ArticleJournal of affective disorders2023
Implementation context and burnout among Department of Veterans Affairs psychotherapists prior to and during the COVID-19 pandemic.
Article in Journal of affective disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 24 citations in OpenAlex.
- Reduction of Burnout in VA Mental Health Providers: Beyond Self Care.Community mental health journal · 2026Article
- Staff perspectives on implementing dialectical behavior therapy skills groups in the Veterans Health Administration.Psychological services · 2026Article
- Defining and measuring implementation climate: a scoping review and concept analysis.Implementation science communications · 2026Review
- Psychologists' Well-Being, Stressors, and Practices in Academic Health Centers: A Peri-Pandemic Update.Journal of clinical psychology in medical settings · 2025Article
- A Mixed Methods Assessment of the Effect of Organizational Characteristics on Intervention Scale-Up Success in 42 HIV Testing Clinics in Vietnam.Journal of evaluation in clinical practice · 2025Article
- Impact of Expanded Eligibility for Veterans With Other Than Honorable Discharges on Treatment Courts and VA Mental Health Care.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2024Article
- Burdens and resources of Austrian clinical psychologists: results of a qualitative study two years into the COVID-19 pandemic.BMC psychology · 2024Article
- Clinician Burnout and Effectiveness of Guideline-Recommended Psychotherapies.JAMA network open · 2024Article
- Role of Institutional Support for Evidence-Based Psychotherapy in Satisfaction and Burnout Among Veterans Affairs Therapists.Psychiatric services (Washington, D.C.) · 2024Article
- Prevalence of mental health symptoms and potential risk factors among Austrian psychotherapists.Scientific reports · 2024Article
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- Understanding pandemic resilience: a mixed-methods exploration of burdens, resources, and determinants of good or poor well-being among Austrian psychotherapists.Frontiers in public health · 2023Article
Corrections and comments
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Authors and funding
9 authors at 5 institutions in 1 country.
Funding
Abstract
backgroundThe first goal of this study was to assess longitudinal changes in burnout among psychotherapists prior to (T1) and during the COVID-19 pandemic (T2). The second objective was to assess the effects of job demands, job resources (including organizational support for evidence-based psychotherapies, or EBPs) and pandemic-related stress (T2 only) on burnout.
methodPsychotherapists providing EBPs for posttraumatic stress disorder in U.S. Department of Veterans Affairs (VA) facilities completed surveys assessing burnout, job resources, and job demands prior to (T1; n = 346) and during (T2; n = 193) the COVID-19 pandemic.
resultsBurnout prevalence increased from 40 % at T1 to 56 % at T2 (p < .001). At T1, stronger implementation climate and implementation leadership (p < .001) and provision of only cognitive processing therapy (rather than use of prolonged exposure therapy or both treatments; p < .05) reduced burnout risk. Risk factors for burnout at T2 included T1 burnout, pandemic-related stress, less control over when and how to deliver EBPs, being female, and being a psychologist rather than social worker (p < .02). Implementation leadership did not reduce risk of burnout at T2. LIMITATIONS: This study involved staff not directly involved in treating COVID-19, in a healthcare system poised to transition to telehealth delivery.
conclusionOrganizational support for using EBPs reduced burnout risk prior to but not during the pandemic. Pandemic related stress rather than increased work demands contributed to elevated burnout during the pandemic. A comprehensive approach to reducing burnout must address the effects of both work demands and personal stressors.
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Registered trials
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