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）：滥用药物是社会上最严重的污名团体之一。成瘾辅导员并不能对这些相同的污名认知过程免疫，即使他们致力于治疗成瘾性疾病。在治疗提供者中，减少污名化的想法可能尤其重要，因为有证据表明这些过程有助于提供者的倦怠。但是，很少有发达的方法可以减轻污名，而确实存在的方法似乎在很大程度上不适合治疗提供者。本研究评估了减少污名化思想，多元文化训练，接受和承诺培训的两种方法，单独和组合，并将其与对照条件进行比较。提供者将被随机分配到四个条件（n = 75 / cell），并将在为期两天的研讨会中进行培训。将采取前，邮政和三个月的随访措施，以实现对护理接受者的污名化，这些思想发生时的可信度，工作倦怠，压力和一般健康，工作满意度，多元文化知识，情感认知和认知能力陷入困境和认知性衰落的过程度量，缺乏症状，失眠，失眠，失业，几个人的人际关系和几个潜在的因素，并构成了几个潜在的因素。污名有望预测工作倦怠。可以预期，两种治疗方法最初都会对污名和倦怠产生积极影响，但是接受和承诺训练将维持这些成就，并且由于情感接受和认知衰落的变化而这样做。由于该试验无法充分测试合并状况，因此将进行初步的事后分析，以查看趋势是否表明它是否优于污名和倦怠中的个体状况，并且等同于多元文化知识，态度和技能的多元文化培训。