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Published in: Journal of Genetic Counseling 2/2015

01-04-2015 | Original Research

Who is at Risk for Compassion Fatigue? An Investigation of Genetic Counselor Demographics, Anxiety, Compassion Satisfaction, and Burnout

Authors: Whiwon Lee, Patricia McCarthy Veach, Ian M. MacFarlane, Bonnie S. LeRoy

Published in: Journal of Genetic Counseling | Issue 2/2015

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Abstract

Compassion fatigue is a state of detachment and isolation experienced when healthcare providers repeatedly engage with patients in distress. Compassion fatigue can hinder empathy and cause extreme tension. Prior research suggests 73.8 % of genetic counselors are at moderate to high risk for compassion fatigue and approximately 1 in 4 have considered leaving the field as a result Injeyan et al. (Journal of Genetic Counseling, 20, 526–540, 2011). Empirical data to establish a reliable profile of genetic counselors at risk for compassion fatigue are limited. Thus the purpose of this study was to establish a profile by assessing relationships between state and trait anxiety, burnout, compassion satisfaction, selected demographics and compassion fatigue risk in practicing genetic counselors. Practicing genetic counselors (n = 402) completed an anonymous, online survey containing demographic questions, the State-Trait Anxiety Inventory, and the Professional Quality of Life scale. Multiple regression analysis yielded four significant predictors which increase compassion fatigue risk (accounting for 48 % of the variance): higher levels of trait anxiety, burnout, and compassion satisfaction, and ethnicity other than Caucasian. Additional findings, study limitations, practice implications, and research recommendations are provided.
Literature
go back to reference Alkema, K., Linton, J. M., & Davies, R. (2008). A study of the relationship between self-care, compassion satisfaction, compassion fatigue, and burnout among hospice professionals. Journal of Social Work in End of Life and Palliative Care, 4, 101–119.CrossRefPubMed Alkema, K., Linton, J. M., & Davies, R. (2008). A study of the relationship between self-care, compassion satisfaction, compassion fatigue, and burnout among hospice professionals. Journal of Social Work in End of Life and Palliative Care, 4, 101–119.CrossRefPubMed
go back to reference Allison, P. D. (2001). Working with missing values. Journal of Marriage and Family, 67, 1012–1028. Allison, P. D. (2001). Working with missing values. Journal of Marriage and Family, 67, 1012–1028.
go back to reference Benoit, L., McCarthy Veach, P., & LeRoy, B. S. (2007). When you care enough to do your very best: genetic counselor experiences of compassion fatigue. Journal of Genetic Counseling, 16, 299–312.CrossRefPubMed Benoit, L., McCarthy Veach, P., & LeRoy, B. S. (2007). When you care enough to do your very best: genetic counselor experiences of compassion fatigue. Journal of Genetic Counseling, 16, 299–312.CrossRefPubMed
go back to reference Cohen, J. (1988). Statistical power analysis for the social sciences (2nd ed.). Hillsdale: Lawrence Erlbaum Associates. Cohen, J. (1988). Statistical power analysis for the social sciences (2nd ed.). Hillsdale: Lawrence Erlbaum Associates.
go back to reference Conrad, D., & Kellar-Guenther, Y. (2006). Compassion fatigue, burnout, and compassion satisfaction among Colorado child protection workers. Child Abuse & Neglect, 30, 1071–1080.CrossRef Conrad, D., & Kellar-Guenther, Y. (2006). Compassion fatigue, burnout, and compassion satisfaction among Colorado child protection workers. Child Abuse & Neglect, 30, 1071–1080.CrossRef
go back to reference Craig, C. D., & Sprang, D. (2010). Compassion satisfaction, compassion fatigue, and burnout in a national sample of trauma treatment therapists. Anxiety, Stress, & Coping: An International Journal, 23, 319–339.CrossRef Craig, C. D., & Sprang, D. (2010). Compassion satisfaction, compassion fatigue, and burnout in a national sample of trauma treatment therapists. Anxiety, Stress, & Coping: An International Journal, 23, 319–339.CrossRef
go back to reference Eysenck, M. W. (1979). Anxiety, learning, and memory: a reconceptualization. Journal of Research in Personality, 13, 363–385.CrossRef Eysenck, M. W. (1979). Anxiety, learning, and memory: a reconceptualization. Journal of Research in Personality, 13, 363–385.CrossRef
go back to reference Figley, C. (1995). Compassion fatigue as secondary traumatic stress disorder: an overview. In C. Figley (Ed.), Compassion fatigue: Coping with secondary traumatic stress disorder in those who treat the traumatized (pp. 1–20). New York: Brunner/Mazel. Figley, C. (1995). Compassion fatigue as secondary traumatic stress disorder: an overview. In C. Figley (Ed.), Compassion fatigue: Coping with secondary traumatic stress disorder in those who treat the traumatized (pp. 1–20). New York: Brunner/Mazel.
go back to reference Figley, C. (2002). Compassion fatigue: psychotherapists’ chronic lack of self care. Journal of Clinical Psychology, 58, 1433–1441.CrossRefPubMed Figley, C. (2002). Compassion fatigue: psychotherapists’ chronic lack of self care. Journal of Clinical Psychology, 58, 1433–1441.CrossRefPubMed
go back to reference Giarelli, E., & Tulman, L. (2003). Methodological issues in the use of published cartoons as data. Qualitative Health Research, 13, 945–956.CrossRefPubMed Giarelli, E., & Tulman, L. (2003). Methodological issues in the use of published cartoons as data. Qualitative Health Research, 13, 945–956.CrossRefPubMed
go back to reference Hooper, C., Craig, J., Janvrin, D. R., Wetsel, M. A., & Reimels, E. (2010). Compassion satisfaction, burnout, and compassion fatigue among emergency nurses compared with nurses in other selected patient specialties. Journal of Emergency Nursing, 36, 420–427.CrossRefPubMed Hooper, C., Craig, J., Janvrin, D. R., Wetsel, M. A., & Reimels, E. (2010). Compassion satisfaction, burnout, and compassion fatigue among emergency nurses compared with nurses in other selected patient specialties. Journal of Emergency Nursing, 36, 420–427.CrossRefPubMed
go back to reference Injeyan, M. C., Shuman, C., Shugar, A., Chitayat, D., Atenafu, E. G., & Kaiser, A. (2011). Personality traits associated with genetic counselor compassion fatigue: the role of dispositional optimism and locus of control. Journal of Genetic Counseling, 20, 526–540.CrossRefPubMed Injeyan, M. C., Shuman, C., Shugar, A., Chitayat, D., Atenafu, E. G., & Kaiser, A. (2011). Personality traits associated with genetic counselor compassion fatigue: the role of dispositional optimism and locus of control. Journal of Genetic Counseling, 20, 526–540.CrossRefPubMed
go back to reference Joinson, C. (1992). Coping with compassion fatigue. Nursing, 22, 116–122.PubMed Joinson, C. (1992). Coping with compassion fatigue. Nursing, 22, 116–122.PubMed
go back to reference Jungbluth, C., MacFarlane, I. M., McCarthy Veach, P., & LeRoy, B. S. (2011). Why is everyone so anxious?: an exploration of stress and anxiety in genetic counseling graduate students. Journal of Genetic Counseling, 20, 270–286.CrossRefPubMed Jungbluth, C., MacFarlane, I. M., McCarthy Veach, P., & LeRoy, B. S. (2011). Why is everyone so anxious?: an exploration of stress and anxiety in genetic counseling graduate students. Journal of Genetic Counseling, 20, 270–286.CrossRefPubMed
go back to reference Kraus, V. I. (2005). Relationship between self-care and compassion satisfaction, compassion fatigue, and burnout among mental health professionals working with adolescent sex offenders. Counseling and Clinical Psychology Journal, 2, 81–88. Kraus, V. I. (2005). Relationship between self-care and compassion satisfaction, compassion fatigue, and burnout among mental health professionals working with adolescent sex offenders. Counseling and Clinical Psychology Journal, 2, 81–88.
go back to reference Maslach, C. (1982). Burnout, the cost of caring. Englewood Cliffs: Prentice Hall. Maslach, C. (1982). Burnout, the cost of caring. Englewood Cliffs: Prentice Hall.
go back to reference Maytum, J. C., Heiman, M. B., & Garwick, A. W. (2004). Compassion fatigue and burnout in nurses who work with children with chronic conditions and their families. Journal of Pediatric Health Care, 18, 171–179.PubMed Maytum, J. C., Heiman, M. B., & Garwick, A. W. (2004). Compassion fatigue and burnout in nurses who work with children with chronic conditions and their families. Journal of Pediatric Health Care, 18, 171–179.PubMed
go back to reference McCarthy Veach, P., LeRoy, B. S., & Bartels, D. M. (2003). Facilitating the genetic counseling process: A practice manual. New York: Springer Verlag. McCarthy Veach, P., LeRoy, B. S., & Bartels, D. M. (2003). Facilitating the genetic counseling process: A practice manual. New York: Springer Verlag.
go back to reference Peng, C.-Y. J., Harwell, M., Liou, S.-M., & Ehman, L. H. (2006). Advances in missing data analysis and implications for educational research. In S. Sawilowsky (Ed.), Real data analysis (pp. 31–78). Greenwich: Information Age. Peng, C.-Y. J., Harwell, M., Liou, S.-M., & Ehman, L. H. (2006). Advances in missing data analysis and implications for educational research. In S. Sawilowsky (Ed.), Real data analysis (pp. 31–78). Greenwich: Information Age.
go back to reference Pierce, C., Carew, J., Pierce-Gonzalez, D., & Wills, D. (1978). An experiment in racism: TV commercials. In C. Pierce (Ed.), Television and education (pp. 62–88). Beverly Hills: Sage. Pierce, C., Carew, J., Pierce-Gonzalez, D., & Wills, D. (1978). An experiment in racism: TV commercials. In C. Pierce (Ed.), Television and education (pp. 62–88). Beverly Hills: Sage.
go back to reference Rubin, D. B. (1987). Multiple imputation for nonresponse in surveys. New York: Wiley. Rubin, D. B. (1987). Multiple imputation for nonresponse in surveys. New York: Wiley.
go back to reference Runyon, M., Zahm, K. W., McCarthy Veach, P., MacFarlane, I. M., & LeRoy, B. S. (2010). What do genetic counselors learn on the job? A qualitative assessment of professional development outcomes. Journal of Genetic Counseling, 19, 371–386.CrossRefPubMed Runyon, M., Zahm, K. W., McCarthy Veach, P., MacFarlane, I. M., & LeRoy, B. S. (2010). What do genetic counselors learn on the job? A qualitative assessment of professional development outcomes. Journal of Genetic Counseling, 19, 371–386.CrossRefPubMed
go back to reference Schlomer, G. L., Bauman, S., & Card, N. A. (2010). Best practices for missing data management in counseling psychology. Journal of Counseling Psychology, 57, 1–10.CrossRefPubMed Schlomer, G. L., Bauman, S., & Card, N. A. (2010). Best practices for missing data management in counseling psychology. Journal of Counseling Psychology, 57, 1–10.CrossRefPubMed
go back to reference Schoonveld, C. K., McCarthy Veach, P., & LeRoy, B. S. (2007). What is it like to be in the minority? Ethnic and gender diversity in the genetic counseling profession. Journal of Genetic Counseling, 16, 53–69.CrossRefPubMed Schoonveld, C. K., McCarthy Veach, P., & LeRoy, B. S. (2007). What is it like to be in the minority? Ethnic and gender diversity in the genetic counseling profession. Journal of Genetic Counseling, 16, 53–69.CrossRefPubMed
go back to reference Slocum-Gori, S., Hemsworth, D., Chan, W. W., Carson, A., & Kazanjian, A. (2013). Understanding compassion satisfaction, compassion fatigue, and burnout: a survey of the hospice palliative care workforce. Palliative Medicine, 27, 172–178.CrossRefPubMed Slocum-Gori, S., Hemsworth, D., Chan, W. W., Carson, A., & Kazanjian, A. (2013). Understanding compassion satisfaction, compassion fatigue, and burnout: a survey of the hospice palliative care workforce. Palliative Medicine, 27, 172–178.CrossRefPubMed
go back to reference Solorzano, D., Ceja, M., & Yosso, T. (2000). Critical race theory, racial microaggressions, and campus racial climate: the experiences of African American college students. The Journal of Negro Education, 69, 60–73. Solorzano, D., Ceja, M., & Yosso, T. (2000). Critical race theory, racial microaggressions, and campus racial climate: the experiences of African American college students. The Journal of Negro Education, 69, 60–73.
go back to reference Spielberger, C. D., Gorsuch, M. L., Lushene, R., Vagg, P. R., & Jacobs, G. A. (1983). Manual for the state-trait anxiety inventory for adults: Sampler set. Redwood City: Mind Garden Consulting Psychologist Press, Inc. Spielberger, C. D., Gorsuch, M. L., Lushene, R., Vagg, P. R., & Jacobs, G. A. (1983). Manual for the state-trait anxiety inventory for adults: Sampler set. Redwood City: Mind Garden Consulting Psychologist Press, Inc.
go back to reference Spielberger, C. D., Diaz-Guerrero, R., & Strelau, J. (1990). Cross-cultural anxiety: Volume 4. New York: Hemisphere Publishing Corporation. Spielberger, C. D., Diaz-Guerrero, R., & Strelau, J. (1990). Cross-cultural anxiety: Volume 4. New York: Hemisphere Publishing Corporation.
go back to reference Sprang, G., Clark, J. J., & Whitt-Woosley, A. (2007). Compassion fatigue, compassion satisfaction, and burnout: factors impacting a professional’s quality of life. Journal of Loss and Trauma: International Perspectives on Stress & Coping, 12, 259–280.CrossRef Sprang, G., Clark, J. J., & Whitt-Woosley, A. (2007). Compassion fatigue, compassion satisfaction, and burnout: factors impacting a professional’s quality of life. Journal of Loss and Trauma: International Perspectives on Stress & Coping, 12, 259–280.CrossRef
go back to reference Stamm, B. H. (2002). Measuring compassion satisfaction as well as fatigue: developmental history of the compassion satisfaction and fatigue test. In C. R. Figley (Ed.), Treating compassion fatigue (pp. 107–119). NY: Brunner-Routledge. Stamm, B. H. (2002). Measuring compassion satisfaction as well as fatigue: developmental history of the compassion satisfaction and fatigue test. In C. R. Figley (Ed.), Treating compassion fatigue (pp. 107–119). NY: Brunner-Routledge.
go back to reference Stamm, B. H. (2010). The concise ProQOL manual (2nd ed.). Pocatello: ProQOL.org. Stamm, B. H. (2010). The concise ProQOL manual (2nd ed.). Pocatello: ProQOL.org.
go back to reference Udipi, S., McCarthy Veach, P., Kao, J., & LeRoy, B. S. (2008). The psychic cost of empathic engagement: personal and demographic predictors of genetic counselor compassion fatigue. Journal of Genetic Counseling, 17, 459–471.CrossRefPubMed Udipi, S., McCarthy Veach, P., Kao, J., & LeRoy, B. S. (2008). The psychic cost of empathic engagement: personal and demographic predictors of genetic counselor compassion fatigue. Journal of Genetic Counseling, 17, 459–471.CrossRefPubMed
go back to reference Viswesvaran, C., Sanchez, J. I., & Fisher, J. (1999). The role of social support in the process of work stress: a meta-analysis. Journal of Vocational Behavior, 54, 314–334.CrossRef Viswesvaran, C., Sanchez, J. I., & Fisher, J. (1999). The role of social support in the process of work stress: a meta-analysis. Journal of Vocational Behavior, 54, 314–334.CrossRef
Metadata
Title
Who is at Risk for Compassion Fatigue? An Investigation of Genetic Counselor Demographics, Anxiety, Compassion Satisfaction, and Burnout
Authors
Whiwon Lee
Patricia McCarthy Veach
Ian M. MacFarlane
Bonnie S. LeRoy
Publication date
01-04-2015
Publisher
Springer US
Published in
Journal of Genetic Counseling / Issue 2/2015
Print ISSN: 1059-7700
Electronic ISSN: 1573-3599
DOI
https://doi.org/10.1007/s10897-014-9716-5

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