Injeyan Marie C, Shuman Cheryl, Shugar Andrea, Chitayat David, Atenafu Eshetu G, Kaiser Amy
Department of Obstetrics and Gynecology, Prenatal Diagnosis and Medical Genetics Program, Mount Sinai Hospital, Joseph and Wolf Lebovic Health Complex, 600 University Avenue, Toronto, Ontario, M5G 1X5, Canada.
J Genet Couns. 2011 Oct;20(5):526-40. doi: 10.1007/s10897-011-9379-4. Epub 2011 Jun 24.
Compassion fatigue (CMF) arises as a consequence of secondary exposure to distress and can be elevated in some health practitioners. Locus of control and dispositional optimism are aspects of personality known to influence coping style. To investigate whether these personality traits influence CMF risk, we surveyed 355 genetic counselors about their CMF, locus of control orientation, and degree of dispositional optimism. Approximately half of respondents reported they experience CMF; 26.6% had considered leaving their job due to CMF symptoms. Mixed-method analyses revealed that genetic counselors having an external locus of control and low optimism were at highest risk for CMF. Those at highest risk experienced moderate-to-high burnout, low-to-moderate compassion satisfaction, and tended to rely on religion/spirituality when coping with stress. CMF risk was not influenced by years in practice, number of genetic counselor colleagues in the workplace, or completion of graduate training in this area. Recommendations for practice and education are outlined.
同情疲劳（CMF）是二次接触痛苦的结果，在一些医疗从业者中可能会加剧。控制点和性格乐观是已知会影响应对方式的人格方面。为了调查这些人格特质是否会影响CMF风险，我们对355名遗传咨询师进行了调查，询问他们的CMF情况、控制点取向和性格乐观程度。大约一半的受访者表示他们经历过CMF；26.6%的人曾因CMF症状考虑离职。混合方法分析显示，具有外部控制点和低乐观度的遗传咨询师患CMF的风险最高。风险最高的人经历了中度到高度的职业倦怠、低度到中度的同情满足感，并且在应对压力时倾向于依赖宗教/精神信仰。CMF风险不受从业年限、工作场所遗传咨询师同事数量或该领域研究生培训完成情况的影响。文中概述了对实践和教育的建议。
