Attachment anxiety, reflective functioning and well-being as predictors of burn-out and psychological distress among psychotherapists: A longitudinal study

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical psychology & psychotherapy Pub Date : 2023-01-06 DOI:10.1002/cpp.2823

Agostino Brugnera, Cristina Zarbo, Andrea Scalabrini, Angelo Compare, Clara Mucci, Silvia Carrara, Giorgio Angelo Tasca, Paul Hewitt, Andrea Greco, Barbara Poletti, Rosy Esposito, Francesco Cattafi, Claudio Zullo, Gianluca Lo Coco

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引用次数: 1

Abstract

Objective

This study aims to longitudinally investigate the effects of individual's factors on subsequent burn-out/psychological distress in a sample of mental health practitioners, testing if higher attachment anxiety and avoidance and lower reflective functioning (i.e., certainty and uncertainty of mental states) and well-being at baseline may lead to a greater psychological distress and burn-out 1 year later.

Methods

The sample consisted of 40 experienced psychotherapists (females: 72.5%; mean age: 47.40 ± 9.48 years) who completed a battery of questionnaires at baseline and 1 year later. Statistical analyses were conducted with Bayesian multiple linear regressions.

Results

Greater attachment anxiety and certainty about mental states and lower individual's well-being at baseline predicted greater burn-out 1 year later. Similarly, greater attachment anxiety and lower individual's well-being at baseline predicted psychological distress at 1 year follow-up. Of note, uncertainty of mental states and avoidant attachment were not associated with outcomes.

Conclusion

These findings suggest that the levels of burn-out and psychological distress among psychotherapists may be alleviated with interventions targeting attachment insecurity, specific aspects of reflective functioning (i.e., certainty about mental states) and well-being.

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依恋焦虑、反思功能和幸福感作为心理治疗师倦怠和心理困扰的预测因素:一项纵向研究

目的本研究旨在纵向探讨个体因素对心理健康从业人员随后的倦怠/心理困扰的影响，测试较高的依恋焦虑和回避和较低的反思功能(即:基线时精神状态的确定性和不确定性可能导致一年后更大的心理困扰和倦怠。方法40名经验丰富的心理治疗师(女性占72.5%;平均年龄:47.40±9.48岁)，在基线和1年后完成一系列问卷调查。采用贝叶斯多元线性回归进行统计分析。结果依恋焦虑和心理状态确定性越高，基线幸福感越低，1年后倦怠程度越高。同样，在1年的随访中，更大的依恋焦虑和更低的基线幸福感预示着心理困扰。值得注意的是，心理状态的不确定性和回避型依恋与结果无关。结论针对依恋不安全感、反思功能的特定方面(即对心理状态的确定性)和幸福感的干预可以缓解心理治疗师的倦怠和心理困扰水平。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.