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The purpose of this study is to investigate whether effective coping strategies play an
important role to reduce burnout levels among sexual or substance abuse counselors.
The authors examined whether coping strategies mediated or moderated relations
between job stress and burnout in a sample of 232 abuse-specific counselors. Results
indicated that self-distraction and behavior disengagement coping strategies medi-
ated the relationships between 3 job stress variables (workload, role conflict, and
job ambiguity) and burnout. Although venting and humor coping strategies positively
moderated the relationship between role ambiguity and burnout, active coping strate-
gies negatively moderated the relationship between workload and burnout.
Although the counseling profession can have many rewards, burnout can be a potential
outcome of providing counseling and psychotherapy. Burnout is conceptualized as a
psychological syndrome in response to chronic emotional and interpersonal stress
on the job and is most widely defined by the dimensions of exhaustion, deperson-
alization, and inefficacy (Maslach, Schaufeli, & Leiter, 2001). Much of the focus of
burnout research has been with individuals who work in the human services field
(Vredenburgh, Carlozzi, & Stein, 1999). There has been increasing recognition and
study of this problem in the counselors who are working with sexual offenders and
substance abuse clients. It is believed that burnout is a potential response to the
emotional stress of working with others who are troubled (Everall & Paulson, 2004).
Several studies (Pearlman, 1996; Pearlman & Saakvitne, 1995; Rich, 1997) reported
that abuse-specific counselors working with sexual offenders and substance abuse
clients would exhibit evidence of cognitive disruptions at levels higher than those of
a criterion reference group of general mental health professionals. The impact on the
counselor is believed to have direct adverse consequences to the clients they serve.
Burnout may emerge in session as a loss of empathy, respect, and positive feelings for
abuse-specific clients; more therapeutic gridlock; and boundary violations (Pearlman
& MacIan, 1995; Skorupa & Agresti, 1993). When the mental health professional
becomes burned out, she or he may exhibit behaviors that affect the quality of care
Sam Loc Wallace, Department of Rehabilitation, Human Resources and Communication Disorders,
University of Arkansas, Fayetteville; Jayoung Lee and Sang Min Lee, Department of Education, Korea
University, Seoul, Korea. Correspondence concerning this article should be addressed to Sang Min
Lee, Department of Education, College of Education, Korea University, Anam-dong, Seongbuk-gu,
Seoul, Korea (e-mail: leesang@korea.ac.kr).
METHOD
Participants
The participants were 232 abuse-specific counselors (i.e., either sexual abuse
counselors or substance abuse counselors). Participants in the study were col-
lected through a web-based survey or by mail. An e-mail containing a link to the
survey and measures was sent to two electronic mailing lists; one with a focus on
sex offender treatment and research (Association for the Treatment of Sexual Abus-
ers electronic mailing list and one with a focus on maltreatment and victim issues
[Prevent–Connect]). Additionally, e-mails were sent to substance abuse treatment
facilities located on the Substance Abuse and Mental Health Services Administration
facility locator webpage. Of the hard copy surveys, 120 were mailed to treatment
facilities or individual practitioners that were identified to work in one of the three
areas of treatment specialty. Facilities and practitioners were identified through a
web search of programs and practitioners who were identified as having a treat-
ment focus in one or more of the respective categories (e.g., certified sex offender
treatment providers in Texas, rape crisis centers, substance abuse programs). Of
the aforementioned surveys, 44 were returned for review making the response rate
36.67%. Included in the sample were participants from 35 states as well as seven
other countries (Japan, France, India, Israel, Canada, Australia, and the United
Kingdom; n = 21). The mean age of the sample was 42.96 years (SD = 11.94, range
= 23–76 years). Of the 232 participants included in the study, 71.4% were women
and 28.4% were men. The racial/ethnic composition of the participants was 93.5%
European American, 3.9% Asian American, 1.3% African American, 0.9% Indian
American, and 0.4% Hispanic American. These individuals had been working in their
respective counseling organizations for an average of 10.71 years (SD = 7.51). Their
main discipline fields were social work (32.1%), mental health (17.7%), counselor
education (5.6%), rehabilitation counseling (1.9%), and others (42.1%). Also, this
sample is composed of master-level counselors (63.6%), doctoral-level counselors
(21.8%), graduate counselors (11.1%; i.e., nonlicensed counselors with a bachelor’s
degree), and specialist counselors (3.1%; i.e., counselors with an educational specialist’s
degree such as Ed.S.). (Percentages may not total 100% because of rounding.)
Instruments
Job Stress Scale (JSS; Caplan, Cobb, French, Van Harrison, & Pinneau, 1975). The
JSS is a 13-item self-report questionnaire that measures the frequency with which
Data Analyses
In this study, 19 variables were investigated: four variables rating perceived severity of
job stress, 14 variables rating coping strategies, and one variable rating level of counselor
burnout. We analyzed the relationships among these variables by using multiple regression/
correlation analyses by the Baron and Kenny (1986) model (i.e., mediation and moderation
analyses). Specifically, we examined whether the function of coping strategies mediated
between job stress and counselor burnout. The test for mediation in this study involved
evaluating if the influence of job stress on counselor burnout manifests itself through the
types and severity of the counselor’s coping strategies; also, we analyzed whether coping
strategies moderated the relationship between job stress and burnout. The test for modera-
tion in this study involved evaluating the 56 interactions between four subscales of the JSS
(predictors) and 14 types of coping strategies (moderators) on counselor burnout (criterion
variable). Namely, in our analysis, we identified mediating and moderating relationships
between coping strategies and counselor burnout, as they relate to types, and severity of
job stress, as perceived by abuse-specific counselors. All data were analyzed using SPSS
(Version 15.0), and all significance values shown were based on two-tailed tests.
RESULTS
To test the hypothesis that 14 types of coping strategies would mediate the relationship
between four types of job stress and counselor burnout, the three-step tests of media-
tion suggested by Baron and Kenny (1986) were used. In this study, the three-step
test for mediation involved (a) regressing the criterion variable (counselor burnout) on
the predictor variables (subscales of the JSS), (b) regressing the mediators (scales of
the Brief COPE Inventory) on the predictor variables (subscales of the JSS), and (c)
regressing the criterion variable (counselor burnout) on both the predictors (subscales
of the JSS) and mediators (scales of the Brief COPE Inventory).
First, the relationships between subscales of the JSS (predictor variables) and counselor
burnout (criterion variable) were significant, F(4, 203) = 29.50, p < .01. Significant main
effects were shown for Workload (β = .40, p < .01), Role Conflict (β = .77, p < .01), Role
Ambiguity (β = .53, p < .05), and Lack of Utilization (β = .60, p < .01) on counselor burn-
out. These results fulfilled the mediation criteria in the first step of Baron and Kenny’s
(1986) model. Second, a correlation analysis was used to measure the relationship be-
tween perceived severity of four types of job stress and 14 types of coping strategies. Nine
mediators (i.e., self-distraction, active coping, denial, substance use, use of instrumental
support, behavioral disengagement, planning, humor, and self-blame) were statistically
significantly correlated with at least one of the predictor variables. However, five media-
tors (i.e., use of emotional support, venting, positive reframing, acceptance, and religion)
were not statistically significantly correlated with any predictor variables. Additionally, a
multiple regression analysis was used to test the relationship between significant variables
in the second step (self-distraction, active coping, denial, substance use, use of instrumen-
DISCUSSION
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