Emotional competence predicts outcome of an inpatient treatment program for burnout

Pallich, Gianandrea; Blättler, Larissa Tatjana; Penedo, Juan Martín Gómez; Holtforth, Martin Grosse; Hochstrasser, Barbara

doi:10.1016/j.jad.2020.05.139

Cited by 5 publications

(5 citation statements)

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“…Our data suggest that increasing the level of a patient’s motivational satisfaction needs to be an important treatment goal, and the identification of the individual sources of motivational incongruence will help to select targeted interventions. Also, due to strong interpersonal problems, lower levels of perceived social support, and insufficient emotional competence, assertiveness training ( Rakos, 1991 ), activation of the patient’s social network ( Perry & Pescosolido, 2015 ; Pescosolido & Levy, 2002 ; Smith & Christakis, 2008 ), as well as training of emotional skills ( Berking, 2015 ; Cherniss, 2000 ; Pallich et al, 2020 ) might be suitable interventions. The enhancement of a task-oriented coping style and related skills may be an important target for longer-term treatment of this group.…”

Section: Discussionmentioning

confidence: 99%

“…Finally, also Unhappy Altruists, who show interpersonal problems above the average, bad social support, and emotional competence below the average, could profit from assertiveness training ( Rakos, 1991 ) and a training of emotional competence ( Berking, 2015 ; Cherniss, 2000 ; Pallich et al, 2020 ). This group, who showed higher levels of approach incongruence and avoidance incongruence, indicating dissatisfaction of motives, should be analyzed more deeply during treatment.…”

Section: Discussionmentioning

confidence: 99%

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Burnout subtypes: Psychological characteristics, standardized diagnoses and symptoms course to identify aftercare needs

Pallich

Holtforth

Hochstrasser

2021

Clin. Psychol. Eur.

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Background To better understand individual differences between burnout inpatients and improve individually tailored treatments in a psychiatric hospital, cluster analysis based on a number of self-report measures was used to investigate psychosocial characteristics of 96 participants. Method Group membership was analyzed regarding associations with standardized measures of psychiatric and personality disorders. Moreover, symptom levels of burnout, depression, and general mental health were used to characterize the groups and to observe differential trajectories at admission, discharge, and follow-up. Results As in previous research, we identified four subtypes that differed in comorbidity, psychological characteristics and treatment outcome. This calls for tailored interventions for the more vulnerable patients. Conclusion The replicated and enriched characterization of burnout inpatients can help to optimally meet the differential needs of burnout patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Burnout subtypes: Psychological characteristics, standardized diagnoses and symptoms course to identify aftercare needs

Pallich

Holtforth

Hochstrasser

2021

Clin. Psychol. Eur.

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“…This study is part of a larger project, where inpatients of a ward of a psychiatric clinic specialized in the treatment of stress-related mental disorders were recruited in the context of a psychometric examination (Pallich et al, 2020; Pallich et al, 2021). The therapeutic program includes individual psychotherapy, group-psychotherapy, relaxation techniques, body therapy, massages, sports activities, fitness instructions, psychopharmacotherapy, and selected interventions from complementary medicine as Traditional Chinese Medicine (for a description of the treatment, see Hochstrasser et al, 2008).…”

Section: Methodsmentioning

confidence: 99%

Higher Resting Cardiovagal Activity Predicts Larger Decrease of Depressive Symptoms in Inpatients Treated for Stress-Related Depression

Marca

Pallich

Holtforth

et al. 2022

Journal of Psychophysiology

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Abstract. Depression is one of the most prevalent mental disorders, with treatment outcomes generally being unsatisfactory. The identification of outcome predictors could contribute to improving diagnosis, treatment, and outcome. Heart rate variability (HRV), an index of cardiovagal activity, has been proposed as a potential correlate of depression as well as a predictor of treatment effectiveness. The aim of the present study was to examine if HRV at baseline could predict the outcome of inpatient treatment for stress-related depressive disorder (SRDD). Depressive symptoms of n = 57 inpatients with an SRDD, who were treated in a specialized burnout ward, were assessed using the Beck Depression Inventory (BDI) at the beginning, the end of treatment, and at 3-month follow-up. HRV (i.e., RMSSD, the root mean square of successive RR interval differences) was determined from a five-minute measurement in the supine position. RMSSD was not significantly associated with the BDI score at the beginning, end, and follow-up. Higher RMSSD was revealed to be a significant predictor of a stronger decrease in depressive severity from the beginning to the end of the treatment. Thereby, the regression model explained 7.6% of the total variance in the BDI decrease. The results revealed initial HRV to predict a larger decrease in depressive severity. Therefore, resting HRV represents a physiological resource and index of successful neurovisceral interaction, which supports inpatients in benefitting from specialized treatment.

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“…Ao final do tratamento houve melhora na CE, incluindo uma melhor regulação da emoção sendo observadas reduções no esgotamento e depressão. Este estudo apoia a CE como um mecanismo putativo de mudança no tratamento multimodal de pacientes com transtorno depressivo relacionado ao estresse e burnout (Tabela 3) (Pallich, et al, 2020).…”

Section: Intervindo E Tratando a Síndrome De Burnoutunclassified

“…Além disso, os pacientes receberam meditação mindfulness apresentaram melhora na resiliência a estímulos emocionais intensos (Aftanas e Golocheikine, 2001) e aumentou as emoções positivas (Amutio et al, 2015). Assim, o melhor reconhecimento das próprias emoções e a regulação mais eficaz dos estados emocionais negativos ou desagradáveis, bem como a prática da atenção plena, podem ter contribuído para o aumento da CE nos pacientes (Pallich, et al, 2020). Treinamento especializado que visem melhorar as habilidades emocionais (Berking, 2015) com foco no relaxamento muscular, relaxamento respiratório, consciência não julgadora, aceitação e tolerância, autossuficiência compassiva, análise de emoções e modificação de emoções podem melhorar em um grau mais elevado, se o foco do tratamento na regulação da emoção for intensificado (Pallich, et al, 2020).…”

Section: Intervindo E Tratando a Síndrome De Burnoutunclassified

Estratégias usadas para a prevenção e tratamento da Síndrome de Burnout

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Objetivo: O presente estudo realizou uma revisão integrativa com objetivo de identificar estratégias para a prevenção e tratamento da síndrome de Burnout, bem como analisar a resposta desta estratégia. Metodologia: A pesquisa foi realizada no portal de periódicos, sendo utilizado o seguinte descritor- treatment and burnout., sendo 73 resumos selecionados para a leitura e ao final foram incluídos 18 artigos. Resultados: Para prevenção e tratamento da síndrome de Burnout é importante alterações na organização, na postura da equipe e o fortalecimento de estratégias de enfrentamento individual. Entretanto, a maioria dos estudos selecionados trabalham, principalmente, no campo do indivíduo. Para prevenção, estratégias de autocuidado, reconhecimento precoce dos sinais pelos colegas, supervisão clínica, modificações dos fatores estressores, treinamentos que visem ajudar o indivíduo lidar com os estressores, bem como alterações organizações parecem ser importantes. Para o tratamento do esgotamento a terapia cognitiva comportamental, Competência emocional, Psicoterapia em grupo ou individuais, treinamento de competências, coesão entre os pares, luz forte, método holístico, acupuntura, arte terapia e cursos de treinamento que visem mudanças de atitudes contribuíram para melhoria da síndrome. Ressalta-se que é importante avaliara, além dos aspectos laborais, o impacto da vida pessoal no adoecimento. Conclusão: Em síntese, é importante que a equipe conheça a síndrome, seja traçadas estratégias para prevenção e reconhecimento, bem como seja devolvido estratégias para a redução dos fatores estressores e fortalecimento das relações pessoais.

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Emotional competence predicts outcome of an inpatient treatment program for burnout

Cited by 5 publications

References 28 publications

Burnout subtypes: Psychological characteristics, standardized diagnoses and symptoms course to identify aftercare needs

Burnout subtypes: Psychological characteristics, standardized diagnoses and symptoms course to identify aftercare needs

Higher Resting Cardiovagal Activity Predicts Larger Decrease of Depressive Symptoms in Inpatients Treated for Stress-Related Depression

Estratégias usadas para a prevenção e tratamento da Síndrome de Burnout

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