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Psychological Treatment of Exhaustion Due to Persistent Non-Traumatic Stress: A Scoping Review.
- Source :
- International Journal of Behavioral Medicine; Apr2024, Vol. 31 Issue 2, p175-191, 17p
- Publication Year :
- 2024
-
Abstract
- Background: Exhaustion due to persistent non-traumatic stress (ENTS) is a significant health problem with substantial personal, social, and economic impact. While there are increasing studies of ENTS, there is no international agreement on how it should be diagnosed and treated. This scoping review aimed to map definitions, diagnoses, treatments, outcome measures, and outcomes in psychological treatment studies of ENTS. A further aim was to assess the quality of the treatments and map what change processes are described within ENTS interventions. Methods: A PRISMA-guided scoping review of psychological treatment studies delivered in a clinical setting for ENTS was conducted using the databases of PubMed, PsycINFO, and CINAHL. Results: Of the 60 studies included, the majority (87%) stemmed from Europe. The most recurrent term for ENTS was burnout, and the diagnosis most often utilized was exhaustion disorder. Several treatments were reported, the most frequent being cognitive behavioral therapy (CBT) (68%). Statistically significant outcomes relevant to ENTS were reported in 65% (n = 39) of the studies, with effect sizes between 0.13 and 1.80. In addition, 28% of the treatments were rated as high quality. The most frequent change processes described were dysfunctional sleep, avoidance, behavioral activation, irrational thoughts and beliefs, worry, perceived competence/positive management, psychological flexibility, and recuperation. Conclusions: While several treatments based on CBT show promising results for ENTS, there do not seem to be any uniformly established methods, theoretical models, or change processes. Instead of adopting a monocausal, syndromal, and potentially bio-reductionist perspective on ENTS, a process-based approach to treatment is encouraged. [ABSTRACT FROM AUTHOR]
- Subjects :
- TREATMENT of psychological stress
MENTAL illness treatment
COGNITIVE restructuring therapy
PSYCHOLOGICAL burnout
RESEARCH funding
CINAHL database
AFFECTIVE disorders
DESCRIPTIVE statistics
SYSTEMATIC reviews
MEDLINE
LITERATURE reviews
HEALTH outcome assessment
ONLINE information services
PSYCHOLOGY information storage & retrieval systems
MENTAL depression
Subjects
Details
- Language :
- English
- ISSN :
- 10705503
- Volume :
- 31
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- International Journal of Behavioral Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 176498714
- Full Text :
- https://doi.org/10.1007/s12529-023-10185-y