Zum Inhalt

Humor as a Moderator in the Relationship Between Emotional Exhaustion and Depressive Symptoms in University Students and the General Population

  • Open Access
  • 01.10.2025
  • Original Paper
Erschienen in:

Aktivieren Sie unsere intelligente Suche, um passende Fachinhalte oder Patente zu finden.

search-config
loading …

Abstract

Der Artikel geht auf die signifikante Zunahme von Depressionen und depressiven Symptomen unter Universitätsstudenten ein, die durch die COVID-19-Pandemie verschlimmert wurde. Es untersucht die Beziehung zwischen Burnout, der durch emotionale Erschöpfung und Zynismus gekennzeichnet ist, und seinem Potenzial, depressive Symptome vorherzusagen. Die Studie untersucht Humor als Moderator und hebt seine Rolle bei positiver Neubewertung und Stressabbau hervor. Zwei Studien werden vorgestellt: Eine untersucht die Fähigkeit, Humor im Labor zu produzieren, und eine andere untersucht die Gewohnheit, Humor im Alltag zu verwenden. Die Ergebnisse deuten darauf hin, dass sowohl die Fähigkeit, qualitativ hochwertigen Humor zu schaffen, als auch der gewohnheitsmäßige Einsatz von Humor die negativen Auswirkungen emotionaler Erschöpfung auf depressive Symptome abpuffern können. Der Artikel diskutiert die Implikationen für sekundäre Präventions- und Interventionsprogramme und betont das Potenzial des Humors als Resilienzfaktor für die psychische Gesundheit.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

1 Introduction

Over the past decades, a notable increase in depression and depressive symptoms among university students has been observed, which was further intensified by the COVID-19 pandemic (Ibrahim et al., 2013; Peng et al., 2023; Rotenstein et al., 2016). Depression during the period of higher education is particularly concerning, as it is associated with prolonged illness phases and significant burdens, negatively impacting career prospects (Hysenbegasi et al., 2005) and social relationships (Whitton & Whisman, 2010). Furthermore, its established link to an increased risk of suicide makes it a potentially life-threatening condition (Harris & Barraclough, 1998). Therefore, addressing depression prevention is of paramount importance.
Previous longitudinal studies have shown that burnout, defined by the dimensions of emotional exhaustion, cynicism, and reduced personal efficacy, as outlined in the widely used Maslach Burnout Inventory (Maslach & Jackson, 1981), predicts depressive symptoms (Ahola & Hakanen, 2007; Armon et al., 2014; Hakanen et al., 2008; Hakanen & Schaufeli, 2012; Koutsimani & Montgomery, 2023; Salmela-Aro et al., 2009; Shin et al., 2013; Toker & Biron, 2012), emphasizing its potential relevance for early intervention and secondary prevention strategies. While burnout is commonly conceptualized as comprising emotional exhaustion, cynicism, and reduced personal efficacy, the present studies focus specifically on emotional exhaustion and cynicism, which are widely considered the core dimensions most closely linked to mental health outcomes (Green et al., 1991; Shirom, 1989). By contrast, reduced personal efficacy shows weaker associations with mental health indicators, especially among students, has been criticized for failing to meet theoretical and psychometric standards, and develops largely independently from emotional exhaustion and cynicism (Cordes & Dougherty, 1993; Demerouti et al., 2003; Ricardo & Paneque, 2014). These core dimensions are present across different contexts, including occupational and academic settings, though their relative importance may vary by population. For instance, reduced personal efficacy appears less relevant among students than among employed adults (Schaufeli et al., 2002).
Although the main empirical evidence suggests that burnout symptoms may precede and predict depressive symptoms in some cases, the conceptual distinction between the two constructs remains a matter of debate. Burnout and depression are undoubtedly intercorrelated and partially overlapping, which has led to concerns about their discriminant validity. However, a recent meta-analysis concluded that burnout and depression are two distinct and robust constructs (Koutsimani & Montgomery, 2023). Importantly, recent theoretical work has further emphasized that equating burnout with depression obscures its systemic and work-related origins, thereby misguiding interventions and hindering necessary organizational reforms (Leiter & and Day, 2025). In line with this conceptual separation, additional support for the sequential relationship between burnout and depressive symptoms comes from studies showing that the severity of burnout symptoms corresponds to an increased susceptibility to major depression (Ahola et al., 2005, 2014; Bianchi et al., 2013; Wurm et al., 2016), suggesting that burnout could predict the development of depression. Although the empirical evidence on this relationship is not entirely consistent (Bakker et al., 2000; Campbell et al., 2010; Koutsimani & Montgomery, 2023; Salmela-Aro et al., 2009; Toker & Biron, 2012), these findings point to the potential value of identifying factors that could prevent burnout from progressing into more severe depressive symptoms, making this a promising approach for secondary prevention.
Empirical evidence supports the existence of potential moderators that may attenuate the association between burnout and depression. For example, Koutsimani and Montgomery (2023) reported a buffering effect of perceived family support on the reciprocal relationship between exhaustion and depression in their 8-month longitudinal study. Similarly, both cross-sectional (Cheng et al., 2020) and longitudinal investigations (Toker & Biron, 2012) indicate that resilience factors and physical activity moderate the relationship between burnout and depression. Given the well-established stress-buffering effects of humor (Magnuson & Barnett, 2013) and the central role of stress in the etiology of burnout and depression (Bakusic et al., 2017; Edú-Valsania et al., 2022; Tafet & Bernardini, 2003), it is surprising that, to the best of our knowledge, the potential moderating role of humor in this context has not been empirically investigated.
While direct evidence is lacking, the conceptualization of humor as a specific form of positive reappraisal provides an additional theoretical rationale for its protective function. This classification is based on the fact that humor can promote a cognitive shift in perspective, enabling individuals to reinterpret stressful situations in a more adaptive and emotionally beneficial way by turning negative emotions into positive ones and thereby facilitating positive reappraisal (Kuiper et al., 1993; Papousek et al., 2023; Perchtold et al., 2019b; Ventis et al., 2001; Weber et al., 2014).
Building on traditional humor research, it is helpful to distinguish between two key dimensions of humor that may be relevant to such coping processes: the ability to produce humor in response to adverse circumstances as a situational skill and the habitual use of humor as a stable, trait-like coping style. Research suggests that both components, humor ability and habitual use, may affect the management of stress, thereby supporting mental health and well-being, a distinction that also reflects broader findings in the field of positive reappraisal, where both situational skills and trait-like tendencies are considered critical for effective coping (Papousek, 2024; Perchtold et al., 2018; Perchtold, Papousek, Perchtold et al., 2019a, b; Webb et al., 2012).
Moderation effects of positive reappraisal ability on the link between cumulative stress, which is per definition the cause of burnout (Maslach et al., 1996), and depressive symptoms have already been demonstrated (Troy et al., 2010). Although such effects have not yet been tested for humor specifically, its close alignment with positive reappraisal suggests that similar protective functions may apply. Furthermore, studies showing the moderating role of humor in empirical research studies are relatively common. Padhy et al. (2024) investigated the moderating role of humor on the relationship between daily hassles and well-being in a large Indian sample (N = 644) indicating that humor reduced the impact of hassles on well-being. Additional studies indicated that humor buffers against unethical leadership (Valle et al., 2018) and promotes resilience and well-being (Cann & Collette, 2014).
In sum, current evidence indicates that protective factors may reduce the positive association between burnout and depression, although these findings should be interpreted with caution, as methodological limitations of existing studies restrict the ability to draw causal conclusions. One such potential protective factor is humor (see e.g., Cann & Collette, 2014; Padhy et al., 2024), an assumption we aimed to test through two studies. Specifically, in Study 1, we examined whether the ability to produce humor within a laboratory paradigm moderates the relationship between burnout and depressive symptoms in university students. In study 2, we investigated the generalizability of this moderation effect with respect to self-rated habit to create humor (i.e., playfulness) in everyday life and in a different population. In both studies, we focused on emotional exhaustion and cynicism, the most central and diagnostically relevant burnout dimensions in student populations, as discussed above.

2 Study 1

Study 1 aimed to test the hypothesis that a higher ability to produce humor -operationalized as the capacity to integrate humor in positive reappraisal of threatening situations, assessed using a performance-based approach which integrates linguistic and psychometric methods (Papousek et al., 2023) - would moderate the association between study-related burnout symptoms (i.e., emotional exhaustion and cynicism) and depressive symptoms in university students.

2.1 Methods of Study 1

2.1.1 Participants

The sample comprised 58 healthy university students, according to self-report (40 women; 18 men; age range between 18 and 60 years (M = 23.69, SD = 5.83). No participant reported using drugs or psychoactive medication. All participants were fluent in German. The study was approved by the ethics committee (University of Graz; GZ. 39/43/63 ex 2015/16). All participants gave written informed consent to participate in the study. They received course credits for their participation. Sensitivity power analyses by means of G*Power (Faul et al., 2009) indicated that we were able to detect a medium-sized effect of f2 = 0.14 with a power of 0.80 and an effect of f2 = 0.19 with a power of 0.90 when testing for a significant deviation of a single linear regression coefficient (i.e., interaction term) from zero (t-test).

2.1.2 Procedure

First, participants filled out questionnaires on demographic and health-related factors using the online survey application LimeSurvey (https://www.limesurvey.org), with only the German version of the Center for Epidemiological Studies Depression Scale (CES-D; Hautzinger & Bailer, 1993) and the German Version of the Maslach-Burnout-Inventory - Student Survey (MBI-SS; Gumz et al., 2013; Schaufeli et al., 2002) being relevant to the present study. Then the study was conducted in person. All participants were tested individually or in small groups in a quiet room. After providing consent for participation, participants received detailed instructions for the Humor Reappraisal Inventiveness Test (HRIT), which was used to assess the ability to produce humor in positive reappraisal and will be described in detail below. Afterward, participants were thanked and dismissed.

2.1.3 Measures

2.1.3.1 Ability to Produce Humor in Positive Reappraisal (HRIT)
One after another, participants were confronted with a standardized set of four anxiety-eliciting situations. They were instructed to imagine the situation happening to them and were given 20 s to immerse themselves in the situation before turning the page and writing down their ideas (3 min per situation). In the office item (see Papousek et al., 2023), participants worked on the following situation: “Late at night, you are the only one left working at the office. As you are sitting at your desk, suddenly all the lights on your floor switch off.” They were instructed to write down as many different humorous ways as possible to think about the situation in a way that may diminish their stress and anxiety in this situation (for more details of the HRIT see Papousek et al., 2023). The ability to produce humor in this particular context was quantified in terms of quantity (i.e., how much humor can be created, fluency) and quality (i.e., how well humor can be created, wittiness) as generally recommended in humor research (Ruch & Heintz, 2014).
Following previous research, a linguistic approach was taken to quantify the participants’ performance in producing (explicable) humor as objectively as possible (Papousek et al., 2023). According to the agreement of three experienced researchers (consensus; for more details see e.g., Papousek et al., 2023), each reappraisal idea (of 726 in total) was rated whether it followed a pre-defined, identifiable humor structure. An idea was rated as “humorous”, if it either comprised an unexpected incongruity, which could be resolved through the punch line; or comprised an incongruity that was left unresolved; or represented disparagement humor without typical incongruity but violation of social expectations, including sarcastic and scoffing statements (Hempelmann & Ruch, 2005; McGhee et al., 1990). Ideas that contained none of these features, i.e., had no linguistically identifiable humorous structure, were rated as non-humorous. Importantly, this classification focused on the linguistic structure of the ideas only, and was conducted independently from perceptions of funniness. Two evaluators initially classified participants’ responses. In cases where they could not reach a conclusion after intensive discussion, a third evaluator was consulted to reach a consensus (see Papousek et al., 2023). Quantity (fluency) of humor production was defined as the total number of ideas rated as humorous (descriptives see Table 1). For the office item, humorous example answers were: (a) “Somebody has to start saving electricity.” (b) “Finally, I can sleep” (c) “It’s getting romantic.” For gaining an index of the quality of produced humor, the wittiness of ideas classified as humor (316 ideas in total) was rated by eight independent rates from 1 (not funny) at all to 4 (very funny; author C.M.P. and 7 trained co-workers; relative ICC[2,k] = 0.74; Koo & Li, 2016). Ratings were averaged across raters and across all valid humor responses of an individual (see Papousek et al., 2023). See Table 1 for descriptive statistics.
2.1.3.2 Burnout Symptoms
The MBI-SS (Gumz et al., 2013; Schaufeli et al., 2002) was used to assess study-related emotional exhaustion (5 items, e.g., “I feel emotionally drained by my studies”, “I feel tired when I get up in the morning and I have to face another day at the university”) and study-related cynicism (4 items, e.g., “I have become less interested in my studies since my enrollment at the university”, “I doubt the significance of my studies”). In the specific relationships relevant to the present study, the third scale of the MBI-SS (“professional efficacy”) is thought to have a divergent role compared to the other two scales and thus was not used (see also Hakanen & Schaufeli, 2012). All items were rated on a seven-point Likert scale from 0 (“never”) to 6 (“always”). Calculating a burnout sum score across the sub-dimensions was omitted as the authors of the MBI themselves called such an aggregation ineligible because of their disparity (Maslach et al., 1996). See Table 1 for descriptive statistics.
2.1.3.3 Depressive Symptoms
In the CES-D (Hautzinger & Bailer, 1993) participants rate from 0 to 4 how often over the past week they experienced symptoms associated with depression (20 items, e.g., “I thought my life had been a failure”, “I had crying spells”). It is designed for measuring sub-clinical depressive experiences in the general population (Wood et al., 2010).

2.1.4 Statistical Analyses

To evaluate the moderating effect of humor on the relationship between burnout symptoms and depression we conducted regression analyses. Burnout symptoms (i.e., emotional exhaustion and cynicism), humor, and their interaction were used as predictors for depression. Given the substantial correlation between the two MBI sub-dimensions (r =.65, p <.001), we conducted separate analyses for emotional exhaustion and cynicism to account for potential multicollinearity. This approach helps to avoid inflated standard errors and allows for a clearer interpretation of the contribution of each predictor (Aiken et al., 1991). All variables were z-transformed, except for illustration purpose. We performed the analyses using R (Version 4.4.1; R Core Team, 2023) in combination with the package interactions (version 1.2.0; Long, 2024) and the PROCESS macro for R (Hayes, 2022). Bootstrapping was conducted with 5000. The significance level was set to 0.05 (two-tailed).

2.2 Results of Study 1

As depicted in Table 1 the sample showed moderate levels of depressive symptoms, study-related emotional exhaustion and cynicism. As expected, emotional exhaustion (r =.48, p <.001) and cynicism (r =.38, p =.003) were positively associated with depressive symptoms. Cynicism but not emotional exhaustion was significantly and negatively correlated with quality and quantity of humor. Depressive symptoms were not correlated with quality and quantity of humor (see Tabel 2 for zero-order correlations).
Table 1
Characteristics and zero-order correlations of the sample, study 1
 
Zero-order correlations
Emotional exhaustion
Cynicism
CES-D
Quality of humor
M (SD)
Cronbachs Alpha
Emotional exhaustion
    
2.52 (1.47)
0.90
Cynicism
0.647 (< 0.001)
   
1.53 (1.66)
0.89
CES-D
0.480 (< 0.001)
0.378 (< 0.001)
  
0.81 (0.59)
0.94
Quality of humor
− 0.137 (0.306)
− 0.279 (0.034)
− 0.167 (0.209)
 
2.34 (0.32)
 
Quantity of humor
− 0.255 (0.053)
−393 (0.002)
− 0.084 (0.530)
0.045 (0.736)
5.45 (2.72)
 
Age
    
23.69 (5.83)
 
Sex
    
40w/18m
 
CES-D = Center for Epidemiological Studies Depression Scale

2.2.1 Moderation Effect of the Quality of Produced Humor in the HRIT

The hypothesized moderation effect of humor on the association between emotional exhaustion (and cynicism) and depressive symptoms was evaluated using standard multiple regression analysis with the z-transformed scores of humor quality, emotional exhaustion, and the interaction term as predictors. The depression score served as the dependent variable. As illustrated in Table 2, the significant regression model (F(3,54) = 10.73, p <.001) indicated an interaction effect of humor and emotional exhaustion on depressive symptoms with a medium effect size. The main effect of humor quality was not significant, but emotional exhaustion significantly predicted participants’ depression scores.
Table 2
Summary of the results of the multiple regression analysis for the prediction of depressive symptoms by means of quality of humor and emotional exhaustion
 
β
CI low
CI high
p
f2
Emotional exhaustion
0.43
0.25
0.64
< 0.001
0.28
Humor quality
−0.09
−0.30
0.17
0.428
0.01
Emotional exhaustion x humor quality
−0.38
−0.56
−0.13
0.001
0.21
β the standardized Beta coefficient. Cohen’s f2 effect size expresses the change in the model explained by a predictor or interaction term
To follow up on the interaction effect, the regression analysis was re-run with humor quality set as low (M − 1 SD) and high (M + 1 SD; simple slopes approach), respectively. As illustrated in Fig. 1, greater levels of emotional exhaustion were significantly linked to more self-reported depressive symptoms in participants with lower humor skills (β = 0.81, t(54) = 5.44, p <.001). However, and well in line with our assumption, in participants with higher humor skills the association between emotional exhaustion and depressive symptoms was not significant (β = 0.05, t(54) = 0.29, p =.770). As illustrated in Fig. 1A, the Johnson-Neyman plot showed that when humor was lower than 2.49 the slope of emotional exhaustion was significant. The humor quality ranged from 1.50 to 2.95.
Fig. 1
(A) Johnson-Neyman plot (left) and interaction effect (right) of humor production ability (i.e., humor quality) and study-related emotional exhaustion on depressive symptoms in students. (B) Johnson-Neyman plot (left) and interaction effect (right) of humor quality and study-related cynisim on depressive symptoms in students
Bild vergrößern
A similar pattern of results emerged when cynicism was used in the regression analysis (F(3,54) = 4.94, p =.004; see Table 3). The interaction effect between cynicism and humor was significant with p =.035 (although the bootstrapped CIs included zero). Nevertheless, the simple slope approach again indicated that the association between cynicism and depressive symptoms was only significant when humor production ability was low (β = 0.58, t(54) = 3.59, p =.001), but was absent when the quality of humorous ideas was high (β = 0.09, t(54) = 0.54, p =.591). The effect size of the interaction term was small to medium. As illustrated in Fig. 1B, the Johnson-Neyman plot showed that when humor was lower than 2.43, the slope of cynicism was significant. The observed range of humor quality was between 1.50 and 2.95.
Table 3
Summary of the results of the multiple regression analysis for the prediction of depressive symptoms by means of quality of humor and cynicism
 
β
CI low
CI high
p
f2
Cynicism
0.34
0.15
0.62
0.010
0.14
Humor quality
−0.03
−0.28
0.28
0.834
0.00
Cynicism x humor quality
−0.24
−0.40
0.05
0.035
0.09
Note. β the standardized Beta coefficient. CI low (5%) and CI high (95%) are the confidence intervals derived via bootstrap with 5000 iterations. Cohen’s f2 effect size expresses the change in the model explained by a predictor or interaction term

2.2.2 Moderation Effect of the Quantity of Humor

Analogous regression analyses were calculated with the quantity of humorous reappraisals as a predictor. For both regression analyses the relevant interaction was not significant (emotional exhaustion x humor quantity: β = 0.10, p =.437; cynicism x humor quantity: β = 0.18, p =.249). This finding indicates that the quantity of ideas, unlike the quality, does not seem to moderate the association between emotional exhaustion and cynicism and depressive symptoms.

2.3 Discussion of Study 1

Study 1 indicated that the ability to produce humorous positive reappraisals may serve as a resilience factor, helping students cope with the consequences of study-related stress, such as emotional exhaustion and cynicism. However, only the quality aspect (wittiness of ideas), and not the fluency (quantity) in producing humorous reappraisals, showed the expected moderation effect. Accordingly, university students who were able to produce better (wittier) reappraisal ideas appeared to be more protected from significantly elevated depressive symptoms despite high levels of study-related emotional exhaustion and cynicism.
This finding is in accordance with literature suggesting that humor might be an effective strategy to positively reappraise stressful situations (Perchtold et al., 2019a; Weber et al., 2014). More specifically, study 1 indicated the potential value of the ability to create high-quality humor in enhancing students’ resilience against the exacerbation of burnout symptoms. These findings align well with previous research demonstrating the buffering effects of resilience, physical activity, and family support on the (bidirectional) association between burnout and depression symptoms (Cheng et al., 2020; Koutsimani & Montgomery, 2023; Toker & Biron, 2012) as well as the buffering effects of humor against daily hassles and unethical leadership (Padhy et al., 2024; Valle et al., 2018).
The findings of study 1 are based on laboratory data where students were asked to produce as many witty positive reappraisals as possible for a given real-life scenario. Although this approach provides high internal validity and allows to assess participants’ ability to produce (high-quality) humor if asked to, for the effective utilization of humor in one’s everyday life coping attempts, the automatic activation of humor creation as a routine in everyday life is additionally required (Papousek, 2024; Perchtold et al., 2018; Perchtold, Papousek, Perchtold et al., 2019a, b; Schneider et al., 2018). Therefore, a further relevant question remains. Would we observe a similar moderation effect of humor on the association between burnout (i.e., emotional exhaustion and cynicism) and depressive symptoms, if the more general habit to produce humor in everyday life is considered? A conceptual replication and extension of the pattern of findings of study 1 would increase its scientific value.

3 Study 2

Building on the idea presented in the introduction, that effective use of humor in daily coping involves not only the ability to produce appropriate humor in challenging situations but also the trait-like dimension of humor, the aim of study 2 was to test the hypothesis that the moderating effect of humor on the association between burnout and depressive symptoms found in study 1 also applies to the self-rated habit of creating humor (i.e., playfulness) in everyday life in a larger, more heterogeneous sample. Playfulness can be defined as a tendency to interpret or reinterpret situations in a way that fosters amusement, humor, or entertainment for oneself and potentially for others (Barnett, 2007). As the foundation of humor production, playfulness enables individuals to reframe everyday situations as entertaining or stimulating (Proyer, 2018; Ruch et al., 2019). Thus, there is some conceptual overlap with positive reappraisal, though playfulness represents a broader concept as situations need not necessarily be negative or adverse. Given its beneficial impact on stress (Magnuson & Barnett, 2013; Staempfli, 2007) and well-being (Proyer, 2013, 2014; Proyer et al., 2019), playfulness seems particularly suitable for exploring whether the self-rated trait-like dimension of humor moderates the relationship between burnout and depressive symptoms, as previously shown for the ability dimension of humor in study 1.

3.1 Methods

3.1.1 Participants

The data used in study 2 were collected between April and June 2021 as part of an online survey of the Dresden Burnout Study (DBS), a longitudinal, nationwide German study on the bio-psycho-social risk and protective factors of burnout (for study details see Penz et al., 2018). To ensure a heterogeneous sample, the only inclusion criteria for the DBS were an age range of 18 to 68 years at the start of the study in 2015 and sufficient proficiency in the German language. N = 935 individuals (n = 618 women; age: M = 48.94, SD = 10.57, range between 21 and 72 years) delivered a complete data set comprising all relevant variables for the present study. The DBS was approved by the ethics committee of the TU Dresden (EK236062014). There was no reimbursement for study participation. Sensitivity power analyses conducted using G*Power (Faul et al., 2009) indicated that we could detect a small effect of f2 = 0.01 with a power of 0.95 when testing for a significant deviation of a single linear regression coefficient (i.e., interaction term) from zero (t-test).

3.1.2 Procedure

All participants of the DBS were invited via email to take part in the online survey. Those who were interested logged in with their personalized login on the study’s homepage and filled out online questionnaires covering various demographic and health-related aspects, though only playfulness, burnout and depressive symptoms are relevant to the present study.

3.1.3 Measures

3.1.3.1 Playfulness in Everyday Life
We assessed trait playfulness using a one-item self-report measure from the Character Strengths Rating Form (CSRF; Ruch et al., 2014). The CSRF items were developed in large-scale studies to assess character strengths by means of one item each (Ruch et al., 2014). The applied item asks participants to rate the extent to which the virtue playfulness applies to them on a 9-point Likert scale from 1 (not like me at all) to 9 (absolutely like me). The assessed trait is described as follows: “People with this strength like to laugh, tease, and bring smiles to other people. They try to see the light side in various situations.” (Ruch et al., 2014). The mean score was 6.00 (SD = 1.80).
3.1.3.2 Burnout Symptoms
Emotional exhaustion and cynicism were assessed using a German translation of the Maslach Burnout Inventory-General Survey (MBI-GS; Schaufeli et al., 1996), which is designed similar to the student version of the MBI used in study 1. The mean score of emotional exhaustion (5 items) was 3.02 (SD = 1.57; Cronbachs Alpha = 0.92). The mean score for cynicism (5 items) was 2.07 (SD = 1.45; Cronbachs Alpha = 0.84).
3.1.3.3 Depressive Symptoms
Depressive symptoms were assessed with the German version (Löwe et al., 2002) of the Patient Health Questionnaire (PHQ-9; Kroenke et al., 2001). The PHQ-9 consists of 9 items, which are scored on a 4-point rating scale from 0 (not at all) to 3 (nearly every day), quantifying the frequency over the last 2 weeks of each of the nine diagnostic criteria for a depressive disorder defined by the Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev.; DSM–IV–TR; American Psychiatric Association, 2000). The sum of these items forms a continuous variable, with higher scores representing greater severity of depressive symptoms (M = 0.91, SD = 0.58; Cronbachs Alpha = 0.88).

3.1.4 Statistical Analyses

To investigate the moderating effect of trait-like humor on the relationship between burnout (i.e., emotional exhaustion and cynicism) and depressive symptoms, we employed the same statistical approach described in study 1.

3.2 Results

Similar to study 1, the sample in study 2 exhibited moderate levels of depressive symptoms, emotional exhaustion, and cynicism. As in study 1, emotional exhaustion and cynicism were positively associated with depressive symptoms and negatively with humor. Both MBI sub-dimensions were correlated with each other (see Table 4).
Table 4
Characteristics and zero-order correlations of the sample, study 2
 
Zero-order correlations
Emotional exhaustion
Cynicism
PHQ
M (SD)
Cronbachs Alpha
Emotional exhaustion
   
3.02 (1.57)
0.92
Cynicism
0.621 (< 0.001)
  
2.07 (1.45)
0.84
PHQ-9
0.711 (< 0.001)
0.503 (< 0.001)
 
0.91 (0.58)
0.88
Playfulness
− 0.197 (< 0.001)
− 0.222 (< 0.001)
− 0.185 (< 0.001)
6.00 (1.79)
 
Age
   
48.94 (10.57)
 
Sex
   
618w/314m/3d
 
Note. PHQ-9 = Patient Health Questionnaire
The regression analyses performed in analogy to study 1 (F(3,931) = 323.48, p <.001), revealed a significant interaction effect of playfulness and emotional exhaustion on depressive symptoms with a small effect size (f2= 0.01; see Table 5). This means that the relationship between emotional exhaustion and depression differs significantly depending on the level of playfulness. While the main effect of emotional exhaustion was significant, the main effect of playfulness was not.
Table 5
Summary of the results of the multiple regression analysis for the prediction of depressive symptoms by means of emotional exhaustion
 
β
CI low
CI high
p
f2
Emotional exhaustion
0.70
0.66
0.75
< 0.001
0.96
Playfulness
−0.04
−0.09
0.01
0.077
0.00
Emotional exhaustion x playfulness
−0.05
−0.10
−0.01
0.017
0.01
β the standardized Beta coefficient. CI low (5%) and CI high (95%) are the confidence intervals derived via bootstrap with 5000 iterations. Cohen’s f2 effect size expresses the change in the model explained by a predictor or interaction term
To follow up on the interaction effect, the regression analysis was re-run with playfulness set as low (M − 1 SD) and high (M + 1 SD; simple slopes approach), respectively. As indicated by the significant interaction effect, in participants with lower levels of humor as a habit (playfulness), the association between emotional exhaustion and depressive symptoms was higher (β = 0.76, t(931) = 22.95, p <.001) compared to individuals with higher playfulness as a trait (β = 0.65, t(931) = 20.17, p <.001; see Fig. 2). The Johnson-Neyman plot showed that the slope of emotional exhaustion was significant within the observed values of playfulness (1.00 to 9.00).
Fig. 2
Johnson-Neyman plot (left) and interaction effect (right) of self-rated playfulness and emotional exhaustion on depressive symptoms
Bild vergrößern
The interaction effect with self-rated humor and cynicism on depressive symptoms was not significant (ß = −0.01, p =.760; see Table 6).
Table 6
Summary of the results of the multiple regression analysis for the prediction of depressive symptoms by means of cynicism
 
β
CI low
CI high
p
f2
Cynicism
0.48
0.30
0.43
< 0.001
0.30
Playfulness
−0.08
−0.14
−0.02
0.009
0.01
Cynicism x playfulness
−0.01
−0.10
0.03
0.760
0.00
β the standardized Beta coefficient. CI low (5%) and CI high (95%) are the confidence intervals derived via bootstrap with 5000 iterations. Cohen’s f2 effect size expresses the change in the model explained by a predictor or interaction term

3.3 Discussion of Study 2

In study 1 we found a moderation effect of the ability to produce high-quality humorous positive reappraisals on the association between emotional exhaustion (and cynicism) and depressive symptoms. The pattern of findings suggested that the use of humor in positive reappraisal might serve as a resilience factor reducing the relationship between higher expression of depressive symptoms despite the presence of burnout symptoms such as emotional exhaustion and cynicism. Study 2 conceptually replicated this interaction effect with self-rated trait-like humor, in a larger, more heterogeneous sample, and using another operationalization of depressive symptoms. The conceptual replication strengthens the findings of study 1 and suggests that humor, both as an ability and as a self-rated trait, may reduce the association between burnout symptoms and depressive symptoms.
While study 2 replicated the findings of study 1 in their essence, the results were not completely identical. In contrast to the effect of the ability to generate humorous positive reappraisals, the correlation between emotional exhaustion and depressive symptoms did not entirely vanish when trait-like playfulness was rated high (+ 1SD). The effect size of the moderation in study 2 was small and much lower compared to study 1 showing a moderate effect size. Still, the association was significantly attenuated in individuals with high compared to low self-rated humor and the effect of emotional exhaustion on depressive symptom decreased (similar pattern see e.g., Padhy et al., 2024). Although the effect size in study 2 was small, the relevance seems high, given the high prevalence of burnout and depression in the population.
Furthermore, in contrast to study 1, we found a moderation effect of humor only on the association between emotional exhaustion and depressive symptoms, but not with the MBI-GS sub-dimension cynicism. This aligns with previous research indicating that emotional exhaustion is the most relevant burnout sub-dimension for psychophysiological stress systems (Bellingrath et al., 2009; Wekenborg et al., 2022) and depressive symptoms (Bianchi et al., 2015; Koutsimani et al., 2019). This difference might be due to study 2 using trait-like playfulness, which is associated with the ability to produce humor, as used in study 1, but also represents a distinct construct. Thus, we can speculate that the buffering effect may apply to both humor as a habit and humor as an ability. However, further studies are needed to explore the generalizability of these findings.

4 General Discussion

The key findings of both studies are that humor ability (study 1) as well as trait playfulness (study 2), both might help to buffer the maladaptive effects of emotional exhaustion on people’s depressive symptoms. This observation strengthens the argumentation that although humor ability and habitual humor use both are distinct constructs which might overlap in their buffering and health related effects. A central difference, however, is that humor ability also moderated the association with cynicism, whereas in Study 2 trait playfulness did not. This lack of significance might be explained by the fact that cynicism reflects a cognitive–attitudinal stance of detachment and distance, whereas emotional exhaustion captures the affective and stress-related core of burnout. Playful coping tendencies may be more effective in alleviating immediate emotional strain than in altering entrenched cognitive attitudes such as cynicism. Taken together, the findings of study 1 and study 2 further corroborate a more differentiated view of the potential benefits of humor on psychological health and well-being (e.g., Padhy et al., 2024). The findings are clearly not in agreement with the view that humor in all its manifestations could be a miracle cure no matter from which level they start (cf. Papousek, 2024).
Rather, the results suggest that among individuals experiencing high levels of emotional exhaustion resulting from subjective stress, both the ability to create humor and the habitual use of humor may be associated with a lower likelihood of reporting severe depressive symptoms. It is important to emphasize, however, that both studies were cross-sectional in nature. Therefore, no causal conclusions can be drawn. Nevertheless, the observed pattern aligns with the conceptualization of humor as a resilience-supporting factor, which might help to buffer the adverse effects (Padhy et al., 2024; Valle et al., 2018).
Resilience refers to the ability to mobilize internal or external resources to maintain psychological well-being in the face of adversity (Panter-Brick & Leckman, 2013). The notion that humorous positive (re-)appraisal may serve as a tool that can be drawn when needed nicely corresponds with this view (Papousek, 2018, 2024). Note that both the concept of resilience and the ability and inclination to create humor require the presence of adverse or stressful circumstances to exert protective effects on an individual’s psychological well-being.
Both studies focused on a humorous view of situations in the individuals lives, that is, on self-generated switches from obvious to unexpected and unusual perspectives of burdensome situations. A generalization of the findings to the perception or consummation of humor produced by others would be inappropriate. Humor reception does not have the same potential to contribute to resilience processes as the creation of situation-relevant humor by oneself. Obviously, as humor produced by somebody else is generally not about oneself, the passive consumption of humor lacks the potential for a change of perspective and positive reappraisal of one’s own problems. It also does not have the potential of becoming a cognitive routine that is instantaneously and automatically activated in the face of adversity (i.e., without conscious intent and awareness; Papousek, 2024).
Humor in the face of adversity may be of value, because compared to more sober positive re-interpretations, the use of humor may give the new perspective an additional positive twist (Kugler & Kuhbandner, 2015; Samson et al., 2014). Thereby, the reappraisal may entail a cognitive shift from negative to not only neutral but even positive aspects of the aversive event (cf. Kuiper, 2012). This is corroborated by the present finding that the ability to produce high-quality (witty) humor but not the fluency in producing humorous ideas showed the relevant protective effect. The importance of humor quality in this context may be explained by the observation that in humor which is perceived as wittier, associations are more remote (Tschacher et al., 2015). These more remote associations may additionally benefit the ability to switch to another perspective and gain emotional distance from the adversity, which are considered crucial elements in the effects of positive reappraisal and humor (e.g., Kuiper et al., 1993; Perchtold et al., 2019; Ventis et al., 2001). The capacity to activate not only positive, but also humorous aspects of adversity may also increase a sense of agency, personal strength, and more challenge focused problem-solving (Cann & Collette, 2014; Kuiper, 2012).
In the present studies, the resilience-enhancing effect of the ability to produce high-quality humor was greater than the effect of humor as a trait-like habit. However, the conclusion that the ability may be more important than the habit would be premature. Due to the many methodological differences, the effect sizes in the two studies cannot be compared directly. For instance, differences in the reliability might be an issue (performance test in more controlled laboratory studies vs. self-report in online survey).
A central question for future research is how the ability to produce appropriate humor and the habitual tendency to use humor for stress coping interact within individuals, and what specific roles these facets play in buffering psychological distress (Padhy et al., 2024). Previous findings suggest that a sufficient ability to generate positive re-interpretations is a direct prerequisite for positive reappraisal in everyday life (Weber et al., 2014). This may also apply to the use of humor as a coping strategy: the habitual tendency to use humor (as reflected in self-reported trait playfulness) may only be beneficial if the humor produced is of high quality, for example in terms of wittiness or appropriateness. Related to this and in line with the present finding that humor quality and playfulness, but not quantity, seemed to support resilience, a previous study showed that participants with a more playful attitude generated higher-quality (wittier) positive reappraisal ideas, whereas there was no association with the sheer quantity of humorous idea production (Papousek et al., 2023). However, our two studies cannot directly address the interplay between humor ability and humor as a trait.
Future prospective studies are needed to specifically test whether, and if so, how the ability to spontaneously create high-quality humor and habitual humor work together to moderate the relationship between burnout and depression, providing further insight into how humor may serve as a buffer which contributes to psychological resilience and well-being.

5 Limitations and Future Directions

Both studies are not without limitations. A first key limitation concerns the generalizability of the findings. In Study 1, the relatively small sample size may restrict the robustness of the results. Additionally, in both studies, the sample was predominantly female, which may limit the applicability of the findings to male participants. Age-related differences may also be relevant, as one participant in Study 1 was 60 years old. We retained this individual to reflect the diversity of the student population, and exclusion did not strongly affect the buffering effect of humor on the relationship between emotional exhaustion and depression. However, future studies should examine potential age-related effects more systematically.
Second, the use of a single item on playfulness to assess humor in Study 2 limits measurement reliability and construct specificity. As playfulness is related but not identical to humor as a habit, future research should employ established humor scales to capture this trait-like construct more comprehensively such as the Humor Styles Questionnaire (Martin et al., 2003) which allows to differentiate between adaptive and maladaptive humor use (for a short overview of questionnaires see e.g., Ruch et al., 2014).
Third, the cross-sectional design of both studies does not allow for conclusions about the causal direction of the observed effects. The reduced association between emotional exhaustion and depressive symptoms in students with greater humorous abilities/enhanced habitual use of humor might also be due to a third variable such as better executive functioning or more positive affect, well-being, or higher life satisfaction. Furthermore, the conceptual overlap between burnout and depressive symptoms remains a relevant concern. Since both constructs are highly inter-correlated (Ahola et al., 2014; Bianchi et al., 2015), it is still debated whether they represent distinct entities (see e.g., Bianchi et al., 2021; Orosz et al., 2017). However, previous findings from factor analytic (Bakker et al., 2000; Leiter & Durup, 1994; Toker & Biron, 2012) and neurobiological studies (Grossi et al., 2003; Toker et al., 2005) support the discriminability between burnout and (severe) depressive symptoms (for a meta-analysis see Koutsimani et al., 2019). The empirical evidences of a directional relationship from burnout to severe depressive symptoms (Ahola & Hakanen, 2007; Armon et al., 2014; Bauernhofer et al., 2018; Shin et al., 2013) as well as bidirectional findings (Koutsimani & Montgomery, 2023; Toker & Biron, 2012) justify, in our view, the search for protective factors with the potential to prevent this transition.
Forth, not all types of humor involve more positive views of a situation. Accordingly, in previous studies only the use of benign (but not of disparaging or aggressive) styles of humor was related to fewer depressive symptoms and less negative affectivity as a personality trait (Perchtold et al., 2019; see also Papousek, 2024). The present study did not investigate humor types such as aggressive, sarcastic, or cynical humor in detail (see Papousek, 2024 for overview). Future studies investigating the moderating effect of humor might benefit from discriminating between bright and dark types of humor (Papousek et al., 2017).
Fith, in interpreting these findings, it is important to consider that burnout is a multidimensional construct. Our studies focused on emotional exhaustion and cynicism, which are especially relevant in academic contexts (Schaufeli et al., 2002). However, reduced personal efficacy may play a greater role in other populations, such as the general workforce. These differences underline the need for population-specific approaches in understanding and preventing burnout-related mental health risks.

6 Conclusion

Given the consistent pattern of findings provided by a well-controlled laboratory study and a large-scale online questionnaire study, the active use of humor appears as a promising resilience factor in the context of secondary prevention and intervention programs by potentially reducing the risk for showing severe depressive symptoms in individuals with elevated burnout symptoms. As the use of humor may amplify the benefits of positive reappraisal (Samson et al., 2014), interventions aiming at encouraging the use of positive reappraisal may additionally benefit from practicing the incorporation of humor. Empirical studies confirmed that the ability to create positive re-interpretations (Perchtold-Stefan et al., 2024) as well as the creation of humor can be trained with systematic programs (e.g., Falkenberg et al., 2011; Ruch et al., 2018; Tagalidou et al., 2019). In such interventions, individuals should learn and practice to create their own humor. For different action modi, the passive consumption of somebody else’s humor does not have the same potential to improve resilience processes. The basic ability to create humor in the context of positive reappraisal seems largely unimpaired in bad moods (Papousek et al., 2023), as well as in patients with subclinical depressive symptoms and remitted or even acute major depression (Braniecka et al., 2019; Edwards & Martin, 2010; Freiheit et al., 1998). Of course, there may be other obstacles to humor interventions in individuals with high emotional exhaustion or depressive symptoms that must be tackled, such as lack of motivation to incorporate humor in one’s life (Papousek et al., 2023). Individuals with high depressive symptoms might not derive equivalent levels of enjoyment from humor (Falkenberg et al., 2010; Horner et al., 2014), which goes a long with reduced interest in stimuli associated with otherwise positive or rewarding experience (Falkenberg et al., 2010). Also, cognitive decline in normal aging, neurological disease and depression may compromise some of the cognitive processes required in the creation of humor (e.g., Chen et al., 2019; Rominger et al., 2018; Weiss et al., 2013). Nonetheless, given the rising concern about depression among university students, our findings suggest humor as a potential resilience factor, offering a promising approach to reducing depression risk in those with high burnout levels.

Acknowledgements

The authors acknowledge the financial support by the University of Graz.

Declarations

Conflict of interest

The authors have no potential conflicts of interest to report.
The studies were ethically approved. All participants gave informed consent.
Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Download
Titel
Humor as a Moderator in the Relationship Between Emotional Exhaustion and Depressive Symptoms in University Students and the General Population
Verfasst von
Magdalena K. Wekenborg
Ilona Papousek
Corinna M. Perchtold-Stefan
Helmut K. Lackner
Andreas Fink
Andreas R. Schwerdtfeger
Corinna Peifer
Christian Rominger
Publikationsdatum
01.10.2025
Verlag
Springer Netherlands
Erschienen in
Journal of Happiness Studies / Ausgabe 7/2025
Print ISSN: 1389-4978
Elektronische ISSN: 1573-7780
DOI
https://doi.org/10.1007/s10902-025-00958-5
Zurück zum Zitat Ahola, K., & Hakanen, J. (2007). Job strain, burnout, and depressive symptoms: A prospective study among dentists. Journal of Affective Disorders, 104(1–3), 103–110. https://doi.org/10.1016/j.jad.2007.03.004CrossRef
Zurück zum Zitat Ahola, K., Honkonen, T., Isometsä, E., Kalimo, R., Nykyri, E., Aromaa, A., & Lönnqvist, J. (2005). The relationship between job-related burnout and depressive disorders—Results from the Finnish health 2000 study. Journal Of Affective Disorders, 88(1), 55–62. https://doi.org/10.1016/j.jad.2005.06.004CrossRef
Zurück zum Zitat Ahola, K., Hakanen, J., Perhoniemi, R., & Mutanen, P. (2014). Relationship between burnout and depressive symptoms: A study using the person-centred approach. Burnout Research, 1(1), 29–37. https://doi.org/10.1016/j.burn.2014.03.003CrossRef
Zurück zum Zitat Aiken, L. S., West, S. G., & Reno, R. R. (1991). Multiple regression: Testing and interpreting interactions. SAGE.
Zurück zum Zitat American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders (4th edition, text rev.). https://doi.org/10.1176/appi.books.9780890423349
Zurück zum Zitat Armon, G., Melamed, S., Toker, S., Berliner, S., & Shapira, I. (2014). Joint effect of chronic medical illness and burnout on depressive symptoms among employed adults. Health Psychology, 33(3), 264–274. https://doi.org/10.1037/a0033712CrossRef
Zurück zum Zitat Bakker, A. B., Schaufeli, W. B., Demerouti, E., Janssen, P. P. M., Van Der Hulst, R., & Brouwer, J. (2000). Using equity theory to examine the difference between burnout and depression. Anxiety, Stress & Coping, 13(3), 247–268. https://doi.org/10.1080/10615800008549265CrossRef
Zurück zum Zitat Bakusic, J., Schaufeli, W., Claes, S., & Godderis, L. (2017). Stress, burnout and depression: A systematic review on DNA methylation mechanisms. Journal of Psychosomatic Research, 92, 34–44. https://doi.org/10.1016/j.jpsychores.2016.11.005CrossRef
Zurück zum Zitat Barnett, L. A. (2007). The nature of playfulness in young adults. Personality and Individual Differences, 43(4), 949–958. https://doi.org/10.1016/j.paid.2007.02.018CrossRef
Zurück zum Zitat Bauernhofer, K., Bassa, D., Canazei, M., Jiménez, P., Paechter, M., Papousek, I., Fink, A., & Weiss, E. M. (2018). Subtypes in clinical burnout patients enrolled in an employee rehabilitation program: Differences in burnout profiles, depression, and recovery/resources-stress balance. BMC Psychiatry, 18(1), 10. https://doi.org/10.1186/s12888-018-1589-yCrossRef
Zurück zum Zitat Bellingrath, S., Weigl, T., & Kudielka, B. M. (2009). Chronic work stress and exhaustion is associated with higher allostastic load in female school teachers: Original research report. Stress (Amsterdam, Netherlands), 12(1), 37–48. https://doi.org/10.1080/10253890802042041CrossRef
Zurück zum Zitat Bianchi, R., Boffy, C., Hingray, C., Truchot, D., & Laurent, E. (2013). Comparative symptomatology of burnout and depression. Journal Of Health Psychology, 18(6), 782–787. https://doi.org/10.1177/1359105313481079CrossRef
Zurück zum Zitat Bianchi, R., Schonfeld, I. S., & Laurent, E. (2015). Burnout–depression overlap: A review. Clinical Psychology Review, 36, 28–41. https://doi.org/10.1016/j.cpr.2015.01.004CrossRef
Zurück zum Zitat Bianchi, R., Verkuilen, J., Schonfeld, I. S., Hakanen, J. J., Jansson-Fröjmark, M., Manzano-García, G., Laurent, E., & Meier, L. L. (2021). Is burnout a depressive condition? A 14-sample meta-analytic and bifactor analytic study. Clinical Psychological Science, 9(4), 579–597. https://doi.org/10.1177/2167702620979597CrossRef
Zurück zum Zitat Braniecka, A., Hanć, M., Wołkowicz, I., Chrzczonowicz-Stępień, A., Mikołajonek, A., & Lipiec, M. (2019). Is it worth turning a trigger into a joke? Humor as an emotion regulation strategy in remitted depression. Brain and Behavior, 9(2), Article e01213. https://doi.org/10.1002/brb3.1213CrossRef
Zurück zum Zitat Campbell, J., Prochazka, A. V., Yamashita, T., & Gopal, R. (2010). Predictors of persistent burnout in internal medicine residents: A prospective cohort study. Academic Medicine. https://doi.org/10.1097/ACM.0b013e3181f0c4e7CrossRef
Zurück zum Zitat Cann, A., & Collette, C. (2014). Sense of humor, stable affect, and psychological well-being. Europe’s Journal of Psychology. https://doi.org/10.5964/ejop.v10i3.746CrossRef
Zurück zum Zitat Chen, C. H., Chen, H. C., & Roberts, A. M. (2019). Why humor enhances creativity from theoretical explanations to an empirical humor training program: Effective Ha-Ha helps people to A-Ha. In S. R. Luria, J. Baer, & J. C. Kaufman (Eds.), Creativity and Humor (pp. 83–108). Academic Press. https://doi.org/10.1016/B978-0-12-813802-1.00004-1
Zurück zum Zitat Cheng, W. J., Pien, L. C., Kubo, T., & Cheng, Y. (2020). Trends in work conditions and associations with workers’ health in recent 15 years: The role of job automation probability. International Journal of Environmental Research and Public Health. https://doi.org/10.3390/ijerph17155499CrossRef
Zurück zum Zitat Cordes, C. L., & Dougherty, T. W. (1993). A review and an integration of research on job burnout. Academy of Management Review, 18(4), 621–656. https://doi.org/10.5465/amr.1993.9402210153CrossRef
Zurück zum Zitat Demerouti, E., Bakker, A. B., Vardakou, I., & Kantas, A. (2003). The convergent validity of two burnout instruments: A multitrait-multimethod analysis. European Journal of Psychological Assessment, 19(1), 12–23. https://doi.org/10.1027/1015-5759.19.1.12CrossRef
Zurück zum Zitat Edú-Valsania, S., Laguía, A., & Moriano, J. A. (2022). Burnout: A review of theory and measurement. International Journal of Environmental Research and Public Health. https://doi.org/10.3390/ijerph19031780CrossRef
Zurück zum Zitat Edwards, K. R., & Martin, R. A. (2010). Humor creation ability and mental health: Are funny people more psychologically healthy? Europe’s Journal of Psychology, 6(3). https://doi.org/10.5964/ejop.v6i3.213
Zurück zum Zitat Falkenberg, I., Jarmuzek, J., Bartels, M., & Wild, B. (2010). Do depressed patients lose their sense of humor. Psychopathology, 44(2), 98–105. https://doi.org/10.1159/000317778CrossRef
Zurück zum Zitat Falkenberg, I., Buchkremer, G., Bartels, M., & Wild, B. (2011). Implementation of a manual-based training of humor abilities in patients with depression: A pilot study. Psychiatry Research, 186(2), 454–457. https://doi.org/10.1016/j.psychres.2010.10.009CrossRef
Zurück zum Zitat Faul, F., Erdfelder, E., Buchner, A., & Lang, A. G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149–1160. https://doi.org/10.3758/BRM.41.4.1149CrossRef
Zurück zum Zitat Freiheit, S. R., Overholser, J. C., & Lehnert, K. L. (1998). The association between humor and depression in adolescent psychiatric inpatients and high school students. Journal of Adolescent Research, 13(1), 32–48. https://doi.org/10.1177/0743554898131003CrossRef
Zurück zum Zitat Green, D. E., Walkey, F. H., & Taylor, A. J. (1991). The three-factor structure of the Maslach burnout inventory: A multicultural, multinational confirmatory study. Journal of Social Behavior and Personality, 6(3), 453–472.
Zurück zum Zitat Grossi, G., Perski, A., Evengård, B., Blomkvist, V., & Orth-Gomér, K. (2003). Physiological correlates of burnout among women. Journal Of Psychosomatic Research, 55(4), 309–316. https://doi.org/10.1016/S0022-3999(02)00633-5CrossRef
Zurück zum Zitat Gumz, A., Erices, R., Brähler, E., & Zenger, M. (2013). Faktorstruktur und Gütekriterien der Deutschen Übersetzung des Maslach-Burnout-Inventars für studierende von Schaufeli et al. (MBI-SS). PPmP - Psychotherapie Psychosomatik Medizinische Psychologie, 63(2), 77–84. https://doi.org/10.1055/s-0032-1323695CrossRef
Zurück zum Zitat Hakanen, J. J., & Schaufeli, W. B. (2012). Do burnout and work engagement predict depressive symptoms and life satisfaction? A three-wave seven-year prospective study. Journal of Affective Disorders, 141(2–3), 415–424. https://doi.org/10.1016/j.jad.2012.02.043CrossRef
Zurück zum Zitat Hakanen, J. J., Schaufeli, W. B., & Ahola, K. (2008). The job demands-resources model: A three-year cross-lagged study of burnout, depression, commitment, and work engagement. Work & Stress, 22(3), 224–241. https://doi.org/10.1080/02678370802379432CrossRef
Zurück zum Zitat Harris, C., & Barraclough, B. (1998). Excess mortality of mental disorder. The British Journal of Psychiatry, 173(1), 11–53. https://doi.org/10.1192/bjp.173.1.11CrossRef
Zurück zum Zitat Hautzinger, M., & Bailer, M. (1993). Allgemeine depressions Skala. Beltz.
Zurück zum Zitat Hayes, A. F. (2022). Introduction to meditation, moderation, and conditional process analysis: A regression-based approach. Methodology in the social sciences (3rd ed.). The Guilford Press.
Zurück zum Zitat Hempelmann, C. F., & Ruch, W. (2005). 3 WD meets GTVH: Breaking the ground for interdisciplinary humor research. Humor, 18(4), 353–387. https://doi.org/10.1515/humr.2005.18.4.353CrossRef
Zurück zum Zitat Horner, M. S., Siegle, G. J., Schwartz, R. M., Price, R. B., Haggerty, A. E., Collier, A., & Friedman, E. S. (2014). C’mon get happy: Reduced magnitude and duration of response during a positive-affect induction in depression. Depression and Anxiety, 31(11), 952–960. https://doi.org/10.1002/da.22244CrossRef
Zurück zum Zitat Hysenbegasi, A., Hass, S. L., & Rowland, C. R. (2005). The impact of depression on the academic productivity of university students. Journal of Mental Health Policy and Economics, 8(3), 145–151.
Zurück zum Zitat Ibrahim, A. K., Kelly, S. J., Adams, C. E., & Glazebrook, C. (2013). A systematic review of studies of depression prevalence in university students. Journal of Psychiatric Research, 47(3), 391–400. https://doi.org/10.1016/j.jpsychires.2012.11.015CrossRef
Zurück zum Zitat Koo, T. K., & Li, M. Y. (2016). A guideline of selecting and reporting intraclass correlation coefficients for reliability research. Journal of Chiropractic Medicine, 15(2), 155–163. https://doi.org/10.1016/j.jcm.2016.02.012CrossRef
Zurück zum Zitat Koutsimani, P., & Montgomery, A. (2023). A two-wave study on the associations of burnout with depression and anxiety: The mediating and moderating role of perceived family support. Psychological Reports, 126(1), 220–245. https://doi.org/10.1177/00332941211051263CrossRef
Zurück zum Zitat Koutsimani, P., Montgomery, A., & Georganta, K. (2019). The relationship between burnout, depression, and anxiety: A systematic review and meta-analysis. Frontiers in Psychology, 10, 284. https://doi.org/10.3389/fpsyg.2019.00284CrossRef
Zurück zum Zitat Kroenke, K., Spitzer, R. L., & Williams, J. B. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606–613. https://doi.org/10.1046/j.1525-1497.2001.016009606.xCrossRef
Zurück zum Zitat Kugler, L. (2015). C. Kuhbandner (Ed.), That’s not funny! – But it should be: Effects of humorous emotion regulation on emotional experience and memory. Frontiers in Psychology 6 https://doi.org/10.3389/fpsyg.2015.01296.
Zurück zum Zitat Kuiper, N. A. (2012). Humor and resiliency: Towards a process model of coping and growth. Europe’s Journal of Psychology. https://doi.org/10.5964/ejop.v8i3.464CrossRef
Zurück zum Zitat Kuiper, N. A., Martin, R. A., & Olinger, L. J. (1993). Coping humour, stress, and cognitive appraisals. Canadian Journal of Behavioural Science / Revue Canadienne Des Sciences Du Comportement, 25(1), 81–96. https://doi.org/10.1037/h0078791CrossRef
Zurück zum Zitat Leiter, M. P., & Day, A. (2025). Cherry picking and red herrings creating much ado about nothing: A critique of Bianchi and Schonfeld’s beliefs about burnout. Work & Stress, 39(2), 135–142. https://doi.org/10.1080/02678373.2025.2473152CrossRef
Zurück zum Zitat Leiter, M. P., & Durup, J. (1994). The discriminant validity of burnout and depression: A confirmatory factor analytic study. Anxiety, Stress & Coping, 7(4), 357–373. https://doi.org/10.1080/10615809408249357CrossRef
Zurück zum Zitat Long, J. A. (2024). Interactions: Comprehensive, user-friendly toolkit for probing interactions (p. 1.2.0) [Dataset]. https://doi.org/10.32614/CRAN.package.interactions
Zurück zum Zitat Löwe, B. L. S. R., Spitzer, R. L., Zipfel, S., & Herzog, W. (2002). Gesundheitsfragebogen für patienten (PHQ-9). Manual und Testunterlagen, 2. Auflage PRIME MD patient health questionnaire (PHQ-9)—German version, second ed. [Health questionnaire for patients (PHQ-9)]. Pfizer, 2, 5–7.
Zurück zum Zitat Magnuson, C. D., & Barnett, L. A. (2013). The playful advantage: How playfulness enhances coping with stress. Leisure Sciences, 35(2), 129–144. https://doi.org/10.1080/01490400.2013.761905CrossRef
Zurück zum Zitat Martin, R. A., Puhlik-Doris, P., Larsen, G., Gray, J., & Weir, K. (2003). Individual differences in uses of humor and their relation to psychological well-being: Development of the humor styles questionnaire. Journal of Research in Personality, 37(1), 48–75. https://doi.org/10.1016/S0092-6566(02)00534-2CrossRef
Zurück zum Zitat Maslach, C., & Jackson, S. E. (1981). The measurement of experienced burnout. Journal of Organizational Behavior, 2(2), 99–113. https://doi.org/10.1002/job.4030020205CrossRef
Zurück zum Zitat Maslach, C., Jackson, S. E., & Leiter, M. P. (1996). Maslach burnout inventory manual. Consulting Psychologists.
Zurück zum Zitat McGhee, P. E., Ruch, W., & Hehl, F. J. (1990). A personality-based model of humor development during adulthood. humr, 3(2), 119–146. https://doi.org/10.1515/humr.1990.3.2.119CrossRef
Zurück zum Zitat Orosz, A., Federspiel, A., Haisch, S., Seeher, C., Dierks, T., & Cattapan, K. (2017). A biological perspective on differences and similarities between burnout and depression. Neuroscience and Biobehavioral Reviews, 73, 112–122. https://doi.org/10.1016/j.neubiorev.2016.12.005CrossRef
Zurück zum Zitat Padhy, M., Hariharan, M., Mukherjee, O., & Mutnury, S. L. (2024). Humour as a moderator between hassles and well-being. Psychological Studies, 69(3), 286–295. https://doi.org/10.1007/s12646-024-00795-1CrossRef
Zurück zum Zitat Panter-Brick, C., & Leckman, J. F. (2013). Editorial commentary: Resilience in child development – interconnected pathways to wellbeing. Journal of Child Psychology and Psychiatry, 54(4), 333–336. https://doi.org/10.1111/jcpp.12057CrossRef
Zurück zum Zitat Papousek, I. (2018). Humor and well-being: A little less is quite enough. Humor, 31(2), 311–327. https://doi.org/10.1515/humor-2016-0114CrossRef
Zurück zum Zitat Papousek, I. (2024 ). Humor, health, and well-being: Is humor really good for us? De Gruyter handbook of humor studies. de Gruyter. https://doi.org/10.1515/9783110755770-016
Zurück zum Zitat Papousek, I., Rominger, C., Weiss, E. M., Perchtold, C. M., Fink, A., & Feyaerts, K. (2023). Humor creation during efforts to find humorous cognitive reappraisals of threatening situations. Current Psychology, 42(19), 16176–16190. https://doi.org/10.1007/s12144-019-00296-9CrossRef
Zurück zum Zitat Papousek, I., Ruch, W., Rominger, C., Kindermann, E., Scheidl, K., Schulter, G., Fink, A., &Weiss, E. M. (2017). The use of bright and dark types of humour is rooted in the brain. ScientificReports, 7, 42967. https://​doi.​org/​10.​1038/​srep42967https://doi.org/10.1038/srep42967
Zurück zum Zitat Peng, P., Hao, Y., Liu, Y., Chen, S., Wang, Y., Yang, Q., Wang, X., Li, M., Wang, Y., He, L., Wang, Q., Ma, Y., He, H., Zhou, Y., Wu, Q., & Liu, T. (2023). The prevalence and risk factors of mental problems in medical students during COVID-19 pandemic: A systematic review and meta-analysis. Journal Of Affective Disorders, 321, 167–181. https://doi.org/10.1016/j.jad.2022.10.040CrossRef
Zurück zum Zitat Penz, M., Wekenborg, M. K., Pieper, L., Beesdo-Baum, K., Walther, A., Miller, R., Stalder, T., & Kirschbaum, C. (2018). The Dresden burnout study: Protocol of a prospective cohort study for the bio-psychological investigation of burnout. International Journal of Methods in Psychiatric Research, 27(2), Article e1613. https://doi.org/10.1002/mpr.1613CrossRef
Zurück zum Zitat Perchtold, C. M., Fink, A., Rominger, C., Weber, H., de Assunção, V. L., Schulter, G., Weiss, E. M., & Papousek, I. (2018). Reappraisal inventiveness: Impact of appropriate brain activation during efforts to generate alternative appraisals on the perception of chronic stress in women. Anxiety, Stress, & Coping, 31(2), 206–221. https://doi.org/10.1080/10615806.2017.1419205CrossRef
Zurück zum Zitat Perchtold, C. M., Papousek, I., Fink, A., Weber, H., Rominger, C., & Weiss, E. M. (2019a). Gender differences in generating cognitive reappraisals for threatening situations: Reappraisal capacity shields against depressive symptoms in men, but not women. Frontiers in Psychology. https://doi.org/10.3389/fpsyg.2019.00553CrossRef
Zurück zum Zitat Perchtold, C. M., Weiss, E. M., Rominger, C., Feyaerts, K., Ruch, W., Fink, A., & Papousek, I. (2019b). Humorous cognitive reappraisal: More benign humour and less dark humour is affiliated with more adaptive cognitive reappraisal strategies. PLoS One, 14(1), Article e0211618. https://doi.org/10.1371/journal.pone.0211618CrossRef
Zurück zum Zitat Perchtold-Stefan, C. M., Schertler, M., Paechter, M., Fink, A., Weiss, E. M., & Papousek, I. (2024). Learning to be inventive in the face of statistics: A positive reappraisal intervention for statistics anxiety. Journal of Behavior Therapy and Experimental Psychiatry, 82, 101913. https://doi.org/10.1016/j.jbtep.2023.101913CrossRef
Zurück zum Zitat Proyer, R. T. (2013). The well-being of playful adults: Adult playfulness, subjective well-being, physical well-being, and the pursuit of enjoyable activities. The European Journal of Humour Research, 1(1), 84–98.CrossRef
Zurück zum Zitat Proyer, R. T. (2014). Playfulness over the lifespan and its relation to happiness. Zeitschrift Für Gerontologie Und Geriatrie, 47(6), 508–512. https://doi.org/10.1007/s00391-013-0539-zCrossRef
Zurück zum Zitat Proyer, R. T. (2018). Playfulness and humor in psychology: An overview and update. Humor, 31(2), 259–271. https://doi.org/10.1515/humor-2016-0080CrossRef
Zurück zum Zitat Proyer, R. T., Brauer, K., Wolf, A., & Chick, G. (2019). Adult playfulness and relationship satisfaction: An APIM analysis of romantic couples. Journal Of Research In Personality, 79, 40–48. https://doi.org/10.1016/j.jrp.2019.02.001CrossRef
Zurück zum Zitat R Core Team. (2023). R: A Language and environment for statistical computing. R Foundation for Statistical Computing. https://www.r-project.org/
Zurück zum Zitat Ricardo, Y. R., & Paneque, F. R. R. (2014). Hacia Un estudio bidimensional Del Síndrome de burnout En estudiantes Universitarios [Towards a two-dimensional study of burnout syndrome in college students]. Ciência & Saúde Coletiva, 19, 4767–4775. https://doi.org/10.1590/1413-812320141912.18562013CrossRef
Zurück zum Zitat Rominger, C., Papousek, I., Weiss, E. M., Schulter, G., Perchtold, C. M., Lackner, H. K., & Fink, A. (2018). Creative thinking in an emotional context: Specific relevance of executive control of emotion-laden representations in the inventiveness in generating alternative appraisals of negative events. Creativity Research Journal, 30(3), 256–265. https://doi.org/10.1080/10400419.2018.1488196CrossRef
Zurück zum Zitat Rotenstein, L. S., Ramos, M. A., Torre, M., Segal, J. B., Peluso, M. J., Guille, C., Sen, S., & Mata, D. A. (2016). Prevalence of depression, depressive symptoms, and suicidal ideation among medical students: A systematic review and meta-analysis. JAMA, 316(21), 2214–2236. https://doi.org/10.1001/jama.2016.17324CrossRef
Zurück zum Zitat Ruch, W., & Heintz, S. (Eds.). (2019). Humor production and creativity: Overview and recommendations. In In S. R. Luria, J. Baer, & J. C. Kaufman (Eds.), Creativity and humor (pp. 1–42). Academic Press.
Zurück zum Zitat Ruch, W., & Heintz, S. (2014). Test measurements of humor. In S. Attardo (Ed.), Encyclopedia of humor studies (pp. 759–761). Sage.
Zurück zum Zitat Ruch, W. F., Hofmann, J., Rusch, S., & Stolz, H. (2018). Training the sense of humor with the 7 humor habits program and satisfaction with life. Humor, 31(2), 287–309. https://doi.org/10.1515/humor-2017-0099CrossRef
Zurück zum Zitat Ruch, W., Platt, T., Proyer, R. T., & Chen, H. C. (2019). Humor and laughter, playfulness and cheerfulness: Upsides and downsides to a life of lightness. Frontiers in Psychology, 10. https://doi.org/10.3389/fpsyg.2019.00730
Zurück zum Zitat Salmela-Aro, K., Savolainen, H., & Holopainen, L. (2009). Depressive symptoms and school burnout during adolescence: Evidence from two cross-lagged longitudinal studies. Journal of Youth and Adolescence, 38(10), 1316–1327. https://doi.org/10.1007/s10964-008-9334-3CrossRef
Zurück zum Zitat Samson, A. C., Glassco, A. L., Lee, I. A., & Gross, J. J. (2014). Humorous coping and serious reappraisal: Short-term and longer-term effects. Europe’s Journal of Psychology. https://doi.org/10.5964/ejop.v10i3.730CrossRef
Zurück zum Zitat Schaufeli, W. B., Leiter, M., Maslach, C., & Jackson, S. E. (1996). Maslach burnout Inventory—General survey. In C. Maslach, S. E. Jackson, & M. Leiter (Eds.), The Maslach burnout inventory: Test manual (pp. 19–26). Consulting Psychologists.
Zurück zum Zitat Schaufeli, W. B., Martínez, I. M., Pinto, A. M., Salanova, M., & Bakker, A. B. (2002). Burnout and engagement in university students: A cross-national study. Journal of Cross-Cultural Psychology, 33(5), 464–481. https://doi.org/10.1177/0022022102033005003CrossRef
Zurück zum Zitat Schneider, M., Voracek, M., & Tran, U. S. (2018). A joke a day keeps the doctor away? Meta-analytical evidence of differential associations of habitual humor styles with mental health. Scandinavian Journal of Psychology, 59(3), 289–300. https://doi.org/10.1111/sjop.12432CrossRef
Zurück zum Zitat Shin, H., Noh, H., Jang, Y., Park, Y. M., & Lee, S. M. (2013). A longitudinal examination of the relationship between teacher burnout and depression. Journal of Employment Counseling, 50(3), 124–137. https://doi.org/10.1002/j.2161-1920.2013.00031.xCrossRef
Zurück zum Zitat Shirom, A. (1989). Burnout in work organization. International review of industrial and organizational psychology (pp. 26–48). Wiley.
Zurück zum Zitat Staempfli, M. B. (2007). Adolescent playfulness, stress perception, coping and well being. Journal of Leisure Research, 39(3), 393–412. https://doi.org/10.1080/00222216.2007.11950114CrossRef
Zurück zum Zitat Tafet, G. E., & Bernardini, R. (2003). Psychoneuroendocrinological links between chronic stress and depression. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 27(6), 893–903. https://doi.org/10.1016/S0278-5846(03)00162-3CrossRef
Zurück zum Zitat Tagalidou, N., Distlberger, E., Loderer, V., & Laireiter, A. R. (2019). Efficacy and feasibility of a humor training for people suffering from depression, anxiety, and adjustment disorder: A randomized controlled trial. Bmc Psychiatry, 19(1), 93. https://doi.org/10.1186/s12888-019-2075-xCrossRef
Zurück zum Zitat Toker, S., & Biron, M. (2012). Job burnout and depression: Unraveling their temporal relationship and considering the role of physical activity. Journal of Applied Psychology, 97(3), 699–710. https://doi.org/10.1037/a0026914CrossRef
Zurück zum Zitat Toker, S., Shirom, A., Shapira, I., Berliner, S., & Melamed, S. (2005). The association between burnout, depression, anxiety, and inflammation biomarkers: C-reactive protein and fibrinogen in men and women. Journal of Occupational Health Psychology, 10(4), 344–362. https://doi.org/10.1037/1076-8998.10.4.344CrossRef
Zurück zum Zitat Troy, A. S., Wilhelm, F. H., Shallcross, A. J., & Mauss, I. B. (2010). Seeing the silver lining: Cognitive reappraisal ability moderates the relationship between stress and depressive symptoms. Emotion, 10(6), 783–795. https://doi.org/10.1037/a0020262CrossRef
Zurück zum Zitat Tschacher, W., Genner, R., Bryjová, J., Schaller, E., & Samson, A. C. (2015). Investigating vision in schizophrenia through responses to humorous stimuli. Schizophrenia Research: Cognition, 2(2), 84–88. https://doi.org/10.1016/j.scog.2015.04.007CrossRef
Zurück zum Zitat Valle, M., Kacmar, M., & Andrews, M. (2018). Ethical leadership, frustration, and humor: A moderated-mediation model. Leadership & Organization Development Journal, 39(5), 665–678. https://doi.org/10.1108/LODJ-02-2018-0083CrossRef
Zurück zum Zitat Ventis, W. L., Higbee, G., & Murdock, S. A. (2001). Using humor in systematic desensitization to reduce fear. The Journal of General Psychology, 128(2), 241–253. https://doi.org/10.1080/00221300109598911CrossRef
Zurück zum Zitat Webb, T. L., Miles, E., & Sheeran, P. (2012). Dealing with feeling: A meta-analysis of the effectiveness of strategies derived from the process model of emotion regulation. Psychological Bulletin, 138(4), 775–808. https://doi.org/10.1037/a0027600CrossRef
Zurück zum Zitat Weber, H., Loureiro de Assunção, V., Martin, C., Westmeyer, H., & Geisler, F. C. (2014). Reappraisal inventiveness: The ability to create different reappraisals of critical situations. Cognition And Emotion, 28(2), 345–360. https://doi.org/10.1080/02699931.2013.832152CrossRef
Zurück zum Zitat Weiss, E. M., Gschaidbauer, B. C., Samson, A. C., Steinbäcker, K., Fink, A., & Papousek, I. (2013). From ice age to Madagascar: Appreciation of slapstick humor in children with Asperger’s syndrome. Humor, 26(3), 423–440. https://doi.org/10.1515/humor-2013-0029CrossRef
Zurück zum Zitat Wekenborg, M. K., Schwerdtfeger, A., Rothe, N., Penz, M., Walther, A., Kirschbaum, C., Thayer, J. F., Wittling, R. A., & Hill, L. K. (2022). Determining the direction of prediction of the association between parasympathetic dysregulation and exhaustion symptoms. Scientific Reports, 12(1), 10648. https://doi.org/10.1038/s41598-022-14743-4CrossRef
Zurück zum Zitat Whitton, S. W., & Whisman, M. A. (2010). Relationship satisfaction instability and depression. Journal of Family Psychology, 24(6), 791–794. https://doi.org/10.1037/a0021734CrossRef
Zurück zum Zitat Wood, A. M., Taylor, P. J., & Joseph, S. (2010). Does the CES-D measure a continuum from depression to happiness? Comparing substantive and artifactual models. Psychiatry Research, 177(1), 120–123. https://doi.org/10.1016/j.psychres.2010.02.003CrossRef
Zurück zum Zitat Wurm, W., Vogel, K., Holl, A., Ebner, C., Bayer, D., Mörkl, S., Szilagyi, I. S., Hotter, E., Kapfhammer, H. P., & Hofmann, P. (2016). Depression-burnout overlap in physicians. PLoS One, 11(3), e0149913. https://doi.org/10.1371/journal.pone.0149913CrossRef