Abstract
The breathless development of Chinese society has increased the demand for mental health services. Private practice mental health counselors are vulnerable to compassion fatigue, which can affect their personal well-being and the quality of services they provide. However, there is a notable scarcity of research focusing on compassion fatigue among this group. This study aimed to contribute to the field by providing a comprehensive profile of private practice mental health counselors in China, offering the first assessment of their compassion fatigue level, and examining the specific impact of characteristic variables on this phenomenon. A total of 109 counselors completed the Compassion Fatigue Short-Scale (CFSS) and a demographic characteristic form. The findings revealed a counseling group with limited maturity and professionalism, primarily holding bachelor’s degrees, working part-time, and having limited experience in practice and supervision. The levels of compassion fatigue were found to be moderate to mild, with educational level and years of practice serving as negative predictors. The findings would enhance the understanding of the profile of private practice counselors in China, supporting the development of interventions to address compassion fatigue for local practice.
Similar content being viewed by others
Data availability
The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.
References
Adams, R. E., Boscarino, J. A., & Figley, C. R. (2006). Compassion fatigue and psychological distress among social workers: A validation study. American Journal of Orthopsychiatry, 76(1), 103–108. https://doi.org/10.1037/0002-9432.76.1.103
Adams, R. E., Figley, C. R., & Boscarino, J. A. (2008). The compassion fatigue scale: Its use with social workers following urban disaster. Research on Social Work Practice, 18(3), 238–250. https://doi.org/10.1177/1049731507310190
Aekwarangkoon, S., & Thanathamathee, P. (2022). Associated patterns and predicting model of life trauma, depression, and suicide using ensemble machine learning. Emerging Science Journal, 6(4), 679–693. https://doi.org/10.28991/ESJ-2022-06-04-02
Allen, R., Watt, F., Jansen, B., Coghlan, E., & Nathan, E. A. (2017). Minimising compassion fatigue in obstetrics/gynaecology doctors: Exploring an intervention for an occupational hazard. Australasian Psychiatry, 25(4), 403–406.
Badger, K., Royse, D., & Craig, C. (2008). Hospital social workers and indirect trauma exposure: An exploratory study of contributing factors. Health & Social Work, 33(1), 63–71. https://doi.org/10.1093/hsw/33.1.63
Bakker, A. B., & Demerouti, E. (2017). Job demands–resources theory: Taking stock and looking forward. Journal of Occupational Health Psychology, 22, 273–285. https://doi.org/10.1037/ocp0000056
Barnett, M., & Ruiz, I. (2018). Psychological distress and compassion fatigue among hospice nurses: The mediating role of self-esteem and negative affect. Journal of Palliative Medicine, 21. https://doi.org/10.1089/jpm.2017.0662
Beck, C. T. (2011). Secondary traumatic stress in nurses: A systematic review. Archives of Psychiatric Nursing, 25(1), 1–10. https://doi.org/10.1016/j.apnu.2010.05.005
Berardelli, I., Serafini, G., Cortese, N., Fiaschè, F., O’Connor, R. C., & Pompili, M. (2020). The involvement of hypothalamus–pituitary–adrenal (HPA) Axis in Suicide risk. Brain Sciences, 10(9), Article 9. https://doi.org/10.3390/brainsci10090653
Borges, E. M. das N., Fonseca, C. I. N. da S., Baptista, P. C. P., Queirós, C. M. L., Baldonedo-Mosteiro, M., & Mosteiro-Diaz, M. P. (2019). Compassion fatigue among nurses working on an adult emergency and urgent care unit. Revista Latino-Americana De Enfermagem, 27, e3175.
Bowen, N., & Moore, J. L. (2014). Common characteristics of compassionate counselors: A qualitative study. International Journal for the Advancement of Counselling, 36(1), 17–29. https://doi.org/10.1007/s10447-013-9187-7
Branch, C., & Klinkenberg, D. (2015). Compassion fatigue among pediatric healthcare providers. MCN: The American Journal of Maternal/Child Nursing, 40(3), 160. https://doi.org/10.1097/NMC.0000000000000133
Bride, B. E. (2007). Prevalence of secondary traumatic stress among social workers. Social Work, 52(1), 63–70. https://doi.org/10.1093/sw/52.1.63
Can, N., & Watson, J. C. (2019). Individual and relational predictors of compassion fatigue among counselors-in-training. Professional Counselor, 9(4), 285–297.
Cavanagh, N., Cockett, G., Heinrich, C., Doig, L., Fiest, K., Guichon, J. R., Page, S., Mitchell, I., & Doig, C. J. (2020). Compassion fatigue in healthcare providers: A systematic review and meta-analysis. Nursing Ethics, 27(3), 639–665. https://doi.org/10.1177/0969733019889400
Chen, H., & Ma, X. (2022). The relationship of trait mindfulness, coping style and compassion fatigue of psychological counselors. Chinese Journal of Clinical Psychology, 30(6), 1510–1514. https://doi.org/10.16128/j.cnki.1005-3611.2022.06.048
Chen, X. (2020). Compassion Fatigue of Counselors—Analysis under the SOME Model Framework [Master’s thesis, Central China Normal University]. https://doi.org/10.27159/d.cnki.ghzsu.2020.003907
Chen, X., & Jiang, Y. (2022). Compassion fatigue of psychological counselors: Connotation, influencing factors and preventive factors. Psychological Research Psychologische Forschung, 15(5), 447–453. https://doi.org/10.19988/j.cnki.issn.2095-1159.2022.05.08
Connally, D. (2012). The Relationship between clinician sex, ethnicity, sexual identity and secondary traumatic stress. Journal of Gay & Lesbian Mental Health, 16(4), 306–321. https://doi.org/10.1080/19359705.2012.697002
Craig, C. D., & Sprang, G. (2010). Compassion satisfaction, compassion fatigue, and burnout in a national sample of trauma treatment therapists. Anxiety Stress & Coping, 23(3), 319–339. https://doi.org/10.1080/10615800903085818
Demerouti, E., Bakker, A. B., Nachreiner, F., & Schaufeli, W. B. (2001). The job demands-resources model of burnout. Journal of Applied Psychology, 86(3), 499–512. https://doi.org/10.1037/0021-9010.86.3.499
Dirik, D., Sak, R., & Şahin-Sak, İT. (2021). Compassion fatigue among obstetricians and gynecologists. Current Psychology, 40(9), 4247–4254. https://doi.org/10.1007/s12144-021-02022-w
Du, K. (2016). The Relationship of self-compassion, coping style and compassion fatigue of psychological counselor study [Master’s Thesis, Hebei Normal University]. https://kns.cnki.net/KCMS/detail/detail.aspx?dbname=CMFD201602&filename=1016071725.nh
Figley, C. R. (2002). Compassion fatigue: Psychotherapists’ chronic lack of self care. Journal of Clinical Psychology, 58(11), 1433–1441. https://doi.org/10.1002/jclp.10090
Flarity, K., Gentry, J. E., & Mesnikoff, N. (2013). The effectiveness of an educational program on preventing and treating compassion fatigue in emergency nurses. Advanced Emergency Nursing Journal, 35(3), 247. https://doi.org/10.1097/TME.0b013e31829b726f
Galiakbarova, G. G., Nurgaliyeva, Y. N., Omarova, E. B., Zharkenova, S. B., & Khassenov, M. K. (2022). Ensuring healthcare efficiency in the context of the medical and pharmaceutical staff regulation. Emerging Science Journal, 6(6), 1290–1314. https://doi.org/10.28991/ESJ-2022-06-06-05
Gleichgerrcht, E., & Decety, J. (2013). Empathy in clinical practice: How individual dispositions, gender, and experience moderate empathic concern, Burnout, and emotional distress in physicians. PLoS ONE, 8(4), e61526. https://doi.org/10.1371/journal.pone.0061526
Hobfoll, S. E. (1989). Conservation of resources: A new attempt at conceptualizing stress. American Psychologist, 44, 513–524. https://doi.org/10.1037/0003-066X.44.3.513
Hu, X., Rohrbaugh, R., Deng, Q., He, Q., Munger, K. F., & Liu, Z. (2017). Expanding the mental health workforce in China: Narrowing the mental health service gap. Psychiatric Services, 68(10), 987–989. https://doi.org/10.1176/appi.ps.201700002
Injeyan, M. C., Shuman, C., Shugar, A., Chitayat, D., Atenafu, E. G., & Kaiser, A. (2011). Personality traits associated with genetic counselor compassion fatigue: The roles of dispositional optimism and locus of control. Journal of Genetic Counseling, 20(5), 526–540. https://doi.org/10.1007/s10897-011-9379-4
Joinson, C. (1992). Coping with compassion fatigue. Nursing, 22(4), 118–119. 120.
Kelly, L. (2020). Burnout, compassion fatigue, and secondary trauma in nurses: Recognizing the occupational phenomenon and personal consequences of caregiving. Critical Care Nursing Quarterly, 43(1), 73. https://doi.org/10.1097/CNQ.0000000000000293
Khan, A. A., Khan, M. A., & Malik, N. J. (2015). Compassion fatigue amongst health care providers. Pakistan Armed Forces Medical Journal, 65(2), 286–289.
Killian, K. D. (2008). Helping till it hurts? A multimethod study of compassion fatigue, burnout, and self-care in clinicians working with trauma survivors. Traumatology, 14(2), 32–44. https://doi.org/10.1177/1534765608319083
Kleiner, S., & Wallace, J. E. (2017). Oncologist burnout and compassion fatigue: Investigating time pressure at work as a predictor and the mediating role of work-family conflict. BMC Health Services Research, 17(1), 639. https://doi.org/10.1186/s12913-017-2581-9
Li, J. N., Jiang, X. M., Zheng, Q. X., Lin, F., Chen, X. Q., Pan, Y. Q., Zhu, Y., Liu, R. L., & Huang, L. (2023). Mediating effect of resilience between social support and compassion fatigue among intern nursing and midwifery students during COVID-19: A cross-sectional study. BMC Nursing, 22(1), 42. https://doi.org/10.1186/s12912-023-01185-0
Lombardo, B., & Eyre, C. (2011). Compassion fatigue: A nurse’s primer. Online Journal of Issues in Nursing, 16(1), 1–1. https://doi.org/10.3912/OJIN.Vol16No01Man03
Moreno-Jiménez, J. E., Demerouti, E., Blanco-Donoso, L. M., Chico-Fernández, M., Iglesias-Bouzas, M. I., & Garrosa, E. (2022). Passionate healthcare workers in demanding intensive care units: Its relationship with daily exhaustion, secondary traumatic stress, empathy, and self-compassion. Current Psychology. https://doi.org/10.1007/s12144-022-03986-z
Pehlivan, T. (2017). Compassion fatigue: The known, unknown. Journal of Psychiatric Nursing. https://doi.org/10.14744/phd.2017.25582
Planel-Ratna, C., & Juwaheer, T. D. (2021). Assessing the impact of digitalization and technology on patient compliance in Healthcare services. HighTech and Innovation Journal, 2(3), 216–223. https://doi.org/10.28991/HIJ-2021-02-03-06
Rauvola, R. S., Vega, D. M., & Lavigne, K. N. (2019). Compassion fatigue, secondary traumatic stress, and vicarious traumatization: A qualitative review and research agenda. Occupational Health Science, 3(3), 297–336. https://doi.org/10.1007/s41542-019-00045-1
Ray, S. L., Wong, C., White, D., & Heaslip, K. (2013). Compassion satisfaction, compassion fatigue, work life conditions, and burnout among frontline mental health care professionals. Traumatology, 19(4), 255–267. https://doi.org/10.1177/1534765612471144
Serafini, G., Adavastro, G., Canepa, G., Capobianco, L., Conigliaro, C., Pittaluga, F., Murri, M. B., Valchera, A., De Berardis, D., Pompili, M., Lindqvist, D., Brundin, L., & Amore, M. (2017). Abnormalities in Kynurenine pathway metabolism in treatment-resistant depression and suicidality: A systematic review. CNS & Neurological Disorders Drug Targets, 16(4), 440–453. https://doi.org/10.2174/1871527316666170413110605
Singh, J., Karanika-Murray, M., Baguley, T., & Hudson, J. (2020). A systematic review of job demands and resources associated with compassion fatigue in mental health professionals. International Journal of Environmental Research and Public Health, 17(19), 19. https://doi.org/10.3390/ijerph17196987
Sprang, G., Clark, J. J., & Whitt-Woosley, A. (2007). Compassion fatigue, compassion satisfaction, and burnout: Factors impacting a professional’s quality of life. Journal of Loss and Trauma, 12(3), 259–280. https://doi.org/10.1080/15325020701238093
Stamm, B. H. (2010). The concise ProQOL manual, 2nd edition. Pocatello, ID: ProQOL. org.
Stebnicki, M. A. (2007). Empathy fatigue: Healing the mind, body, and spirit of professional counselors. American Journal of Psychiatric Rehabilitation, 10(4), 317–338. https://doi.org/10.1080/15487760701680570
Sun, B., Lou, B., Li, W., & Fang, X. (2011). Attention for the mental health among the helpers: The connotation, structure and mechanism of compassion fatigue. Adcances in Psychological Science, 19(10), 1518–1526.
Thompson, I., Amatea, E., & Thompson, E. (2014). Personal and contextual predictors of mental health counselors’ compassion fatigue and burnout. Journal of Mental Health Counseling, 36(1), 58–77. https://doi.org/10.17744/mehc.36.1.p61m73373m4617r3
Tosone, C., Minami, T., Bettmann, J. E., & Jasperson, R. A. (2010). New York City social workers after 9/11: Their attachment, resiliency, and compassion fatigue. International Journal of Emergency Mental Health, 12, 103–116.
Turgoose, D., & Maddox, L. (2017). Predictors of compassion fatigue in mental health professionals: A narrative review. Traumatology, 23, 172–185. https://doi.org/10.1037/trm0000116
van Mol, M. M. C., Kompanje, E. J. O., Benoit, D. D., Bakker, J., & Nijkamp, M. D. (2015). The prevalence of compassion fatigue and burnout among Healthcare professionals in Intensive Care Units: A systematic review. PLoS ONE, 10(8), e0136955. https://doi.org/10.1371/journal.pone.0136955
Xanthopoulou, D., Bakker, A. B., Dollard, M. F., Demerouti, E., Schaufeli, W. B., Taris, T. W., & Schreurs, P. J. G. (2007). When do job demands particularly predict burnout? The moderating role of job resources. Journal of Managerial Psychology, 22(8), 766–786. https://doi.org/10.1108/02683940710837714
Xu, Z., Gahr, M., Xiang, Y., Kingdon, D., Rüsch, N., & Wang, G. (2022). The state of mental health care in China. Asian Journal of Psychiatry, 69, 102975. https://doi.org/10.1016/j.ajp.2021.102975
Yi, LJ., Cai, J., Ma, L., Lin, H., Yang, J., Tian, X., & Jiménez-Herrera, M. F. (2022). Prevalence of compassion fatigue and its association with professional identity in junior college nursing interns: A cross-sectional study. International Journal of Environmental Research and Public Health, 19(22), Article 22. https://doi.org/10.3390/ijerph192215206
Zhang, L. (2020). Anxious China: Inner revolution and politics of psychotherapy. Univ of California Press.
Zhang, W. (2023, June 19). Mental health in China—Statistics & facts. Statista. https://www.statista.com/topics/9303/mental-health-in-china/. Accessed 23 Jun 2023.
Zhang, Z., Sun, K., Jatchavala, C., Koh, J., Chia, Y., Bose, J., Li, Z., Tan, W., Wang, S., Chu, W., Wang, J., Tran, B., & Ho, R. (2020). Overview of stigma against psychiatric illnesses and advancements of anti-stigma activities in Six Asian Societies. International Journal of Environmental Research and Public Health, 17(1), 1. https://doi.org/10.3390/ijerph17010280
Acknowledgements
We would like to express our gratitude to the Shandong Psychological Association for their assistance in data collection. We are also thankful to the practicing counselors who generously participated in the study pro bono.
Funding
This research did not receive any specific funding or grants.
Author information
Authors and Affiliations
Contributions
All authors contributed to the study conception and design. Material preparation and data collection were performed by Zhuoqun Wang. Shuai Hong designed the study, reviewed the eligible articles, drafted the manuscript. Prof. Zahyah Hanafi commented on previous versions of manuscript and approved the final version. All authors agree to be accountable for the content of the work.
Corresponding author
Ethics declarations
Competing interests
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Hong, S., Hanafi, Z. & Wang, Z. Unveiling compassion fatigue: a profiling study among mental health counselors in private practice settings. Curr Psychol 43, 14348–14357 (2024). https://doi.org/10.1007/s12144-023-05461-9
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12144-023-05461-9