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Job burnout in mental health providers: A meta-analysis of 35 years of intervention research
Open accessAbstract
Burnout is prevalent among mental health providers and is associated with significant employee, consumer, and organizational costs. Over the past 35 years, numerous intervention studies have been conducted but have yet to be reviewed and synthesized using a quantitative approach. To fill this gap, we performed a meta-analysis on the effectiveness of burnout interventions for mental health workers. We completed a systematic literature search of burnout intervention studies that spanned more than 3 decades (1980 to 2015). Each eligible study was independently coded by 2 researchers, and data were analyzed using a random-effects model with effect sizes based on the Hedges' g statistic. We computed an overall intervention effect size and performed moderator analyses. Twenty-seven unique samples were included in the meta-analysis, representing 1,894 mental health workers. Interventions had a small but positive effect on provider burnout (Hedges' g = .13, p = .006). Moderator analyses suggested that person-directed interventions were more effective than organization-directed interventions at reducing emotional exhaustion (Qbetween = 6.70, p = .010) and that job training/education was the most effective organizational intervention subtype (Qbetween = 12.50, p < .001). Lower baseline burnout levels were associated with smaller intervention effects and accounted for a significant proportion of effect size variability. The field has made limited progress in ameliorating mental health provider burnout. Based on our findings, we suggest that researchers implement a wider breadth of interventions that are tailored to address unique organizational and staff needs and that incorporate longer follow-up periods. (PsycINFO Database Record
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“Evidence suggests that worksite stress management interventions, particularly those based on Cognitive Behaviour Therapies (CBT), can be effective for improving the psychological health of staff working in healthcare and other organisational settings [5–8].”
From A workplace Acceptance and Commitment Therapy (ACT) intervention for improving healthcare staff psychological distress: A randomised controlled trial (2022) · cites this paper as [5]
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“The interventions resulted in small but favorable effects on provider burnout (Hedges' g = .13).”
From Job Demands—Resources theory and self-regulation: New explanations and remedies for job burnout (2021) · cites this paper as Dreison et al., 2018
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“Moderator analyses suggested that person-directed interventions were more effective in reducing emotional exhaustion than organization-directed interventions.”
From Job Demands—Resources theory and self-regulation: New explanations and remedies for job burnout (2021) · cites this paper as Dreison et al., 2018
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Kottler, J. A., & Balkin, R. S. (2020) · Oxford University Press eBooks · doi:10.1093/oso/9780190090692.003.0014
Kottler, J. A., & Balkin, R. S. (2020) · Oxford University Press eBooks · doi:10.1093/oso/9780190090692.003.0016
How and Why Myths and Misconceptions Endure
Kottler, J. A., & Balkin, R. S. (2020) · Oxford University Press eBooks · doi:10.1093/oso/9780190090692.003.0004
Metadata
- Authors
- Dreison, K. C., Luther, L., Bonfils, K. A., Sliter, M. T., McGrew, J. H., & Salyers, M. P.
- Affiliations
- Indiana University – Purdue University Indianapolis (US)
- Venue
- Journal of Occupational Health Psychology
- Published
- 2018-01
- Volume
- 23
- Issue
- 1
- Pages
- 18-30
- ISSN
- 1076-8998 (ISSN-L)
- 1939-1307
- OpenAlex
- W2521324286
- Cited by
- 244
- References
- 73
- Citations by year
- 2026: 13 · 2025: 30 · 2024: 31 · 2023: 32 · 2022: 26 · 2021: 29 · 2020: 43 · 2019: 23 · 2018: 8
- FWCI
- 2.05
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Locations
- Journal of Occupational Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- Purdue University Indianapolis (Indiana University) (submittedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational Health and Burnout
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Keywords
- burnout, mental health professionals, burnout intervention, emotional exhaustion, job training, intervention effectiveness, occupational stress
- MeSH terms
- Occupational Stress, Burnout, Professional, Fatigue, Health Personnel, Humans, Mental Health, Patient Education as Topic, Self Efficacy
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