Background : Mental health care professionals (MHP) work in an increasingly demanding environment, facing pressure from a combination of factors. Studies show that the mental well-being of healthcare professionals is deteriorating and that emotional exhaustion and drop-out among healthcare professionals in mental health care is high. In this current context, it is becoming increasingly important to focus on (maintaining) mental resilience. The aim of this study is to investigate the relationship between workload, mental well-being and resilience among healthcare professionals in mental health care and to investigate whether resilience plays a mediating role in the relationship between workload and mental well-being. In addition, research was carried out into which factors cause the most workload and what according to the MHP can contribute to reducing perceived workload in mental health care. Method : It is a cross-sectional study in which data from 711 MHP (specific behavioral therapists) were collected through an online survey conducted among the members of the Dutch Association for Behavioral Therapy. The survey concerned questions about perceived workload, mental well-being and mental resilience. Results : It was shown that workload, mental well-being and resilience were associated and that the relationship between workload and mental well-being is partially mediated by resilience. Finally, more than half the participants rated having not enough time for non-billable tasks, increasing severity of clients’ problems and administrative burden as the work-related aspects that cause increased workload and about half of them mentioned that building relaxation into the workplace could reduce workload. Conclusion : Our findings highlight the importance of resilience in terms of the degree of perceived psychological distress associated with the perceived workload. In that case, it is recommended to develop, evaluate and research resilience programs within mental health care and in the (post-)academic programs.
KeywordsResilienceWorkloadStress ComplaintsWell-BeingHealth Care Professionals
Baron, R. M., & Kenny, D. A. (1986). The Moderator-Mediator Variable Distinction in Social Psychological Research: Conceptual, Strategic, and Statistical Considerations. Journal of Personality and Social Psychology, 51, 1173-1182. https://doi.org/10.1037/0022-3514.51.6.1173
Bodenheimer, T., & Sinsky, C. (2014). From Triple to Quadruple Aim: Care of the Patient Requires Care of the Provider. The Annals of Family Medicine, 12, 573-576. https://doi.org/10.1370/afm.1713
Bray, L., Meznikova, K., Crampton, P., & Johnson, T. (2023). Sustainable Healthcare Education: A Systematic Review of the Evidence and Barriers to Inclusion. Medical Teacher, 45, 157-166. https://doi.org/10.1080/0142159x.2022.2110052
Castillo‐González, A., Velando‐Soriano, A., De La Fuente‐Solana, E. I., Martos‐Cabrera, B. M., Membrive‐Jiménez, M. J., Lucía, R. et al. (2023). Relation and Effect of Resilience on Burnout in Nurses: A Literature Review and Meta‐Analysis. International Nursing Review, 71, 160-167. https://doi.org/10.1111/inr.12838
De Sio, S., Buomprisco, G., Perri, R., Bruno, G., Mucci, N., Nieto, H. A., Trovato Battagl-iola, E., & Cedrone, F. (2020). Work-Related Stress Risk and Preventive Measures of Mental Disorders in the Medical Environment: An Umbrella Review. European Review for Medical and Pharmacological Sciences , 24 , 821-830.
Doleman, G., De Leo, A., & Bloxsome, D. (2023). The Impact of Pandemics on Healthcare Providers’ Workloads: A Scoping Review. Journal of Advanced Nursing, 79, 4434-4454. https://doi.org/10.1111/jan.15690
Eley, D. S., Cloninger, C. R., Walters, L., Laurence, C., Synnott, R., & Wilkinson, D. (2013). The Relationship between Resilience and Personality Traits in Doctors: Implications for Enhancing Well Being. PeerJ, 1, e216. https://doi.org/10.7717/peerj.216
Elkudssiah Ismail, N., Hui, W. M., Goh, K. W., Jimam, N. S., Hermansyah, A., & Ming, L. C. (2022). Resilience among Malaysian Community Pharmacists and General Medical Practitioners Using the 10-Item Connor-Davidson Resilience Scale (CD-RISC): The First National Survey. Behavioral Sciences, 12, Article No. 272. https://doi.org/10.3390/bs12080272
Fitzgerald, K., Yates, P., Benger, J., & Harris, A. (2017). The Psychological Health and Well-Being of Emergency Medicine Consultants in the UK. Emergency Medicine Journal, 34, 430-435. https://doi.org/10.1136/emermed-2015-205246
Frenkel, M. O., Pollak, K. M., Schilling, O., Voigt, L., Fritzsching, B., Wrzus, C. et al. (2022). Stressors Faced by Healthcare Professionals and Coping Strategies during the Early Stage of the COVID-19 Pandemic in Germany. PLOS ONE, 17, e0261502. https://doi.org/10.1371/journal.pone.0261502
Hirani, S., Lasiuk, G., & Hegadoren, K. (2016). The Intersection of Gender and Resilience. Journal of Psychiatric and Mental Health Nursing, 23, 455-467. https://doi.org/10.1111/jpm.12313
Howard, R., Kirkley, C., & Baylis, N. (2019). Personal Resilience in Psychiatrists: Systematic Review. BJPsych Bulletin, 43, 209-215. https://doi.org/10.1192/bjb.2019.12
Ioannidis, K., Askelund, A. D., Kievit, R. A., & van Harmelen, A. (2020). The Complex Neurobiology of Resilient Functioning After Childhood Maltreatment. BMC Medicine, 18, Article No. 32. https://doi.org/10.1186/s12916-020-1490-7
Jackson, D., Firtko, A., & Edenborough, M. (2007). Personal Resilience as a Strategy for Surviving and Thriving in the Face of Workplace Adversity: A Literature Review. Journal of Advanced Nursing, 60, 1-9. https://doi.org/10.1111/j.1365-2648.2007.04412.x
Jensen, P. M., Trollope-Kumar, K., Waters, H., & Everson J. (2008). Building Physician Resilience. Canadian Family Physician , 54 , 722-729.
Karadaş, A., & Duran, S. (2021). The Effect of Social Support on Work Stress in Health Workers during the Pandemic: The Mediation Role of Resilience. Journal of Community Psychology, 50, 1640-1649. https://doi.org/10.1002/jcop.22742
Kealy, D., Halli, P., Ogrodniczuk, J. S., & Hadjipavlou, G. (2016). Burnout among Canadian Psychiatry Residents: A National Survey. The Canadian Journal of Psychiatry, 61, 732-736. https://doi.org/10.1177/0706743716645286
Kramar, R. (2014). Beyond Strategic Human Resource Management: Is Sustainable Human Resource Management the Next Approach? The International Journal of Human Resource Management, 25, 1069-1089. https://doi.org/10.1080/09585192.2013.816863
Lowe, S. R., Hennein, R., Feingold, J. H., Peccoralo, L. A., Ripp, J. A., Mazure, C. M. et al. (2021). Are Women Less Psychologically Resilient than Men? Background Stressors Underlying Gender Differences in Reports of Stress-Related Psychological Sequelae. The Journal of Clinical Psychiatry, 83, 21br14098. https://doi.org/10.4088/jcp.21br14098
McAllister, M., & McKinnon, J. (2009). The Importance of Teaching and Learning Resilience in the Health Disciplines: A Critical Review of the Literature. Nurse Education Today, 29, 371-379. https://doi.org/10.1016/j.nedt.2008.10.011
Nagel, C., & Nilsson, K. (2022). Nurses’ Work-Related Mental Health in 2017 and 2020—A Comparative Follow-Up Study before and during the COVID-19 Pandemic. International Journal of Environmental Research and Public Health, 19, Article No. 15569. https://doi.org/10.3390/ijerph192315569
Siebert, A. (2010). Survivor Personality: Why Some People Are Stronger, Smarter, and More Skillful at Handling Life’s Difficulties and How You Can Be, Too July 6 . Penguin Press.
Teo, C. W., Ong, P. W., Low, L. L., Seah, S. S. Y., Leong, D. Q. X., & Tan, C. Y. F. (2024). Psychological Resilience in Post-Acute Care: A Cross-Sectional Study of Health Care Workers in Singapore Community Hospitals. Journal of the American Medical Directors Association, 25, Article ID: 105029. https://doi.org/10.1016/j.jamda.2024.105029
Van den broek, A, & De Vroege, L. (2023a). Don’t Postpone! Mental Health of Healthcare Professionals Needs Attention! Exploratory Research and Hypothesis in Medicine , 9 , 170-174. https://www.xiahepublishing.com/2472-0712/ERHM-2023-00006
Van den Broek, A., & De Vroege, L. (2023b). Post-Pandemic Self-Reported Mental Health of Mental Healthcare Professionals in the Netherlands Compared to during the Pandemic—An Online Longitudinal Follow-Up Study. Frontiers in Public Health, 11, Article ID: 1221427. https://doi.org/10.3389/fpubh.2023.1221427
Van den Broek, A., van Dam, A., Bongers, I., Stikkelbroek, Y., Bachrach, N., & de Vroege, L. (2022). Alarmerend beeld onder personeel ggz; uitputting, angst-en somberheidsklachten met mogelijk vertrek uit de ggz als gevolg. TSG—Tijdschrift voor gezondheidswetenschappen, 100, 107-111. https://doi.org/10.1007/s12508-022-00353-y
Van den Broek, A., van Hoorn, L., Tooten, Y., & de Vroege, L. (2023c). The Moderating Effect of the COVID-19 Pandemic on the Mental Wellbeing of Health Care Workers on Sustainable Employability: A Scoping Review. Frontiers in Psychiatry, 13, Article ID: 1067228. https://doi.org/10.3389/fpsyt.2022.1067228
Van der Klink, J. J., Bültmann, U., Burdorf, A., Schaufeli, W. B., Zijlstra, F. R., Abma, F. I. et al. (2016). Sustainable Employability—Definition, Conceptualization, and Implications: A Perspective Based on the Capability Approach. Scandinavian Journal of Work, Environment & Health, 42, 71-79. https://doi.org/10.5271/sjweh.3531
Van Harmelen, A. L. (2022). Veerkracht Bestaat Niet . Universiteit Leiden. https://hdl.handle.net/1887/3567352
Yanchus, N. J., Periard, D., & Osatuke, K. (2017). Further Examination of Predictors of Turnover Intention among Mental Health Professionals. Journal of Psychiatric and Mental Health Nursing, 24, 41-56. https://doi.org/10.1111/jpm.12354