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理解大流行病韧性:奥地利心理治疗师良好或不良福祉的负担、资源和决定因素的混合方法探索。

Understanding pandemic resilience: a mixed-methods exploration of burdens, resources, and determinants of good or poor well-being among Austrian psychotherapists.

机构信息

Department for Psychosomatic Medicine and Psychotherapy, University for Continuing Education Krems, Krems, Austria.

Division of Psychotherapy, Department of Psychology, Paris Lodron University Salzburg, Salzburg, Austria.

出版信息

Front Public Health. 2023 Aug 24;11:1216833. doi: 10.3389/fpubh.2023.1216833. eCollection 2023.

DOI:10.3389/fpubh.2023.1216833
PMID:37693716
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10483144/
Abstract

INTRODUCTION

The COVID-19 pandemic has exacerbated the mental health burden on the general population, resulting in increased demands on mental healthcare professionals, including psychotherapists. This cross-sectional study assessed the challenges and resources encountered by 513 psychotherapists based on an online survey conducted between April and May 2022.

METHODS

Qualitative methods content analysis of written reports was employed to investigate the emerging challenges and sources of support during the pandemic. A comparative analysis of burdens, resources, sociodemographic factors and daily physical activity was conducted to discern patterns of good and poor well-being.

RESULTS

The predominant burden identified was mental health-related issues, followed by global crises and government-imposed restrictions to mitigate virus transmission. Essential resources encompassed social connections, mindfulness, work satisfaction, and internal processes. Notably, psychotherapists demonstrating good well-being were older, more physically active, had a lower proportion of females, were employed in private practices rather than in institutionalized settings, had more years of professional experience and treated more patients weekly than their counterparts with poor well-being. Furthermore, they exhibited greater optimism, health focus, and satisfaction with their coping methods.

DISCUSSION

These findings can help develop support systems, policies, and educational programs to better support mental health professionals during global crises and offer strategies for individual practitioners to maintain their well-being.

摘要

简介

COVID-19 大流行加剧了普通人群的心理健康负担,导致对精神卫生保健专业人员(包括心理治疗师)的需求增加。本横断面研究基于 2022 年 4 月至 5 月期间进行的在线调查,评估了 513 名心理治疗师所面临的挑战和资源。

方法

采用书面报告的定性方法内容分析,调查大流行期间出现的挑战和支持来源。对负担、资源、社会人口因素和日常身体活动进行了比较分析,以辨别良好和不良幸福感的模式。

结果

确定的主要负担是心理健康相关问题,其次是全球危机和政府为减轻病毒传播而实施的限制。基本资源包括社会联系、正念、工作满意度和内部流程。值得注意的是,表现出良好幸福感的心理治疗师年龄较大、身体活动较多、女性比例较低、在私人诊所工作而不是在机构化环境中工作、专业经验年限较多、每周治疗的患者比幸福感较差的同行多。此外,他们表现出更大的乐观、健康关注和对自己应对方法的满意度。

讨论

这些发现有助于为精神卫生专业人员在全球危机期间制定支持系统、政策和教育计划,并为个体从业者提供保持幸福感的策略。

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本文引用的文献

1
Burdens and resources of Austrian clinical psychologists: results of a qualitative study two years into the COVID-19 pandemic.奥地利临床心理学家的负担和资源:COVID-19 大流行两年后进行的定性研究结果。
BMC Psychol. 2024 Apr 13;12(1):205. doi: 10.1186/s40359-024-01714-9.
2
Comparison of mental health indicators in clinical psychologists with the general population during the COVID-19 pandemic.比较 COVID-19 大流行期间临床心理学家与普通人群的心理健康指标。
Sci Rep. 2023 Mar 28;13(1):5050. doi: 10.1038/s41598-023-32316-x.
3
How the COVID-19 Pandemic Affects the Provision of Psychotherapy: Results from Three Online Surveys on Austrian Psychotherapists.
奥地利心理治疗师心理健康症状的流行情况及潜在风险因素。
Sci Rep. 2024 Feb 16;14(1):3888. doi: 10.1038/s41598-024-54372-7.
**标题**:新冠疫情如何影响心理治疗的提供:对奥地利心理治疗师的三项在线调查结果。 **摘要**:目的:调查新冠疫情对奥地利心理治疗师提供心理治疗的影响。方法:2021 年 1 月至 2021 年 3 月,使用在线问卷调查了奥地利心理治疗师。结果:125 名受访者中有 68.8%(n = 86)表示,与新冠疫情前相比,他们现在提供的面对面心理治疗减少了。与面对面治疗相比,他们现在更多地提供在线治疗(86.4%比 36.8%)和电话治疗(64.8%比 32.0%)。73.6%(n = 92)的受访者表示,他们现在的工作时间比新冠疫情前少了。与新冠疫情前相比,现在 48.0%(n = 60)的受访者报告说,他们的患者数量减少了。减少患者数量的主要原因是患者对新冠疫情的恐惧(80.0%)和心理治疗的可及性(76.0%)。结论:奥地利心理治疗师提供的面对面心理治疗减少,在线和电话治疗增加。许多心理治疗师的工作时间减少,患者数量减少。
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