The scientists found that women who scored higher on the self-compassion scale had thinner carotid artery walls and less plaque buildup than those with lower self-compassion. These indicators have been linked to lower risk of cardiovascular disease — such as heart attacks and strokes — years later. The results persisted even when the researchers controlled for behaviors and other psychological factors that might influence cardiovascular disease outcomes, such as physical activity, smoking and depressive symptoms.
Every job situation will come with varying degrees of stress and frustration that ebb and flow. Burnout, however, is more than that. It is an all-encompassing feeling that you are being pulled in every direction at once and that no matter what you do, you are unable to make progress or move forward. If chronic burnout is left untreated, it can lead to issues with physical and mental health.
The effect of burnout on perceived work stress can be somewhat mitigated if employees have more control over their own work and receive support from colleagues or superiors.
Stress and overload in the workplace are often considered a cause of burnout. Indeed, a recent study shows that work stress and burnout are connected. However burnout has a much greater impact on work stress than vice versa. “This means that the more severe a person’s burnout becomes, the more stressed they will feel at work, such as being under time pressure, for example,” said Professor Christian Dormann, researcher. Employees suffering from burnout should be timely provided with adequate support in order to break the vicious circle between work stress and burnout.
Symptoms of burnout include exhaustion, cynicism, and reduced performance. “The most important burnout symptom is the feeling of total exhaustion — to the extent that it cannot be remedied by normal recovery phases of an evening, a weekend, or even a vacation,” said Dormann. “To protect themselves from further exhaustion, some try to build a psychological distance to their work, that is, they alienate themselves from their work as well as the people associated with it and become more cynical,” added Dr. Christina Guthier. She conducted the study as part of her doctoral thesis.
For the joint publication researchers evaluated 48 longitudinal studies of burnout and work stress comprising 26,319 participants. The average age in the initial survey was about 42 years, 44 percent of the respondents were men. The studies from 1986 to 2019 came from various countries, including predominantly European countries as well as Israel, the USA, Canada, Mexico, South Africa, Australia, China, and Taiwan.
Stopping the downward spiral and reducing the effect of burnout on work stress
The results challenge the common perception that work stress is the driving force behind burnout. “Burnout can be triggered by a work situation, but that is not always the case,” Dormann pointed out. Once burnout begins, it develops only very gradually, building up slowly over time. Ultimately it leads to work being increasingly perceived as stressful: The amount of work is too much, time is too short, and work stress is too great. “When exhausted, the ability to cope with stress usually decreases. As a result, even smaller tasks can be perceived as significantly more strenuous,” explained Guthier, a researcher for this study. “We expected an effect of burnout on work stress; the strength of the effect was very surprising,” she noted. The effect of burnout on perceived work stress can be somewhat mitigated if employees have more control over their own work and receive support from colleagues or superiors.
According to Dormann, a new research area is emerging on the basis of this unique data because the strong boomerang effect of burnout on work stress has not yet been investigated. Key questions that need to be addressed are: how can the effects of burnout on perceived work stress be reduced and how can the development of this vicious circle be prevented? Dormann and Guthier suggest that the place to start is with management behavior. Employees should have the opportunity to give feedback on their work stress at any time and be appreciated. Last but not least, proper recovery could also help to stop the downward spiral.
Read this article on Science Daily: https://www.sciencedaily.com/releases/2020/11/201110112522.htm
Dr. Holland offers Therapy for Burnout and Job Stress and she is a psychotherapist providing cutting edge, integrative and evidence-based mental health care.
Dr. Holland understands that successful people are not immune to symptoms like depression, anxiety, and addiction. Yet, many successful people are often hesitant to seek treatment because of their high-profile statuses and stressful career responsibilities. For this reason, Dr. Holland takes great pride in offering a private environment that caters to the needs of these individuals, providing them with a therapeutic atmosphere that offers a sanctuary where they can step away from the stresses of their everyday lives.
Working with Dr. Holland clients can expect to receive unparalleled professional help to uncover, address and heal from the underlying causes of their depression and anxiety, and continued substance abuse. Dr. Holland specializes in providing therapy for substance abuse, depression, anxiety and trauma, and unresolved grief and loss.
Dr. Holland is available for Teletherapy – Online Video Counseling Services — Short-term sessions, single sessions or ongoing support as well as in-person appointment for fully vaccinated clients. Contact Dr. Holland to schedule an appointment at 707-479-2946.
If depression is making it more difficult for some unemployed people to land a job, one type of therapy may help, research suggests. In a new study, 41% of unemployed or underemployed people undergoing cognitive behavioral therapy (CBT) found a new job or went from part- to full-time work by the end of the 16-week treatment for depression.Those who had a job but found it difficult to focus on and accomplish work tasks because of depression said the treatment helped to significantly reduce these problems.
“For the most part, researchers have focused on showing that therapy relieves symptoms of depression,” said Daniel Strunk, co-author of the study and professor of psychology at The Ohio State University. “But reducing symptoms isn’t the only goal people have when they start CBT. Many are hoping to find a job or improve their productivity at their current job. Here we found that therapy can help people achieve these goals, as well.”
This study involved 126 people who participated in a 16-week course of CBT at the Ohio State Depression Treatment and Research Clinic. CBT teaches coping skills that help patients counteract and modify their negative beliefs, Strunk said. “It works on the idea that people with depression invariably hold these overly negative views of themselves and their futures,” he said. “For example, if an unemployed patient doesn’t get one job they interviewed for, they may think ‘no one is ever going to hire me.'”
In this study, 27 patients were seeking to improve their employment status (land a job or go from part- to full-time) at the beginning of treatment. Eleven of them (41%) had succeeded by the end of the 16 weeks.
“It is hard to say exactly how good this success rate is since we don’t know how many would have gotten jobs without the treatment,” Strunk said. “But the findings were encouraging and suggest that the CBT is having an impact.”
CBT had a clear impact for those who had jobs and reported at the beginning of the treatment that depression was hurting their effectiveness.
“Working patients reported at the end of treatment that they were much more successful at concentrating and accomplishing tasks at their jobs,” he said. Findings showed that one way CBT had this effect was by reducing patients’ “negative cognitive style,” or the extent to which patients view negative events in overly pessimistic ways, according to Strunk.
“CBT helps patients overcome these views by teaching them that the experience of depression is not their fault and that they can take steps to improve their concentration and accomplish work more successfully even when experiencing depressive symptoms,” Strunk said.
Read this article on Science Daily: Ohio State University. “Depressed and out of work? Therapy may help you find a job: Treatment also helps workers be more effective, study finds.” ScienceDaily www.sciencedaily.com/releases/2021/02/210222164224.htm.
Dr. Jenny Holland, PsyD
Dr. Holland is a psychotherapist practicing in Santa Rosa California, providing cutting edge, integrative and evidence-based mental health care, proven effective with depression and anxiety, life transitions; pregnancy, parenting, ageing, loss, and caring for a parent or loved one during a health crisis or decline.
Teletherapy – Online Video Counseling Services — Short-term sessions, single sessions or ongoing support. Contact Dr. Holland to schedule an appointment at 707-479-2946.
COVID Stress Takes a Toll on Mental Health with Health Care Worker
The daily toll of COVID-19, as measured by new cases and the growing number of deaths, overlooks a shadowy set of casualties: the rising risk of mental health problems among health care professionals working on the front lines of the pandemic. A new study, led by University of Utah Health scientists, suggests more than half of doctors, nurses, and emergency responders involved in COVID-19 care could be at risk for one or more mental health problems, including acute traumatic stress, depression, anxiety, problematic alcohol use, and insomnia. The researchers found that the risk of these mental health conditions was comparable to rates observed during natural disasters, such as 9/11 and Hurricane Katrina.
"What health care workers are experiencing is akin to domestic combat," says Andrew J. Smith, Ph.D., director of the U of U Health Occupational Trauma Program at the Huntsman Mental Health Institute and the study's corresponding author. "Although the majority of health care professionals and emergency responders aren't necessarily going to develop PTSD, they are working under severe duress, day after day, with a lot of unknowns. Some will be susceptible to a host of stress-related mental health consequences. By studying both resilient and pathological trajectories, we can build a scaffold for constructing evidence-based interventions for both individuals and public health systems."
The study appears in the Journal of Psychiatric Research. In addition to U of U Health scientists, contributors include researchers from the University of Arkansas for Medical Sciences; University of Colorado, Colorado Springs; Central Arkansas VA Health Care System; Salt Lake City VA Healthcare System; and the National Institute for Human Resilience. The researchers surveyed 571 health care workers, including 473 emergency responders (firefighters, police, EMTs) and 98 hospital staff (doctors, nurses), in the Mountain West between April 1 and May 7, 2020. Overall, 56% of the respondents screened positive for at least one mental health disorder. The prevalence for each specific disorder ranged from 15% to 30% of the respondents, with problematic alcohol use, insomnia, and depression topping the list.
"Front line providers are exhausted, not only from the impact of the pandemic itself, but also in terms of coping day to day," says Charles C. Benight, Ph.D., co-author of the study and a professor of psychology at the University of Colorado, Colorado Springs. "They're trying to make sure that their families are safe [and] they're frustrated over not having the pandemic under control. Those things create the sort of burnout, trauma, and stress that lead to the mental health challenges we're seeing among these caregivers."
In particular, the scientists found that health care workers who were exposed to the virus or who were at greater risk of infection because they were immunocompromised had a significantly increased risk of acute traumatic stress, anxiety, and depression. The researchers suggest that identifying these individuals and offering them alternative roles could reduce anxiety, fear, and the sense of helplessness associated with becoming infected.
Alcohol abuse was another area of concern. About 36% of health care workers reported risky alcohol usage. In comparison, estimates suggest that less than 21% of physicians and 23% of emergency responders abuse alcohol in typical circumstances. Caregivers who provided direct patient care or who were in supervisory positions were at greatest risk, according to the researchers. They say offering these workers preventative education and alcohol abuse treatment is vital. Surprisingly, health care workers in this study felt less anxious as they treated more COVID-19 cases.
"As these health care professionals heard about cases elsewhere before COVID-19 was detected in their communities, their anxiety levels likely rose in anticipation of having to confront the disease," Smith says. "But when the disease started trickling in where they were, perhaps it grounded them back to their mission and purpose. They saw the need and they were in there fighting and working hard to make a difference with their knowledge and skills, even at risk to themselves."
Among the study's limitations are its small sample size. It was also conducted early in the pandemic in a region that wasn't as affected by the disease as other areas with higher infection and death rates. Moving forward, the researchers are in the final stages of a similar but larger study conducted in late 2020 that they hope will build on these findings. "This pandemic, as horrific as it is, offers us the opportunity to better understand the extraordinary mental stress and strains that health care providers are dealing with right now," Smith says. "With that understanding, perhaps we can develop ways to mitigate these problems and help health care workers and emergency responders better cope with these sorts of challenges in the future."
Read this article on Science Daily: Dr. Smith, Hannah M. Wright, Tiffany M. Love, and Scott A. Langenecker of University of Utah Health contributed to this study. The study, "Pandemic-related mental health risk among front line personnel," was published in the Journal of Psychiatric Research.
Contact Dr. Holland to learn more and to schedule an appointment or call 707-479-2946.
Researchers conclude that caregivers for older patients with advanced cancer are a vulnerable group
The number of informal caregivers who look after older adults with cancer is on the rise. Caregivers could be relatives, partners, or even friends who provide assistance to people in order to help them function. Most older people with cancer live at home and are dependent on informal caregivers for support with their cancer treatment, symptom management, and daily activities. Caregiving itself can also take a toll on a caregiver's own physical and emotional well-being, which makes it important to ensure the proper supports are in place.
Until now, no large study has evaluated whether or not caring for older adults with advanced cancer is linked to caregivers' emotional health or to their quality of life. Recently, researchers studied a group of adults aged 70 or older who had advanced cancer (as well as other challenges). This study used information from older patients with advanced cancer and their caregivers from local oncology practices enrolled in the "Improving Communication in Older Cancer Patients and Their Caregivers" study conducted through the University of Rochester National Cancer Institute Community Oncology Research Program Research Base between October 2014 and April 2017. Results from the study were published in the Journal of the American Geriatrics Society.
Cancer patient caregivers deal with impact to emotional and physical health
The researchers learned that the health problems of older patients with cancer were linked to a poorer quality of life for their caregivers, including poorer emotional health. This fact is confirmed by many other studies, which show that caregivers may even experience more emotional health challenges (such as anxiety, depression, and distress) than the people they care for, the researchers added. What's more, poorer patient health (measured by a geriatric assessment) was also associated with higher levels of caregiver distress.
The average caregiver in the study was 66 years old, though 49 percent of the caregivers were aged 70 or older. The majority of caregivers were female and white (non-Hispanic), and 67 percent were the patient's spouse or partner who lived with them. Close to 40 percent of the caregivers had serious chronic illnesses of their own. Nearly half (43.5 percent) said they experienced moderate to high distress, 19 percent reported having symptoms of depression, and 24 percent were anxious.
Interestingly, older caregiver experienced less anxiety and depression and better mental health, said the researchers. However, they were in poorer physical health. Being female was associated with experiencing less distress. An income of more than $50,000 a year also was linked to having better physical and mental health.
The researchers concluded that caregivers for older patients with advanced cancer are a vulnerable group. Thankfully, there are strategies caregivers can incorporate into their routines to help keep their own health and well-being top-of-mind. Talk with a healthcare provider about your own stress related to caregiving. If you prefer, you can ask to talk privately, without the person you care for present. Your healthcare provider may suggest ways to address the burdens you may experience with caregiving. There are strategies that have been found to help with specific tasks and challenges, decrease caregiver stress, and improve quality of life. You can learn more -- and take a free and private assessment of caregiver health -- at HealthinAging.org.
Story Source: Article provided by Science Daily ---> American Geriatrics Society. "Caring for an older adult with cancer comes with emotional challenges for caregivers, too." ScienceDaily, www.sciencedaily.com/releases/2019/04/190402124355.htm.
According to the AARP as many as 43.5 million Americans provide unpaid care for an adult or child. It's extremely important that caregivers pay attention to and honor their own needs. Without self-care in mind caregivers risk burning out and becoming unable to care for their loved ones. In fact, one of the most reported factors in a family’s decision to move an ailing relative to a long-term care facility is the caregiver’s own failing physical and emotional health.
Long-term caregivers are also vulnerable to something called compassion fatigue. When this occurs caregivers may experience symptoms including; exhaustion, trouble sleep, increased anxiety, frequent headaches and stomach upset. When irritability, numbness, loss of purpose and emotional disconnection sets in the caregiver may also experience problems with their own personal relationships and suffer health issues. Finding a balance between the needs of family and self is key for caregivers to remain healthy in mind and body. It's important for family caregivers to reach out for help when they need it to create a plan for maintaining health, including tending to their own medical concerns and taking respite from their roles.
Dr. Holland works with caregivers suffering from overwhelm, burnout and caregiver fatigue. She helps clients to creatively work with the situation to discover a renewed sense of meaning and purpose, as well as important ways to stay healthy. Dr. Holland will help you learn how to help yourself so you can continue to do the work you love of helping others. Call 707-479-2946 to schedule a free consultation today.