Burnout in substance abuse counselors - Impact of environment, attitudes, and clients with HIV
Burnout in substance abuse counselors - Impact of environment, attitudes, and clients with HIV
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DOI：
10.1016/s0740-5472(99)00106-3
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发表时间：
2000-09-01
影响因子：
3.9
通讯作者：
Rawson, RA
中科院分区：
文献类型：
--
作者：
Shoptaw, S;Stein, JA;Rawson, RA
由于获得性免疫缺陷综合征（艾滋病）和药物滥用之间的联系，许多药物滥用治疗顾问的客户与人类免疫缺陷病毒（艾滋病毒）/艾滋病。我们评估了134名与艾滋病毒/艾滋病患者合作的药物滥用咨询师中各种假设的倦怠预测因素的贡献。咨询师报告了与实践相关的变量，包括同事和主管的支持，案件量，艾滋病毒阳性客户的百分比，以及他们是否在美沙酮诊所工作，以及工作效能和教育的个人特征。职业倦怠的三个维度分别是情绪耗竭、去人格化和个人成就感。情绪衰竭显着预测较少的支持，疗效较低，并在美沙酮诊所工作。人格解体的预测疗效较低，较少的支持，并在美沙酮诊所工作。个人成就的预测，有一个塔的百分比与艾滋病毒/艾滋病的客户，更多的效率，支持和教育。我们提出了基于经验的干预措施，可以防止或限制倦怠的建议。(C)2000 Elsevier Science Inc. All rights reserved.
Due to associations between acquired immunodeficiency sydnrome (AIDS) and substance abuse, many substance abuse treatment counselors have clients with human immunodeficiency virus (HIV)/AIDS. We assess the contribution of various hypothesized predictors of burnout among 134 substance abuse counselors working with clients with HIV/AIDS. Counselors reported practice-related variables, including support from coworkers and supervisors, caseload, percentage of HIV-positive clients, and whether they worked ata methadone clinic, and personal characteristics of job efficacy and education. The three burnout dimensions were emotional exhaustion, depersonalization, and personal accomplishment. Emotional exhaustion was significantly predicted by less support, less efficacy, and working in a methadone clinic. Depersonalization was predicted by less efficacy, less support, and working in a methadone clinic. Personal accomplishment was predicted by having a tower percentage of clients with HIV/AIDS, and more efficacy; support, and education. We present empirically based suggestions for interventions that can prevent or limit burnout. (C) 2000 Elsevier Science Inc. All rights reserved.