Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, 641 Lexington Avenue, 7th Floor, New York, NY 10022, USA.
Ferkauf Graduate School of Psychology, Yeshiva University, 1165 Morris Park Avenue, Bronx, New York, NY 10461, USA.
Int J Environ Res Public Health. 2022 Jun 25;19(13):7801. doi: 10.3390/ijerph19137801.
COVID-19 has unveiled and amplified the burnout, grief, and other forms of distress among healthcare providers (HCPs) that long preceded the pandemic. The suffering of the healthcare workforce cannot be simply and sufficiently addressed with a single psychotherapeutic intervention. Nevertheless, the National Academies of Sciences, Engineering, and Medicine Studies recommended prioritizing interventions that generate an increased sense of meaning in life and in work to reduce burnout and cultivate clinician wellbeing. Despite their guidance, there is a dearth of interventions for HCPs specifically targeting meaning and purpose as an avenue to reduce HCP distress. In a time when such an intervention has never been more essential, Meaning-Centered Pyschotherapy (MCP), a brief, evidence-based intervention designed for patients with advanced cancer may be key. This piece describes the principles underlying MCP and how it might be adapted and applied to ameliorate burnout among HCPs while providing a rationale to support future empirical studies in this area. Importantly, the systemic factors that contribute to the emotional and mental health burdens of HCPs are discussed, emphasizing the need for systems-level changes that are needed to leverage the potential outcomes of MCP for HCPs.
新冠疫情揭示并放大了医护人员(HCPs)长期存在的倦怠、悲伤和其他形式的痛苦,而这些痛苦早在疫情之前就已经存在。医护人员的痛苦不能仅仅通过单一的心理治疗干预来简单而充分地解决。然而,美国国家科学院、工程院和医学院的研究建议优先考虑那些能增加生活和工作意义感的干预措施,以减少倦怠和培养临床医生的幸福感。尽管有这些指导意见,但针对医护人员的意义和目标的干预措施却很少,而这些措施是减少医护人员痛苦的途径。在这个干预措施比以往任何时候都更加重要的时刻,以意义为中心的心理疗法(MCP)可能是关键,这是一种为晚期癌症患者设计的简短、基于证据的干预措施。本文描述了 MCP 的基本原则,以及如何对其进行改编和应用,以减轻 HCPs 的倦怠,并为该领域的未来实证研究提供支持。重要的是,讨论了导致 HCP 情绪和心理健康负担的系统性因素,强调需要进行系统层面的变革,以利用 MCP 对 HCP 的潜在影响。