Previous research has shown that burnout in staff members at psychiatr
ic hospitals is significantly associated with state anxiety and colleg
ial support. The directionality of these relationships may be inferred
using a cross-lagged panel design. To do this, 35 staff members repre
senting various clinical disciplines completed measures of burnout, su
pport, and anxiety twice, eight months apart. Burnout comprised three
factors: emotional exhaustion, depersonalization, and personal accompl
ishment. Findings from one cross-lagged panel suggested that emotional
exhaustion causes state anxiety. The second panel showed that lack of
collegial support caused depersonalization. Understanding causes and
effects of burnout for inpatient psychiatric staff may lead to trainin
g and resource development that will improve the quality of their work
environment.