Psychology Commons^™

When Self-Care Is Not Enough: Reflections On How To Make Trauma-Intensive Clinical Work More Sustainable, Brianna C. Delker

Dignity: A Journal of Analysis of Exploitation and Violence

As a psychology resident on the psychiatry consultation-liaison service at a trauma center, I was asked by another trainee how I cope with the devastating cases of traumatic injury and abuse that we witnessed regularly on the service. This trainee’s courageous question about how we as providers cope sustainably with bearing witness to trauma coincided with my own reflection on the limits of “self-care” as it is often discussed and practiced in human service professions. In this article, I argue that an activity-based approach to self-care is not enough for providers in trauma-intensive service settings and must be complemented with …

Emotional And Spiritual Well-Being As Predictors Of Burnout Among Doctoral Clinical Psychology Trainees, Garret L. Blankenship

Doctor of Psychology (PsyD)

It has been observed in prior studies that student spiritual engagement and attribution tends to decline throughout graduate clinical training in psychology (Eisele, 2016; Fisk et al., 2013). This is problematic considering the inverse relationship between spirituality and stress (Calicchia & Graham, 2006) and the protection it provides against burnout. Also protective against burnout, and correlated with spirituality, is Emotional Intelligence (EI; Kaur, Sambasivan, & Kumar, 2013). Both EI and spirituality are related to lower burnout, less depression, and greater life-satisfaction (Kroska et al., 2017). Despite burnout being a common experience for graduate students in medical school (Amir, Kumari, Olivetta, …

Development Of The Resident Wellness Scale For Measuring Resident Wellness, R. Brent Stansfield, Dan Giang, Tsveti Markova

Journal of Patient-Centered Research and Reviews

Purpose: Graduate medical education programs have a responsibility to monitor resident wellness. Residents are at risk of burnout, depression, and suicide. Burnout and depression are associated with poor patient care. Many existing tools measure burnout, depression, and general human well-being, but resident wellness is a distinct construct. We aimed to develop an instrument to measure resident wellness directly.

Methods: An expert panel from two purposefully different graduate medical education institutions generated a behavior- and experience-based model of resident wellness. The panel and resident leaders from both institutions generated 92 items, which were tested alongside anchor scales measuring burnout, depression, personality, …

Being Mindful: A Long-Term Investigation Of An Interdisciplinary Course In Mindfulness, Sarah Ellen Braun, Patricia Kinser, Caroline K. Carrico, Alan Dow

Psychology Publications

Background: Burnout and work-related stress in health-care professionals (HCPs) is a growing concern to the optimal functioning of the health-care system. Mindfulness-based interventions may be well-suited to address burnout in HCPs.

Objective: The purpose of this study was (1) to quantitatively evaluate the effect of a mindfulness-based intervention for interdisciplinary HCPs over time and at a long-term follow-up and (2) to explore perceived benefits, facilitators, and barriers to the practice of mindfulness at the long-term follow-up.

Design: A mixed-method, repeated measures, within-subjects design was used to investigate Mindfulness for Interdisciplinary HCPs (MIHP) at baseline, post-MIHP, and a follow-up (6 …

An Analysis Of Psychological Distress Profiles And Their Correlates In Interdisciplinary Health-Care Professional Students, Samantha Mladen, Ashlee Loughan, Patricia Kinser, Marykate Crawford, Anna Jones, Sarah Edwards, Bruce Rybarczyk, Sarah E. Braun

Psychology Publications

Background: Health-care professional (HCP) students experience high levels of burnout, characterized by work- and school-related stress. Burnout is associated with a host of negative psychological and health outcomes. It may also contribute to cognitive dysfunction and decreased work productivity and may be related to trait mindfulness. This study cross-sectionally explored psychological distress and its correlates in a sample of interdisciplinary HCP students using cluster analysis.

Method: Fifty-seven interdisciplinary HCP students completed validated measures of burnout, depressive and anxiety symptoms, perceived stress, and rumination, which were entered into a cluster analysis. A neuropsychological test measured executive function; validated questionnaires assessed work …

The Trouble With Burnout: An Update On Burnout-Depression Overlap, Renzo Bianchi, Irvin Sam Schonfeld, Eric Laurent

Publications and Research

Reducing depression to its clinical stage—to a nosological category—is unwarranted when examining the burnout-depression distinction. Recent factor analytic studies of burnout and depression measures indicate that the discriminant validity of the burnout construct is not satisfactory. Exhaustion—the core and only consensual characteristic of burnout—has been repeatedly found to correlate more strongly with depression (including anhedonia and depressed mood) than with the two other components of burnout (cynicism and professional inefficacy).

An Exploratory Structural Equation Modeling Bi-Factor Analytic Approach To Uncovering What Burnout, Depression, And Anxiety Scales Measure, Irvin Sam Schonfeld, Jay Verkuilen, Renzo Bianchi

Publications and Research

In this study, we addressed the ongoing debate about what burnout and depression scales measure by conducting an exploratory structural equation modeling (ESEM) bifactor analysis. A sample of 734 U.S. teachers completed a survey that included the Center for Epidemiologic Studies Depression scale (CES-D-10), the depression module of the Patient Health Questionnaire (PHQ-9), the Generalized Anxiety Disorder scale (GAD-7), and the Maslach Burnout Inventory (MBI), which contains emotional exhaustion (EE), depersonalization (DP), and (diminished) personal accomplishment (PA) subscales. Job adversity and workplace support were additionally measured for the purpose of a nomological network analysis. EE, burnout’s core, was more highly …

Mindfulness Training For Pre-Service Teachers Using Ecological Momentary Assessment, Emily A. Hattouni

Graduate Student Theses, Dissertations, & Professional Papers

There is a high-rate of burnout among teachers around the US often linked with the increasing stressors and demands (e.g., Iancu, Rusu, Măroiu, Păcurar, & Maricuțoiu, 2018). Additionally, Jennings and Greenberg (2009) demonstrated the importance of teachers’ social and emotional competence for promoting well-being and academic success in classrooms. Stress that is overwhelming or unaddressed can lead to teacher burnout, but there may be effective ways of promoting self-care among teachers, such as mindfulness-based practices. The current project included psychoeducation on the applications of mindfulness for teachers and repeated collections of self-report questionnaires to investigate the utility of mindfulness-training for …

Residential Counselor Turnover: The Effects Of Burnout, Vicarious Trauma, Environment, And Self-Care, Kristine Edmonds

Walden Dissertations and Doctoral Studies

Most youth receiving care in residential treatment centers (RTCs) have experienced significant childhood trauma and require intensive mental health treatment to recover from their traumatic childhood experiences. Staff turnover is one factor that can negatively affect outcomes for these children and adolescents. Understanding factors that predict the turnover of professional counselors providing counseling to youth in RTCs can help counselors, supervisors, and counselor educators address barriers to staff retention. The purpose of this quantitative cross-sectional study was to explore the relationship between the turnover of professional counselors providing counseling to youth in RTCs and their perception of the work environment, …

Stress And Support In Health Service Psychology Students : Predictors Of Burnout And Vigor, Dylan Alexander Corp

Legacy Theses & Dissertations (2009 - 2024)

Students in health service psychology (HSP) training programs (i.e., doctoral programs in clinical, counseling, or school psychology) have reported experiencing greater burnout (i.e., energetic exhaustion) and lower vigor (i.e., energetic arousal) than typical workers. Given that greater burnout and lower vigor are associated with negative outcomes like poor health and client care, the purpose of the present study was to understand burnout and vigor in HSP students. Specifically, the present study sought to test the Conservations of Resources theory of stress (CORT) by replicating previous findings that threatening work-related stress and the supervisory working alliance (SWA) predicted HSP students’ burnout …

Response To "From A Polemic Paradox To A Proper Perspective Of Job Burnout And Job Satisfaction, Eric Laurent, Irvin Sam Schonfeld, Renzo Bianchi

Publications and Research

Juárez García and colleagues considered that “part of the conceptual and empirical problem of burnout is that many researchers force it into a biomedical disease model despite its being a psychosocial one.” Problematically, these authors’ scholastic argument a priori excludes biological or bodily factors from psychological conceptualizations. Scientists usually face considerable difficulties when trying to describe complex processes. If the understanding of biological processes sheds light on the complex processes that bear on burnout, then there is no reason to exclude research on those processes.

Stress And Burnout: Empathy, Engagement, And Retention In Healthcare Support Staff, Burnette Vidal

Walden Dissertations and Doctoral Studies

Research on stress and burnout and their influence on empathy, engagement, and retention, in healthcare support staff is scarce in the literature. The theoretical framework for this study was the conservation of resources (COR) theory which claims that when people are stressed, emotionally exhausted, and experiencing burnout, they protect and preserve their physical and mental resources from becoming depleted by reducing their effort and withdrawing from work. The key research question was: Does burnout mediate the relationship between stress and empathy, engagement, and turnover intentions in healthcare support staff working in a Federally Qualified Health Center (FQHC)? This quantitative, non-experimental, …

The Buffering Role Of Character Virtues On The Relationship Between Burnout And Its Antecedents, Allison Bachmann

Williams Honors College, Honors Research Projects

This project explores the relationship between character virtues and burnout among student employees. It reviews and elaborates on the previous research findings in positive psychology and uses existing research on human virtues in order to further study their relationship with burnout. In exchange for extra course credit, students completed an online survey comprised of a demographic questionnaire and measures of character virtues, burnout, job control, and work overload. Analysis of the results focused on the specific virtues of courage and transcendence and the burnout antecedents of work overload, and lack of control. A multiple regression analysis was used to determine …

Self-Care Practices And Therapist Beliefs Among Home-Based Mental Health Professionals In Relation To Burnout, Heidi C. Myers

Walden Dissertations and Doctoral Studies

In 2012, research suggested that 21% to 67% of mental health professionals experience burnout. Burnout is described as a negative experience resulting in workplace stress that produces psychological, emotional, physical, and somatic symptoms. The purpose of this study was to examine a quantitative, correlational relationship between self-care practices and therapist beliefs in relation to burnout among home-based mental health therapists. The research question concerned whether there is a relationship between therapist beliefs, self-care, and burnout among home-based therapists. Equity theory was the base theory used for this project, indicating that reciprocity between therapist and client or therapist and supervisor may …

Inquiry Into The Correlation Between Burnout And Depression, Irvin Sam Schonfeld, Jay Verkuilen, Renzo Bianchi

Publications and Research

The extent to which burnout refers to anything other than a depressive condition remains an object of controversy among occupational health specialists. In three studies conducted in two different countries and two different languages, we investigated the discriminant validity of burnout scales by evaluating the magnitude of the correlation between (latent) burnout and (latent) depression. In Study 1 (N = 911), burnout was assessed with the Maslach Burnout Inventory–General Survey’s Exhaustion subscale and depression with the depression module of the Patient Health Questionnaire (PHQ). In Study 2 (N = 1,386), the Shirom–Melamed Burnout Measure was used to assess burnout and …

Burnout And Self-Stigma Of Seeking Psychological Help In Military Healthcare Providers, Odelia N. Mcfadden

PCOM Psychology Dissertations

Military healthcare providers (HCPs) are tasked with maintaining the military’s mission readiness while balancing the roles of being providers and military members themselves. As such, military HCPs serve in various settings, including hospitals, clinics, ships, and austere environments. Military HCPs may experience a host of occupational stressors, such as long deployments, being in the line of fire, seeing dead or injured comrades, responding to mass casualty events, having excessive caseloads, and working prolonged hours. These factors make military HCPs susceptible to burnout. Unfortunately, stigma of seeking psychological help is prevalent in the military and may deter individuals from seeking the …

Burnout: Moving Beyond The Status Quo, Renzo Bianchi, Irvin Sam Schonfeld, Éric Laurent

Publications and Research

Burnout has been defined as a job-induced syndrome combining emotional exhaustion, depersonalization/cynicism, and a sense of reduced personal accomplishment. In this article, we expand on past analyses of burnout by reviewing key, yet overlooked, problems affecting the construct. We concomitantly examine the implications of these problems for the overall validity of burnout research. Our work shows that burnout research is undermined by 4 main problems. First, what constitutes a case of burnout is unclear. Second, the basic conceptualization and operationalization of burnout are ill aligned. Third, burnout is unlikely to be the specifically job-induced syndrome it has been posited to …

A Canonical Correlation Analysis Of Self-Compassion, Life Balance, And Burnout In Counselors, Sarah Vanessa Silva

Walden Dissertations and Doctoral Studies

The counseling profession seeks to support and enrich the quality of life of the general public by providing effective clinical services. Many counselors struggle with practicing self-care regularly, increasing the risk of burnout. When counselors provide services while experiencing burnout, they risk harming clients being served. The conservation of resources theory suggests that there is an increased risk of maladaptive coping and burnout when there is a decrease in resources used to protect someone from experiencing stress. A quantitative survey research study using a nonprobability convenience sampling was used to explore the relationship between counselor burnout, life balance, and self-compassion …

A Program Of Research On Burnout-Depression Overlap, Irvin Sam Schonfeld

Publications and Research

The article describes a program of research aimed at unraveling the nature of the relationship of job-related burnout to depression. The research tends to show that burnout symptoms are depressive symptoms and what is termed a state of burnout often reflects an episode of depression.

The Role Of Social Support And Demographic Characteristics In Academic And Clinical Burnout Of Mental Health Professionals In Training, Tinatin Surguladze

Graduate Doctoral Dissertations

Although there is an abundance of literature on clinician burnout within the mental health field, there is a gap in research about student burnout, especially for the student population undergoing clinical training. The aim of this research was to fill the gap in literature on burnout and explore factors that might contribute to or buffer burnout among student clinicians. This research particularly focused on the differences in burnout rates between students' academic life and their clinical practice. Using the theory of conservation of resources, it was hypothesized that social support would serve as a buffer for burnout of student clinicians. …

College Athletes And Romantic Relationship Conflict: The Moderating Effects Of Sport-Relationship Conflict And Enrichment, Keaton Clauss Muzika

Electronic Theses and Dissertations

Relationships that college athletes develop outside of their sports have the potential to positively and negatively impact sport, relationship, and mental health outcomes. Existing research focuses on the importance of the coach-athlete, parentathlete, and athlete-athlete dyads and suggests that these relationships affect athletes’ satisfaction and commitment to sport. However, few studies examine the influence of romantic relationships on these outcomes. This study, which is founded on work-family conflict and enrichment theories, used an experimental design to examine the moderating effects of sport-relationship conflict and enrichment on the relationship between romantic relationship conflict and athlete burnout, sport commitment, depression, and perceived …

The Role Of Self-Care As It Pertains To Compassion Satisfaction, Burnout, And Secondary Traumatic Stress Among Suicide Prevention Crisis Hotline Staff, Crystal T. Henson

Dissertations

The present study was designed to explore the role of an agency/supervisor to increase self-care participation among suicide prevention crisis hotline staff. The impact self-care participation was found to increase compassion satisfaction while decreasing both burnout and secondary traumatic stress in this population of helpers. Self-care is meant to be a preventative measure to help increase an individual’s overall well-being and can also impact job satisfaction. As helpers, self-care is often recommended to those individuals with whom they are working; however, helpers have historically not followed their own recommendations. Research has shown that those helpers with higher levels of compassion …

Validation Of The Professional Quality Of Life Model Among Correctional Officers, Tiffany Arrows

Doctoral Dissertations and Projects

Stress has significant effects on correctional officers’ physical and mental health. Given the risks involved in a career in corrections, development and implementation of preventive programs to address work-related stress has become a recognized need, and subsequently a call for increased research using standardized, established, and theoretically-driven models and instruments. This study sought to establish the Professional Quality of Life model as a valid and reliable measure among correctional officers, linking the population to the greater literature base of first responders and health care workers along the constructs of compassion fatigue, burnout, secondary traumatic stress, and compassion satisfaction. Research questions …

Burnout Among Bilingual Social Service Providers, Marlene Reyes

Electronic Theses, Projects, and Dissertations

This study focuses on burnout among bilingual Social Service Providers (BSSPs) and examines their thoughts and beliefs on the interconnection of their bilingual/bicultural skills and higher risk of burnout. The findings from this study have significant ramifications for the social service field on both Macro and Micro levels. At a Micro scale, the data validates the additional responsibilities of BSSP’s, while bringing more awareness to this group of professionals. Additional findings contribute to new policies regarding BSSPs job responsibilities; for example, accurate job descriptions and training for positions that require translation and interpretation. An exploratory study using qualitative data was …

Counselors' Self-Discrepancy And Its Impact On Their Burnout And Wellness, Donghun Lee

Graduate Theses and Dissertations

This study explores the relationships between counselors’ professional, personal, and reflected selves as well as between counselors’ self-discrepancies and their burnout and wellness. Moreover, an investigation on the impacts of counselors’ self-discrepancies on their burnout and wellness as a professional was conducted. The use of self has been emphasized in order for counselors to elicit meaningful outcome with clients. To demonstrate the use of self as an instrument of the counseling process, integrating professional, personal, and reflected selves is necessary for counselors. One hundred ninety five (N = 195) professional counselors in Mid-South States, who currently practice, supervise, educate, or …

"Burned Out" At Work But Satisfied With One's Job: Anatomy Of A False Paradox, Eric Laurent, Irvin Sam Schonfeld, Renzo Bianchi

Publications and Research

In a recent study of 346 US neurosurgery residents Attenello et al reported that 67% of their participants suffered from burnout. The authors also found that 81% of surveyed residents were satisfied with their career. Attenello et al described their results as paradoxical. We criticize their methodology.

The Psychological Effects Of Restraints On Mental Health Workers, Jessica Baroni

Antioch University Dissertations & Theses

This dissertation describes an empirical study of the psychological effects of restraints on mental health workers that perform this duty. To date, there is little research on the long-term, detrimental, and potentially traumatizing effects of restraints on an individual’s personal and professional life. Five self-report measures assessed the frequency that participants performed restraints, use of support after a restraint incident provided by their employer, perceived social support within their work environment, intention to leave their job, absenteeism, levels of job burnout, and post-traumatic stress symptoms. The study investigated the relationship between exposure to restraints and adverse stress effects and the …

Predicting Entrepreneurial Burnout In A Moderated Mediated Model Of Job Fit, Eva De Mol, Violet T. Ho, Jeffrey M. Pollack

Management Faculty Publications

We introduce, and empirically test, a model of entrepreneurial burnout that highlights the relationships among job fit, entrepreneurial passion, destiny beliefs, and burnout. Using a sample of 326 individuals involved in entrepreneurial jobs, we tested the link between job fit and two forms of passion—harmonious and obsessive—and the moderating role of entrepreneurs' destiny beliefs about work (i.e., the belief that a successful career is “meant to be”). Findings illustrated that their job fit perceptions were positively related to harmonious passion, which in turn negatively predicted burnout. Additionally, the relationship between job fit and obsessive passion was moderated by destiny beliefs, …

Burnout Syndrome And Depression, Renzo Bianchi, Irvin Sam Schonfeld, Eric Laurent

Publications and Research

In this chapter, we proposed an overview of burnout, from the introduction of the construct in the mid-1970s to the growing realization that the syndrome was better conceived of as a depressive condition. Recent studies have shown that the distinction between burnout and depression is problematic, both theoretically and empirically. The history of burnout research suggests that transdisciplinary communication and methodological standards should be strengthened to avoid the proliferation of constructs that, in fact, refer to the same phenomena. Construct proliferation, a transgression of the scientific canon of parsimony, is considered a major problem today because it undermines theory building …

The Performance Implication Of Obsessive Work Passion: Unpacking The Moderating And Mediating Mechanisms From A Conservation Of Resources Perspective, Dejun Tony Kong, Violet T. Ho

Management Faculty Publications

Work passion is an important determinant of work performance. While harmonious work passion (HWP) shows its consistent predictive value, obsessive work passion (OWP) appears to have a mixed relationship with work performance. To address this puzzle, we integrate research on OWP and emotional exhaustion with conservation of resources (COR) theory. Specifically, we argue that OWP determines emotional exhaustion, whose relationship with work performance is attenuated by leader-member exchange (LMX). By conducting a field study with a sample of 262 U.S. employees, we found supportive evidence, even when controlling for psychological detachment from work. The findings somewhat reconcile the inconsistent results …