Stigma and Burnout in Addiction Counselors

成瘾咨询师的耻辱和倦怠

• 批准号: 7100954
• 负责人: STEVEN C HAYES
• 金额: $ 60.2万
• 依托单位: UNIVERSITY OF NEVADA RENO
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-08-01 至 2008-07-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7100954
• 关键词: absenteeism; behavior therapy; behavioral /social science research tag; clinical research; culture; education evaluation /planning; group counseling; health care personnel education; health services research tag; human subject; human therapy evaluation; job satisfaction; mental health personnel; occupational stressor; patient care personnel attitude; prejudice; psychological stressor; psychological values; psychosocial separation; stress management; substance abuse related behavior; substance abuse related disorder; training; workshop

DESCRIPTION (provided by applicant): Substance abusers are among the most heavily stigmatized groups in society. Addiction counselors are not immune to these same stigmatizing cognitive processes, even though they are dedicated to the treatment of addictive disorders. Reducing stigmatizing thoughts may be particularly important in treatment providers because there is evidence that these processes contribute to provider burnout. There are few well-developed methods for the alleviation of stigma, however, and those that do exist seem largely inapplicable to treatment providers. The present study evaluates two methods for the reduction of stigmatizing thoughts, multicultural training and acceptance and commitment training, alone and in combination, and compares these to a control condition. Providers will be randomly assigned to the four conditions (N = 75 / cell) and will be trained in two-day workshops. Pre, post, and three month follow-up measures will be taken on the occurrence of stigmatizing attitudes toward recipients of care, the believability of these thoughts when they occur, job burnout, stress and general health, job satisfaction, multicultural knowledge, process measures of emotional acceptance and cognitive defusion, absenteeism, job turnover, and several demographic and organizational factors potentially related to burnout. Stigma is expected to predict job burnout. It is expected that both treatments will have initially positive effects on stigma and burnout, but that the acceptance and commitment training will maintain these gains and do so because of changes in emotional acceptance and cognitive defusion. Because this trial is underpowered to fully test the combined condition, preliminary post hoc analyses will be conducted to see if the trends indicate that it is superior to the individual conditions in stigma and burnout and equivalent to multicultural training in multicultural knowledge, attitudes, and skills.

描述（由申请人提供）：药物滥用者是社会上最受侮辱的群体之一。成瘾咨询师也不能免受这些同样的污名化认知过程的影响，尽管他们致力于治疗成瘾性疾病。减少污名化想法对于治疗提供者来说可能特别重要，因为有证据表明这些过程会导致提供者倦怠。然而，很少有成熟的方法可以减轻耻辱，而且那些确实存在的方法似乎基本上不适用于治疗提供者。本研究评估了两种减少污名化思想的方法，即多元文化培训以及接受和承诺培训，单独或组合使用，并将这些方法与控制条件进行比较。提供者将被随机分配到四种条件（N = 75 /单元），并将在为期两天的研讨会中接受培训。将针对对护理接受者的侮辱性态度的发生、这些想法发生时的可信度、工作倦怠、压力和总体健康、工作满意度、多元文化知识、情绪接受和认知解离的过程测量、缺勤、工作流动性以及可能与倦怠相关的一些人口和组织因素采取前、后和三个月的后续措施。耻辱预计会预示工作倦怠。预计这两种治疗最初都会对耻辱和倦怠产生积极影响，但接受和承诺训练将保持这些收益，并且这样做是因为情绪接受和认知解离的变化。由于本试验不足以充分测试综合条件，因此将进行初步事后分析，看看趋势是否表明它在耻辱和倦怠方面优于个体条件，以及在多元文化知识、态度和技能方面与多元文化培训相当。