Department of Behavioral Science and Center on Drug and Alcohol Research, University of Kentucky, Lexington, KY 40536-0086, USA.
J Subst Abuse Treat. 2013 May-Jun;44(5):528-33. doi: 10.1016/j.jsat.2012.12.003. Epub 2013 Jan 10.
Counselor emotional exhaustion has negative implications for treatment organizations as well as the health of counselors. Quality clinical supervision is protective against emotional exhaustion, but research on the mediating mechanisms between supervision and exhaustion is limited. Drawing upon data from 934 counselors affiliated with treatment programs in the National Institute on Drug Abuse's Clinical Trials Network (CTN), this study examined commitment to the treatment organization and commitment to the counseling occupation as potential mediators of the relationship between quality clinical supervision and emotional exhaustion. The final ordinary least squares (OLS) regression model, which accounted for the nesting of counselors within treatment organizations, indicated that these two types of commitment were plausible mediators of the association between clinical supervision and exhaustion. Higher quality clinical supervision was strongly correlated with commitment to the treatment organization as well as commitment to the occupation of SUD counseling. These findings suggest that quality clinical supervision has the potential to yield important benefits for counselor well-being by strengthening ties to both their employing organization as well the larger treatment field, but longitudinal research is needed to establish these causal relationships.
咨询师情绪耗竭对治疗组织以及咨询师的健康都有负面影响。高质量的临床监督可以预防情绪耗竭，但关于监督与疲惫之间的中介机制的研究有限。本研究基于国家药物滥用研究所临床试验网络（CTN）中 934 名与治疗项目相关的咨询师的数据，考察了对治疗组织的承诺和对咨询职业的承诺作为质量临床监督和情绪疲惫之间关系的潜在中介。最后一个普通最小二乘法（OLS）回归模型，考虑了咨询师在治疗组织中的嵌套关系，表明这两种承诺是临床监督与疲惫之间关联的合理中介。高质量的临床监督与对治疗组织的承诺以及对 SUD 咨询职业的承诺密切相关。这些发现表明，高质量的临床监督有可能通过加强与他们的雇主组织以及更大的治疗领域的联系，为咨询师的幸福感带来重要的好处，但需要进行纵向研究来确定这些因果关系。
