A pilot study of self-care education for psychotherapists  

心理治疗师自我照顾教育的试点研究

作　　者：ZHANG Defeng MA Wenjin TANG Jingqiong WU Wenjian Manal Al-Matary PENG Ziyu YANG Huishu HONG Jiakun ZHOU Ying ZHAO Guangju 德峰;马雯瑾;唐婧琼;吴文建;Manal Al-Matary;彭子玉;杨惠淑;洪家坤;周瀛;赵光菊(湛江中心人民医院,广东湛江524037;中南大学湘雅二医院精神病学科,国家精神疾病医学中心,国家精神心理疾病临床医学研究中心,长沙410011;中南大学湘雅二医院临床护理学教研室,长沙410011;湖南师范大学教育科学学院,长沙410081;中国人民解放军联勤保障部队第九二三医院贵港医疗区,广西贵港537000)

机构地区：[1]Central People’s Hospital of Zhanjiang,Zhanjiang Guangdong 524037 [2]Department of Psychiatry,Second Xiangya Hospital,Central South University,National Clinical Research Center for Mental Disorders,National Center for Mental Disorders,Changsha 410011 [3]Clinical Nursing Teaching and Research Section,Second Xiangya Hospital,Central South University,Changsha 410011 [4]Department of Education,Hunan Normal University,Changsha 410081 [5]Guigang Medical District of No.923 Hospital of the PLA Joint Logistics Support Force,Guigang Guangxi 537000,China

出　　处：《中南大学学报（医学版）》2024年第8期1301-1308,共8页Journal of Central South University ：Medical Science

基　　金：supported by the Natural Science Foundation of Hunan Province,China(2023JJ60076).

摘　　要：Objective:Existing research shows that psychotherapists may experience secondary trauma and burnout,often neglecting self-care.This study aims to examine the effectiveness of self-care education in enhancing self-care efficacy among psychotherapists and explore factors affecting improvements in their self-care abilities.Methods:A self-care workshop was conducted for 159 psychotherapists from various fields.Participants’demographic information and self-care ability data were collected.The Exercise of Self-Care Agency Scale(ESCA)was used to assess the participant’s self-care levels before and after the workshop.Results:Post-workshop,ESCA total scores and subscale scores of participants showed significant increases(all P<0.001).Notably,score improvement levels differed by gender and years of practice,with female therapists showing greater improvement than male therapists(t=2.069,P=0.040)and those with longer work experience showing greater improvement than those with shorter experience(F=2.537,P=0.042).Conclusion:Providing self-care education for psychotherapists is essential.Future self care education programs or interventions for psychotherapists should consider gender and work experience factors to better support their self-care enhancement.目的:现有研究表明,心理治疗师可能会经历继发性创伤(二次创伤)和职业倦怠,并忽略自我照顾。本研究旨在检验自我照顾教育对提高心理治疗师自我照顾效能的效果,并探讨影响心理治疗师自我照顾能力提升的相关因素。方法:对159名来自不同行业的心理治疗师开展自我照顾讲座。收集参与者的人口统计学信息和自我照顾能力数据。采用自我护理能力量表(Exercise of Self-Care Agency Scale,ESCA)评估心理治疗师听讲座前后的自我照顾能力水平。结果:讲座结束后,参与者的ESCA总分与各维度得分均显著提高(均P<0.001)。其中,ESCA总分的提高程度在性别和工作年限维度的差异有统计学意义,具体来说,女性治疗师的分数提高程度显著大于男性治疗师(t=2.069,P=0.040),工作年限较长的治疗师分数提高程度显著大于工作年限较短的治疗师(F=2.537,P=0.042)。结论:为心理治疗师提供自我照顾教育十分必要。在未来为心理治疗师规划自我照顾教育或其他干预措施时,应考虑性别和工作年限因素,以帮助他们更好地提高自我照顾水平。

关 键 词：psychotherapist SELF-CARE EDUCATION secondary trauma BURNOUT 

分 类 号：R192.9[医药卫生—卫生事业管理]