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The influence of maladaptive coping modes, resilience, and job demands on emotional exhaustion in psychologists
Clinical Psychology & Psychotherapy ( IF 3.198 ) Pub Date : 2021-06-14 , DOI: 10.1002/cpp.2631
Matthew F Smout 1 , Susan G Simpson 1, 2 , Fiona Stacey 1 , Corinne Reid 3
Affiliation  

Although it is well established that emotion-focused coping is associated with burnout, the schema therapy model may improve the prediction of who is most vulnerable to using emotion-focused coping and what kinds of emotion-focused coping carry the greatest risk of burnout. It is also unknown the extent to which resilience might buffer against maladaptive coping in protecting against burnout. The present study investigated whether maladaptive coping modes would incrementally predict emotional exhaustion (EE) adjusting for resilience and whether resilience might moderate the effect of maladaptive coping on EE. The possible role of maladaptive coping as a mediator of job demands on EE was also explored. Four hundred and forty-three clinical and counselling psychologists completed online measures of job demands, EE, resilience, and maladaptive coping modes. The Detached Protector mode was associated with greater EE after adjusting for resilience. Bully and Attack mode was associated with greater EE when considered separately from other coping modes but associated with decreased EE when considered together. Resilience did not moderate the effect of job demands on EE, or the effect of coping modes on EE, except for Compliant Surrenderer. Coping modes only partially mediated the effect of job demands on EE accounting for 20% or less of its effect. Maladaptive coping modes appear to make independent contributions to the risk of EE and efforts to reduce burnout in psychologists should focus dually on increasing resilience-building practices and decreasing maladaptive coping.

中文翻译:

适应不良的应对方式、复原力和工作需求对心理学家情绪衰竭的影响

尽管以情绪为中心的应对方式与倦怠相关已得到证实,但图式治疗模型可以改善对谁最容易使用以情绪为中心的应对方式以及哪种以情绪为中心的应对方式具有最大倦怠风险的预测。复原力在多大程度上可以缓冲适应不良的应对以防止倦怠,这也是未知的。本研究调查了适应不良的应对模式是否会逐渐预测情绪衰竭 (EE) 调整的弹性,以及弹性是否可能减轻适应不良的应对对 EE 的影响。还探讨了适应不良应对作为对 EE 工作要求的中介的可能作用。443 名临床和咨询心理学家完成了工作需求、EE、复原力、和适应不良的应对方式。在调整弹性后,Detached Protector 模式与更高的 EE 相关联。当与其他应对模式分开考虑时,欺凌和攻击模式与更高的 EE 相关,但在一起考虑时与降低的 EE 相关。弹性并没有缓和工作要求对 EE 的影响,或者应对模式对 EE 的影响,除了顺从者。应对模式只是部分地调节了工作需求对EE的影响,占其影响的20%或更少。适应不良的应对模式似乎对 EE 的风险有独立的贡献,减少心理学家倦怠的努力应同时关注增加复原力建设实践和减少适应不良的应对。当与其他应对模式分开考虑时,欺凌和攻击模式与更高的 EE 相关,但在一起考虑时与降低的 EE 相关。弹性并没有缓和工作要求对 EE 的影响,或者应对模式对 EE 的影响,除了顺从者。应对模式只是部分地调节了工作需求对EE的影响,占其影响的20%或更少。适应不良的应对模式似乎对 EE 的风险有独立的贡献,减少心理学家倦怠的努力应同时关注增加复原力建设实践和减少适应不良的应对。当与其他应对模式分开考虑时,欺凌和攻击模式与更高的 EE 相关,但在一起考虑时与降低的 EE 相关。弹性并没有缓和工作要求对 EE 的影响,或者应对模式对 EE 的影响,除了顺从者。应对模式只是部分地调节了工作需求对EE的影响,占其影响的20%或更少。适应不良的应对模式似乎对 EE 的风险有独立的贡献,减少心理学家倦怠的努力应同时关注增加复原力建设实践和减少适应不良的应对。或应对模式对 EE 的影响,除了 Compliant Surrenderer。应对模式只是部分地调节了工作需求对EE的影响,占其影响的20%或更少。适应不良的应对模式似乎对 EE 的风险有独立的贡献,减少心理学家倦怠的努力应同时关注增加复原力建设实践和减少适应不良的应对。或应对模式对 EE 的影响,除了 Compliant Surrenderer。应对模式只是部分地调节了工作需求对EE的影响,占其影响的20%或更少。适应不良的应对模式似乎对 EE 的风险有独立的贡献,减少心理学家倦怠的努力应同时关注增加复原力建设实践和减少适应不良的应对。
更新日期:2021-06-14
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