health","score":0.8270000219345093},{"id":"https://openalex.org/keywords/occupational-health","display_name":"occupational health","score":0.7179999947547913},{"id":"https://openalex.org/keywords/neuroleadership","display_name":"neuroleadership","score":0.847000002861023},{"id":"https://openalex.org/keywords/cognitive-flexibility","display_name":"cognitive flexibility","score":0.9959999918937683},{"id":"https://openalex.org/keywords/emotional-intelligence","display_name":"emotional intelligence","score":1.0},{"id":"https://openalex.org/keywords/psychological-safety","display_name":"psychological safety","score":1.0},{"id":"https://openalex.org/keywords/emotional-contagion","display_name":"emotional contagion","score":0.9990000128746033},{"id":"https://openalex.org/keywords/stress-biology","display_name":"stress biology","score":0.7559999823570251},{"id":"https://openalex.org/keywords/depression","display_name":"depression","score":0.5139999985694885},{"id":"https://openalex.org/keywords/anxiety","display_name":"anxiety","score":0.9950000047683716},{"id":"https://openalex.org/keywords/substance-abuse","display_name":"substance abuse","score":0.7860000133514404},{"id":"https://openalex.org/keywords/physicians","display_name":"physicians","score":0.8820000290870667},{"id":"https://openalex.org/keywords/human-centered-work-design","display_name":"human-centered work design","score":0.9390000104904175},{"id":"https://openalex.org/keywords/workforce-sustainability","display_name":"workforce sustainability","score":0.8130000233650208},{"id":"https://openalex.org/keywords/health-workforce-policy","display_name":"health workforce policy","score":0.4699999988079071}],"concepts":[{"id":"https://openalex.org/C143916079","wikidata":"https://www.wikidata.org/wiki/Q2629248","display_name":"Burnout","level":2,"score":0.6959999799728394},{"id":"https://openalex.org/C12713177","wikidata":"https://www.wikidata.org/wiki/Q1900281","display_name":"Perspective (graphical)","level":2,"score":0.6621000170707703},{"id":"https://openalex.org/C2778139618","wikidata":"https://www.wikidata.org/wiki/Q13440398","display_name":"Workforce","level":2,"score":0.6463000178337097},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.5633999705314636},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.5629000067710876},{"id":"https://openalex.org/C169900460","wikidata":"https://www.wikidata.org/wiki/Q2200417","display_name":"Cognition","level":2,"score":0.522599995136261},{"id":"https://openalex.org/C2776788475","wikidata":"https://www.wikidata.org/wiki/Q815298","display_name":"Occupational stress","level":2,"score":0.5146999955177307},{"id":"https://openalex.org/C50335755","wikidata":"https://www.wikidata.org/wiki/Q483247","display_name":"Phenomenon","level":2,"score":0.4546999931335449},{"id":"https://openalex.org/C558461103","wikidata":"https://www.wikidata.org/wiki/Q154430","display_name":"Anxiety","level":2,"score":0.45260000228881836},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.4142000079154968},{"id":"https://openalex.org/C197386563","wikidata":"https://www.wikidata.org/wiki/Q6508686","display_name":"Leadership style","level":2,"score":0.3970000147819519},{"id":"https://openalex.org/C2776867660","wikidata":"https://www.wikidata.org/wiki/Q1814941","display_name":"Depression (economics)","level":2,"score":0.36230000853538513},{"id":"https://openalex.org/C187155963","wikidata":"https://www.wikidata.org/wiki/Q629029","display_name":"Occupational safety and health","level":2,"score":0.34150001406669617},{"id":"https://openalex.org/C88519622","wikidata":"https://www.wikidata.org/wiki/Q776232","display_name":"Emotional exhaustion","level":3,"score":0.3292999863624573},{"id":"https://openalex.org/C2780755674","wikidata":"https://www.wikidata.org/wiki/Q327988","display_name":"Occupational burnout","level":4,"score":0.32749998569488525},{"id":"https://openalex.org/C39549134","wikidata":"https://www.wikidata.org/wiki/Q133080","display_name":"Public relations","level":1,"score":0.319599986076355},{"id":"https://openalex.org/C137176749","wikidata":"https://www.wikidata.org/wiki/Q4105337","display_name":"Psychological resilience","level":2,"score":0.3070000112056732},{"id":"https://openalex.org/C3017944768","wikidata":"https://www.wikidata.org/wiki/Q1450463","display_name":"Poison control","level":2,"score":0.2962000072002411},{"id":"https://openalex.org/C18762648","wikidata":"https://www.wikidata.org/wiki/Q42213","display_name":"Work (physics)","level":2,"score":0.2948000133037567},{"id":"https://openalex.org/C13606891","wikidata":"https://www.wikidata.org/wiki/Q2623243","display_name":"Conceptual model","level":2,"score":0.28850001096725464},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.27970001101493835},{"id":"https://openalex.org/C14224292","wikidata":"https://www.wikidata.org/wiki/Q13600188","display_name":"Conceptual framework","level":2,"score":0.271699994802475},{"id":"https://openalex.org/C7225491","wikidata":"https://www.wikidata.org/wiki/Q2697537","display_name":"Leadership studies","level":3,"score":0.2687999904155731},{"id":"https://openalex.org/C526869908","wikidata":"https://www.wikidata.org/wiki/Q3298118","display_name":"Suicide prevention","level":3,"score":0.26809999346733093},{"id":"https://openalex.org/C2779264998","wikidata":"https://www.wikidata.org/wiki/Q22906141","display_name":"Abusive supervision","level":2,"score":0.26499998569488525},{"id":"https://openalex.org/C39214371","wikidata":"https://www.wikidata.org/wiki/Q19483216","display_name":"Organizational behavior","level":2,"score":0.2612000107765198},{"id":"https://openalex.org/C14564219","wikidata":"https://www.wikidata.org/wiki/Q383646","display_name":"Social cognitive theory","level":2,"score":0.26089999079704285},{"id":"https://openalex.org/C75630572","wikidata":"https://www.wikidata.org/wiki/Q538904","display_name":"Applied psychology","level":1,"score":0.258899986743927},{"id":"https://openalex.org/C2778300220","wikidata":"https://www.wikidata.org/wiki/Q114380","display_name":"Financial crisis","level":2,"score":0.25279998779296875},{"id":"https://openalex.org/C204983608","wikidata":"https://www.wikidata.org/wiki/Q2111958","display_name":"Productivity","level":2,"score":0.2500999867916107}],"mesh":[{"descriptor_ui":"D000095422","descriptor_name":"Psychological Safety","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002055","descriptor_name":"Burnout, Professional","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007857","descriptor_name":"Leadership","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008603","descriptor_name":"Mental Health","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D009488","descriptor_name":"Neurosciences","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D016272","descriptor_name":"Occupational Health","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.3389/fpubh.2026.1881851","doi":"https://doi.org/10.3389/fpubh.2026.1881851","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpubh.2026.1881851","pdf_url":"https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2026.1881851/pdf","source":{"id":"https://openalex.org/S2595931848","display_name":"Frontiers in Public Health","issn_l":"2296-2565","issn":["2296-2565"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Public Health","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13690747","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13690747/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13690747/pdf/fpubh-14-1881851.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Front Public Health","raw_type":"Text"},{"id":"pmid:42920658","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42920658","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in public health","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:1722e81eb7d449778b0abf641cdff3f6","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/1722e81eb7d449778b0abf641cdff3f6","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Frontiers in Public Health, Vol 14 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3389/fpubh.2026.1881851","doi":"https://doi.org/10.3389/fpubh.2026.1881851","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpubh.2026.1881851","pdf_url":"https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2026.1881851/pdf","source":{"id":"https://openalex.org/S2595931848","display_name":"Frontiers in Public Health","issn_l":"2296-2565","issn":["2296-2565"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Public Health","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9391000270843506,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"},{"score":0.7257999777793884,"display_name":"Decent work and economic growth","id":"https://metadata.un.org/sdg/8"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7221068552.pdf","grobid_xml":"https://content.openalex.org/works/W7221068552.grobid-xml"},"referenced_works_count":16,"referenced_works":["https://openalex.org/W2154021796","https://openalex.org/W2607133520","https://openalex.org/W3103218745","https://openalex.org/W3128518091","https://openalex.org/W4200021918","https://openalex.org/W4296003190","https://openalex.org/W4308352677","https://openalex.org/W4309714396","https://openalex.org/W4361280452","https://openalex.org/W4390682195","https://openalex.org/W4398147300","https://openalex.org/W4399247194","https://openalex.org/W4403294580","https://openalex.org/W4403551186","https://openalex.org/W4409343322","https://openalex.org/W7118412074"],"related_works":["https://openalex.org/W7214578720","https://openalex.org/W4408248602","https://openalex.org/W7211905653","https://openalex.org/W6922623677","https://openalex.org/W7162326246","https://openalex.org/W2922018052","https://openalex.org/W4280648220","https://openalex.org/W2903756213","https://openalex.org/W4389241185","https://openalex.org/W4309006742"],"abstract_inverted_index":{"This":[0],"article":[1,94],"argues":[2],"that":[3,105,160],"the":[4,70],"persistent":[5],"burden":[6],"of":[7,58],"burnout":[8,130],"reflects":[9],"a":[10,41,47],"fundamental":[11],"conceptual":[12],"problem-burnout":[13],"continues":[14],"to":[15,107,177],"be":[16],"framed":[17],"primarily":[18],"as":[19,25,40,175],"an":[20,26],"individual":[21],"condition":[22],"rather":[23],"than":[24],"occupational":[27,43],"phenomenon":[28],"shaped":[29],"by":[30],"interacting":[31],"structural,":[32],"organizational,":[33],"and":[34,54,67,90,124,136,151,169,188],"leadership":[35,100,171],"conditions.":[36],"Burnout":[37],"has":[38,131],"emerged":[39],"major":[42],"health":[44,184],"challenge.":[45],"In":[46],"2024":[48],"survey":[49],"across":[50],"eight":[51],"predominantly":[52],"high":[53],"upper-middle-income":[55],"countries,":[56],"48%":[57],"respondents":[59],"reported":[60],"currently":[61],"grappling":[62],"with":[63,134,181],"burnout.":[64],"Separately,":[65],"depression":[66,135],"anxiety":[68],"cost":[69],"global":[71],"economy":[72],"approximately":[73],"one":[74],"trillion":[75],"dollars":[76],"annually":[77],"in":[78],"lost":[79],"productivity.":[80],"Drawing":[81],"on":[82],"evidence":[83,139],"from":[84],"neuroimaging,":[85],"stress":[86],"biology,":[87],"cognitive":[88,116],"neuroscience,":[89],"organizational":[91],"research,":[92],"this":[93],"examines":[95],"plausible":[96],"pathways":[97],"through":[98],"which":[99],"behavior":[101],"may":[102],"influence":[103],"conditions":[104,159],"contribute":[106],"or":[108,162],"protect":[109],"against":[110],"burnout,":[111],"including":[112],"social":[113],"threat-reward":[114],"processing,":[115],"flexibility,":[117],"emotional":[118,122],"intelligence,":[119],"psychological":[120],"safety,":[121],"contagion,":[123],"stress-related":[125],"neurobiological":[126],"responses.":[127],"Among":[128],"physicians,":[129],"been":[132],"associated":[133],"anxiety,":[137],"while":[138],"regarding":[140],"substance":[141],"abuse":[142],"is":[143],"less":[144],"consistent.":[145],"These":[146],"proposed":[147,174],"mechanisms":[148],"are":[149,173],"proximal":[150],"potentially":[152],"modifiable,":[153],"but":[154],"operate":[155],"within":[156],"broader":[157,178],"structural":[158,179],"constrain":[161],"enable":[163],"their":[164],"effects.":[165],"Human-centered":[166],"work":[167],"design":[168],"neuroleadership-informed":[170],"practices":[172],"complements":[176],"interventions,":[180],"implications":[182],"for":[183],"systems,":[185],"workforce":[186],"sustainability,":[187],"policy":[189],"design.":[190]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-10-10T00:00:00"}
