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Quartiroli A, Hunter H, Martin DRF. Self-Care as the Bedrock of Ethical and Competent Service Delivery: The Practitioner’s Journey. JOURNAL OF SPORT PSYCHOLOGY IN ACTION 2022. [DOI: 10.1080/21520704.2022.2154876] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Affiliation(s)
- Alessandro Quartiroli
- University of Wisconsin – La Crosse, La Crosse, WI, USA
- University of Portsmouth, Portsmouth, UK
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Chen Y, Wang P, He Y, Jiang F, Liu H, Liu Y, Liu T, Tang YL, Zhu J. Gender differences in the association between lifestyle behaviors and mental health among psychiatrists in China. J Affect Disord 2022; 318:196-203. [PMID: 36041580 DOI: 10.1016/j.jad.2022.08.089] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/28/2022] [Revised: 08/21/2022] [Accepted: 08/24/2022] [Indexed: 10/15/2022]
Abstract
INTRODUCTION Mental health symptoms are common among health professionals and the influence of lifestyle behaviors on psychiatrists' mental health is insufficiently understood. Based on a nationwide sample, we aimed to survey the lifestyle behaviors and mental health status among psychiatrists, and to identify the co-occurrence and gender differences in lifestyle behaviors. METHODS Data were collected through an anonymous questionnaire among psychiatrists in China. Depression, Anxiety and Stress Scale - 21 (DASS-21) was used to evaluate mental health symptoms. Latent class analysis (LCA) was used to explore the co-occurrence of lifestyle behaviors. The multivariate logistic regression model was used to examine the effects of demographic and lifestyle factors. RESULTS 4520 psychiatrists were included in the analysis with 11.5 % of them reporting smoking, 10 % reporting alcohol misuse, 35.2 % reporting physical inactivity, and 23.1 % reporting insomnia. The prevalence of depression, anxiety and stress symptoms were 29.2 %, 34.5 %, and 12.2 %, respectively. Significant gender differences were found in smoking (P < 0.001), alcohol misuse (P < 0.001), and physical inactivity (P < 0.001), but not in insomnia. Based on these four high-risk health behaviors above, three lifestyle behavior clusters with huge gender differences were identified through the LCA. Accordingly, the unhealthy lifestyle classes, though defined differently for males and females, were significantly associated with depression, anxiety, and stress. CONCLUSIONS The co-occurrence and significant gender differences in multiple lifestyle behaviors exist in this group, highlighting the need for gender-specific comprehensive interventions against mental health symptoms and the urgency of promoting their well-being.
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Affiliation(s)
- Yanhua Chen
- Vanke School of Public Health, Tsinghua University, Beijing, China; School of Medicine, Tsinghua University, Beijing, China
| | - Peicheng Wang
- Vanke School of Public Health, Tsinghua University, Beijing, China; School of Medicine, Tsinghua University, Beijing, China
| | - Yanrong He
- Vanke School of Public Health, Tsinghua University, Beijing, China
| | - Feng Jiang
- Institute of Healthy Yangtze River Delta, Shanghai Jiao Tong University, Shanghai 200030, China
| | - Huanzhong Liu
- Department of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei, China; Anhui Psychiatric Center, Anhui Medical University, Hefei, China
| | - Yuanli Liu
- School of Health Policy and Management, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Tingfang Liu
- Institute for Hospital Management, Tsinghua University, Beijing, China
| | - Yi-Lang Tang
- Mental Health Service Line, Atlanta VA Medical Center, Decatur, USA; Addiction Psychiatry Fellowship Program, Department of Psychiatry and Behavioural Sciences, Emory University, Atlanta, USA.
| | - Jiming Zhu
- Vanke School of Public Health, Tsinghua University, Beijing, China.
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Victor SE, Devendorf AR, Lewis SP, Rottenberg J, Muehlenkamp JJ, Stage DL, Miller RH. Only Human: Mental-Health Difficulties Among Clinical, Counseling, and School Psychology Faculty and Trainees. PERSPECTIVES ON PSYCHOLOGICAL SCIENCE 2022; 17:1576-1590. [PMID: 35731143 DOI: 10.1177/17456916211071079] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
How common are mental-health difficulties among applied psychologists? This question is paradoxically neglected, perhaps because disclosure and discussion of these experiences remain taboo within the field. This study documented high rates of mental-health difficulties (both diagnosed and undiagnosed) among faculty, graduate students, and others affiliated with accredited doctoral and internship programs in clinical, counseling, and school psychology. More than 80% of respondents (n = 1,395 of 1,692) reported a lifetime history mental-health difficulties, and nearly half (48%) reported a diagnosed mental disorder. Among those with diagnosed and undiagnosed mental-health difficulties, the most common reported concerns were depression, generalized anxiety disorder, and suicidal thoughts or behaviors. Participants who reported diagnosed mental disorders endorsed, on average, more specific mental-health difficulties and were more likely to report current difficulties than were undiagnosed participants. Graduate students were more likely to endorse both diagnosed and undiagnosed mental-health difficulties than were faculty, and they were more likely to report ongoing difficulties. Overall, rates of mental disorders within clinical, counseling, and school-psychology faculty and trainees were similar to or greater than those observed in the general population. We discuss the implications of these results and suggest specific directions for future research on this heretofore neglected topic.
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Affiliation(s)
- Sarah E Victor
- Department of Psychological Sciences, Texas Tech University
| | | | | | | | | | | | - Rose H Miller
- Department of Psychology, University of South Florida
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Saade S, Parent-Lamarche A, Bazarbachi Z, Ezzeddine R, Ariss R. Depressive symptoms in helping professions: a systematic review of prevalence rates and work-related risk factors. Int Arch Occup Environ Health 2022; 95:67-116. [PMID: 34686912 PMCID: PMC8535108 DOI: 10.1007/s00420-021-01783-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2021] [Accepted: 05/28/2021] [Indexed: 11/29/2022]
Abstract
OBJECTIVE The aim of this study is twofold. Our first aim is to provide an overview of the prevalence rate of depression in a wide array of helping professions. Our second aim is to identify work organization conditions that seem to be associated with this depression risk. METHODS Four databases were searched (CINAHL, PsycInfo, PubMed, and Web of Science) yielding 87,626 records in total. We were interested in identifying depression prevalence rates and work-related variables that have been found to contribute to depression in helping professions. RESULTS In total, this systematic review included 17,437 workers in more than 29 countries. Depression prevalence rate varied between 2.5% and 91.30%. The two most frequently reported professions were nurses and doctors with 73.83% and 30.84% of studies including nurses and doctors in their sample. Work factors contributing to depression included: skill utilization, decision authority, psychological demands, physical demands, number of hours worked, work schedule (irregular or regular), work schedule (daytime or night time), social support from coworkers, social support from supervisor and the family, job insecurity, recognition, job promotion, and bullying. CONCLUSION The results of this study highlight alarmingly high rates of depression in helping professions and should serve as a reminder to pay close attention to the mental health of those workers. Investing in employees' mental health by preventing and reducing depression risk could prove to be a valuable investment from an employer's point of view, as it is likely to increase productivity and reduce absenteeism among a host of other positive outcomes.
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Affiliation(s)
- Sabine Saade
- Department of Psychology, American University of Beirut, P.O. Box 11-0236, Riad El-Solh, Beirut, 1107 2020 Lebanon
| | - Annick Parent-Lamarche
- Département de Gestion des Ressources Humaines, Université du Québec à Trois-Rivières, 3351, boulevard des Forges, Trois-Rivières, QC G8Z 4M3 Canada
| | - Zeina Bazarbachi
- American University of Beirut, Riad El-Solh, P.O. Box 11-0236, Beirut, 1107 2020 Lebanon
| | - Ruba Ezzeddine
- American University of Beirut, Riad El-Solh, P.O. Box 11-0236, Beirut, 1107 2020 Lebanon
| | - Raya Ariss
- American University of Beirut, Riad El-Solh, P.O. Box 11-0236, Beirut, 1107 2020 Lebanon
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Turner K, Moses J, Neal A. 'I think it does just opens it up and … you're not hiding it anymore': Trainee clinical psychologists' experiences of self-disclosing mental health difficulties. Clin Psychol Psychother 2021; 29:733-743. [PMID: 34486785 DOI: 10.1002/cpp.2667] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2020] [Revised: 08/20/2021] [Accepted: 08/20/2021] [Indexed: 11/07/2022]
Abstract
Self-disclosure of experiences of mental health difficulties is a complex process, particularly within the workplace. Research shows that a significant number of trainee clinical psychologists have lived experience of mental health difficulties and thus face the dilemma of whether to disclose and how to manage self-disclosure during doctoral training. Grounded theory methodology was used to explore trainee experiences of self-disclosure of mental health difficulties during training. Twelve trainee clinical psychologists from accredited doctoral programmes in the United Kingdom participated in semi-structured interviews about their experiences of disclosure. Six core categories emerged relating to 'motivations', 'enablers', 'barriers', 'features of disclosure', 'responses' and 'impact', each of which were comprised of several further sub-categories. The model that emerged is largely consistent with research on disclosure in healthcare professions and has implications for training programmes, supervisors and trainees when engaging in conversations about lived experience.
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Affiliation(s)
- Kellie Turner
- Adult Weight Management Service, Aneurin Bevan University Health Board, St Cadoc's Hospital, Newport, UK.,South Wales Doctoral Programme in Clinical Psychology, Cardiff University; Cardiff and Vale University Health Board, Cardiff, UK
| | - Jenny Moses
- South Wales Doctoral Programme in Clinical Psychology, Cardiff University; Cardiff and Vale University Health Board, Cardiff, UK
| | - Adrian Neal
- Employee Wellbeing Service, Aneurin Bevan University Health Board, Newport, UK
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Reitano G. Psychological therapists’ experiences of occupational stress and team environment in oncology settings. COUNSELLING & PSYCHOTHERAPY RESEARCH 2021. [DOI: 10.1002/capr.12340] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Slowiak JM, DeLongchamp AC. Self-Care Strategies and Job-Crafting Practices Among Behavior Analysts: Do They Predict Perceptions of Work–Life Balance, Work Engagement, and Burnout? Behav Anal Pract 2021; 15:414-432. [DOI: 10.1007/s40617-021-00570-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/11/2021] [Indexed: 11/28/2022] Open
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Roth-Rawald J, Weck F. Krankheitsängste bei Psychotherapeut_innen. ZEITSCHRIFT FUR KLINISCHE PSYCHOLOGIE UND PSYCHOTHERAPIE 2021. [DOI: 10.1026/1616-3443/a000624] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Zusammenfassung. Hintergrund: Krankheitsängste beziehen sich meist auf die Angst vor dem Leiden an somatischen Erkrankungen. In Einzelfallberichten wurden auch Ängste vor psychischen Störungen berichtet, jedoch bisher nicht systematisch untersucht. Psychotherapeut_innen sind ständig mit psychischen Erkrankungen konfrontiert. Fragestellung: Diese Studie untersucht, wie stark Krankheitsängste bei Psychotherapeut_innen ausgeprägt sind und welche Faktoren diese beeinflussen. Methoden: Insgesamt 239 Psychotherapeut_innen wurden per anonymer Onlinebefragung mit den Illness Attitude Scales und der Mini-Symptom-Checklist untersucht. Ergebnisse: Krankheitsängste bei Psychotherapeut_innen waren geringer ausgeprägt als in der Allgemeinbevölkerung und bei Psychologiestudierenden. Faktoren wie die allgemeine psychische Belastung und das Vorhandensein tatsächlicher Diagnosen gingen mit erhöhten Krankheitsängsten einher. Schlussfolgerungen: Krankheitsängste können sich nicht nur auf somatische Erkrankungen beziehen, sondern auch psychische Störungen betreffen. Eine stärkere Berücksichtigung psychischer Krankheitsängste und deren weitere systematische Erfassung erscheinen daher wünschenswert.
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Affiliation(s)
- Julia Roth-Rawald
- Abteilung für Klinische Psychologie und Psychotherapie, Universität Potsdam
| | - Florian Weck
- Abteilung für Klinische Psychologie und Psychotherapie, Universität Potsdam
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McCade D, Frewen A, Fassnacht DB. Burnout and depression in Australian psychologists: The moderating role of self-compassion. AUSTRALIAN PSYCHOLOGIST 2021. [DOI: 10.1080/00050067.2021.1890979] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- Donna McCade
- School of Psychology, Charles Sturt University, Bathurst, Australia
| | - Amie Frewen
- School of Psychology, Charles Sturt University, Bathurst, Australia
| | - Daniel B. Fassnacht
- College of Education, Psychology and Social Work, Flinders University, Adelaide, Australia
- Órama Institute for Mental Health and Wellbeing, Flinders University, Adelaide, Australia
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Edwards JL, Crisp DA. Seeking help for psychological distress: Barriers for mental health professionals. AUSTRALIAN JOURNAL OF PSYCHOLOGY 2020. [DOI: 10.1111/ajpy.12146] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Janet L. Edwards
- Centre for Applied Psychology, Faculty of Health, University of Canberra, Canberra, Australian Capital Territory, Australia,
| | - Dimity A. Crisp
- Centre for Applied Psychology, Faculty of Health, University of Canberra, Canberra, Australian Capital Territory, Australia,
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12
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Pakenham KI, Stafford‐brown J. Postgraduate clinical psychology students' perceptions of an Acceptance and Commitment Therapy stress management intervention and clinical training. CLIN PSYCHOL-UK 2020. [DOI: 10.1111/j.1742-9552.2012.00050.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Kenneth I. Pakenham
- School of Psychology, The University of Queensland, Brisbane, Queensland, Australia,
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The COVID-19 era: How therapists can diminish burnout symptoms through self-care. CURRENT PSYCHOLOGY 2020; 41:5660-5677. [PMID: 33162724 PMCID: PMC7602766 DOI: 10.1007/s12144-020-01149-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/23/2020] [Indexed: 02/07/2023]
Abstract
COVID-19 is a frightening, stress-inducing, and unchartered territory for all. It is suggested that stress, loneliness, and the emotional toll of the pandemic will result in increased numbers of those who will seek psychological intervention, need support, and guidance on how to cope with a time period that none of us were prepared for. Psychologists, in general, are trained in and know how to help others. They are less effective in taking care of themselves, so that they can be their best in helping others. The article, which aims to heighten clinicians' awareness of the need for self-care, especially now in the post-pandemic era, describes the demanding nature of psychotherapy and the initial resistance by therapists to engage in self-care, and outlines the consequences of neglecting to care for themselves. We covered the demanding nature of psychotherapy and its grinding trajectory, the loneliness and isolation felt by clinicians in private practice, the professional hazards faced by those caring for others, and the creative and insightful ways that mental health practitioners can care for themselves for the good of their clients, their families, and obviously, themselves.
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Junker NM, Kaluza AJ, Häusser JA, Mojzisch A, Dick R, Knoll M, Demerouti E. Is Work Engagement Exhausting? The Longitudinal Relationship Between Work Engagement and Exhaustion Using Latent Growth Modeling. APPLIED PSYCHOLOGY-AN INTERNATIONAL REVIEW-PSYCHOLOGIE APPLIQUEE-REVUE INTERNATIONALE 2020. [DOI: 10.1111/apps.12252] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
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Summers EMA, Morris RC, Bhutani GE. A measure to assess the workplace well-being of psychological practitioners. Clin Psychol Psychother 2019; 27:11-23. [PMID: 31614048 DOI: 10.1002/cpp.2401] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2019] [Revised: 09/24/2019] [Accepted: 09/24/2019] [Indexed: 01/07/2023]
Abstract
The well-being of psychological practitioners is a key factor in the effective delivery of psychological therapies and the effectiveness of mental health services. Despite this, there are no measures of well-being for this professional group. The 26-item psychological practitioner workplace well-being measure (PPWWM) measures psychological well-being for psychological practitioners and was informed by a qualitative study. Items were generated and then verified by groups of practitioners using sorting tasks. The items reflect a broad range of issues relevant to the workplace well-being of psychological practitioners. The PPWWM was validated with a sample of 400 psychological practitioners recruited through professional networks. Internal consistency (α = .92) and test-retest reliability (r = .94) were high. Construct validity was indicated by positive correlations with the Health and Safety Executive Management Standards Indicator Tool and Satisfaction with Life Scale and negative correlation with the General Health Questionnaire. Exploratory factor analysis produced six factors, explaining 61.2% of the variance: professional and organizational; support and flexibility; professional role; physical environment; clinical supervision; and external personal. PPWWM scores were not significantly associated with a range of demographic variables (gender, health/disability, profession, and type of organization), but it did correlate significantly and negatively with age. The PPWWM has potential application as a brief measure, suitable for large-scale surveys that specifically measures workplace well-being in psychological practitioners. Future research could include cross validation with new samples and validation with subgroups of psychological practitioners.
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Affiliation(s)
| | | | - Gita E Bhutani
- Lancashire Care NHS Foundation Trust & University of Liverpool, UK
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Coaston SC, Lawrence C. Integrating Self-Compassion Across the Counselor Education Curriculum. JOURNAL OF CREATIVITY IN MENTAL HEALTH 2019. [DOI: 10.1080/15401383.2019.1610536] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
- Susannah C. Coaston
- Counseling, Social Work, and Educational Leadership Department, Northern Kentucky University, Highland Heights, KY, USA
| | - Christopher Lawrence
- Counseling, Social Work, and Educational Leadership Department, Northern Kentucky University, Highland Heights, KY, USA
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Garti D, Bat Or M. Subjective Experience of Art Therapists in the Treatment of Bereaved Clients. ART THERAPY 2019. [DOI: 10.1080/07421656.2019.1609329] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Johnson WB, Johnson M, Landsinger KL. Trauma-informed supervision in deployed military settings. CLINICAL SUPERVISOR 2018. [DOI: 10.1080/07325223.2017.1413472] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- W. Brad Johnson
- Department of Leadership, Ethics & Law, United States Naval Academy, Annapolis, Maryland, United States
| | - Matthew Johnson
- Department of Leadership, Ethics & Law, United States Naval Academy, Annapolis, Maryland, United States
| | - Kristin L. Landsinger
- Department of Leadership, Ethics & Law, United States Naval Academy, Annapolis, Maryland, United States
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Kitchingman TA, Wilson CJ, Caputi P, Wilson I, Woodward A. Testing a Model of Functional Impairment in Telephone Crisis Support Workers. CRISIS 2016; 38:403-412. [PMID: 27869506 DOI: 10.1027/0227-5910/a000435] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
BACKGROUND It is well known that helping professionals experience functional impairment related to elevated symptoms of psychological distress as a result of frequent empathic engagement with distressed others. Whether telephone crisis support workers are impacted in a similar way is not currently reported in the literature. AIMS The purpose of this study was to test a hypothesized model of factors contributing to functional impairment in telephone crisis support workers. METHOD A national sample of 210 telephone crisis support workers completed an online survey including measures of emotion regulation, symptoms of general psychological distress and suicidal ideation, intentions to seek help for symptoms, and functional impairment. Structural equation modeling was used to test the fit of the data to the hypothesized model. RESULTS Goodness-of-fit indices were adequate and supported the interactive effects of emotion regulation, general psychological distress, suicidal ideation, and intentions to seek help for ideation on functional impairment. CONCLUSION These results warrant the deliberate management of telephone crisis support workers' impairment through service selection, training, supervision, and professional development strategies. Future research replicating and extending this model will further inform the modification and/or development of strategies to optimize telephone crisis support workers' well-being and delivery of support to callers.
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Affiliation(s)
- Taneile A Kitchingman
- 1 School of Psychology, University of Wollongong, Wollongong, Australia.,2 Illawarra Health and Medical Research Institute, University of Wollongong, Wollongong, Australia
| | - Coralie J Wilson
- 2 Illawarra Health and Medical Research Institute, University of Wollongong, Wollongong, Australia.,3 School of Medicine, University of Wollongong, Wollongong, Australia
| | - Peter Caputi
- 1 School of Psychology, University of Wollongong, Wollongong, Australia.,4 Centre for Health Initiatives, University of Wollongong, Wollongong, Australia
| | - Ian Wilson
- 3 School of Medicine, University of Wollongong, Wollongong, Australia
| | - Alan Woodward
- 5 Lifeline Research Foundation, Lifeline Australia, Canberra, Australia.,6 Centre for Mental Health, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia
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Rust JP, Raskin JD, Hill MS. Problems of Professional Competence Among Counselor Trainees: Programmatic Issues and Guidelines. COUNSELOR EDUCATION AND SUPERVISION 2013. [DOI: 10.1002/j.1556-6978.2013.00026.x] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Stafford-Brown J, Pakenham KI. The effectiveness of an ACT informed intervention for managing stress and improving therapist qualities in clinical psychology trainees. J Clin Psychol 2012; 68:592-13. [PMID: 22566279 DOI: 10.1002/jclp.21844] [Citation(s) in RCA: 50] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
OBJECTIVES Clinical psychology trainees (CPTs) are vulnerable to high stress, which can adversely affect their personal and professional functioning. This study evaluated the effectiveness of a group acceptance and commitment therapy (ACT) informed stress management intervention for CPTs. DESIGN Outcome measures were work-related stress, distress, life satisfaction, counseling self-efficacy, self-compassion, and therapeutic alliance. A cohort-controlled design, where an experimental group (n = 28) was compared with a waitlist control group (n = 28), was utilized, with a 10-week follow-up. RESULTS Group comparisons showed statistically significant intervention effects for the main outcome measures, which were maintained at follow-up. Mediational analyses showed that changes on most outcomes were mediated by ACT mindfulness and acceptance processes. CONCLUSIONS Findings support the effectiveness of a group ACT program for CPTs regarding stress reduction and improving therapist qualities.
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