ArticleClinical psychology & psychotherapy
Adverse Childhood Experiences and Emotional Exhaustion in Therapists: The Mediating Role of Early Maladaptive Schemas.
Article in Clinical psychology & psychotherapy. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Dysfunctional Cognition and Work-Related Outcomes: A Systematic Literature Review.European journal of investigation in health, psychology and education · 2026Review
- Adverse Childhood Experiences and Emotional Exhaustion in Therapists: The Mediating Role of Early Maladaptive Schemas.Clinical psychology & psychotherapyArticle
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Authors and funding
3 authors.
Funding
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Abstract
objectiveTherapist burnout is prevalent and can negatively impact both therapists and their clients. This study aimed to investigate whether (a) therapists who report more adverse childhood experiences report higher levels of emotional exhaustion and (b) whether this is explained by the extent to which they endorse early maladaptive schemas relating to feeling unlovable or flawed and prioritising achievement and the desires of others over one's emotions, preferences and needs.
methodA cross-sectional survey was completed by therapists recruited online. Eligible participants were 18 years or older, fluent in English, currently practising as therapists and had been practising for at least 1 year. Hierarchical regression analyses and the PROCESS macro were used to investigate the defectiveness shame, unrelenting standards, self-sacrifice and subjugation schemas as parallel mediators of the relationship between childhood adversity and emotional exhaustion in therapists.
resultsThe sample comprised 383 therapists (M
conclusionThis preliminary research indicates that schemas relating to excessively high personal standards and subjugating one's emotions and needs to avoid negative consequences may play an important role in the link between childhood adversity and therapist burnout. Future research is necessary to gather longitudinal evidence and examine whether targeting these schemas in self-reflective practice, personal therapy or consultation could reduce emotional exhaustion in therapists.
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