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工作人员与智障人士一起工作时,挑战性行为、倦怠与认知变量之间的关系。

The relationship between challenging behaviour, burnout and cognitive variables in staff working with people who have intellectual disabilities.

机构信息

School of Psychology, University of Birmingham, Edgbaston, Birmingham, UK.

出版信息

J Intellect Disabil Res. 2011 Sep;55(9):844-57. doi: 10.1111/j.1365-2788.2011.01438.x. Epub 2011 Jul 5.

DOI:10.1111/j.1365-2788.2011.01438.x
PMID:21726318
Abstract

BACKGROUND

There is evidence to suggest a relationship between the way in which staff perceive challenging behaviour and burnout in staff working with people with intellectual disabilities (ID) and challenging behaviour. However, the evidence of a direct link is equivocal and it is possible that a number of different variables mediate this relationship. The aim of the study is to confirm whether there is a relationship between challenging behaviour and staff burnout, and in addition, to test whether staff perceptions about challenging behaviour mediate this relationship.

METHOD

Seventy-eight staff completed measures of burnout, challenging behaviour and perceptions about challenging behaviour. The perceptions explored included beliefs about the timeline of behaviour, staff's perception of whether they themselves have control over the behaviour, beliefs about clients' ability to control the behaviour and staff's negative emotional responses.

RESULTS

Significant positive correlations were found between challenging behaviour and burnout, challenging behaviour and cognitive variables, and cognitive variables and burnout. Regression analyses demonstrated that negative emotions mediate the relationship between challenging behaviour and burnout.

CONCLUSIONS

The results show evidence that there is a relationship between challenging behaviour and burnout that is mediated by negative emotion, namely the fear of potential assault.

摘要

背景

有证据表明,工作人员对具有挑战性的行为的看法与智力障碍(ID)和具有挑战性的行为的工作人员的倦怠之间存在关系。然而,直接联系的证据并不明确,并且可能有许多不同的变量调解这种关系。这项研究的目的是确认挑战性行为与员工倦怠之间是否存在关系,此外,还要测试员工对挑战性行为的看法是否调解这种关系。

方法

78 名员工完成了倦怠、挑战性行为和对挑战性行为看法的测量。所探讨的看法包括对行为时间线的信念、员工对自己是否控制行为的看法、对客户控制行为能力的信念以及员工的负面情绪反应。

结果

挑战性行为与倦怠、挑战性行为与认知变量以及认知变量与倦怠之间存在显著的正相关关系。回归分析表明,负面情绪调解了挑战性行为和倦怠之间的关系。

结论

结果表明,具有挑战性的行为和倦怠之间存在关系,这种关系是由负面情绪调解的,即对潜在攻击的恐惧。

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