The mediating role of self-care activities in the stress-burnout relationship

Monika Hricová

doi:10.5114/hpr.2019.89988

Autor

Monika Hricová Pavol Jozef Šafárik University in Košice

DOI:

https://doi.org/10.5114/hpr.2019.89988

Słowa kluczowe:

perceived stress, helping profession, social service, preventive factors

Abstrakt

Background
Helping professionals suffer from a number of health and psychological difficulties resulting from their occupation. In the field of helping professions, the demand for understanding the predictors of burnout has been rapidly emerging. The aim of this study is to analyse and identify the possible mediators between stress and the three factors of burnout in a specific sample of helping professionals.

Participants and procedure
Helpers (N = 698; 618 women) were randomly selected from institutions in 8 districts in Slovakia. The sample comprised social workers (n = 188); residential care providers (n = 191); ergotherapists (n = 97); providers of physical and psychological care (nurses, physiotherapists, psychologist and psychotherapists; n = 222). They described their levels of perceived stress, risk of burnout (in three factors: emotional exhaustion, depersonalisation, and personal accomplishment) and performed self-care activities in self-reported questionnaires.

Results
The relationship between stress and emotional exhaustion was mediated by health self-care. In comparison, the relationship between stress and depersonalisation was mediated by psychological self-care. The relation-ship between stress and personal accomplishment was mediated by both psychological and professional self-care.

Conclusions
When helping professionals have initial symptoms of burnout in the form of emotional exhaustion, concentrat-ing on health self-care activities could be helpful. Performing health, psychological and professional self-care activities may prevent further development of burnout in times of high stress.

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Bibliografia

Alkema, K., Linton, J. M., & Davies, R. (2008). A study of the relationship between self-care, compassion satisfaction, compassion fatigue, and burnout among hospice professionals. Journal of Social Work in End-of-Life & Palliative Care, 4, 101–119. https://doi.org/10.1080/15524250802353934.

Bakker, A. B., & Demerouti, E. (2007). The Job Demands-Resources model: State of the art. Journal of Managerial Psychology, 22, 309–328. https://doi. org/10.1108/02683940710733115.

Bakker, A. B., & Demerouti, E. (2014). Job demandsresources theory. In P. Y. Chen & C. L. Cooper (Eds.), Wellbeing: A complete reference guide. Work and wellbeing (pp. 37–64). Chichester, UK: WileyBlackwell.

Bakker, A. B., & Demerouti, E. (2017). Job demandsresources theory: Taking stock and looking forward. Journal of Occupational Health Psychology, 22, 273–285. https://doi.org/10.1037/ocp0000056.

Barnett, J. E., & Cooper, N. (2009). Creating a culture of self-care. Clinical Psychology: Science and Practice, 16, 16–20. https://doi.org/10.1111/j.1468- 2850.2009.01138.x.

Bloomquist, K. R., Wood, L., Friedmeyer-Trainor, K., & Kim, H. W. (2015). Self-care and professional quality of life: Predictive factors among MSW Practitioners. Advances in Social Work, 16, 292–311. https://doi.org/10.18060/18760.

Carrol, L., Gilroy, P. J., & Murra, J. (1999). The moral imperative: Self-care for women psychotherapists. Women & Therapy, 22, 133–143. https://doi. org/10.1300/J015v22n02_10.

Cherniss, C. (1999). The business case for emotional intelligence. Retrieved from www.eiconsortium.org/ pdf/business_case_for_ei.pdf.

Cho, E., & Kim, S. (2015) Cronbach’s coefficient alpha: Well known but poorly understood. Organizational Research Methods, 18, 207–230. https:// doi.org/10.1177/1094428114555994.

Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24, 385–396. https:// doi.org/10.2307/2136404.

Demerouti, E., Bakker, A. B., & Leiter, M. (2014). Burnout and job performance: The moderating role of selection, optimization, and compensation strategies. Journal of Occupational Health Psychology, 19, 96–107. https://doi.org/10.1037/a0035062.

Figley, C. R. (2002). Treating compassion fatigue. New York: Routledge. Godfrey, C. M., Harrison, M. B., Lysaght, R., Lamb, M., Graham, I. D., & Oakley, P. (2011). Care of self – care by other – care of other: the meaning of self-care from research, practice, policy, and industry perspective. International Journal of Evidence-Based Healthcare, 9, 3–24. https://doi. org/10.1111/j.1744-1609.2010.00196.x.

Havrdová, Z., & Šolcová, I. (2012). The relationship between workplace civility level and the experience of burnout syndrome among helping professionals. In V. Olisah (Ed.), Essential notes in psychiatry (pp. 13–36). Rijeka: InTechOpen.

Hobfoll, S. E. (1989). Conservation of resources: A new attempt at conceptualizing stress. American Psychologist, 44, 513–524. https://doi.org/10.1037//0003- 066x.44.3.513.

Hobfoll, S. E., Halbesleben, J., Neveu, J. P., & Westman, M. (2018). Conservation of resources in the organizational context: The reality of resources and their consequences. Annual Review of Organizational Psychology and Organizational Behavior, 5, 103–128. https://doi.org/10.1146/annurev-orgpsych-032117-104640.

Hricová, M. (2017). Sebaregulácia pri dosahovaní cieľov v oblasit zdravia [Self-regulation in achieving health related goals]. Košice: Pavol Jozef Šafárik University in Košice.

Kebza, V., & Šolcová, I. (2008). Syndrom vyhoření – rekapitulace současného stavu poznání a perspektivy do budoucna [Burnout syndrome – review of contemporary state of knowledge and perspectives for the future]. Československá Psychologie, 52, 351–365.

Kristensen, T. S., Borritz, M., Villadsen, E., & Christensen, K. B. (2005). The Copenhagen Burnout Inventory: A new tool for the assessment of burnout. Work & Stress, 19, 192–207. https://doi. org/10.1080/02678370500297720.

Lichner, V. (2017). Performed self-care in the context of resisting negative workplace consequences among Slovak social professionals. Canadian International Journal of Social Science and Education, 13, 312–320.

Lichner, V., Halachová, M., & Lovaš, L. (2018). The concept of self-care, work engagement, and burnout syndrome among Slovak social worker. Czech and Slovak Social Work, 4, 62–75.

Lloyd, C., King, R., & Chenoweth, L. (2002). Social work, stress and burnout: A review. Journal of Mental Health, 11, 255–265. https://doi.org/10. 1080/09638230020023642.

Lovaš, L. (2014). Starostlivosť o seba a jej psychologické kontexty [Self-care and psychological contexts]. In L. Lovaš (Ed.), Psychologické kontexty starostlivosti o seba [Psychological contexts of self-care] (pp. 9–26). Košice: Pavol Jozef Šafárik University in Košice.

Mahoney, M. J. (1997). Psychotherapists’ personal problems and self-care patterns. Professional Psychology: Research and Practice, 28, 14–16. https:// doi.org/10.1037/0735-7028.28.1.14.

Maslach, C., & Goldberg, J. (1998). Prevention of burnout: New perspectives. Applied and Preventive Psychology, 7, 63–74. https://doi.org/10.1016/ S0962-1849(98)80022-X.

Maslach, C., Jackson, S. E., & Leiter, M. P. (1996). Maslach Burnout Inventory (3rd ed.). Palo Alto, CA: Consulting Psychologists Press.

Maslach, C., Schaufeli, W. B., & Leiter, M. P. (2001). Job burnout. Annual Review of Psychology, 52, 397–422. https://doi.org/10.1146/annurev.psych.52.1.397.

Mesárošová, M., Köverová, M., Ráczová, B., Nezkusilová, J., Lichner, V., Lovaš, L., Lovašová, S., & Hricová, M. (2017). Starostlivosť o seba a dôsledky vykonávania pomáhajúcich profesií [Self-care and the consequences of performing helping professions]. Košice: Pavol Jozef Šafárik University in Košice.

Moore, S. E., Bledsoe, L. K., Perry, A. R., & Robinson, M. A. (2011). Social work students and selfcare. A model assignment for teaching. Journal of Social Work Education, 47, 545–553. https://doi. org/10.5175/JSWE.2011.201000004.

Norcross, J. C., & VandenBos, G. R. (2018). Leaving it at the office: A guide to psychotherapist self-care. New York: Guilford Press.

Podsakoff, N. P., LePine, J. A., & LePine, M. A. (2007). Differential challenge stressor-hindrance stressor relationships with job attitudes, turnover intentions, turnover, and withdrawal behavior: A metaanalysis. Journal of Applied Psychology, 92, 438– 454. https://doi.org/10.1037/0021-9010.92.2.438.

Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, & Computers, 36, 717–731. https://doi.org/10.3758/BF03206553.

Ráczová, B., Hricová, M., & Lovašová, S. (2018). Overenie psychometrických vlastností slovenskej verzie dotazníka PSS-10 (Perceived Stress Scale) na súbore pomáhajúcich profesionálov [Verification of psychometric properties of the Slovak version of the PSS-10 questionnaire (Perceived Stress Scale) on the sample of helping professionals]. Československá Psychologie, 62, 552–564.

Rothmann, S., Jackson, L. T. B., & Kruger, M. M. (2003). Burnout and job stress in a local government: The moderating effect of sense of coherence. SA Journal of Industrial Psychology, 29, 52–60. https://doi. org/10.4102/sajip.v29i4.122.

Schaufeli, W. B., Bakker, A. B., & Van Rhenen, W. (2009). How changes in job demands and resources predict burnout, work engagement, and sickness absenteeism. Journal of Organizational Behavior, 30, 893–917. https://doi.org/10.1002/job.595.

Schaufeli, W. B., & Buunk, A. B. (2003). Burnout: An overview of 25 years of research and theorizing. In M. J. Schabracq, J. A. M. Winnubst, & C. L. Cooper (Eds.), The handbook of work and health psychology (pp. 383–425). Hoboken, NJ: Wiley.

Schaufeli, W. B., & Greenglass, E. R. (2001). Introduction to special issue on burnout and health. Psychology & Health, 16, 501–510. https://doi. org/10.1080/08870440108405523.

Segall, A., & Goldstein, J. (1989). Exploring the correlates of self-provided health care behaviour. Social Science & Medicine, 29, 153–161. https://doi. org/10.1016/0277-9536(89)90163-9.

Shapiro, S. L., Brown, K. W., & Biegel, G. M. (2007). Teaching self-care to caregivers: Effects of mindfulness-based stress reduction on the mental health of therapists in training. Training and Education in Professional Psychology, 1, 105–115. https://doi. org/10.1037/1931-3918.1.2.105.

Whitaker, T., Weismiller, T., Clark, E., & Wilson, M. (2006). Assuring the sufficiency of a frontline workforce: A national study of licensed social workers. Special report: Social work services in health care settings. Washington, DC: National Association of Social Workers.