Assessing the effectiveness of emotion-focused online intervention in mitigating compassion fatigue and enhancing compassion satisfaction among helping professionals
Corresponding Author
Júlia Halamová
Institute of Applied Psychology, Faculty of Social and Economic Sciences, Comenius University in Bratislava, Bratislava, Slovakia
Correspondence
Júlia Halamová, Institute of Applied Psychology, Faculty of Social and Economic Sciences, Comenius University in Bratislava, Mlynské luhy 4, 821 05 Bratislava, Slovakia.
Email: [email protected]
Search for more papers by this authorMartin Kanovský
Institute of Social Anthropology, Faculty of Social and Economic Sciences, Comenius University in Bratislava, Bratislava, Slovakia
Search for more papers by this authorKatarína Greškovičová
Institute of Applied Psychology, Faculty of Social and Economic Sciences, Comenius University in Bratislava, Bratislava, Slovakia
Search for more papers by this authorKatarina Krizova
Institute of Applied Psychology, Faculty of Social and Economic Sciences, Comenius University in Bratislava, Bratislava, Slovakia
Search for more papers by this authorBronislava Šoková
Institute of Applied Psychology, Faculty of Social and Economic Sciences, Comenius University in Bratislava, Bratislava, Slovakia
Search for more papers by this authorCorresponding Author
Júlia Halamová
Institute of Applied Psychology, Faculty of Social and Economic Sciences, Comenius University in Bratislava, Bratislava, Slovakia
Correspondence
Júlia Halamová, Institute of Applied Psychology, Faculty of Social and Economic Sciences, Comenius University in Bratislava, Mlynské luhy 4, 821 05 Bratislava, Slovakia.
Email: [email protected]
Search for more papers by this authorMartin Kanovský
Institute of Social Anthropology, Faculty of Social and Economic Sciences, Comenius University in Bratislava, Bratislava, Slovakia
Search for more papers by this authorKatarína Greškovičová
Institute of Applied Psychology, Faculty of Social and Economic Sciences, Comenius University in Bratislava, Bratislava, Slovakia
Search for more papers by this authorKatarina Krizova
Institute of Applied Psychology, Faculty of Social and Economic Sciences, Comenius University in Bratislava, Bratislava, Slovakia
Search for more papers by this authorBronislava Šoková
Institute of Applied Psychology, Faculty of Social and Economic Sciences, Comenius University in Bratislava, Bratislava, Slovakia
Search for more papers by this authorFunding information: Writing this work was supported by the Vedecká grantová agentúra VEGA under Grant 1/0054/24. Funded by the EU NextGenerationEU through the Recovery and Resilience Plan for Slovakia under the project No. 09I03-03-V04-00258.
Abstract
This study aimed to assess the effectiveness of a newly developed Emotion-Focused Training for Helping Professions in addressing levels of compassion fatigue, compassion satisfaction and self-criticism, both in the short and long term. A randomized controlled trial was conducted, with 667 participants recruited and randomly assigned to either the experimental active or control passive group ending up with 370 participants at follow-up measurement. The experimental group underwent a 14-day asynchronous online training program delivered via email, while the control group did not engage in any specific task except for the pre-, post- and follow-up assessments. The results from the linear mixed effects model analyses indicated significant group-by-time interactions for The Forms of Self-Criticizing/Attacking & Self-Reassuring Scale, and for The Compassion Satisfaction and Compassion Fatigue Scale. Specifically, participants in the Emotion-Focused Training for Helping Professions group exhibited a notable reduction in self-criticism and a notable increase in self-compassion and compassion satisfaction over time. The participants' scores of compassion fatigue decreased in both intervention as well as control groups; therefore, the group-by-time interaction was not significant. The findings suggest that the novel Emotion-Focused Training for Helping Professions intervention holds promise in effectively mitigating self-criticism while fostering greater compassion satisfaction and self-reassurance/self-compassion among helping professionals.
CONFLICT OF INTEREST STATEMENT
The authors declare no conflicts of interest.
Open Research
DATA AVAILABILITY STATEMENT
In order to comply with the Ethical committee of Faculty of Social and Economic Sciences at Comenius University Bratislava that approved this study's protocol, data cannot be made accessible through a public repository. However, data are available upon reasonable request for researchers who consent to adhering to the ethical regulations for confidential data.
REFERENCES
- Abendroth, M., & Flannery, J. (2006). Predicting the risk of compassion fatigue: A study of hospice nurses. Journal of Hospice and Palliative Nursing, 8(6), 346–356. https://doi.org/10.1097/00129191-200611000-00007
10.1097/00129191-200611000-00007 Google Scholar
- Baranowsky, A., & Gentry, E. (2019). Compassion fatigue special training pre workshop materials. Traumatology Institute.
- Bjureberg, J., Ojala, O., Berg, A., Edvardsson, E., Kolbeinsson, Ö., Molander, O., Morin, E., Nordgren, L., Palme, K., Särnholm, J., Wedin, L., Rück, C., Gross, J. J., & Hesser, H. (2023). Targeting maladaptive anger with brief therapist- supported internet-delivered emotion regulation treatments: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 91, 254–266. https://doi.org/10.1037/ccp0000769
- Blatt, S. J., & Zuroff, D. C. (1992). Interpersonal relatedness and self-definition: Two prototypes for depression. Clinical Psychology Review, 12, 527–562. https://doi.org/10.1016/0272-7358(92)90070-O
- Bride, B. E., Robinson, M. R., Yegidis, B., & Figley, C. R. (2004). Development and validation of the secondary traumatic stress scale. Research on Social Work Practice, 14, 27–35. https://doi.org/10.1177/1049731503254106
- Bryant, F. B., & Veroff, J. (2007). Savoring: A new model of positive experience. Lawrence Erlbaum Associates Publishers.
- Christensen, H., Griffiths, K. M., Korten, A. E., Brittliffe, K., & Groves, C. (2004). A comparison of changes in anxiety and depression symptoms of spontaneous users and trial participants of a cognitive behavior therapy website. Journal of Medical Internet Research, 6, e46. https://doi.org/10.2196/jmir.6.4.e46
- Cocker, F., & Joss, N. (2016). Compassion fatigue among healthcare, emergency and community service workers: A systematic review. International Journal of Environmental Research & Public Health, 13(6), 618. https://doi.org/10.3390/ijerph13060618
- Cummings, C., Singer, J., Hisaka, R., & Benuto, L. T. (2018). Compassion satisfaction to combat work-related burnout, vicarious trauma, and secondary traumatic stress. Journal of Interpersonal Violence, 36, 5304–5319. https://doi.org/10.1177/0886260518799502
- Demerouti, E., & Bakker, A. B. (2008). The Oldenburg burnout inventory: a good alternative to measure burnout and engagement. In Handbook of stress and burnout in health care (Vol. 65).
- Demerouti, E., Bakker, A. B., Vardakou, I., & Kantas, A. (2003). The convergent validity of two burnout instruments: A multitrait-multimethod analysis. European Journal of Psychological Assessment, 18, 296–307.
- Farvolden, P., Denisoff, E., Selby, P., Bagby, R. M., & Rudy, L. (2005). Usage and longitudinal effectiveness of a web-based self-help cognitive behavioral therapy program for panic disorder. Journal of Medical Internet Research, 7(1), e7. https://doi.org/10.2196/jmir.7.1.e7
- Figley, C. R. (2002a). Compassion fatigue: Psychotherapists' chronic lack of self care. Journal of Clinical Psychology, 58(11), 1433–1441. https://doi.org/10.1002/jclp.10090
- Figley, C. R. (2002b). Treating compassion fatigue. Routledge.
- Garnett, A., Hui, L., Oleynikov, C., & Boamah, S. (2023). CompAssion fatigue in healthcare providers: a scoping review. BMC Health Services Research, 23, 1336. https://doi.org/10.1186/s12913-023-10356-3
- Gilbert, P. (2014). The origins and nature of compassion focused therapy. British Journal of Clinical Psychology, 53, 6–41. https://doi.org/10.1111/bjc.12043
- Gilbert, P., Clarke, M., Hempel, S., Miles, J. N. V., & Irons, C. (2004). Criticizing and reassuring oneself: An exploration of forms, styles and reasons in female students. British Journal of Clinical Psychology, 43, 31–50. https://doi.org/10.1348/014466504772812959
- Gray, P., Senabe, S., Naicker, N., Kgalamono, S., Yassi, A., & Spiegel, J. M. (2019). Workplace-based organizational interventions promoting mental health and happiness among healthcare workers: A realist review. International Journal of Environmental Research and Public Health, 16(22), 4396. https://doi.org/10.3390/ijerph16224396
- Greenberg, L. S. (2011). Emotion-focused therapy. American Psychological Association.
- Halamová, J., & Kanovský, M. (2017). Sebasúcit a sebakritickosť. Psychometrická analýza meracích nástrojov. Univerzita Komenského.
- Halamová, J., Kanovský, M., Gilbert, P., Troop, N., Zuroff, D., Hermanto, N., Petrocchi, N., Sommers-Spijkerman, M., Kirby, J. N., Shahar, B., & Krieger, T. (2018). The factor structure of the forms of self-Criticising/Attacking & Self-Reassuring Scale in thirteen populations. Journal of Psychopathology and Behavioral Assessment, 40(4), 736–751. https://doi.org/10.1007/s10862-018-9686-2
- Halamová, J., Kanovský, M., Krizova, K., Šoková, B., Baránková, M., & Figley, C. (2024). The development of the compassion satisfaction and compassion fatigue scale. Frontiers in Public Health, 12, 1406467. https://doi.org/10.3389/fpubh.2024.1406467
- Halamová, J., Mihaľo, J., & Bakoš, L. (2023). The impact of emotion-focused training for emotion couching delivered as mobile app on self-compassion and self-criticism. Frontiers in Psychology, 13, 1047022. https://doi.org/10.3389/fpsyg.2022.1047022
- Halamová, J., Ondrejková, N., & Kováč, K. (2022). Randomized controlled trial of emotion-focused training for helping professionals. Frontiers in Psycholology, 13, 1024451. https://doi.org/10.3389/fpsyg.2022.1024451
- Hermanto, N., & Zuroff, D. (2016). The social mentality theory of self-compassion and self-reassurance: The interactive effect of care-seeking and caregiving. The Journal of Social Psychology, 156, 523–535. https://doi.org/10.1080/00224545.2015.1135779
- Joinson, C. (1992). Coping with compassion fatigue. Nursing, 92(22), 116–121. https://doi.org/10.1097/00152193-199204000-00035
10.1097/00152193-199204000-00035 Google Scholar
- Le Blanc, P. M., Hox, J. J., Schaufeli, W. B., Taris, T. W., & Peeters, M. C. W. (2007). Take care! The evaluation of a team-based burnout intervention program for oncology care providers. Journal of Applied Psychology, 92(1), 213–227. https://doi.org/10.1037/0021-9010.92.1.213
- Leiter, M., & Laschinger, H. (2006). Relationships of work and practice environment to professional burnout: Testing a causal model. Nursing Research, 55(2), 137–146. https://doi.org/10.1097/00006199-200603000-00009
- López-Cavada, C., Jódar, R., Timulak, L., & Corbella, S. (2025). Emotion-focused treatment for self-criticism in a nonclinical population: A randomized controlled trial. Journal of Counseling Psychology, 72(1), 56–68. https://doi.org/10.1037/cou0000768
- Musiat, P., Johnson, C., Atkinson, M., Wilksch, S., & Wade, T. (2022). Impact of guidance on intervention adherence in computerised interventions for mental health problems: A meta-analysis. Psychological Medicine, 52(2), 229–240. https://doi.org/10.1017/S0033291721004621
- Neff, K. D. (2003). Development and validation of a scale to measure self-compassion. Self and Identity, 2, 223–250. https://doi.org/10.1080/15298860309027
- Okoli, C. T., Seng, S., Otachi, J. K., Higgins, J. T., Lawrence, J., Lykins, A., & Bryant, E. (2020). A crosssectional examination of factors associated with compassion satisfaction and compassion fatigue across healthcare workers in an academic medical Centre. International Journal of Mental Health Nursing, 29(3), 476–487. https://doi.org/10.1111/inm.12682
- Ondrejková, N., & Halamová, J. (2022). Prevalence of compassion fatigue among helping professions and relationship to compassion for others, self-compassion and self-criticism. Health & Social Care in the Community, 30, 1680–1694. https://doi.org/10.1111/hsc.13741
- Panos, A. (2007). Preventing compassion fatigue: Power point presentation. [PowerPoint Slides]. Retrieved May 23, 2022, from http://www.giftfromwithin.org/docs/Preventing Compassion-Fatigue.ppt
- Pascual-Leone, A. (2017). How clients “change emotion with emotion”: A programme of research on emotional processing. Psychotherapy Research, 28(3), 1–18. https://doi.org/10.1080/10503307.2017.1349350
10.1080/10503307.2017.1349350 Google Scholar
- Pinheiro, J., Bates, D., DebRoy, S., Sarkar, D., & R Core Team. (2017). nlme: Linear and Nonlinear Mixed Effects Models. R package version 3.1–131. Retrieved from https://CRAN.R-project.org/package=nlme
- R Core Team. (2022). R: A language and environment for statistical computing. R Foundation for Statistical Computing. URL https://www.R-project.org/
- Rockman, P., & Hurley, A. (2015). Self-compassion and mindfulness. The Centre for Mindfulness Studies.
- Rothschild, B. (2005). Help for the helper: The psychophysiology of compassion fatigue and vicarious trauma. W W Norton & Co.
- Rudolph, J. M., Stamm, B. H., & Stamm, H. E. (1997). Compassion fatigue, a concern for mental health policy, providers and administration. Presented at the 13th Annual Meeting of the International Society for Traumatic Stress Studies, Montreal, CA.
- Schwam, K. (1998). The phenomenon of compassion fatigue in perioperative nursing. Association of Perioperative Registered Nurses Journal, 68, 642–648. https://doi.org/10.1016/S0001-2092(06)62569-6
- Sinclair, S., Raffin-Bouchal, S., Venturato, L., Mijovic-Kondejewski, J., & Smith-MacDonald, L. (2017). Compassion fatigue: A meta-narrative review of the healthcare literature. International Journal of Nursing Studies, 69, 9–24. https://doi.org/10.1016/j.ijnurstu.2017.01.003
- Skovholt, T. M., & Trotter-Mathison, M. (2016). The resilient practitioner: Burnout and compassion fatigue prevention and self-care strategies for the helping professions. Routledge.
10.4324/9781315737447 Google Scholar
- Stamm, B. H. (2010). The Concise ProQOL Manual. Retrieved from, https://proqol.org/uploads/ProQOLManual.pdf
- Stamm, B. H., & Figley, C. R. (1996). Compassion satisfaction and fatigue test. Retrieved May 17, 2023 from http://www.i-su.edu/~bstamm/tests.htm
- Stanulewicz, N., Knox, E., Narayanasamy, M., Shivji, N., Khunti, K., & Blake, H. (2020). Effectiveness of lifestyle health promotion interventions for nurses: A systematic review. International Journal of Environmental Research and Public Health, 17(1), 17. https://doi.org/10.3390/ijerph17010017
- Straat, J. H., Van der Ark, L. A., & Sijtsma, K. (2013). Comparing optimization algorithms for item selection in Mokken scale analysis. Journal of Classification, 30, 72–99. https://doi.org/10.1007/s00357013-9122y
- Teater, M., & Ludgate, J. (2014). Overcoming compassion fatigue: A practical resilience workbook. PESI Publishing & Media.
- WHO. (2023). With the international public health emergency ending, WHO/Europe launches its transition plan for COVID-19. Retrieved from https://www.who.int/europe/news/item/12-06-2023-with-the-international-public-health-emergency-ending--who-europe-launches-its-transition-plan-for-covid-19
- Xie, W., Chen, L., Zhang, Y., Feng, F., Okoli, C. T., Tang, P., Zeng, L., Jin, M., Zhang, Y., & Wang, J. (2021). The prevalence of compassion satisfaction and compassion fatigue among nurses: A systematic review and meta-analysis. International Journal of Nursing Studies, 120, 103973. https://doi.org/10.1016/j.ijnurstu.2021.103973
- Xie, W., Wang, J., Zhang, Y., Zuo, M., Kang, H., Tang, P., Zeng, L. I., Jin, M., Ni, W., & Ma, C. (2021). The levels, prevalence and related factors of compassion fatigue among oncology nurses: A systematic review and meta-analysis. Journal of Clinical Nursing, 30(5–6), 615–632. https://doi.org/10.1111/jocn.15565
- Zerubavel, N., & Wright, M. O. (2012). The dilemma of the wounded healer. Psychotherapy, 49(4), 482–491. https://doi.org/10.1037/a0027824