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Psychological Treat...
Psychological Treatment of Exhaustion Due to Persistent Non-Traumatic Stress : A Scoping Review
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- Clason van de Leur, Jakob (författare)
- Uppsala universitet,Institutionen för psykologi,PBM Globen Rehab, Arenavagen 27, S-12177 Johanneshov, Sweden
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- Jovicic, Filip (författare)
- Uppsala universitet,Institutionen för psykologi,Capio Ctr Smarta & Utmattning, Krukmakargatan 37A, S-11851 Stockholm, Sweden
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- Åhslund, Andreas (författare)
- Capio Ctr Smarta & Utmattning, Krukmakargatan 37A, S-11851 Stockholm, Sweden.
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- McCracken, Lance M., 1962- (författare)
- Uppsala universitet,Institutionen för psykologi
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- Buhrman, Monica, 1974- (författare)
- Uppsala universitet,Institutionen för psykologi
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- Springer, 2024
- 2024
- Engelska.
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Ingår i: International Journal of Behavioral Medicine. - : Springer. - 1070-5503 .- 1532-7558. ; 31:2, s. 175-191
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https://doi.org/10.1...
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Abstract
Ämnesord
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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.
Ämnesord
- SAMHÄLLSVETENSKAP -- Psykologi -- Tillämpad psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology -- Applied Psychology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Psykiatri (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Psychiatry (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Nyckelord
- Burnout
- Exhaustion due to non-traumatic stress
- Exhaustion disorder
- Work-related depression
- Clinical burnout
- Process-based therapy
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- ref (ämneskategori)
- for (ämneskategori)
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