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印度心理健康专业人员的继发性创伤、职业倦怠与心理韧性:研究综述

Secondary trauma, burnout and resilience among mental health professionals from India: A review of research.

作者信息

Bhagwagar Hvovi

机构信息

School of Social Sciences, Tata Institute of Social Sciences, Mumbai, India.

出版信息

Asian J Psychiatr. 2022 Oct;76:103227. doi: 10.1016/j.ajp.2022.103227. Epub 2022 Jul 28.

Abstract

While globally there has been growing research interest in the negative psychological consequences faced by helping professionals, literature among Indian Mental Health Professionals (MHPs) is sparse, and predominantly focussed on health care workers. This systematic review aims to synthesize and summarize current Indian literature on burnout, secondary traumatic stress and resilience among Indian MHPs. The review explores 14 research studies published in peer-reviewed journals between January 2005 to January 2022. Studies in the areas of secondary traumatic stress, burnout, vicarious trauma, compassion fatigue, and resilience have been included in the review. The term resilience within this paper includes compassion satisfaction, vicarious post-traumatic growth, well-being, coping, and stress management. The mental health professionals considered were psychiatrists, psychiatric nurses, psychiatric social workers, clinical psychologists, psychotherapists and counsellors. Studies were reviewed for their methodological considerations, the mental health population being studied, and the primary outcomes. Data related to sociodemographic variables, psychological impacts, risk and protective factors that influence burnout, secondary trauma and resilience among mental health professionals in India have been reported. The review summarizes conceptual, methodological, and analytical gaps and generates recommendations that contribute to theoretical and practice-based improvements in this area of research and practice.

摘要

虽然全球范围内对助人专业人员面临的负面心理后果的研究兴趣日益浓厚,但印度心理健康专业人员(MHP)中的相关文献却很稀少,且主要集中在医护人员身上。本系统综述旨在综合和总结印度关于MHP职业倦怠、继发性创伤压力和心理韧性的现有文献。该综述探讨了2005年1月至2022年1月期间发表在同行评审期刊上的14项研究。继发性创伤压力、职业倦怠、替代性创伤、同情疲劳和心理韧性等领域的研究已纳入本综述。本文中的心理韧性一词包括同情满意度、替代性创伤后成长、幸福感、应对和压力管理。所考虑的心理健康专业人员包括精神科医生、精神科护士、精神科社会工作者、临床心理学家、心理治疗师和咨询师。对研究的方法考量、所研究的心理健康人群以及主要结果进行了综述。报告了与社会人口统计学变量、心理影响、影响印度心理健康专业人员职业倦怠、继发性创伤和心理韧性的风险及保护因素相关的数据。该综述总结了概念、方法和分析方面的差距,并提出了有助于在该研究和实践领域基于理论和实践进行改进的建议。

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