[Psychotherapeutic burnout interventions-an umbrella review].

Psychotherapeutische Interventionen bei Burnout – Ein Umbrella-Review und Impulse für die Therapie.

Burnout Interventions Resources Therapy Umbrella review

Journal

Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz

ISSN: 1437-1588

Titre abrégé: Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz

Pays: Germany

ID NLM: 101181368

Informations de publication

Date de publication:
15 Oct 2024

Historique:

received: 07 05 2024

accepted: 18 09 2024

medline: 15 10 2024

pubmed: 15 10 2024

entrez: 15 10 2024

Statut: aheadofprint

Résumé

Although burnout is not an F‑Diagnosis in the ICD-11, many people are suffering from it. This has many economic and health-related consequences, because burnout is closely tied to an inability to work and significant secondary illnesses. This article provides an umbrella review of therapy approaches for burnout that have already been used and evaluated and shows in which areas there are promising, but still little researched, therapeutic support options for those affected. A systematic literature search of studies was carried out in PubMed and Google Scholar between 2010 and 2024. The search terms were "burnout," "therapy," and "intervention" combined with "systematic review" and "meta-analysis." Overall, 10 systematic reviews or meta-analyses met the inclusion criteria. In five systematic reviews or meta-analyses, the therapy approaches focused on a specific professional group (nurses, doctors, and teachers); the others related to students or various groups of people. In seven studies, the effects of mindfulness-based stress reduction on burnout were shown. The effects of cognitive behavioral therapy (CBT) were shown in four studies. Acceptance and commitment-therapy (ACT) as well as rational emotive therapy (RET) also proved to be effective. It still needs to be researched whether established thinking and behavioral patterns can be changed through the therapies discussed. The professional context should be given more attention. Some resource-oriented approaches like optimism, a sense of control, self-efficacy, and self-acceptance seem promising in the treatment of burnout. HINTERGRUND: Burnout stellt keine eigenständige medizinische Diagnose nach ICD-11 dar, jedoch leiden laut Studienlage viele Menschen daran. Dies hat auch erhebliche volkswirtschaftliche und gesundheitspolitische Konsequenzen, da Burnout oftmals mit Arbeitsunfähigkeit und erheblichen Folgeerkrankungen einhergeht. Diese Arbeit soll einen Überblick über bereits angewandte und evaluierte Therapieansätze für Burnout vorstellen und zusätzlich aufzeigen, in welchem Bereich vielversprechende, jedoch noch wenig erforschte therapeutische Unterstützungsmöglichkeiten für Betroffene liegen. Systematische Literaturrecherche von 2010 bis 2024 in PubMed und Google Scholar für ein Umbrella-Review. Suchbegriffe waren: „burnout“, „therapy“ und „intervention“, kombiniert mit „systematic review“, „meta-analysis.“ Insgesamt 10 systematische Reviews bzw. Metaanalysen entsprachen den Einschlusskriterien. In 5 Reviews bzw. Metaanalysen wurde bei den untersuchten Therapieansätzen eine spezielle Berufsgruppe fokussiert (Pflegefachkräfte, Ärzte und Lehrer), die anderen bezogen sich auf Studenten oder verschiedene Personengruppen. In 7 Arbeiten wurden die Effekte von Achtsamkeitstraining auf Burnout gezeigt. Für kognitive Verhaltenstherapie (KVT) wurde Effekte in 4 Arbeiten nachgewiesen. Als wirksam erwiesen sich auch die Akzeptanz- und Commitment-Therapie (ACT) sowie die Rational-Emotive-Therapie (RET). Es muss noch erforscht werden, ob etablierte Gedanken- und Verhaltensmuster durch die genannten Ansätze der Burnout-Therapie auch langfristig verändert werden. Der berufliche Kontext sollte mehr Beachtung finden. Hilfreich erscheinen hier ressourcenorientierte Ansätze, die Aspekte wie Optimismus, Kontrollerleben, Selbstwirksamkeit und Selbstakzeptanz einbeziehen.

Sections du résumé

BACKGROUND BACKGROUND

METHODS METHODS

A systematic literature search of studies was carried out in PubMed and Google Scholar between 2010 and 2024. The search terms were "burnout," "therapy," and "intervention" combined with "systematic review" and "meta-analysis." Overall, 10 systematic reviews or meta-analyses met the inclusion criteria.

RESULTS RESULTS

In five systematic reviews or meta-analyses, the therapy approaches focused on a specific professional group (nurses, doctors, and teachers); the others related to students or various groups of people. In seven studies, the effects of mindfulness-based stress reduction on burnout were shown. The effects of cognitive behavioral therapy (CBT) were shown in four studies. Acceptance and commitment-therapy (ACT) as well as rational emotive therapy (RET) also proved to be effective.

CONCLUSION CONCLUSIONS

It still needs to be researched whether established thinking and behavioral patterns can be changed through the therapies discussed. The professional context should be given more attention. Some resource-oriented approaches like optimism, a sense of control, self-efficacy, and self-acceptance seem promising in the treatment of burnout.

ZUSAMMENFASSUNG UNASSIGNED

HINTERGRUND: Burnout stellt keine eigenständige medizinische Diagnose nach ICD-11 dar, jedoch leiden laut Studienlage viele Menschen daran. Dies hat auch erhebliche volkswirtschaftliche und gesundheitspolitische Konsequenzen, da Burnout oftmals mit Arbeitsunfähigkeit und erheblichen Folgeerkrankungen einhergeht. Diese Arbeit soll einen Überblick über bereits angewandte und evaluierte Therapieansätze für Burnout vorstellen und zusätzlich aufzeigen, in welchem Bereich vielversprechende, jedoch noch wenig erforschte therapeutische Unterstützungsmöglichkeiten für Betroffene liegen.

METHODEN METHODS

Systematische Literaturrecherche von 2010 bis 2024 in PubMed und Google Scholar für ein Umbrella-Review. Suchbegriffe waren: „burnout“, „therapy“ und „intervention“, kombiniert mit „systematic review“, „meta-analysis.“ Insgesamt 10 systematische Reviews bzw. Metaanalysen entsprachen den Einschlusskriterien.

ERGEBNISSE UNASSIGNED

In 5 Reviews bzw. Metaanalysen wurde bei den untersuchten Therapieansätzen eine spezielle Berufsgruppe fokussiert (Pflegefachkräfte, Ärzte und Lehrer), die anderen bezogen sich auf Studenten oder verschiedene Personengruppen. In 7 Arbeiten wurden die Effekte von Achtsamkeitstraining auf Burnout gezeigt. Für kognitive Verhaltenstherapie (KVT) wurde Effekte in 4 Arbeiten nachgewiesen. Als wirksam erwiesen sich auch die Akzeptanz- und Commitment-Therapie (ACT) sowie die Rational-Emotive-Therapie (RET).

DISKUSSION CONCLUSIONS

Es muss noch erforscht werden, ob etablierte Gedanken- und Verhaltensmuster durch die genannten Ansätze der Burnout-Therapie auch langfristig verändert werden. Der berufliche Kontext sollte mehr Beachtung finden. Hilfreich erscheinen hier ressourcenorientierte Ansätze, die Aspekte wie Optimismus, Kontrollerleben, Selbstwirksamkeit und Selbstakzeptanz einbeziehen.

Autres résumés

Type: Publisher (ger)

Identifiants

DOI: 10.1007/s00103-024-03961-y PMID: 39404866

pubmed: 39404866

doi: 10.1007/s00103-024-03961-y

pii: 10.1007/s00103-024-03961-y

doi:

Types de publication

English Abstract Journal Article Review

Langues

ger

Sous-ensembles de citation

Informations de copyright

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