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<p>Palliative care (PC) professionals are constantly exposed to patients’ suffering and death—potentially traumatic events (PTEs) that are in addition to everyday work and personal stressors. The long-term mental health effects of these experiences are unclear. Additionally, psychosocial factors such as social support, autonomy, psychological demands, empathy, psychological flexibility, mindfulness, and self-compassion have not been studied over the long term among these professionals. This six-month longitudinal study aimed to chart mental health trajectories in palliative care professionals. An online questionnaire was administered twice—November 2022 (t1) and May 2023 (t2)—to PC professionals in France (e.g. doctors, nurses, care assistants, psychologists). Of the initial 379 participants at t1, 280 completed both surveys, resulting in a 26% attrition rate. Chronic stress from ongoing end-of-life care was the strongest predictor of mental health between t1 and t2. Participants followed one of two trajectories: a resilience trajectory (63.21–68.93%) or a chronic distress trajectory (approximately 31.07–36.79%). Among all psychosocial factors measured, higher psychological flexibility significantly increased the odds of a resilience trajectory, as shown by associations with both burnout and well-being scores. Similarly, mindfulness and self-compassion are resilience factors on anxiety and depression scores.</p>

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Mental health trajectories, resilience and psychosocial factors in palliative care workers frequently exposed to death

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年7月2日

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  • Isabelle Cuchet,
  • Axelle Maneval,
  • Michael Dambrun

摘要

Palliative care (PC) professionals are constantly exposed to patients’ suffering and death—potentially traumatic events (PTEs) that are in addition to everyday work and personal stressors. The long-term mental health effects of these experiences are unclear. Additionally, psychosocial factors such as social support, autonomy, psychological demands, empathy, psychological flexibility, mindfulness, and self-compassion have not been studied over the long term among these professionals. This six-month longitudinal study aimed to chart mental health trajectories in palliative care professionals. An online questionnaire was administered twice—November 2022 (t1) and May 2023 (t2)—to PC professionals in France (e.g. doctors, nurses, care assistants, psychologists). Of the initial 379 participants at t1, 280 completed both surveys, resulting in a 26% attrition rate. Chronic stress from ongoing end-of-life care was the strongest predictor of mental health between t1 and t2. Participants followed one of two trajectories: a resilience trajectory (63.21–68.93%) or a chronic distress trajectory (approximately 31.07–36.79%). Among all psychosocial factors measured, higher psychological flexibility significantly increased the odds of a resilience trajectory, as shown by associations with both burnout and well-being scores. Similarly, mindfulness and self-compassion are resilience factors on anxiety and depression scores.