A Cognitive Behavioral Model Proposing That Clinical Burnout May Maintain Itself
| Autor: | Niclas Almén |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Health
Toxicology and Mutagenesis media_common.quotation_subject education lcsh:Medicine Shame Context (language use) Disease Review Burnout Anxiety maintenance 03 medical and health sciences Occupational Stress recovery 0302 clinical medicine Cognition 0502 economics and business exhaustion medicine Humans Burnout Professional Applied Psychology media_common prolonged stress burnout lcsh:R 05 social sciences Public Health Environmental and Occupational Health Excessive sleep Tillämpad psykologi medicine.disease medicine.symptom Worry Sick Leave Psychology 050203 business & management 030217 neurology & neurosurgery psychological phenomena and processes Clinical psychology |
| Zdroj: | International Journal of Environmental Research and Public Health International Journal of Environmental Research and Public Health, Vol 18, Iss 3446, p 3446 (2021) |
| ISSN: | 1660-4601 |
| Popis: | Burnout is common in many countries and is associated with several other problems such as depression, anxiety, insomnia, and memory deficits, and prospectively it predicts long-term sick-leave, cardiovascular disease, and death. Clinical burnout or its residual symptoms often last several years and a common assumption is that recovery takes a long time by nature, despite full time sick-leave and the absence of work stress. The literature suggests models that hypothetically explain the development, but not maintenance, of the syndrome. Based on cognitive and behavioral principles, stress research, and stress theories, this paper describes a theoretical model explaining how clinical burnout can develop and be maintained. While the development of clinical burnout is mainly explained by prolonged stress reactions and disturbed recovery processes due to work related stressors, maintenance of the syndrome is particularly explained by prolonged stress reactions and disturbed recovery processes due to the new context of experiencing burnout and being on sick-leave. Worry about acquired memory deficits, passivity and excessive sleep, shame, fear of stress reactions, and the perception of not being safe are examples of responses that can contribute to the maintenance. The model has important implications for research and how to intervene in clinical burnout. For example, it can offer support to professional care providers and patients in terms of focusing on, identifying, and changing current contextual factors and behaviors that maintain the individual’s clinical burnout symptoms and by that facilitate burnout recovery. Regarding research, the model provides a highly important reason for researchers to study contextual factors and behaviors that contribute to the maintenance of clinical burnout, which has been neglected in research. Preprint available at: 10.20944/preprints202102.0343.v1 |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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