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Integrating Self-Determination and Job Demands–Resources Theory in Predicting Mental Health Provider Burnout

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Abstract

Limited progress has been made in reducing burnout in mental health professionals. Accordingly, we identified factors that might protect against burnout and could be productive focal areas for future interventions. Guided by self-determination theory, we examined whether supervisor autonomy support, self-efficacy, and staff cohesion predict provider burnout. 358 staff from 13 agencies completed surveys. Higher levels of supervisor autonomy support, self-efficacy, and staff cohesion were predictive of lower burnout, even after accounting for job demands. Although administrators may be limited in their ability to reduce job demands, our findings suggest that increasing core job resources may be a viable alternative.

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References

  • Acker, G. M. (2010). The challenges in providing services to clients with mental illness: Managed care, burnout and somatic symptoms among social workers. Community Mental Health Journal, 46(6), 591–600.

    Article  PubMed  Google Scholar 

  • Acker, G. M., & Lawrence, D. (2009). Social work and managed care: Measuring competence, burnout, and role stress of workers providing mental health services in a managed care era. Journal of Social Work, 9(3), 269–283.

    Article  Google Scholar 

  • Aguayo, R., Vargas, C., de la Fuente, E. I., & Lozano, L. M. (2011). A meta-analytic reliability generalization study of the Maslach Burnout Inventory. International Journal of Clinical and Health Psychology, 11(2), 343–361.

    Google Scholar 

  • Alarcon, G. M. (2011). A meta-analysis of burnout with job demands, resources, and attitudes. Journal of Vocational Behavior, 79(2), 549–562. doi:10.1016/j.jvb.2011.03.007.

    Article  Google Scholar 

  • Ashtari, Z., Farhady, Y., & Khodaee, M. R. (2009). Relationship between job burnout and work performance in a sample of Iranian mental health staff. African Journal of Psychiatry, 12(1), 71–74.

    CAS  PubMed  Google Scholar 

  • Baard, P. P., Deci, E. L., & Ryan, R. M. (2004). Intrinsic need satisfaction: A motivational basis of performance and well-being in two work settings. Journal of Applied Social Psychology, 34(10), 2045–2068. doi:10.1111/j.1559-1816.2004.tb02690.x.

    Article  Google Scholar 

  • Bakker, A. B., & Demerouti, E. (2007). The job demands–resources model: State of the art. Journal of Managerial Psychology, 22(3), 309–328.

    Article  Google Scholar 

  • Bakker, A. B., Demerouti, E., & Euwema, M. C. (2005). Job resources buffer the impact of job demands on burnout. Journal of Occupational Health Psychology, 10(2), 170–180.

    Article  PubMed  Google Scholar 

  • Baumeister, R. F., & Leary, M. R. (1995). The need to belong: Desire for interpersonal attachments as a fundamental human motivation. Psychological Bulletin, 117(3), 497–529.

    Article  CAS  PubMed  Google Scholar 

  • Borritz, M., Rugulies, R., Bjorner, J. B., Villadsen, E., Mikkelsen, O. A., & Kristensen, T. S. (2006). Burnout among employees in human service work: Design and baseline findings of the PUMA study. Scandinavian Journal of Public Health, 34(1), 49–58.

    Article  PubMed  Google Scholar 

  • Carmel, A., Fruzzetti, A., & Rose, M. (2014). Dialectical behavior therapy training to reduce clinical burnout in a public behavioral health system. Community Mental Health Journal, 50(1), 25–30. doi:10.1007/s10597-013-9679-2.

    Article  PubMed  Google Scholar 

  • Chemtob, C., Hamada, R., Bauer, G., & Kinney, B. (1998). Patients’ sucides: Frequency and impact on psychiatrists. The American Journal of Psychiatry, 145, 224–228.

    Google Scholar 

  • Chirkov, V., Ryan, R. M., Kim, Y., & Kaplan, U. (2003). Differentiating autonomy from individualism and independence: A self-determination theory perspective on internalization of cultural orientations and well-being. Journal of Personality and Social Psychology, 84(1), 97–110.

    Article  PubMed  Google Scholar 

  • Corrigan, P. W., Holmes, E. P., & Luchins, D. (1995). Burnout and collegial support in state psychiatric hospital staff. Journal of Clinical Psychology, 51(5), 703–710.

    Article  CAS  PubMed  Google Scholar 

  • Dallender, J., Nolan, P., Soares, J., Thomsen, S., & Arnetz, B. (1999). A comparative study of the perceptions of British mental health nurses and psychiatrists of their work environment. Journal of Advanced Nursing, 29, 36–43.

    Article  CAS  PubMed  Google Scholar 

  • Deci, E. L., Eghrari, H., Patrick, B. C., & Leone, D. R. (1994). Facilitating internalization: The self-determination theory perspective. Journal of Personality and Social Psychology, 62, 119–142.

    CAS  Google Scholar 

  • Deci, E. L., & Ryan, R. M. (1985). Intrinsic motivation and self-determination in human behavior. New York: Plenum.

    Book  Google Scholar 

  • Deci, E. L., Ryan, R. M., Gagné, M., Leone, D. R., Usunov, J., & Kornazheva, B. P. (2001). Need satisfaction, motivation, and well-being in the work organizations of a former eastern bloc country: A cross-cultural study of self-determination. Personality and Social Psychology Bulletin, 27(8), 930–942.

    Article  Google Scholar 

  • 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. doi:10.1037//0021-9010.86.3.499.

    Article  CAS  PubMed  Google Scholar 

  • Dreison, K. C., Luther, L., Bonfils, K. A., McGrew, J. H., Sliter, M. T., & Salyers, M. P. (2016). Job burnout in mental health providers: A meta-analysis of 35 years of intervention research. Journal of Occupational Health Psychology. doi:10.1037/ocp0000047.

  • Druss, B. G. (2006). Rising mental health costs: What are we getting for our money? Health Affairs, 25(3), 614–622. doi:10.1377/hlthaff.25.3.614.

    Article  PubMed  Google Scholar 

  • Dvir, T., Eden, D., Avolio, B. J., & Shamir, B. (2002). Impact of transformational leadership on follower development and performance: A field experiment. Academy of Management Journal, 45(4), 735–744.

    Article  Google Scholar 

  • Fernet, C., Austin, S., Trépanier, S. G., & Dussault, M. (2013). How do job characteristics contribute to burnout? Exploring the distinct mediating roles of perceived autonomy, competence, and relatedness. European Journal of Work and Organizational Psychology, 22(2), 123–137.

    Article  Google Scholar 

  • Gagné, M., & Deci, E. L. (2005). Self-determination theory as a new framework for understanding organizational behavior. Journal of Organizational Behavior, 26, 331–362.

    Article  Google Scholar 

  • Gagné, M., Koestner, R., & Zuckerman, M. (2000). Facilitating Acceptance of organizational change: The importance of self-determination1. Journal of Applied Social Psychology, 30(9), 1843–1852.

    Article  Google Scholar 

  • Garman, A. N., Corrigan, P. W., & Morris, S. (2002). Staff burnout and patient satisfaction: Evidence of relationships at the care unit level. Journal of Occupational Health Psychology, 7(3), 235–241.

    Article  PubMed  Google Scholar 

  • Green, A. E., Miller, E. A., & Aarons, G. A. (2013). Transformational leadership moderates the relationship between emotional exhaustion and turnover intention among community mental health providers. Community Mental Health Journal, 49(4), 373–379.

    Article  PubMed  Google Scholar 

  • Halbesleben, J. R. B. (2006). Sources of social support and burnout: A meta-analytic test of the conservation of resources model. Journal of Applied Psychology, 91(5), 1134–1145. doi:10.1037/0021-9010.91.5.1134.

    Article  PubMed  Google Scholar 

  • Happell, B., & Koehn, S. (2011). Seclusion as a necessary intervention: The relationship between burnout, job satisfaction and therapeutic optimism and justification for the use of seclusion. Journal of Advanced Nursing, 67(6), 1222–1231.

    Article  PubMed  Google Scholar 

  • Holmqvist, R., & Jeanneau, M. (2006). Burnout and psychiatric staff’s feelings towards patients. Psychiatry Research, 145(2), 207–213.

    Article  PubMed  Google Scholar 

  • Honberg, R., Diehl, S., Kimball, A., Gruttadaro, D., & Fitzpatrick, M. (2011). State mental health cuts: A national crisis. Retrieved from http://www.nami.org/Content/NavigationMenu/State_Advocacy/State_Budget_Cuts_Report/NAMIStateBudgetCrisis2011.pdf.

  • Honberg, R., Kimball, A., Diehl, S., Usher, L., & Fitzpatrick, M. (2011). State mental health cuts: The continuing crisis. Retrieved from http://www.nami.org/ContentManagement/ContentDisplay.cfm?ContentFileID=147763.

  • Lee, R. T., & Ashforth, B. E. (1996). A meta-analytic examination of the correlates of the three dimensions of job burnout. Journal of Applied Psychology, 81(2), 123–133. doi:10.1037/0021-9010.81.2.123.

    Article  CAS  PubMed  Google Scholar 

  • Lehman, W. E. K., Greener, J. M., Rowan-Szal, G. A., & Flynn, P. M. (2012). Organizational readiness for change in correctional and community substance abuse programs. Journal of Offender Rehabilitation, 51(1–2), 96–114.

    Article  PubMed  PubMed Central  Google Scholar 

  • Little, L. B. (2000). Training in dialectical behavior therapy as a means of reducing therapist burnout. (PsyD), UMI Dissertation Publishing (9971369).

  • Maslach, C., Jackson, S. E., & Leiter, M. P. (1996). Maslach burnout inventory manual (3rd edn.). Palo Alto: Consulting Psychologists Press.

    Google Scholar 

  • Maslach, C., Schaufeli, W. B., & Leiter, M. P. (2001). Job burnout. Annual Review of Psychology, 52, 397–422. doi:10.1146/annurev.psych.52.1.397.

    Article  CAS  PubMed  Google Scholar 

  • McGuire, A. B., Bartholomew, T., Anderson, A. I., Bauer, S. M., McGrew, J. H., White, D. A., et al. (2016). Illness Management and Recovery in community practice. Psychiatric Rehabilitation Journal (in press).

  • McGuire, A. B., White, D. A., Bartholomew, T., Flanagan, M. E., McGrew, J. H., Rollins, A. L., et al. (2015). The relationship between provider competence, content exposure, and consumer outcomes in Illness Management and Recovery programs. Administration and Policy in Mental Health and Mental Health Services Research (in press).

  • Meijman, T. F., & Mulder, G. (1998). Psychological aspects of workload. In P. J. Drenth, H. Thierry & C. J. de Wolff (Eds.), Handbook of work and organizational psychology (2nd ed., pp. 5–33). Hove: Erlbaum.

    Google Scholar 

  • Melamed, S., Shirom, A., Toker, S., Berliner, S., & Shapira, I. (2006). Burnout and risk of cardiovascular disease: Evidence, possible causal paths, and promising research directions. Psychological Bulletin, 132(3), 327–353.

    Article  PubMed  Google Scholar 

  • Morse, G., Salyers, M. P., Rollins, A. L., Monroe-DeVita, M., & Pfahler, C. (2012). Burnout in mental health services: A review of the problem and its remediation. Administration and Policy in Mental Health and Mental Health Services Research, 39(5), 341–352.

    Article  PubMed  PubMed Central  Google Scholar 

  • Örtqvist, D., & Wincent, J. (2006). Prominent consequences of role stress: A meta-analytic review. International Journal of Stress Management, 13(4), 399–422.

    Article  Google Scholar 

  • Peterson, U., Demerouti, E., Bergström, G., Samuelsson, M., Åsberg, M., & Nygren, Å (2008). Burnout and physical and mental health among Swedish healthcare workers. Journal of Advanced Nursing, 62(1), 84–95.

    Article  PubMed  Google Scholar 

  • Podsakoff, P. M., MacKenzie, S. B., Lee, J. Y., & Podsakoff, N. P. (2003). Common method biases in behavioral research: A critical review of the literature and recommended remedies. Journal of Applied Psychology, 88(5), 879–903.

    Article  PubMed  Google Scholar 

  • Priebe, S., Fakhoury, W., White, I., Watts, J., Bebbington, P., Billings, J., et al. (2004). Characteristics of teams, staff and patients: Associations with outcomes of patients in assertive outreach. The British Journal of Psychiatry, 185(4), 306–311.

    Article  PubMed  Google Scholar 

  • Privitera, M., Weisman, R., Cerulli, C., Tu, X., & Groman, A. (2005). Occupational Medicine, 55, 480–486.

    Article  PubMed  Google Scholar 

  • Quattrochi-Tubin, S. J., Jones, J. W., & Breedlove, V. (1982). The burnout syndrome in geriatric counselors and service workers. Activities, Adaptation & Aging, 3(1), 65–76.

    Article  Google Scholar 

  • Rochester, U. O. (2014). Perceived autonomy support: The climate questionnaires. Retrieved November 13, 2014, from http://www.selfdeterminationtheory.org/questionnaires/10-questionnaires/47.

  • Rossler, W. (2012). Stress, burnout, and job dissatisfaction in mental health workers. European Archives of Psychiatry and Clinical Neuroscience, 262(Suppl 2), S65-S-69.

    Google Scholar 

  • Ryan, R. M., & Deci, E. L. (2000). Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. American Psychologist, 55(1), 68–78. doi:10.1037//0003-066x.55.1.68.

    Article  CAS  PubMed  Google Scholar 

  • Salyers, M. P., Fukui, S., Rollins, A. L., Firmin, R., Gearhart, T., Noll, J. P., et al. (2014). Burnout and self-reported quality of care in community mental health. Administration and Policy in Mental Health and Mental Health Services Research, 42(1), 61–69.

    Article  Google Scholar 

  • Salyers, M. P., Hudson, C., Morse, G., Rollins, A. L., Monroe-DeVita, M., Wilson, C., & Freeland, L. (2011). BREATHE: A pilot study of a one-day retreat to reduce burnout among mental health professionals. Psychiatric Services, 62(2), 214–217.

    Article  PubMed  PubMed Central  Google Scholar 

  • Schaufeli, W. B., & Bakker, A. B. (2004). Job demands, job resources, and their relationship with burnout and engagement: A multi-sample study. Journal of Organizational Behavior, 25(3), 293–315.

    Article  Google Scholar 

  • Schaufeli, W. B., & Enzmann, D. (1998). The burnout companion to study and practice: A crticial analysis. London: Taylor & Francis.

    Google Scholar 

  • Smoot, S. L., & Gonzales, J. L. (1995). Cost-effective communication skills training for state hospital employees. Psychiatric Services, 46(8), 819–822.

    Article  CAS  PubMed  Google Scholar 

  • Sullivan, G. S., Lonsdale, C., & Taylor, I. (2014). Burnout in high school athletic directors: A self-determination perspective. Journal of Applied Sport Psychology, 26(3), 256–270.

    Article  Google Scholar 

  • TCU Institute of Behavioral Research. (2014). Organizational readiness for change. Retrieved November 13, 2014, from http://ibr.tcu.edu/forms/criminal-justice-cj-treatment-forms/treatment-programstaff-assessments/.

  • Tummers, G. E. R., Janssen, P. P. M., Landeweerd, A., & Houkes, I. (2001). A comparative study of work characteristics and reactions between general and mental health nurses: A multi-sample analysis. Journal of Advanced Nursing, 36(1), 151–162. doi:10.1046/j.1365-2648.2001.01952.x.

    Article  CAS  PubMed  Google Scholar 

  • van Daalen, G., Willemsen, T. M., Sanders, K., & van Veldhoven, M. J. (2009). Emotional exhaustion and mental health problems among employees doing “people work”: The impact of job demands, job resources and family-to-work conflict. International Archives of Occupational and Environmental Health, 82(3), 291–303.

    Article  PubMed  Google Scholar 

  • Waldman, J. D., Kelly, F., Aurora, S., & Smith, H. L. (2004). The shocking cost of turnover in health care. Health Care Management Review, 29(1), 2–7.

    Article  PubMed  Google Scholar 

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Acknowledgments

This research was supported by grants from the National Institute of Mental Health (NIMH 1R03MH101418-01 and NIMH 1R21MH096835). Dr. McGuire is supported by a grant through VA RR&D (D0712-W). The views expressed in this article are those of the authors and do not necessarily represent the views of the Department of Veterans Affairs.

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Correspondence to Kimberly C. Dreison.

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Dreison, K.C., White, D.A., Bauer, S.M. et al. Integrating Self-Determination and Job Demands–Resources Theory in Predicting Mental Health Provider Burnout. Adm Policy Ment Health 45, 121–130 (2018). https://doi.org/10.1007/s10488-016-0772-z

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