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[心理治疗倦怠干预措施——一项系统性综述]

[Psychotherapeutic burnout interventions-an umbrella review].

作者信息

Kern Sarah, Jerg-Bretzke Lucia, Beschoner Petra

机构信息

Klinik für Psychosomatische Medizin und Psychotherapie, Universitätsklinikum Ulm, Ulm, Deutschland.

IB Hochschule für Gesundheit und Soziales, Stuttgart, Deutschland.

出版信息

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2024 Nov;67(11):1279-1287. doi: 10.1007/s00103-024-03961-y. Epub 2024 Oct 15.

Abstract

BACKGROUND

Although burnout is not an F‑Diagnosis in the ICD-11, many people are suffering from it. This has many economic and health-related consequences, because burnout is closely tied to an inability to work and significant secondary illnesses. This article provides an umbrella review of therapy approaches for burnout that have already been used and evaluated and shows in which areas there are promising, but still little researched, therapeutic support options for those affected.

METHODS

A systematic literature search of studies was carried out in PubMed and Google Scholar between 2010 and 2024. The search terms were "burnout," "therapy," and "intervention" combined with "systematic review" and "meta-analysis." Overall, 10 systematic reviews or meta-analyses met the inclusion criteria.

RESULTS

In five systematic reviews or meta-analyses, the therapy approaches focused on a specific professional group (nurses, doctors, and teachers); the others related to students or various groups of people. In seven studies, the effects of mindfulness-based stress reduction on burnout were shown. The effects of cognitive behavioral therapy (CBT) were shown in four studies. Acceptance and commitment-therapy (ACT) as well as rational emotive therapy (RET) also proved to be effective.

CONCLUSION

It still needs to be researched whether established thinking and behavioral patterns can be changed through the therapies discussed. The professional context should be given more attention. Some resource-oriented approaches like optimism, a sense of control, self-efficacy, and self-acceptance seem promising in the treatment of burnout.

摘要

背景

尽管职业倦怠并非《国际疾病分类第11版》(ICD - 11)中的F类诊断,但许多人正饱受其困扰。这会带来诸多经济和健康方面的后果,因为职业倦怠与无法工作以及严重的继发疾病密切相关。本文对已使用和评估过的职业倦怠治疗方法进行了综合综述,并指出在哪些领域存在对患者有前景但仍研究较少的治疗支持选项。

方法

于2010年至2024年间在PubMed和谷歌学术上对相关研究进行了系统的文献检索。检索词为“职业倦怠”“治疗”“干预”,并与“系统综述”和“荟萃分析”相结合。总体而言,有10项系统综述或荟萃分析符合纳入标准。

结果

在5项系统综述或荟萃分析中,治疗方法聚焦于特定职业群体(护士、医生和教师);其他的则涉及学生或各类人群。7项研究显示了基于正念减压对职业倦怠的影响。4项研究显示了认知行为疗法(CBT)的效果。接纳与承诺疗法(ACT)以及合理情绪疗法(RET)也被证明是有效的。

结论

通过所讨论的疗法是否能够改变既定的思维和行为模式仍有待研究。应更多地关注职业背景。一些以资源为导向的方法,如乐观、控制感、自我效能感和自我接纳,在职业倦怠的治疗中似乎很有前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3975/11549179/4124de01e3fa/103_2024_3961_Fig1_HTML.jpg

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