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Psychological Treat...
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Clason van de Leur, JakobUppsala universitet,Institutionen för psykologi,PBM Globen Rehab, Arenavagen 27, S-12177 Johanneshov, Sweden
(author)
Psychological Treatment of Exhaustion Due to Persistent Non-Traumatic Stress : A Scoping Review
- Article/chapterEnglish2024
Publisher, publication year, extent ...
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Springer,2024
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electronicrdacarrier
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LIBRIS-ID:oai:DiVA.org:uu-533865
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-533865URI
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https://doi.org/10.1007/s12529-023-10185-yDOI
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Language:English
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Summary in:English
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Subject category:ref swepub-contenttype
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Subject category:for swepub-publicationtype
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BackgroundExhaustion due to persistent non-traumatic stress (ENTS) is a significant health problem with substantial personal, social, and economic impact. While there are increasing studies of ENTS, there is no international agreement on how it should be diagnosed and treated. This scoping review aimed to map definitions, diagnoses, treatments, outcome measures, and outcomes in psychological treatment studies of ENTS. A further aim was to assess the quality of the treatments and map what change processes are described within ENTS interventions.MethodsA PRISMA-guided scoping review of psychological treatment studies delivered in a clinical setting for ENTS was conducted using the databases of PubMed, PsycINFO, and CINAHL.ResultsOf the 60 studies included, the majority (87%) stemmed from Europe. The most recurrent term for ENTS was burnout, and the diagnosis most often utilized was exhaustion disorder. Several treatments were reported, the most frequent being cognitive behavioral therapy (CBT) (68%). Statistically significant outcomes relevant to ENTS were reported in 65% (n = 39) of the studies, with effect sizes between 0.13 and 1.80. In addition, 28% of the treatments were rated as high quality. The most frequent change processes described were dysfunctional sleep, avoidance, behavioral activation, irrational thoughts and beliefs, worry, perceived competence/positive management, psychological flexibility, and recuperation.ConclusionsWhile several treatments based on CBT show promising results for ENTS, there do not seem to be any uniformly established methods, theoretical models, or change processes. Instead of adopting a monocausal, syndromal, and potentially bio-reductionist perspective on ENTS, a process-based approach to treatment is encouraged.
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Jovicic, FilipUppsala universitet,Institutionen för psykologi,Capio Ctr Smarta & Utmattning, Krukmakargatan 37A, S-11851 Stockholm, Sweden(Swepub:uu)filjo150
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Åhslund, AndreasCapio Ctr Smarta & Utmattning, Krukmakargatan 37A, S-11851 Stockholm, Sweden.
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McCracken, Lance M.,1962-Uppsala universitet,Institutionen för psykologi(Swepub:uu)lanmc300
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Buhrman, Monica,1974-Uppsala universitet,Institutionen för psykologi(Swepub:uu)mobuh366
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Uppsala universitetInstitutionen för psykologi
(creator_code:org_t)
Related titles
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In:International Journal of Behavioral Medicine: Springer31:2, s. 175-1911070-55031532-7558
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