Therapy of the burnout syndrome
| Autor: | Korczak, D, Wastian, M, Schneider, M |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: |
cognitive-behavioral therapy
evidence based medicine kognitive Verhaltenstherapie cognitive behaviour treatment technology assessment biomedical Mind-Body Therapie DEPRESSIVE STÖRUNG depressive disorder systematic review cognitive-behavioural treatment HTA-Bericht therapeutics KOGNITIVE THERAPIE MUSIKTHERAPIE humans qigong Stressmanagement BEHANDLUNGSERGEBNIS Stressmanagementtraining burnout treatment Burnout-Syndrom Burnout berufliches Übersichtsliteratur HTA review literature as topic mind-body therapies 610 Medical sciences Medicine mind-body therapy autosuggestive und Entspannungstechniken ddc: 610 TA burnout intervention study rhodiola cognitive-behavioural therapy depression evidenzbasierte Medizin evidence-based medicine prognostic instrument THERAPIE stress management training cognitive behavior therapy cognitive behavior treatment EBM KVT systematisches Review music therapy individual-focused intervention review CBT rhodiola rosea Körperpsychotherapie Article burnout professional Burnout Interventionsstudie Rosenwurz ENTSPANNUNG HTA Bericht Übersichtsarbeit relaxation Mensch Behandlung Technikfolgen-Abschätzung biomedizinische cognitive-behavioral treatment health technology assessment HTA-report GUTACHTENBASIERTE MEDIZIN HTA report therapy cognitive behaviour therapy phytotherapy review literature technology assessment Psychotherapie person-directed intervention systematische Übersicht psychotherapy Prognoseinstrument cognitive therapy treatment outcome PHYTOTHERAPIE Burnout-Therapie |
| Zdroj: | GMS Health Technology Assessment GMS Health Technology Assessment; VOL: 8; DOC05 /20120614/ |
| ISSN: | 1861-8863 |
| Popis: | Background The prevalence, diagnostics and therapy of the burnout syndrome are increasingly discussed in the public. The unclear definition and diagnostics of the burnout syndrome are scientifically criticized. There are several therapies with unclear evidence for the treatment of burnout in existence. Objectives The health technology assessment (HTA) report deals with the question of usage and efficacy of different burnout therapies. Methods For the years 2006 to 2011, a systematic literature research was done in 31 electronic databases (e.g. EMBASE, MEDLINE, PsycINFO). Important inclusion criteria are burnout, therapeutic intervention and treatment outcome. Results 17 studies meet the inclusion criteria and are regarded for the HTA report. The studies are very heterogeneous (sample size, type of intervention, measuring method, level of evidence). Due to their study design (e.g. four reviews, eight randomized controlled trials) the studies have a comparable high evidence: three times 1A, five times 1B, one time 2A, two times 2B and six times 4. 13 of the 17 studies are dealing with the efficacy of psychotherapy and psychosocial interventions for the reduction of burnout (partly in combination with other techniques). Cognitive behaviour therapy leads to the improvement of emotional exhaustion in the majority of the studies. The evidence is inconsistent for the efficacy of stress management and music therapy. Two studies regarding the efficacy of Qigong therapy do not deliver a distinct result. One study proves the efficacy of roots of Rhodiola rosea (evidence level 1B). Physical therapy is only in one study separately examined and does not show a better result than standard therapy. Discussion Despite the number of studies with high evidence the results for the efficacy of burnout therapies are preliminary and do have only limited reach. The authors of the studies complain about the low number of skilled studies for the therapy of burnout. Furthermore, they point to the insufficient evaluation of the therapy studies and the need for further research. Some authors report the effects of considerable natural recovering. Numerous limitations affect the quality of the results. Intervention contents and duration, study design and study size are very diverse and do not permit direct comparison. Most of the samples are small by size with low statistical power, long-term follow-ups are missing. Comorbidities and parallel utilized therapies are insufficient documented or controlled. Most of the studies use the Maslach Burnout Inventory (MBI) as diagnostic or outcome-tool, but with different cut-off-points. It should be noticed that the validity of the MBI as diagnostic tool is not proved. Ethical, juridical and social determining factors are not covered or discussed in the studies. Conclusion The efficacy of therapies for the treatment of the burnout syndrome is insufficient investigated. Only for cognitive behavioural therapy (CBT) exists an adequate number of studies which prove its efficacy. Big long-term experimental studies are missing which compare the efficacy of the single therapies and evaluate their evidence. The natural recovering without any therapy needs further research. Additionally, it has to be examined to what extent therapies and their possible effects are thwarted by the conditions of the working place and the working conditions. GMS Health Technology Assessment; 8:Doc05; ISSN 1861-8863 |
| Databáze: | OpenAIRE |
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