Evaluation of self-care skills training and solution-focused counselling for health professionals in psychiatric medicine: a pilot study

Int J Psychiatry Clin Pract. 2016 Nov;20(4):239-44. doi: 10.1080/13651501.2016.1207085. Epub 2016 Jul 12.

Abstract

Objective: The purpose of this pilot study was to implement and to evaluate a self-care skills training with solution-focused counselling to support psychiatrists in handling their daily work challenges.

Methods: A total of 72 psychiatrists working in a psychiatric clinic were randomised in a single-blind trial to either an intervention group or a control group. Outcomes were measured at baseline and at the end of the training (follow-up 1: after 3 months; follow-up 2: after 6 months). A validated questionnaire including the Perceived Stress Questionnaire, the Copenhagen Psychosocial Questionnaire, Brief Resilient Coping Scale, Self-Efficacy Scale and the Quality of Relationship Inventory was used.

Results: Psychiatrists in the intervention group reached a significant reduction in perceived job stress (p = 0.01, d = 0.05), improvements in job satisfaction (p = 0.02, d = 0.04), resilience (p = 0.02, d = 0.04) and self-efficacy (p = 0.04, d = 0.02) from baseline to all follow-ups with no comparable results seen in the control group. Psychiatrists stated an improved quality of physician-patient relationship (e.g. support, conflict management; p < 0.05).

Conclusions: A self-care skills training, including solution-focused counselling, for psychiatrists was associated with significant improvements in perceived stress, job satisfaction, individual protective skills and quality of relationship to patients. This training is suitable to implement as a group training program for psychiatrists.

Keywords: Job satisfaction; job strain; mental health; resilience; self-care; stress management.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Counseling / methods*
  • Female
  • Follow-Up Studies
  • Humans
  • Job Satisfaction*
  • Male
  • Patient Education as Topic / methods*
  • Physicians / psychology*
  • Pilot Projects
  • Psychiatry
  • Resilience, Psychological*
  • Self Care / methods*
  • Self Efficacy*
  • Stress, Psychological / therapy*
  • Treatment Outcome