Demographic and work-related correlates of job burnout in professional eating disorder treatment providers

Psychotherapy

Volumn 50, Issue 4, 2013, Pages 553-564

  Warren, Cortney S ^a   Schafer, Kerri J ^a   Crowley, Mary Ellen J ^b   Olivardia, Roberto ^b  

^a UNIVERSITY OF NEVADA   (United States)

^b MCLEAN HOSPITAL   (United States)

Author keywords

Demographic factors; Eating disorders; Emotional exhaustion; Job burnout; Treatment providers

Indexed keywords

ADULT; AGED; ARTICLE; BURNOUT; CONTROLLED STUDY; DEMOGRAPHY; EATING DISORDER; EMOTIONAL STRESS; FEMALE; HUMAN; JOB STRESS; MALE; MENTAL HEALTH CARE; MENTAL HEALTH CARE PERSONNEL; MIDDLE AGED; NORMAL HUMAN; OBESITY; PERCEPTION; PRIVATE PRACTICE; RECURRENCE RISK;

ADULT; AGE FACTORS; AGED; ANALYSIS OF VARIANCE; BURNOUT, PROFESSIONAL; CLINICAL COMPETENCE; DEMOGRAPHY; EATING DISORDERS; EMOTIONS; FEMALE; HEALTH PERSONNEL; HUMANS; JOB SATISFACTION; MALE; MIDDLE AGED; OVERWEIGHT; PRIVATE PRACTICE; PSYCHOTHERAPY; QUESTIONNAIRES; SEX FACTORS; WORKLOAD;

EID: 84890071777     PISSN: 00333204     EISSN: 19391536     Source Type: Journal    
DOI: 10.1037/a0028783     Document Type: Article

References (87)

1. Ackerley, G. D., Burnell, J., Holder, D. C., & Kurdek, L. A. (1988). Burnout among licensed psychologists. Professional Psychology: Research and Practice, 19, 624-631. doi:10.1037/0735-7028.19.6.624
2. Aguayo, R., Vargas, C., de la Fuente, E. I., & Lozano, L. M. (2011). A meta-analytic reliability generalization study of the Maslach Burnout Inventory. International Journal of Clinical and Health Psychology, 11, 343-361.
3. Aitken, C. J., & Schloss, J. A. (1994). Occupational stress and burnout amongst staff working with people with an intellectual disability. Behavioral Interventions, 9, 225-234. doi:10.1002/bin.2360090404
4. Alarcon, G. M. (2011). A meta-analysis of burnout with job demands, resources, and attitudes. Journal of Vocational Behavior, 79, 549-562. doi:10.1016/j.jvb.2011.03.007
5. Ballenger-Browning, K. K., Schmitz, K. J., Rothacker, J. A., Hammer, P. S., Webb-Murphy, J. A., & Johnson, D. C. (2011). Predictors of burnout among military mental health providers. Military Medicine, 176, 253-260.
6. Barbarich, N. C. (2002). Lifetime prevalence of eating disorders among professionals in the field. Eating Disorders: The Journal of Treatment and Prevention, 10, 305-312. doi:10.1080/10640260214505
7. Berkman, N. D., Lohr, K. N., & Bulik, C. M. (2007). Outcomes of eating disorders: A systematic review of the literature. International Journal of Eating Disorders, 40, 293-309. doi:10.1002/eat.20369
8. Betan, E., Heim, A. K., Conklin, C. Z., & Westen, D. (2005). Countertransference phenomena and personality pathology in clinical practice: An empirical investigation. The American Journal of Psychiatry, 162, 890-898. doi:10.1176/appi.ajp.162.5.890
9. Bowlby, C. G. (2008). Lessons learned from both sides of the therapy couch: A qualitative exploration of the clinical lives of recovered professionals in the field of eating disorders. ProQuest Information & Learning, US. Retrieved from http://ezproxy.library.unlv.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2008-99060-366&site=ehost-live
10. Brewerton, T. D. (2007). Eating disorders, trauma, and comorbidity: Focus on PTSD. Eating Disorders: The Journal of Treatment & Prevention, 15, 285-304. doi:10.1080/10640260701454311
11. Brotman, A. W., Stern, T. A., & Herzog, D. B. (1984). Emotional reactions of house officers to patients with anorexia nervosa, diabetes, and obesity. International Journal of Eating Disorders, 3, 71-77.
12. Brown, G. T., & Pranger, T. (1992). Predictors of burnout for psychiatric occupational therapy personnel. Canadian Journal of Occupational Therapy, 59, 258-267.
13. Burket, R. C., & Schramm, L. L. (1995). Therapists' attitudes about treating patients with eating disorders. Southern Medical Journal, 88, 813. doi:10.1097/00007611-199508000-00004
14. Chao, S. F., McCallion, P., & Nickle, T. (2011). Factorial validity and consistency of the Maslach Burnout Inventory among staff working with persons with intellectual disability and dementia. Journal of Intellectual Disability Research, 55, 529 -536. doi:10.1111/j.1365-2788.2011 .01413.x
15. Costin, C., & Johnson, C. L. (2002). Been there, done that: Clinicians' use of personal recovery in the treatment of eating disorders. Eating Disorders: The Journal of Treatment and Prevention, 10, 293-303. doi: 10.1080/10640260214506
16. Crisp, A. (2006). Death, survival and recovery in anorexia nervosa: A thirty five year study. European Eating Disorders Review, 14, 168-175. doi:10.1002/erv.704
17. Culbreth, J. R. (2000). Substance abuse counselors with and without a personal history of chemical dependency: A review of the literature. Alcoholism Treatment Quarterly, 18, 67- 82. doi:10.1300/J020v18n02_05
18. DeLucia-Waack, J. L. (1999). Supervision for counselors working with eating disorders groups: Countertransference issues related to body image, food, and weight. Journal of Counseling & Development, 77, 379-388. doi:10.1002/j.1556-6676.1999.tb02463.x
19. Elman, B. D., & Dowd, E. T. (1997). Correlates of burnout in inpatient substance abuse treatment therapists. Journal of Addictions & Offender Counseling, 17, 56-65. doi:10.1002/j.2161-1874.1997.tb00114.x
20. Emery, S., Wade, T. D., & McLean, S. (2009). Associations among therapist beliefs, personal resources and burnout in clinical psychologists. Behaviour Change, 26, 83-96. doi:10.1375/bech.26.2.83
21. Evans, S., Huxley, P., Gately, C., Webber, M., Mears, A., Pajak, S., . . . Katona, C. (2006). Mental health, burnout and job satisfaction among mental health social workers in England and Wales. British Journal of Psychiatry, 188, 75-80. doi:10.1192/bjp.188.1.75
22. Fagin, L., Carson, J., Leary, J., & de Villiers, N. (1996). Stress, coping and burnout in mental health nurses: Findings from three research studies. International Journal of Social Psychiatry, 42, 102-111.
23. Fahrenkopf, A. M., Sectish, T. C., Barger, L. K., Sharek, P. J., Lewin, D., Edwards, S., . . . Landrigan, C. P. (2008). Rates of medication errors among depressed and burnt out residents: Prospective cohort study. BMJ: British Medical Journal, 336, 488-491. doi:10.1136/bmj.39469 .763218.BE
24. Farrenkopf, T. (1992). What happens to therapists who work with sex offenders?. Journal of Offender Rehabilitation, 18, 217-223. doi: 10.1300/J076v18n03_16
25. Field, A. (2005). Discovering statistics using SPSS (2nd ed.). Thousand Oaks, CA: Sage Publications Inc.
26. Fischer, J., Kumar, S., & Hatcher, S. (2007). What makes psychiatry such a stressful profession? A qualitative study. Australasian Psychiatry, 15, 417-421. doi:10.1080/10398560701439699
27. Fleming, J., & Szmukler, G. I. (1992). Attitudes of medical professionals towards patients with eating disorders. Australian and New Zealand Journal of Psychiatry, 26, 436-443.
28. Follette, V. M., Polusny, M. M., & Milbeck, K. (1994). Mental health and law enforcement professionals: Trauma history, psychological symptoms, and impact of providing services to child sexual abuse survivors. Professional Psychology: Research and Practice, 25, 275-282. doi: 10.1037/0735-7028.25.3.275
29. Frankenburg, F. R. (1984). Female therapists in the management of anorexia nervosa. International Journal of Eating Disorders, 3, 25-33. doi:10.1002/1098-108X(198422)3:4<25::AID-EAT2260030404> 3.0.CO;2-D
30. Franko, D. L., & Erb, J. (1998). Managed care or mangled care? Treating eating disorders in the current healthcare climate. Psychotherapy: Theory, Research, Practice, Training, 35, 43-53. doi:10.1037/h0087706
31. Franko, D. L., & Keel, P. K. (2006). Suicidality in eating disorders: Occurrence, correlates, and clinical implications. Clinical Psychology Review, 26, 769-782. doi:10.1016/j.cpr.2006.04.001
32. Franko, D. L., & Rolfe, S. (1996). Countertransference in the treatment of patients with eating disorders. Psychiatry: Interpersonal & Biological Processes, 59, 108-116.
33. Garner, B. R., Knight, K., & Simpson, D. D. (2007). Burnout among corrections-based drug treatment staff: Impact of individual and organizational factors. International Journal of Offender Therapy and Comparative Criminology, 51, 510-522. doi:10.1177/0306624X06298708
34. Gibson, J. A., Grey, I. M., & Hastings, R. P. (2009). Supervisor support as a predictor of burnout and therapeutic self-efficacy in therapists working in ABA schools. Journal of Autism and Developmental Disorders, 39, 1024-1030. doi:10.1007/s10803-009-0709-4
35. Godart, N. T., Perdereau, F., Rein, Z., Berthoz, S., Wallier, J., Jeammet, P., & Flament, M. F. (2007). Comorbidity studies of eating disorders and This document is copyrighted by the American Psychological Association or one of its allied publishers. This article is intended solely for the personal use of the individual user and is not to be disseminated broadly. mood disorders. Critical review of the literature. Journal of Affective Disorders, 97, 37-49. doi:10.1016/j.jad.2006.06.023
36. Hamburg, P., & Herzog, D. (1990). Supervising the therapy of patients with eating disorders. American Journal of Psychotherapy, 44, 369-380.
37. Hayes, S. C., Bissett, R., Roget, N., Padilla, M., Kohlenberg, B. S., Fisher, G., . . . Niccolls, R. (2004). The impact of acceptance and commitment training and multicultural training on the stigmatizing attitudes and professional burnout of substance abuse counselors. Behavior Therapy, 35, 821-835. doi:10.1016/S0005-7894(04)80022-4
38. Herzog, D. B., & Greenwood, D. N. (2000). Mortality in eating disorders: A descriptive study. International Journal of Eating Disorders, 28, 20 -26. doi:10.1002/(SICI)1098-108X(200007)28:1<20::AIDEAT3 >3.0.CO;2-X
39. Hughes, P. (1997). The use of the countertransference in the therapy of patients with anorexia nervosa. European Eating Disorders Review, 5, 258 -269. doi:10.1002/(SICI)1099-0968(199712)5:4<258::AIDERV183>3.0.CO;2-B
40. Jarman, M., Smith, J. A., & Walsh, S. (1997). The psychological battle for control: A qualitative study of health-care professionals' understandings of the treatment of anorexia nervosa. Journal of Community & Applied Social Psychology, 7, 137-152. doi:10.1002/(SICI)1099-1298 (199704)7:2<137::AID-CASP404>3.0.CO;2-G
41. Johnston, C., Smethurst, N., & Gowers, S. (2005). Should people with a history of an eating disorder work as eating disorder therapists?. European Eating Disorders Review, 13, 301-310. doi:10.1002/erv.659
42. Kaplan, A. S., & Garfinkel, P. E. (1999). Difficulties in treating patients with eating disorders: A review of patient and clinician variables. Canadian Journal of Psychiatry. Revue canadienne de psychiatrie, 44, 665-670.
43. Katzman, D. K. (2005). Medical complications in adolescents with anorexia nervosa: A review of the literature. International Journal of Eating Disorders, 37, S52-S59. doi:10.1002/eat.20118
44. Kumar, S., Fischer, J., Robinson, E., Hatcher, S., & Bhagat, R. N. (2007). Burnout and job satisfaction in New Zealand psychiatrists: A national study. International Journal of Social Psychiatry, 53, 306-316. doi: 10.1177/0020764006074534
45. Kumar, S., Hatcher, S., Dutu, G., Fischer, J., & Ma'u, E. (2011). Stresses experienced by psychiatrists and their role in burnout: A national follow-up study. International Journal of Social Psychiatry, 57, 166- 179. doi:10.1177/0020764009341211
46. Kumar, S., Hatcher, S., & Huggard, P. (2005). Burnout in psychiatrists: An etiological model. International Journal of Psychiatry in Medicine, 35, 405-416. doi:10.2190/8XWB-AJF4-KPRR-LWMF
47. Lee, R. T., & Ashforth, B. E. (1996). A meta-analytic examination of the correlates of the three dimensions of job burnout. Journal of Applied Psychology, 81, 123-133. doi:10.1037/0021-9010.81.2.123
48. Leiter, M. P., & Harvie, P. L. (1996). Burnout among mental health workers: A review and a research agenda. International Journal of Social Psychiatry, 42, 90-101. doi:10.1177/002076409604200203
49. Lowell, M. A., & Meader, L. L. (2005). My body, your body: Speaking the unspoken between the thin therapist and the eating-disordered patient. Clinical Social Work Journal, 33, 241-257. doi:10.1007/s10615-005- 4941-x
50. Lozinskaia, E. I. (2002). Study of stress parameters in the work of the clinical psychiatrist. International Journal of Mental Health, 31, 93-98.
51. Maslach, C., Jackson, S. E., & Leiter, M. P. (1996). Maslach Burnout Inventory. (3rd ed.). Palo Alto, CA: Consulting Psychologists Press.
52. Maslach, C., & Leiter, M. P. (2008). Early predictors of job burnout and engagement. Journal of Applied Psychology, 93, 498-512. doi:10.1037/0021-9010.93.3.498
53. Maslach, C., Schaufeli, W. B., & Leiter, M. P. (2001). Job burnout. Annual Review of Psychology, 52, 397- 422. doi:10.1146/annurev .psych.52.1.397
54. Maslach, C. (1976). Burned-out. Human Behavior, 5, 16-22.
55. Maslach, C. (1986). Burnout research in the social services: A critique. Journal of Social Service Research, 10, 95-105. doi:10.1300/J079v10n01_09
56. Maslach, C. (2001). What have we learned about burnout and health?. Psychology & Health, 16, 607-611. doi:10.1080/08870440108405530
57. Maslach, C. (2003). Job burnout: New directions in research and intervention. Current Directions in Psychological Science, 12, 189-192. doi: 10.1111/1467-8721.01258
58. Matz, J., & Frankel, E. (2005). Attitudes toward disordered eating and weight: Important considerations for therapists and health professionals. Health at Every Size, 19, 19-30.
59. McCarthy, W. C., & Frieze, I. H. (1999). Negative aspects of therapy: Client perceptions of therapists' social influence, burnout, and quality of care. Journal of Social Issues, 55, 33-50. doi:10.1111/0022-4537.00103
60. McLean, S., Wade, T. D., & Encel, J. S. (2003). The contribution of therapist beliefs to psychological distress in therapists: An investigation of vicarious traumatization, burnout and symptoms of avoidance and intrusion. Behavioural and Cognitive Psychotherapy, 31, 417-428. doi: 10.1017/S135246580300403X
61. Mehler, P. S., Crews, C., & Weiner, K. (2004). Bulimia: Medical complications. Journal of Women's Health, 13, 668 - 675. doi:10.1089/jwh.2004.13.668
62. Montero-Marín, J., García-Campayo, J., Fajó-Pascual, M., Carrasco, J. M., Gascón, S., Gili, M., & Mayoral-Cleries, F. (2011). Sociodemographic and occupational risk factors associated with the development of different burnout types: The cross-sectional University of Zaragoza study. BMC Psychiatry, 11, 1-13. doi:10.1186/1471-244X-11-49
63. Orbach, S. (2004). What can we learn from the therapist's body?. Attachment & Human Development, 6, 141-150. doi:10.1080/1461 6730410001695349
64. Pines, A. M. (2000). Treating career burnout: A psychodynamic existential perspective. Journal of Clinical Psychology, 56, 633-642. doi:10.1002/(SICI)1097-4679(200005)56:5<633::AID-JCLP5>3.0.CO;2-#
65. Prosser, D., Johnson, S., Kuipers, E., Dunn, G., Szmukler, G., Reid, Y., . . . Thornicroft, G. (1999). Mental health, 'burnout' and job satisfaction in a longitudinal study of mental health staff. Social Psychiatry and Psychiatric Epidemiology, 34, 295-300. doi:10.1007/s001270050147
66. Emmett, S. W., & Rabinor, J. R. (2007). The therapist's voice: The sated starver. Eating Disorders: The Journal of Treatment and Prevention, 15, 81-84. doi:10.1080/10640260601044600
67. Raquepaw, J. M., & Miller, R. S. (1989). Psychotherapist burnout: A componential analysis. Professional Psychology: Research and Practice, 20, 32-36. doi:10.1037/0735-7028.20.1.32
68. Rupert, P. A., & Kent, J. S. (2007). Gender and work setting differences in career-sustaining behaviors and burnout among professional psychologists. Professional Psychology: Research and Practice, 38, 88-96. doi:10.1037/0735-7028.38.1.88
69. Rupert, P. A., & Morgan, D. J. (2005). Work setting and burnout among professional psychologists. Professional Psychology: Research and Practice, 36, 544-550. doi:10.1037/0735-7028.36.5.544
70. Sallas, A. A. (1985). Treatment of eating disorders: Winning the war without having to do battle. Journal of Psychiatric Research, 19, 445- 448. doi:10.1016/0022-3956(85)90051-2
71. Sansone, R. A., Fine, M. A., & Chew, R. (1988). A longitudinal analysis of the experiences of nursing staff on an inpatient eating disorders unit. International Journal of Eating Disorders, 7, 125-131. doi:10.1002/1098-108X
72. Satir, D. A., Thompson-Brenner, H., Boisseau, C. L., & Crisafulli, M. A. (2009). Countertransference reactions to adolescents with eating disorders: Relationships to clinician and patient factors. International Journal of Eating Disorders, 42, 511-521. doi:10.1002/eat.20650
73. Schaufeli, W. B., & Taris, T. W. (2005). The conceptualization and measurement of burnout: Common ground and worlds apart. Work & Stress, 19, 256-262. doi:10.1080/02678370500385913
74. Shisslak, C. M., Gray, N., & Crago, M. (1989). Health care professionals' reactions to working with eating disorder patients. International Journal of Eating Disorders, 8, 689-694. doi:10.1002/1098-108X(198911)8: 6<689::AID-EAT2260080610>3.0.CO;2-H
75. Signorini, A., De Filippo, E., Panico, S., De Caprio, C., Pasanisi, F., & Contaldo, F. (2007). Long-term mortality in anorexia nervosa: A report after an 8-year follow-up and a review of the most recent literature. European Journal of Clinical Nutrition, 61, 119-122. doi:10.1038/sj.ejcn.1602491
76. Spindler, A., & Milos, G. (2007). Links between eating disorder symptom severity and psychiatric comorbidity. Eating Behaviors, 8, 364-373. doi:10.1016/j.eatbeh.2006.11.012
77. Strober, M. (2004). Managing the chronic, treatment-resistant patient with anorexia nervosa. International Journal of Eating Disorders, 36, 245- 255. doi:10.1002/eat.20054
78. Swider, B. W., & Zimmerman, R. D. (2010). Born to burnout: A metaanalytic path model of personality, job burnout, and work outcomes. Journal of Vocational Behavior, 76, 487-506. doi:10.1016/j.jvb.2010.01.003
79. Tabachnick, B. G., & Fidell, L. S. (2001). Using multivariate statistics (4th ed.). Boston, MA: Allyn & Bacon.
80. Thompson-Brenner, H., Satir, D. A., Franko, D. L., & Herzog, D. B. (2012). Clinician reactions to patients with eating disorders: A review of the literature. Psychiatric Services, 63, 73-78. doi:10.1176/appi.ps .201100050
81. Toman, E. (2002). Body mass index and its impact on the therapeutic alliance in the work with eating disorder patients. European Eating Disorders Review, 10, 168-178. doi:10.1002/erv.458
82. Vilardaga, R., Luoma, J. B., Hayes, S. C., Pistorello, J., Levin, M. E., Hildebrandt, M. J., . . . Bond, F. (2011). Burnout among the addiction counseling workforce: The differential roles of mindfulness and valuesbased processes and work-site factors. Journal of Substance Abuse Treatment, 40, 323-335. doi:10.1016/j.jsat.2010.11.015
83. Vocks, S., Legenbauer, T., & Peters, I. (2007). Does shape matter?. Preferences for a female therapist's figure among patients with eating disorders. Psychotherapy Research, 17, 416-422.
84. Warren, C. S., Crowley, M., Olivardia, R., & Schoen, A. S. (2009). Treating patients with eating disorders: An examination of treatment providers' experiences. Eating Disorders: The Journal of Treatment & Prevention, 17, 27-45. doi:10.1080/10640260802570098
85. Warren, C. S., Schafer, K. J., Crowley, M., & Olivardia, R. (2012). A qualitative analysis of job burnout in eating disorder treatment providers. Eating Disorders: The Journal of Treatment & Prevention, 20, 175-195. doi:10.1080/10640266.2012.668476
86. Williams, M., & Leichner, P. (2006). More training needed in eating disorders: A time cohort comparison study of Canadian psychiatry residents. Eating Disorders: The Journal of Treatment & Prevention, 14, 323-334. doi:10.1080/10640260600796267
87. Woodside, J. R., Miller, M. N., Floyd, M. R., McGowen, K. R., & Pfortmiller, D. T. (2008). Observations on burnout in family medicine and psychiatry residents. Academic Psychiatry, 32, 13-19. doi:10.1176/appi.ap.32.1.13