Division of Psychiatry and Applied Psychology, School of Medicine, University of Nottingham, Jubilee Campus, Nottingham, UK.
Derbyshire Healthcare NHS Foundation Trust, Nottinghamshire, UK.
J Clin Psychol. 2022 Sep;78(9):1712-1738. doi: 10.1002/jclp.23339. Epub 2022 Mar 5.
To systematically review evidence regarding prevalence and choices of disclosure of psychological distress, by mental health professionals within the workplace.
Six databases were searched in June 2020. Studies were included if they were published in English language and included empirical quantitative, qualitative or mixed-methods data. Studies were excluded if they focused on general healthcare professionals or the general population, or on stress or physical health problems. Study quality was assessed using the Mixed Methods Quality Appraisal tool.
Nine studies, with a total of 1891 participants, were included. Study quality varied, with studies generally reporting descriptive surveys using hypothetical disclosure scenarios. Distress was often conceptualized in psychiatric terms. These limitations mean conclusions should be treated with caution. Individuals were less likely to disclose in work and had negative experiences of doing so compared to social circles. Fear of stigma inhibited disclosure. There were differing levels of disclosure relating to recipient, trust, quality of supervision, how distress was conceptualized, and type of problem. Disclosure was experienced by some as valuable.
There is a need for further research, which addresses the nuanced complexities surrounding disclosure choices for mental health professionals.
系统回顾心理健康专业人员在工作场所中披露心理困扰的普遍性和选择的证据。
2020 年 6 月，对六个数据库进行了搜索。如果研究发表于英文且包含实证定量、定性或混合方法数据，则将其纳入。如果研究重点是一般医疗保健专业人员或一般人群，或关注压力或身体健康问题，则将其排除。使用混合方法质量评估工具评估研究质量。
共纳入 9 项研究，总计 1891 名参与者。研究质量参差不齐，研究通常使用假设披露情景报告描述性调查。困扰通常是从精神病学角度来概念化的。这些局限性意味着结论应谨慎对待。与社交圈相比，个体在工作中不太可能披露，并且对披露有负面体验。对污名的恐惧抑制了披露。与收件人、信任、监督质量、困扰的概念化方式以及问题的类型有关，存在不同程度的披露。一些人认为披露是有价值的。
需要进一步研究，以解决心理健康专业人员在披露选择方面的复杂问题。
