Mediators of Change in Cognitive Behavior Therapy for Clinical Burnout.
clinical burnout
cognitive behavior therapy
exhaustion disorder
mediation
Journal
Behavior therapy
ISSN: 1878-1888
Titre abrégé: Behav Ther
Pays: England
ID NLM: 1251640
Informations de publication
Date de publication:
05 2019
05 2019
Historique:
received:
20
12
2017
revised:
15
08
2018
accepted:
15
08
2018
entrez:
30
4
2019
pubmed:
30
4
2019
medline:
17
7
2019
Statut:
ppublish
Résumé
Evidence supporting the effectiveness of cognitive behavior therapy (CBT) for stress-related illness is growing, but little is known about its mechanisms of change. The aim of this study was to investigate potential mediators of CBT for severe stress in form of clinical burnout, using an active psychological treatment as comparator. We used linear mixed models to analyze data from patients (N = 82) with clinical burnout who received either CBT or another psychological treatment in a randomized controlled trial. Potential mediators (i.e., sleep quality, behavioral activation, perceived competence, and therapeutic alliance) and outcome (i.e., symptoms of burnout) were assessed weekly during treatment. The results showed that the positive treatment effects on symptoms of burnout favoring CBT (estimated between-group d = 0.93) were mediated by improvements in sleep quality, ab = -0.017, 95% CI
Identifiants
pubmed: 31030867
pii: S0005-7894(18)30108-4
doi: 10.1016/j.beth.2018.08.005
pii:
doi:
Types de publication
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
475-488Informations de copyright
Copyright © 2018. Published by Elsevier Ltd.