Adherent dialectical behaviour therapy (DBT) includes between-session phone consultation to help clients generalize skills, solve problems during crises, and repair relationships. Despite benefits of phone consultation, it is frequently not implemented in outpatient settings. The perceived burden phone consultation places on providers is one of the most frequently cited reasons for its omission. The current study examined phone consultation in relation to providers' burnout using a cross-sectional design. We hypothesized that (1) DBT experience and support from peer consultation team members, including perceived team efficacy and shared coaching responsibilities, would be associated with lower rates of burnout and (2) higher numbers of crisis contacts and “other” contacts, but not noncrisis skills generalization contacts, would be associated with increased burnout. Participants were 65 DBT therapists who completed an anonymous survey online. Results suggest that both having more effective consultation teams and sharing phone consultation among team members were associated with decreased burnout. Additionally, more crisis contacts were found to be associated with higher burnout, whereas higher number of skills generalization calls was not. This study represents an important first step towards evaluating the impact of phone consultation on providers and highlights the importance of effective peer consultation in reducing therapist burnout.

中文翻译：

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辩证行为治疗提供者之间的电话咨询和倦怠

坚持辩证行为疗法 (DBT) 包括课间电话咨询，以帮助客户概括技能、解决危机期间的问题和修复关系。尽管电话咨询有好处，但它通常不会在门诊环境中实施。电话咨询给提供者带来的负担是其遗漏的最常被引用的原因之一。目前的研究使用横断面设计检查了与提供者倦怠有关的电话咨询。我们假设 (1) DBT 经验和来自同行咨询团队成员的支持，包括感知的团队效能和共同的教练责任，将与较低的倦怠率和 (2) 更多的危机联系和“其他”联系有关，但不是非危机技能概括接触，将与倦怠增加有关。参与者是 65 名 DBT 治疗师，他们在线完成了一项匿名调查。结果表明，拥有更有效的咨询团队和团队成员之间共享电话咨询都与减少倦怠有关。此外，发现更多的危机联系人与更高的倦怠相关，而更多的技能概括调用则与此无关。这项研究代表了评估电话咨询对提供者的影响的重要第一步，并强调了有效的同伴咨询在减少治疗师倦怠方面的重要性。结果表明，拥有更有效的咨询团队和团队成员之间共享电话咨询都与减少倦怠有关。此外，发现更多的危机联系人与更高的倦怠相关，而更多的技能概括调用则与此无关。这项研究代表了评估电话咨询对提供者的影响的重要第一步，并强调了有效的同伴咨询在减少治疗师倦怠方面的重要性。结果表明，拥有更有效的咨询团队和团队成员之间共享电话咨询都与减少倦怠有关。此外，发现更多的危机联系人与更高的倦怠相关，而更多的技能概括调用则与此无关。这项研究代表了评估电话咨询对提供者的影响的重要第一步，并强调了有效的同伴咨询在减少治疗师倦怠方面的重要性。