Stress among Pediatric Occupational Therapists: A Study of Prevalence, Work and Demographic Factors

This study aimed to evaluate the self-reported stress levels of pediatric occupational therapists, examine specific work factors and determine if demographic factors predict occupational stress. A cross-sectional survey design study, using voluntary response sampling, was conducted. The survey included demographics, the Workplace Stress Scale, and the Stress Index. The sample included 289 pediatric occupational therapists. Using descriptive analysis, a one-sample t-test, and multiple linear regressions, results indicated that pediatric occupational therapists had significantly higher stress levels than the validating sample of the Workplace Stress Scale. Self-reported work factors included too much work to do in a limited time and lack of time to plan or evaluate treatments. No demographic factors predicted work stress, while several work factors did. Occupational stress exists in pediatric occupational therapy work settings, especially in settings where high productivity is self-reported.

Pediatric Occupational Therapists and Occupational Stress: A Scoping Review

The purpose of this scoping review was to provide further insight into the stress and the stressors experienced by pediatric occupational therapists in the work environment. Using the Arksey and O'Malley framework, the search was conducted in eight databases, nine electronic journals, and eight gray literature sources to identify articles related to stress and stressors of pediatric occupational therapists. Review selection and characterization were performed by two independent reviewers. Twelve articles published from 2011 to 2020 were identified and varied in terms of purpose, population, and results although the articles all shared similar methodologies and outcome measures. Only 25% of the articles (3/12) addressed pediatric occupational therapy stress and stressors directly while the remaining addressed occupational stress, but with varying levels of attention to pediatric occupational therapists. Stress and stressors experienced by pediatric occupational therapists have been studied to a limited extent. Occupational stress is associated with increased burnout, decreased health, and decreased job satisfaction and performance. Several knowledge gaps have been identified, as well as priorities for future research into pediatric occupational therapists and occupational stress.

Endogenous Modulation of Pain: The Role of Exercise, Stress, and Cognitions in Humans

BACKGROUND

Pain is a complex and highly subjective phenomenon that can be modulated by several factors. On the basis of results from experimental and clinical studies, the existence of endogenous pain modulatory mechanisms that can increase or diminish the experience of pain is now accepted.

METHODS

In this narrative review, the pain modulatory effects of exercise, stress, and cognitions in humans are assessed.

RESULTS

Experimental studies on the effect of exercise have revealed that pain-free participants show a hypoalgesic response after exercise. However, in some patients with chronic pain, this response is reduced or even hyperalgesic in nature. These findings will be discussed from a mechanistic point of view. Stress is another modulator of the pain experience. Although acute stress may induce hypoalgesia, ongoing clinical stress has detrimental effects on pain in many patients with chronic pain conditions, which have implications for the understanding, assessment, and treatment of stress in patients with pain. Finally, cognitive strategies play differing roles in pain inhibition. Two intuitive strategies, thought suppression and focused distraction, will be reviewed as regards experimental, acute, and chronic pain.

CONCLUSION

On the basis of current knowledge on the role of exercise, stress, and cognitive pain control strategies on the modulation of pain, implications for treatment will be discussed.

The role of child-keyworker attachment in burnout among Saudi residential staff

Research on the impact of the keyworker-child relationship on residential staff is scarce. This longitudinal study investigated the potential moderating effects of child and keyworker attachment styles on the link between child behavioural problems and staff burnout and the moderating effects of child attachment style on the link between keyworker attachment style and keyworker burnout. Participants included 261 children and 59 residential child care workers, from 5 orphanages in Saudi Arabia. Five self-report measures were utilised: The Strengths and Difficulties Questionnaire, the Security Scale, the Coping Strategies Questionnaire, the Maslach Burnout Inventory and the Experiences in Close Relationships Questionnaire. Keyworkers caring for relatively non-avoidant children and those with an avoidant attachment style themselves experienced relatively high burnout a year later. Relatively high burnout was also reported by avoidant keyworkers who cared for avoidant and generally insecure children, while anxiously attached keyworkers reported relatively high burnout when they cared for children with any type of insecure attachment style. The present findings highlight essential interpersonal processes involved in the development of burnout in residential child care workers and call for the employment of attachment-focused interventions as measures of burnout prevention.

Fear of Relationship Loss: Attachment Style as a Vulnerability Factor in Job Burnout

Objective

To investigate the correlation between attachment styles and various burnout risk groups (“relaxed”, “wornout”, “challenged” and “burnout”) and whether attachment styles suitably discriminate between individual burnout risk groups.

Method

The study involved 2,320 participants (1,668 women and 652 men), who completed an adrenal burnout syndrome questionnaire, a performance-based self esteem scale, a work addiction risk test and a relationship questionnaire.

Results

A one-way analysis of variance confirmed attachment style differences between burnout risk groups. The challenged and burnout groups differed from the relaxed and wornout groups by having a significantly lower secure attachment style score and a higher insecure (avoidant and preoccupied) attachment style score. The canonical discriminant analysis showed that the predictors (secure, preoccupied and avoidant attachment styles) can be used to appropriately classify 85.4% of respondents in the predicted burnout risk groups.

Conclusion

The study confirmed the hypothesis that two insecure attachment styles (i.e. avoidant and preoccupied) predominate in the challenged and burnout groups, and that a secure attachment style predominates in the relaxed and wornout groups. Burnout syndrome can thus be conceived as the result of excessive and compulsive efforts to retain a relationship that is perceived as insecure or to reduce (excessive) fear of losing this relationship.

Work-Life Factors and Cardiovascular Disease in Paediatric Occupational Therapists

Introduction:

With cardiovascular disease (CVD) increasing for female workers, there is a need to understand the factors associated with CVD in members of the occupational therapy, predominantly female, profession. The association between burnout and physical health effects, such as CVD, has not been investigated in paediatric occupational therapists.

Method:

Associations between CVD and demographic and work-life factors were investigated in a nationwide postal survey of 486 paediatric occupational therapists.

Results:

The prevalence of CVD in the study population was 11.02%. Private practitioners, older therapists and those with additional self-reported health problems from respiratory disease had increased odds of reporting CVD. In contrast, lower odds of CVD were found for therapists with access to social support, a secure attachment style and income satisfaction.

Conclusion:

Understanding demographic, personal and work-related variables associated with CVD in paediatric occupational therapists provides valuable information about members of the profession. The identification of potentially modifiable work-life factors that are inversely associated with CVD, such as social support and having a secure attachment style, suggests further avenues for research and intervention. Ongoing vigilance, and education directed towards self-care as well as client care, is required to ensure optimal health for colleagues.