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A cognitive behavioural model for maintaining processes in burnout

Published online by Cambridge University Press:  29 January 2010

Zoe Tyrrell
Zoe Tyrrell*
Affiliation:
St Stephen's Hospital, Sarsfield Court, Glanmire, Co. Cork, Ireland
*
*Author for correspondence: Dr Z. Tyrrell, HSE South, North Cork Adult Mental Health, St Stephen's Hospital, Glanmire, Co. Cork, Ireland. (email: zoe.tyrrell@gmail.com)
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Abstract

Can a cognitive behavioural approach offer a fresh understanding of the maintaining processes in burnout? This paper considers the enduring nature of burnout symptoms over time. It examines the hypothesis that some of the actions associated with ‘coping’ in burnout may conversely serve to perpetuate burnout symptoms. This model is considered in the context of mental-health workers and is discussed in the light of current research. It implies the need to adopt an approach to burnout that incorporates the challenging of burnout-related cognitions and the elimination of safety behaviours, rather than having a sole focus on self-care strategies.

Keywords

Cognitive behaviour therapy (CBT)formulationself-carestresssupervisiontherapist competence
Type
Practice article
Information
the Cognitive Behaviour Therapist , Volume 3 , Issue 1 , March 2010 , pp. 18 - 26
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2010

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References

Recommended follow-up reading

Maslach, C (2003). Job burnout: new directions in research and intervention. Current Directions in Psychological Science 13, 189–192.CrossRefGoogle Scholar

References

Cordes, CL, Dougherty, TW (1993). A review and integration of research on job burnout. Academy of Management Review 18, 621–656.CrossRefGoogle Scholar
Farber, BA, Heifetz, LJ (1982). The process and dimensions of burnout in psychotherapists. Professional Psychology 13, 293–301.Google Scholar
Freudenberger, HJ (1974). Staff burn-out. Journal of Social Issues 30, 159–165.CrossRefGoogle Scholar
Kristensen, TS, Borritz, M, Villadsen, E, Christensen, KB (2005). The Copenhagen Burnout Inventory: a new tool for the assessment of burnout. Work and Stress 19, 192–207.CrossRefGoogle Scholar
Lazarus, RS, Folkman, S (1984). Stress, Appraisal and Coping. New York: Springer Publishing Company.Google Scholar
Maslach, C (1976). Burned-out. Human Behavior 5, 16–22.Google Scholar
Maslach, C (2003). Job burnout: new directions in research and intervention. Current Directions in Psychological Science 13, 189–192.CrossRefGoogle Scholar
Maslach, C, Jackson, SE (1981). The measurement of experienced burnout. Journal of Occupational Behaviour 2, 99–113.CrossRefGoogle Scholar
Maslach, C, Schaufeli, WB, Leiter, MP (2001). Job burnout. Annual Review of Psychology 52, 397–422.CrossRefGoogle ScholarPubMed
Melamed, S, Shirom, A, Toker, S, Berliner, S, Shapira, I(2006). Burnout and risk of cardiovascular disease: evidence, possible causal paths and promising research directions. Psychological Bulletin 132, 327–353Google Scholar
Moss-Morris, R, Wash, C, Tobin, R, Baldi, JC (2005). A randomised controlled graded exercise trial for chronic fatigue syndrome: outcomes and mechanisms for change. Journal of Health Psychology 10, 245–259.CrossRefGoogle ScholarPubMed
Neveu, J (2008). Burnout and consequences: a review of health professional maltreatment of the patient. In: Handbook of Stress and Burnout in Health Care (ed. Halbesleben, J. R. B.), pp. 157–172. New York: Nova Science Publishers:Google Scholar
Norcross, JC, Guy, JD Jr. (2007). Leaving It at the Office. A Guide to Psychotherapist Self-Care. New York: Guilford Press.Google Scholar
Panagopoulou, E, Montgomery, A, Benos, A (2006). Burnout in internal medicine physicians: Differences between residents and specialists. European Journal of Internal Medicine 17, 195–200.Google Scholar
Park, S, Lake, ET (2005). Multilevel modeling of a clustered continuous outcome: nurses’ work hours and burnout. Nursing Research 54, 406–413.Google Scholar
Poncet, MC, Toullic, P, Papazian, L, Kentish-Barnes, N, Timsit, JF, Pochard, F, Chevret, S, Schlemmer, B, Azoulay, E (2007). Burnout syndrome in critical care nursing staff. American Journal of Respiratory and Critical Care Medicine 175, 698–704.Google Scholar
Schaufeli, WB, Greenglass, ER (2001). Introduction to special issue on burnout and health. Psychology and Health 16, 501–510.Google Scholar
Shirom, A, Nirel, N, Vinokur, AD (2008). Physician burnout as predicted by subjective and objective workload and autonomy. In Handbook of Stress and Burnout in Health Care (ed. Halbesleben, J. R. B.), pp. 141–155. New York: Nova Science Publishers.Google Scholar
Surawy, C, Hackmann, A, Hawton, K, Sharpe, M (1995). Chronic fatigue syndrome: a cognitive approach. Behaviour Research and Therapy 33, 535–544.CrossRefGoogle ScholarPubMed
Taris, TW, Le Blanc, PM, Schaufeli, WB, Schruers, PJG (2005). Are there causal relationships between the dimensions of the Maslach Burnout Inventory? A review and two longitudinal tests. Work & Stress 19, 238–255.CrossRefGoogle Scholar
Thwaites, R, Freeston, MH (2005). Safety-seeking behaviours: fact or function? How can we clinically differentiate between safety behaviours and adaptive coping strategies across anxiety disorders? Behavioural and Cognitive Psychotherapy 33, 177–188.CrossRefGoogle Scholar
Vinje, HF, Mittelmark, MB (2007). Job engagement's paradoxical role in nurse burnout. Nursing and Health Sciences 9, 107–111.CrossRefGoogle ScholarPubMed
Vlaeyen, JWS, Linton, SJ (2000). Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art. Pain 85, 317–332.Google Scholar
Wicks, RJ (2008). The Resilient Clinician. Oxford, UK: Oxford University Press.Google Scholar
Yildirim, I (2008). Relationships between burnout, sources of social support and sociodemographic variables. Social Behaviour and Personality 36, 603–616.Google Scholar
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