心理咨询师的专业自我怀疑在共情疲劳和抑郁关系间的中介作用

摘要/Abstract

摘要： 目的了解心理咨询师共情疲劳、专业自我怀疑和抑郁的现状并分析其相关性,验证心理咨询师的专业自我怀疑在共情疲劳和抑郁之间的中介作用。方法 2021年12月—2022年2月采用横断面调查方法,通过网络施测,使用共情疲劳量表（professional quality of life scale,ProQOL）、专业自我怀疑量表（professional self-doubt,PSD）和流调中心抑郁量表（center for epidemiologic studies depression scale,CES-D）对340名心理咨询师进行问卷调查,并对数据进行分析。结果共情疲劳的两个维度：同情满意度得分为（38.06±5.87）分,职业倦怠维度得分为（21.92±4.69）分;专业自我怀疑得分为（1.33±0.71）分,抑郁得分为4.00（2.00,8.00）分。同情满意度与专业自我怀疑和抑郁均呈负相关（r=-0.439、-0.456,均P<0.01）,职业倦怠与专业自我怀疑和抑郁均呈正相关（r=0.669、0.459,均P<0.01）,专业自我怀疑与抑郁呈正相关（r=0.499,P<0.01）。专业自我怀疑在心理咨询师共情疲劳与抑郁之间起中介作用（β=0.25,P<0.01）,中介效应值为0.25,占总效应的48.1%。结论共情疲劳是心理咨询师抑郁的重要影响因素,专业自我怀疑在其中起部分中介作用。相关干预措施减少心理咨询师的专业自我怀疑,将有助于降低这一群体的抑郁风险。

关键词: 心理咨询师, 共情疲劳, 专业自我怀疑, 抑郁

Abstract: Objective To understand the status quo of compassion fatigue,professional self-doubt and depression among psychological counselors,analyze their relationships,and verify the mediating role of professional self-doubt in association between compassion fatigue and depression. Methods From December 2021 to February 2022,a cross-sectional survey was conducted among 400 psychological consultants by on-line way to perform the questionnaire survey by the professional quality of life scale（ProQOL）,professional self-doubt（PSD） and center for epidemiological studies depression scale（CES-D）,and the data were analyzed. Results The scores of two dimensions of compassion fatigue were （38.06±5.87）points for compassion satisfaction and （21.92±4.69）points for job burnout. The professional self-doubt score was （1.33±0.71）points,and the depression score was 4.00（2.00,8.00）points. The compassion satisfaction was negatively correlated with professional self-doubt and depression （r=-0.439,-0.456,both P<0.01）. The job burnout was positively correlated with professional self-doubt and depression（r=0.669,0.459,both P<0.01）. The professional self-doubt was positively correlated with depression（r=0.499,P<0.1）. The professional self-doubt played a mediating role between compassion fatigue and depression of psychological counselors（β=0.25,P<0.01）,and the mediating effect value was 0.25,accounting for 48.1% of the total effect. Conclusions The compassion fatigue is an important influencing factor of psychological counselors' depression,and professional self-doubt plays a mediating role between them. The interventions which aim at reducing the professional self-doubt of psychological counselors will help decrease the risk of their depression.

Key words: Psychological counselors, Compassion fatigue, Professional self-doubt, Depression

中图分类号:

R395.6

杨香珍, 郭菲, 陈祉妍. 心理咨询师的专业自我怀疑在共情疲劳和抑郁关系间的中介作用. [J]职业与健康, 2023, 39(16): 2240-2244.

YANG Xiangzhen, GUO Fei, CHEN Zhiyan. Mediating effect of professional self-doubt on relationship between compassion fatigue and depression among psychological counselors. [J]OCCUPATION AND HEALTH, 2023, 39(16): 2240-2244.

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