Emotional Labor And Compassion Fatigue: A Correlational Analysis On Mental Health Practitioners
DOI:
https://doi.org/10.22515/ajpc.v6i1.9656Keywords:
compassion fatigue, emotional labor, practitioners’ mental healthAbstract
In this fast-paced world, mental health is at a greater toll due to the continuous pressure of excellence. Emotional labor is common among mental health professionals, and with extended practice, they are more prone to compassion fatigue and job burnout. This study examined the relationship between emotional labor and compassion fatigue among mental health practitioners by considering the demographic factors (age, gender, qualifications, and experience). It employed a cross-sectional design to survey mental health practitioners. The sample (N=117) comprised male (n=50) and female (n=67) aged 24 to 61 years old. Participants were selected from hospitals, rehabilitation centers, and community health centers in collaboration with department administrators. Results showed that emotional labor was positively associated with compassion fatigue (p<0.01). Female professionals exhibited higher emotional labor and compassion fatigue levels than their male counterparts. Mental health professionals with extended job experience exhibit lower levels of emotional labor and compassion fatigue than those with less experience in the mental health field. Moreover, the results indicated that older professionals reported a lower level of emotional labor than those in the younger age group. There needs to be a supportive environment addressing the diverse factors affecting the emotional well-being of these professionals.
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Adams, R. E., Boscarino, J. A., & Figley, C. R. (2006). Compassion Fatigue And Psychological Distress Among Social Workers: A Validation Study. The American Journal Of Orthopsychiatry, 76(1), 103–108. https://doi.org/10.1037/0002-9432.76.1.103
Adams, R. E., Figley, C. R., & Boscarino, J. A. (2008). The Compassion Fatigue Scale: Its Use With Social Workers Following Urban Disaster. Research On Social Work Practice, 18(3), 238–250. https://doi.org/10.1177/1049731507310190
Adams, W. E. (2020). Unintended Consequences Of Institutionalizing Peer Support Work In Mental Healthcare. Social Science & Medicine, 262, 113249. https://doi.org/10.1016/j.socscimed.2020.113249
Akhter, N. (2017). Construct Validation Of Emotional Labor Scale For A Sample Of Pakistani Corporate Employees. JPMA: The Journal Of The Pakistan Medical Association, 67(2), 233-238.
Ali, M., Masih, S., Farooqui, W. A., Zulfiqar, R., Khan, R. A., Yousufzai, A. U. R., Rahman, A., Bibi, A., & Ali, J. (2024). Moral Distress And Job Satisfaction Among Nurses Working In Tertiary Care Hospitals, Karachi, Pakistan: Moral Distress And Job Satisfaction Among Nurses. Nursearcher (Journal Of Nursing & Midwifery Sciences), 4(1), 18–24. https://doi.org/10.54393/nrs.v4i01.69
Anjum, S., Ullah, R., Rana, M. S., Ali Khan, H., Memon, F. S., Ahmed, Y., ... & Faryal, R. (2020). COVID-19 Pandemic: A Serious Threat For Public Mental Health Globally. Psychiatria Danubina, 32(2), 245-250. https://doi.org/10.24869/psyd.2020.245
Asif, M., Khan, A., & Pasha, M. A. (2019). Psychological Capital Of Employees’ Engagement: Moderating Impact Of Conflict Management In The Financial Sector Of Pakistan. Global Social Sciences Review, IV(III), 160-172. https://doi.org/10.31703/gssr.2019(IV-III).15
Barnett, M. D., Hays, K. N., & Cantu, C. (2022). Compassion Fatigue, Emotional Labor, And Emotional Display Among Hospice Nurses. Death Studies, 46(2), 290-296. https://doi.org/10.1080/07481187.2019.1699201
Borges, E. M. D. N., Fonseca, C. I. N. D. S., Baptista, P. C. P., Queirós, C. M. L., Baldonedo-Mosteiro, M., & Mosteiro-Diaz, M. P. (2019). Compassion Fatigue Among Nurses Working In An Adult Emergency And Urgent Care Unit. Revista Latino-Americana De Enfermagem, 27, e3175. https://doi.org/10.1590/1518-8345.2973.3175
Bride, B. E., Radey, M., & Figley, C. R. (2007). Measuring Compassion Fatigue. Clinical Social Work Journal, 5(3), 155–163. https://doi.org/10.1007/s10615-007-0091-7
Brotheridge, C. M., & Lee, R. T. (2002). Testing A Conservation Of Resources Model Of The Dynamics Of Emotional Labor. Journal Of Occupational Health Psychology, 7(1), 57–67. https://doi.org/10.1037/1076-8998.7.1.57
Chen, F., Leng, Y., Li, J., & Zheng, Y. (2022). Compassion Satisfaction And Compassion Fatigue In Hematology Cancer Nurses: A Cross‐Sectional Survey. Nursing Open, 9(4), 2159-2170. https://doi.org/10.1002/nop2.1226
Chou, W. Y. S., Gaysynsky, A., & Vanderpool, R. C. (2021). The COVID-19 Misinfodemic: Moving Beyond Fact-Checking. Health Education & Behavior, 48(1), 9-13. https://doi.org/10.1177/1090198120980675
Chun, H. R., Cho, I., Choi, Y., & Cho, S. I. (2020). Effects Of Emotional Labor Factors And Working Environment On The Risk Of Depression In Pink-Collar Workers. International Journal Of Environmental Research And Public Health, 17(14), 5208. https://doi.org/10.3390/ijerph17145208
Clifford, K. (2014). Who Cares For The Carers?: A Literature Review Of Compassion Fatigue And Burnout In Military Health Professionals. Journal Of Military And Veterans Health, 22(3), 53-63. https://doi-ds.org/doilink/11.2021-71444999/JMVH
Craig, C. D., & Sprang, G. (2010). Compassion Satisfaction, Compassion Fatigue, And Burnout In A National Sample Of Trauma Treatment Therapists. Anxiety, Stress, & Coping, 23(3), 319-339. https://doi.org/10.1080/10615800903085818
Dworznik-Hoak, G. (2022). Emotional Labor During Disaster Coverage: Exploring Expectations For Emotional Display. Journalism Practice, 16(5), 864-882. https://doi.org/10.1080/17512786.2020.1816858
Figley, C. R. (Ed.). (1995). Compassion Fatigue: Coping With Secondary Traumatic Stress Disorder In Those Who Treat The Traumatized. Levittown, PA: Brunner/Mazel.
Gull, K., Azhar, A., & Gull, S. (2022). Impact Of Emotional Labor On Employee Wellbeing In The Presence Of Psychological Capital. Journal Of Behavioral Sciences, 32(1), 271-287. https://pu.edu.pk/images/journal/doap/PDF-FILES/12_V32-1-2022.pdf
Hunsaker, S., Chen, H. C., Maughan, D., & Heaston, S. (2015). Factors That Influence The Development Of Compassion Fatigue, Burnout, And Compassion Satisfaction In Emergency Department Nurses. Journal Of Nursing Scholarship, 47(2), 186-194. https://doi.org/10.1111/jnu.12122
Hwang, P. C., & Han, M. C. (2019). Does Psychological Capital Make Employees More Fit To Smile? The Moderating Role Of Customer-Caused Stressors Given JD-R Theory. International Journal Of Hospitality Management, 77, 396-404. https://doi.org/10.1016/j.ijhm.2018.08.003
Isdal, P. (2017). Medkänslans Pris: Om Sekundärtraumatisering, Compassion Fatigue Och Utbrändhet Hos Yrkesverksamma. Gothia Forbidding.
Jeung, D. Y., Kim, C., & Chang, S. J. (2018). Emotional Labor And Burnout: A Review Of The Literature. Yonsei Medical Journal, 59(2), 187-193. https://doi.org/10.3349/ymj.2018.59.2.187
Khan, A. A., Khan, M. A., & Malik, N. J. (2015). Compassion Fatigue Amongst Health Care Providers. Pakistan Armed Forces Medical Journal, 65(2), 286-289. https://www.pafmj.org/PAFMJ/article/view/862
Kim, H. J., & Choo, J. (2017). Emotional Labor: Links To Depression And Work-Related Musculoskeletal Disorders In Call Center Workers. Workplace Health & Safety, 65(8), 346-354. https://doi.org/10.1177/2165079916667512
Kwak, Y., Han, Y., Song, J. S., & Kim, J. S. (2020). Impact Of Emotional Labor And Workplace Violence On The Professional Quality Of Life Among Clinical Nurses. International Journal Of Nursing Practice, 26(1), e12792. https://doi.org/10.1111/ijn.12792
Ludick, M., & Figley, C. R. (2017). Toward A Mechanism For Secondary Trauma Induction And Reduction: Reimagining A Theory Of Secondary Traumatic Stress. Traumatology, 23(1), 112–123. https://doi.org/10.1037/trm0000096
Lynch, S. H., & Lobo, M. L. (2012). Compassion Fatigue In Family Caregivers: A Wilsonian Concept Analysis. Journal Of Advanced Nursing, 68(9), 2125-2134. https://doi.org/10.1111/j.1365-2648.2012.05985.x
Lynch, S. H., Shuster, G., & Lobo, M. L. (2018). The Family Caregiver Experience– Examining The Positive And Negative Aspects Of Compassion Satisfaction And Compassion Fatigue As Caregiving Outcomes. Aging & Mental Health, 22(11), 1424-1431. https://doi.org/10.1080/13607863.2017.1364344
Makudza, F. (2023). Service With A Smile: The Differential Effects Of Emotional Labor On Boundary Spanners In The Banking Industry. Services Marketing Quarterly, 44(1), 1-15. https://doi.org/10.1080/15332969.2022.2127521
Mangoulia, P., Koukia, E., Alevizopoulos, G., Fildissis, G., & Katostaras, T. (2015). Prevalence Of Secondary Traumatic Stress Among Psychiatric Nurses In Greece. Archives Of Psychiatric Nursing, 29(5), 333-338. https://doi.org/10.1016/j.apnu.2015.06.001
Mauno, S., Kubicek, B., Minkkinen, J., & Korunka, C. (2019). Antecedents Of Intensified Job Demands: Evidence From Austria. Employee Relations: The International Journal, 41(4), 694-707. https://doi.org/10.1108/ER-04-2018-0094
McGrath, K., Matthews, L. R., & Heard, R. (2022). Predictors Of Compassion Satisfaction And Compassion Fatigue In Health Care Workers Providing Health And Rehabilitation Services In Rural And Remote Locations: A Scoping Review. Australian Journal Of Rural Health, 30(2), 264-280. https://doi.org/10.1111/ajr.12857
McGrath, K., Matthews, L. R., Heard, R., & Hancock, N. (2024). Compassion Satisfaction And Compassion Fatigue: Experiences Of Rehabilitation Healthcare Workers In Rural And Remote Locations In Australia. Health & Social Care In The Community, 2024(1), 2823441. https://doi.org/10.1155/2024/2823441
Pommier, E., Neff, K. D., & Tóth-Király, I. (2020). The Development And Validation Of The Compassion Scale. Assessment, 27(1), 21-39. https://doi.org/10.1177/1073191119874108
Purper, C. J., Thai, Y., Frederick, T. V., & Farris, S. (2023). Exploring The Challenge Of Teachers’ Emotional Labor In Early Childhood Settings. Early Childhood Education Journal, 51(4), 781-789. https://doi.org/10.1007/s10643-022-01345-y
Rauvola, R. S., Vega, D. M., & Lavigne, K. N. (2019). Compassion Fatigue, Secondary Traumatic Stress, And Vicarious Traumatization: A Qualitative Review And Research Agenda. Occupational Health Science, 3, 297-336. https://doi.org/10.1007/s41542-019-00045-1
Saleem, Z., Hanif, A. M., & Shenbei, Z. (2022). A Moderated Mediation Model Of Emotion Regulation And Work-To-Family Interaction: Examining The Role Of Emotional Labor For University Teachers In Pakistan. SAGE Open, 12(2), https://doi.org/10.1177/21582440221099520
Schaufeli, W. B., & Bakker, A. B. (2004). Job Demands, Job Resources, And Their Relationship With Burnout And Engagement: A Multi‐Sample Study. Journal Of Organizational Behavior: The International Journal Of Industrial, Occupational And Organizational Psychology And Behavior, 25(3), 293-315. https://doi.org/10.1002/job.248
Severn, M. S., Searchfield, G. D., & Huggard, P. (2012). Occupational Stress Amongst Audiologists: Compassion Satisfaction, Compassion Fatigue, And Burnout. International Journal Of Audiology, 51(1), 3-9. https://doi.org/10.3109/14992027.2011.602366
Sliter, M., Chen, Y., Withrow, S., & Sliter, K. (2013). Older And (Emotionally) Smarter? Emotional Intelligence As A Mediator In The Relationship Between Age And Emotional Labor Strategies In Service Employees. Experimental Aging Research, 39(4), 466-479. https://doi.org/10.1080/0361073X.2013.808105
Smith, M. S., Lawrence, V., Sadler, E., & Easter, A. (2019). Barriers To Accessing Mental Health Services For Women With Perinatal Mental Illness: Systematic Review And Meta-Synthesis Of Qualitative Studies In The UK. BMJ Open, 9(1), e024803. https://doi.org/10.1136/bmjopen-2018-024803
Suh, C., & Punnett, L. (2021). Surface-Acting Emotional Labor Predicts Depressive Symptoms Among Healthcare Workers Over A 2-Year Prospective Study. International Archives Of Occupational And Environmental Health, 94(3), 367-375. https://doi.org/10.1007/s00420-020-01585-8
van Gelderen, B. R., Konijn, E. A., & Bakker, A. B. (2017). Emotional Labor Among Police Officers: A Diary Study Relating Strain, Emotional Labor, And Service Performance. The International Journal Of Human Resource Management, 28(6), 852-879. https://doi.org/10.1080/09585192.2016.1138500
Wen, J., Huang, S. S., & Hou, P. (2019). Emotional Intelligence, Emotional Labor, Perceived Organizational Support, And Job Satisfaction: A Moderated Mediation Model. International Journal Of Hospitality Management, 81, 120–130. https://doi.org/10.1016/j.ijhm.2019.01.009
Xanthopoulou, D., Bakker, A. B., Oerlemans, W. G., & Koszucka, M. (2018). Need For Recovery After Emotional Labor: Differential Effects Of Daily Deep And Surface Acting. Journal Of Organizational Behavior, 39(4), 481-494. https://doi.org/10.1002/job.2245
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