Depersonalisation, burnout and resilience among mental health clinicians

Burnout in human services has become a widely researched psychological concept over the last 40 years (Shaufeli, Leiter & Maslach, 2009). Negative outcomes of clinician burnout in mental health services is well documented, however less research has focused on the specific burnout subsection of depersonalisation (Maslach, 1998). A mixed methodology was used which aimed to examine predictors of depersonalisation among qualified clinicians employed in NHS mental health services, as well as an exploration of experiences of resilience and burnout.

A total of 261 Mental Health Nurses, Clinical Psychologists and Social Workers employed in NHS mental health services completed an online survey and open-ended qualitative questions. Multiple regression analysis suggested five significant predictors of depersonalisation; clinicians’ specialties, years of experience post-qualification, exposure to physical abuse, emotional exhaustion and low ratings of personal achievement. No significant differences of depersonalisation were reported among different professions. Thematic Analysis of responses to open-ended questions suggested that a ‘love of the job’ or desire to ‘help service users’ supported resilience. Job stressors such as exposure to physical abuse or bullying were reported as detrimental to resilience. Implications of maintaining compassionate and effective client care were discussed as well as limitations and areas of future research.