Therapist self-compassion and compassion fatiguethe mediating role of resilience

  1. Ruiz-Aranda, Desireé 1
  2. García-Silva, Beatriz 1
  3. Fenollar, Javier 2
  1. 1 Universidad Loyola Andalucía, Sevilla (Spain)
  2. 2 Universidad Loyola, Sevilla (Spain)
Revista:
Anales de psicología

ISSN: 0212-9728 1695-2294

Año de publicación: 2024

Título del ejemplar: May - September

Volumen: 40

Número: 2

Páginas: 219-226

Tipo: Artículo

DOI: 10.6018/ANALESPS.561691 DIALNET GOOGLE SCHOLAR lock_openDIGITUM editor

Otras publicaciones en: Anales de psicología

Resumen

Las exigencias impuestas a los profesionales que trabajan con problemas psicológicos pueden resultar en un riesgo de agotamiento (Yang & Hayes, 2020). El objetivo de este estudio fue analizar el posible papel de la resiliencia como variable mediadora en la relación entre autocompasión y fatiga por compasión, burnout y satisfacción por compasión. Se utilizó un diseño de estudio descriptivo transversal. En el estudio participaron sesenta y cinco psicólogos clínicos (50 mujeres y 15 hombres) con edades comprendidas entre 23 y 71 años (M = 33.8, SD = 10.8). Los terapeutas completaron la Escala de Autocompasión, la Escala de Resiliencia de 14 ítems y la Escala de Calidad de Vida Profesional. Se probaron modelos de mediación simples separados para examinar en qué medida cada una de las variables de la escala de Resiliencia atenuó la relación entre Autocompasión y Calidad de Vida Profesional. Se realizaron modelos seriales de mediadores múltiples para explorar si las variables de resiliencia actuaban interactivamente como mediadores en la asociación entre la autocompasión y la calidad de vida profesional. Los análisis de mediación simples mostraron que la competencia personal fue un mediador parcial significativo en la relación entre la autocompasión y la satisfacción por la compasión y el agotamiento. La competencia personal y la aceptación de uno mismo y de la vida no fueron mediadores significativos de la relación entre la autocompasión y el estrés traumático secundario.

Referencias bibliográficas

  • Beaumont, E., Durkin, M., Martin, C. J. H., & Carson, J. (2016). Compassion for others, self-compassion, quality of life and mental wellbeing measures and their association with compassion fatigue and burnout in student midwives: A quantitative survey. Midwifery, 34, 239–244. https://doi.org/10.1016/j.midw.2015.11.002
  • Burnett, H.J., Wahl, J. (2015). The Compassion Fatigue and Resilience Connection: A Survey of Resilience, Compassion Fatigue, Burnout, and Compassion Satisfaction among Trauma Responders. International Journal of Emergency Mental Health and Human Resilience, 17(1), 318-326. https://doi.org/10.4172/1522-4821.1000165
  • Cohen, J., Cohen, P., West, S. G., & Aiken, L. S. (2002). Applied multiple regression/correlation analysis for the behavioral sciences (3rd ed.). Routledge.
  • Cormier, W. & Cormier, L. (1994). Estrategias de entrevista para terapeutas: Habilidades básicas e intervenciones cognitivo-conductuales. Desclée de Brouwer.
  • Boellinghaus, I., Jones, F. W., & Hutton, J. (2013). Cultivating self-care and compassion in psychological therapists in training: The experience of practicing loving-kindness meditation. Training and Education in Professional Psychology, 7(4), 267. https://doi.org/10.1037/a0033092
  • Cieslak, R., Shoji, K., Douglas, A., Melville, E., Luszczynska, A., & Benight, C. C. (2014). A meta-analysis of the relationship between job burnout and secondary traumatic stress among workers with indirect exposure to trauma. Psychological Services, 11, 75-86. DOI: 10.1037/a0033798
  • Fang‑Fang, Z., Yang, L., Jiang‑Ping, M., & Zheng‑Ji, Q. (2022). Path analysis of the association between self-compassion and depressive symptoms among nursing and medical students: a cross-sectional survey. BMC Nursing, 21:67. https://doi.org/10.1186/s12912-022-00835-z
  • Figley, C.R. (Ed.) (1995a). Compassion fatigue: Secondary traumatic stress. Brunner/Mazel.
  • Figley, C.R. (2002). Compassion Fatigue: Psychotherapists' Chronic Lack of Self Care. Journal of Clinical Psychology, 58(11), 1433–1441. https://doi.org/0.1002/jclp.10090
  • Finlay-Jones, A., Rees, C., & Kane, R. (2015). Self-compassion, emotion regulation and stress among Australian psychologists: testing an emotion regulation model of self-compassion using structural equation modelling. PLoS ONE, 10(7), e0133481. 10.1371/journal.pone.0133481
  • Friedlander, M. L., Heatherington, L., & Escudero, V. (2009). La alianza terapéutica: En la terapia familiar y de pareja. Paidós
  • Galiana, L., Fernanda-Arena, M.A., Oliver, A., Sansó, N. & Benito, E. (2017). Compassion Satisfaction, Compassion Fatigue, and Burnout in Spain and Brazil: ProQOL Validation and Cross-cultural Diagnosis. Journal of Pain and Symptom Management, 53 (3), 598-604. http://dx.doi.org/10.1016/j.jpainsymman.2016.09.014
  • Garcia-Campayo, J., Navarro-Gil, M., Andrés, E., Montero-Marin, J., López-Artal, L., & Demarzo, M. M. P. (2014). Validation of the Spanish versions of the long (26 items) and short (12 items) forms of the Self-Compassion Scale (SCS). Health and Quality of Life Outcomes, 12, 4. https://doi.org/10.1186/1477-7525-12-4.
  • Gimeno, A. (2021). Mejorando los resultados en psicoterapia. Pirámide
  • Hayes, A. F. (2017). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. Guilford publications.
  • Kemper, K., Mo, X., & Khayat, R. (2015). Are mindfulness and self-compassion associated with sleep and resilience in health professionals? The Journal of Alternative and Complementary Medicine, 21(8), 496–503. https://doi.org/10.1089/acm.2014.0281
  • Lambert, M.J. & Barley, D.E. (2001). Research summary on the therapeutic relationship and psychotherapy outcome. Psychotherapy: Theory/Research/Practice/Training, 38, 357–361. https://doi.org/ 10.1037/0033-3204.38.4.357
  • Mantelou, A., & Karakasidou, E. (2019). The Role of Compassion for Self and Others, Compassion Fatigue and Subjective Happiness on Levels of Well-Being of Mental Health Professionals. Psychology, 10, 285-304. https://doi.org/10.4236/psych.2019.103021
  • Mayers, A. (2013). Introduction to statistics and SPSS in psychology. Pearson Education Limited.
  • Neff, K. D. (2003). The Development and Validation of a Scale to Measure Self-Compassion. Self and Identity, 2(3), 223–250. https://doi.org/10.1080/15298860309027
  • Neff, K. D., Tóth-Király, I., Yarnell, L. M., Arimitsu, K., Castilho, P., Ghorbani, N., Guo, H. X., Hirsch, J. K., Hupfeld, J., Hutz, C. S., Kotsou, I., Lee, W. K., Montero-Marin, J., Sirois, F. M., De Souza, L. K., Svendsen, J. L., Wilkinson, R. B., & Mantzios, M. (2019). Examining the factor structure of the Self-Compassion Scale in 20 diverse samples: Support for use of a total score and six subscale scores. Psychological Assessment, 31, 27-45. https://doi.org/10.1037/pas000062.
  • Norcross, J.C. & VandenBos, G.R. (2018). Leaving it at the office. Guilford.
  • Patsiopoulos, A. T., & Buchanan, M. J. (2011). The Practice of Self-Compassion in Counseling: A Narrative Inquiry. Professional Psychology: Research and Practice, 42, 301-307. https://doi.org/10.1037/a0024482
  • Pérez-Aranda, A., Garcia-Campayo, Gudee, F., Lucianoc, J.V., Feliu-Solerb, A., González-Quintelaf, A., López-del-Hoyoa, &., Montero-Marinh, J. (2021). Impact of mindfulness and self-compassion on anxiety and depression: The mediating role of resilience. International Journal of Clinical and Health Psychology, 21, 00229. https://doi.org/10.1016/j.ijchp.2021.100229
  • Radey, M. & Figley, C.R. (2007). The Social Psychology of Compassion. Clinical Social Work 35, 207–214. DOI:10.1007/S10615-007-0087-3
  • Sánchez- Teruel, D., & López-Bello, M.A. (2014). Escala de Resiliencia 14 ítems (RS-14): Propiedades Psicométricas de la versión en español. Revista Iberoamericana de Diagnóstico y Evaluación, 2, 103-113.
  • Shrout, P. E., & Bolger, N. (2002). Mediation in experimental and nonexperimental studies: New procedures and recommendations. Psychological Methods, 7(4), 422–445. https://doi.org/10.1037/1082-989X.7.4.422
  • Simionato, G.K., & Simpson, S. (2018). Personal risk factors associated with burnout among psychotherapists: A systematic review of the literature. Journal of Clinical Psychology, 74 (9), 1431-1456. https://doi.org/10.1002/jclp.22615
  • Stamm, B. H. (2010). The Concise ProQOL Manual, 2nd Edition. ProQOL.org
  • Wagnild, G. M. (2009). The Resilience Scale User's Guide for the US english version of the Resilience Scale and the 14-Item Resilience Scale. The Resilience Center.
  • Wagnild, G. (2009). A Review of the Resilience Scale. Journal of Nursing Measurement, 17(2), 105–113. https://doi.org/10.1891/1061-3749.17.2.105
  • Voon, S.P., Lau, P.L., Leong, K.E., & Jaafar, J.L (2021). Self-Compassion and Psychological Well-Being Among Malaysian Counselors: The Mediating Role of Resilience. The Asia-Pacific Education Research 31, 475–488. https://doi.org/10.1007/s40299-021-00590-w
  • Wagnild, G. M., & Young, H. M. (1993). Development and psychometric evaluation of the Resilience Scale. Journal of Nursing Measurement, 1(2), 165–178.
  • Yang, Y., & Hayes, J. A. (2020). Causes and consequences of burnout among mental health professionals: A practice-oriented review of recent empirical literature. Psychotherapy, 57(3), 426. https://doi.org/10.1037/pst00 00317