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      Burnout, social support, and coping at work among social workers, psychologists, and nurses: the role of challenge/control appraisals.

      Social work in health care
      Adaptation, Psychological, Adult, Analysis of Variance, Burnout, Professional, epidemiology, etiology, Depersonalization, Fatigue, Female, Humans, Internal-External Control, Israel, Middle Aged, Nurses, psychology, Psychology, Clinical, manpower, Psychometrics, Questionnaires, Regression Analysis, Social Support, Social Work, Workload, Workplace

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          Abstract

          The purpose of this study is twofold: (1) to compare stress appraisals, coping strategies, social resources, and burnout at work between social workers, psychologists and nurses; and (2) to assess the effectiveness of appraisals and support in reducing burnout and enhancing effective coping strategies. Questionnaires containing assessments of work stress appraisals, coping strategies used to deal with problems at work, and social support at work, as well as burnout measures of exhaustion, depersonalization, and accomplishment were completed by 249 female professionals (age range 25-61). No differences were observed between the three professions on most psychological measures, except for the depersonalization outcome of burnout, which was significantly lower among psychologists than among nurses or social workers. High challenge/control appraisal of the job was directly related to all burnout outcomes, contributing to less exhaustion and depersonalization and to more personal accomplishment. The challenge/control appraisal was also negatively associated with emotion-focused coping. By comparison, the stress/load appraisal contributed to more exhaustion at work, while emotion-focused coping contributed to higher depersonalization. Social support was associated with higher challenge/control appraisal, with the latter mediating support effects on burnout. These data suggest that the perception of challenge/control in one's work may be an important factor in preventing work burnout in the three professions tested in the study.

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