Before They Crash and Burn (Out): A Compassion Fatigue Resilience Model


Abstract

Authors:  Kerry A. Schwanz, PhD (1) and Melissa Paiva-Salisbury, PhD (1)

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Introduction:  We propose a working model of compassion fatigue resilience by identifying compassion fatigue (CF) and compassion satisfaction correlates as potential targets for building resilience. Further, we explore focusing on pre-professionals as a method of primary prevention of CF.

Methods:  The participants were 143 college students who completed self-report measures to assess current CF, self-care behaviors, self-care beliefs, self-esteem, frequency of helping behaviors, and exposure to others under extreme stress.

Results:  Notably, hierarchical regression analyses (controlling for helping frequency and exposure to high stress individuals) suggested that self-care beliefs and self-care behaviors contributed to concurrent experiences of CF, through secondary traumatic stress (R2 = 0.3, F(5,135) = 11.69, p <.001) and burnout (R2 = 0.4, F(5,135) = 18.08, p <.001), respectively. Self-care behaviors were associated with compassion satisfaction in our regression model, which explained 36.1% of the variance in compassion satisfaction (R2 = 0.36, F(5,135) = 15.24, p <.001).

Conclusion:  Remarkably, we found self-care beliefs as a significant predictor of concurrent CF. In line with prior research on professionals, we found compassion satisfaction to have an inverse relationship with burnout, and found self-care behaviors to predict concurrent compassion satisfaction. Based on our findings, a working model to build resilience to compassion fatigue is proposed (which centers on the importance of both self-care beliefs and self-care behaviors). Resilience promotion should focus on educating individuals about the risks of secondary traumatic stress and burnout prior to starting a career in the helping professions, before patterns of self-care beliefs and behaviors are firmly established.

Affiliation:

  1. Department of Psychology, Coastal Carolina University