The influence of trauma and patient characteristics on provider burnout in VA post-traumatic stress disorder specialty programmes

Hector A. Garcia, Cindy A. McGeary, Erin Finley Garcia, Donald D. McGeary, Norma S. Ketchum, Alan L Peterson

Research output: Contribution to journalArticlepeer-review

13 Scopus citations

Abstract

Objective Prolonged exposure (PE) and cognitive processing therapy (CPT) - post-traumatic stress disorder (PTSD) treatments now available at the Veterans Health Administration (VHA) - expose the provider to graphic traumatic material. Little is known about the impact of traumatic material on VHA providers. The purpose of this study was to examine the relationship between trauma content, patient characteristics, and burnout among VHA PTSD Clinical Team (PCT) providers. It was hypothesized that trauma content and patient characteristics would significantly predict burnout in this population. Design This cross-sectional study consisted of 137 participants. The sample was mostly female (67%), Caucasian (non-Hispanic; 81%), and married (70%) with a mean age of 44.3 years (SD = 11.3). Methods Participants completed an electronic survey that assessed demographics, patient characteristics (i.e., anger, personality disorder, malingering), trauma content characteristics (e.g., killing of women and children) as well as burnout as measured by the Maslach Burnout Inventory-General Survey (MBI-GS; Maslach et al., 1996, Burnout inventory manual. Palo Alto: Consulting Psychologist Press). Results Over half of the study population reported being bothered by trauma content; however, trauma content did not predict burnout. Treating patients with personality disorders and suspected malingering predicted burnout in PCT providers. High numbers (77%) reported perceiving that emotional exhaustion impacted the quality of care they provided. Conclusion These findings suggest an important role of burnout assessment, prevention, and treatment strategies at the VHA. Practitioner points This paper addresses the impact of provider burnout on perceived quality of care. This paper also addresses potential predictors of burnout in PCT settings. This paper outlines potential remedies to provider burnout in the VHA.

Original languageEnglish (US)
Pages (from-to)66-81
Number of pages16
JournalPsychology and Psychotherapy: Theory, Research and Practice
Volume89
Issue number1
DOIs
StatePublished - Mar 1 2016
Externally publishedYes

Keywords

  • burnout
  • malingering
  • personality disorders
  • post-traumatic stress disorder
  • Veterans Health Administration

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology
  • Arts and Humanities (miscellaneous)
  • Developmental and Educational Psychology

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