Jaime Delgadillo1,2, David Saxon2, Michael Barkham1,2. 1. Clinical Psychology Unit, Department of Psychology, University of Sheffield, Sheffield, United Kingdom. 2. Centre for Psychological Services Research, School of Health and Related Research, University of Sheffield, Sheffield, United Kingdom.
Abstract
BACKGROUND: Occupational burnout is common in mental health professionals, but its impact on patient outcomes is as yet uncertain. This study aimed to investigate associations between therapist-level burnout and patient-level treatment outcomes after psychological therapy. METHODS: We used multilevel modeling using depression (PHQ-9) and anxiety (GAD-7) outcomes data from 2,223 patients nested within 49 therapists. Therapists completed a survey including the Oldenburg Burnout Inventory (OLBI) and a job satisfaction scale (JDSS). RESULTS: After controlling for case-mix, around 5% of variability in treatment outcomes was explained by therapist effects (TE). Higher therapist OLBI-disengagement and lower JDSS scores were significantly associated with poorer treatment outcomes, explaining between 31 and 39% of the TE estimate. Higher OLBI scores were also correlated with lower job satisfaction ratings. CONCLUSIONS: Therapist burnout has a negative impact on treatment outcomes and could be the target of future preventive and remedial action.
BACKGROUND: Occupational burnout is common in mental health professionals, but its impact on patient outcomes is as yet uncertain. This study aimed to investigate associations between therapist-level burnout and patient-level treatment outcomes after psychological therapy. METHODS: We used multilevel modeling using depression (PHQ-9) and anxiety (GAD-7) outcomes data from 2,223 patients nested within 49 therapists. Therapists completed a survey including the Oldenburg Burnout Inventory (OLBI) and a job satisfaction scale (JDSS). RESULTS: After controlling for case-mix, around 5% of variability in treatment outcomes was explained by therapist effects (TE). Higher therapist OLBI-disengagement and lower JDSS scores were significantly associated with poorer treatment outcomes, explaining between 31 and 39% of the TE estimate. Higher OLBI scores were also correlated with lower job satisfaction ratings. CONCLUSIONS: Therapist burnout has a negative impact on treatment outcomes and could be the target of future preventive and remedial action.
Authors: Adam S Miner; Nigam Shah; Kim D Bullock; Bruce A Arnow; Jeremy Bailenson; Jeff Hancock Journal: Front Psychiatry Date: 2019-10-18 Impact factor: 4.157
Authors: Erkki Heinonen; David E Orlinsky; Ulrike Willutzki; Michael Helge Rønnestad; Thomas Schröder; Irene Messina; Henriette Löffler-Stastka; Armin Hartmann Journal: Front Psychol Date: 2022-03-24