The burntout phenomenon has been well-studied in psychology and is receiving increasing attention from contextual-behavioral approaches. In the dominant model of burnout, which has garnered much empirical support (Maslach et al., 2001), burnout comprises three dimensions: emotional exhaustion (EE; being emotionally overextended and depleted), depersonalization (D; feeling negative, callous, and excessively detached from clients and customers), and lack of personal accomplishment (PA; feeling incompetent and lacking experiences of success and achievement). Consistent with contextual-behavioral emphases, burnout is considered to be a syndrome involving these three dimensions, mutually influenced by contextual and individual variables (Maslach & Goldberg, 1998).Although burnout is a problem across many professions (Maslach et al., 2001), it may be a significant problem for those in medical and mental health professions who have continuous contact with human suffering (Grau et al., 2009; Ortega-Ruiz & López-Rios, 2004;Romani & Ashkar, 2014). In these contexts, depersonalization specifically may have important negative consequences for professionals and their clients.A recent meta-analysis on the effectiveness of interventions to reduce burnout suggested that various interventions result in significant though modest reductions in emotional exhaustion but do not affect depersonalization or personal accomplishment (Maricu oiu et al., 2016). Interestingly, only one intervention, focused on teaching Clínica y Salud (2020) 31(2) 85-90
Since the beginning of the COVID-19 pandemic, the need to implement protocols that respond to the mental health demands of the population has been demonstrated. The PASMICOR programme started in March 2020, involving a total of 210 requests for treatment. Out of those subjects, the intervention was performed in 53 patients with COVID-19 without history of past psychiatric illness, 57 relatives and 60 health professionals, all of them within the area of Salamanca (Spain). Interventions were carried out by professionals of the public mental health service mostly by telephone. Depending on clinical severity, patients received basic (level I) or complex psychotherapeutic care combined with psychiatric care (level II). The majority of attended subjects were women (76.5%). Anxious-depressive symptoms were predominant, although sadness was more frequent in patients, insomnia in relatives and anxiety and fear in health professionals. 80% of the sample, particularly most of the health professionals, required a high-intensity intervention (level II). Nearly 50% of the people treated were discharged after an average of 5 interventions. Providing early care to COVID-19 patients, relatives and professionals by using community mental health resources can help to reduce the negative impact of crises, such as the pandemic, on the most affected population groups.
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