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Stigma and Burnout in Addiction Counselors

成瘾咨询师的耻辱和倦怠

基本信息

批准号：
7262403
负责人：
STEVEN C HAYES
金额：
$ 43.97万
依托单位：
UNIVERSITY OF NEVADA RENO
依托单位国家：
美国
项目类别：
财政年份：
2005
资助国家：
美国
起止时间：
2005-08-01 至 2009-07-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7262403
关键词：
Absenteeism Alcohols Attitude Awareness Behavioral Caring Cells Client Clinical Cognitive Condition Data Disease Educational Intervention Educational process of instructing Educational workshop Emotional Ethnic Origin Feeling Frequencies Goals Grant Health Health Personnel Immune Individual Intervention Job Satisfaction Knowledge Life Link Measures Mediating Methods Minority Occupations Outcome Personal Satisfaction Pharmaceutical Preparations Policy Maker Prejudice Principal Investigator Process Process Measure Professional counselor Provider Psychotherapy Public Policy Randomized Range Rate Recording of previous events Recovery Research Sampling Societies Staging Stigmata Stigmatization Stress Substance abuse problem Techniques Testing Thinking Training Work addiction alcohol abuse therapy base behavioral health day design experience follow-up programs research study skills social stigma substance abuser trend

项目摘要

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歧视的群体之一。成瘾咨询师也不能幸免于这些同样的污名化认知过程，即使他们致力于治疗成瘾性疾病。减少污名化的想法可能是特别重要的治疗提供者，因为有证据表明，这些过程有助于提供者倦怠。然而，很少有完善的方法来减轻耻辱感，而那些确实存在的方法似乎基本上不适用于治疗提供者。本研究评估了两种方法，减少污名化的想法，多元文化的培训和接受和承诺的培训，单独和组合，并比较这些控制条件。提供者将被随机分配到四个条件（N = 75 /细胞），并将在为期两天的研讨会上接受培训。前，后，和三个月的后续措施将采取对受照顾者的污名化态度的发生，这些想法的可信度，当它们发生时，工作倦怠，压力和一般健康，工作满意度，多元文化知识，情感接受和认知defusion，缺勤，工作流动性的过程中的措施，以及一些人口和组织因素可能与倦怠。污名可以预测工作倦怠。预计这两种治疗最初都会对污名和倦怠产生积极影响，但接受和承诺培训将保持这些收益，并且因为情绪接受和认知融合的变化而保持这些收益。由于这项试验的动力不足，无法全面测试组合条件，因此将进行初步的事后分析，以确定趋势是否表明它在污名和倦怠方面上级个体条件，并相当于多元文化知识，态度和技能的多元文化培训。