Psychological Treatment of Exhaustion Due to Persistent Non-Traumatic Stress: A Scoping Review

被引:7
作者
van de Leur, Jakob Clason [1 ,2 ]
Jovicic, Filip [1 ,3 ]
ahslund, Andreas [3 ]
McCracken, Lance M. [1 ]
Buhrman, Monica [1 ]
机构
[1] Uppsala Univ, Dept Psychol, Box 1225, S-75142 Uppsala, Sweden
[2] PBM Globen Rehab, Arenavagen 27, S-12177 Johanneshov, Sweden
[3] Capio Ctr Smarta & Utmattning, Krukmakargatan 37A, S-11851 Stockholm, Sweden
关键词
Burnout; Exhaustion due to non-traumatic stress; Exhaustion disorder; Work-related depression; Clinical burnout; Process-based therapy; WORK-RELATED STRESS; COGNITIVE-BEHAVIORAL THERAPY; OCCUPATIONS REDO PROGRAM; SICKNESS ABSENCE; ADJUSTMENT DISORDERS; BURNOUT SYNDROME; FOLLOW-UP; INTERVENTION; REHABILITATION; HEALTH;
D O I
10.1007/s12529-023-10185-y
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
BackgroundExhaustion due to persistent non-traumatic stress (ENTS) is a significant health problem with substantial personal, social, and economic impact. While there are increasing studies of ENTS, there is no international agreement on how it should be diagnosed and treated. This scoping review aimed to map definitions, diagnoses, treatments, outcome measures, and outcomes in psychological treatment studies of ENTS. A further aim was to assess the quality of the treatments and map what change processes are described within ENTS interventions.MethodsA PRISMA-guided scoping review of psychological treatment studies delivered in a clinical setting for ENTS was conducted using the databases of PubMed, PsycINFO, and CINAHL.ResultsOf the 60 studies included, the majority (87%) stemmed from Europe. The most recurrent term for ENTS was burnout, and the diagnosis most often utilized was exhaustion disorder. Several treatments were reported, the most frequent being cognitive behavioral therapy (CBT) (68%). Statistically significant outcomes relevant to ENTS were reported in 65% (n = 39) of the studies, with effect sizes between 0.13 and 1.80. In addition, 28% of the treatments were rated as high quality. The most frequent change processes described were dysfunctional sleep, avoidance, behavioral activation, irrational thoughts and beliefs, worry, perceived competence/positive management, psychological flexibility, and recuperation.ConclusionsWhile several treatments based on CBT show promising results for ENTS, there do not seem to be any uniformly established methods, theoretical models, or change processes. Instead of adopting a monocausal, syndromal, and potentially bio-reductionist perspective on ENTS, a process-based approach to treatment is encouraged.
引用
收藏
页码:175 / 191
页数:17
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