Publikationstyp: Beitrag in wissenschaftlicher Zeitschrift
Art der Begutachtung: Peer review (Publikation)
Titel: Verbal and physical client aggression : a longitudinal analysis of professional caregivers' psychophysiological stress response and burnout
Autor/-in: Kind, Nina
Eckert, Anne
Steinlin, Célia
Fegert, Jörg M.
Schmid, Marc
DOI: 10.1016/j.psyneuen.2018.05.001
Erschienen in: Psychoneuroendocrinology
Band(Heft): 2018
Heft: 94
Seite(n): 11
Seiten bis: 16
Erscheinungsdatum: 2018
Verlag / Hrsg. Institution: Elsevier
ISSN: 1873-3360
0306-4530
Sprache: Englisch
Schlagwörter: Burnout; Client aggression; Hair cortisol; Physical aggression; Verbal aggression
Fachgebiet (DDC): 150: Psychologie
610.73: Pflege
Zusammenfassung: Objective: We investigated the impact of verbal and physical client aggression on risk of developing high hair cortisol concentration (HCC) as an indicator of chronic stress exposure and burnout in a Swiss population of professional caregivers working in youth residential care. Method: Participants (n = 121; 62.0% women) reported on client aggression and burnout symptoms and provided hair samples at four annual sampling points. HCC was determined in the first 1.5 cm hair segment. Sociodemographic variables, private stressors, burnout symptoms, and HCC were compared between participants reporting either 'no aggression', 'verbal' aggression, or 'verbal + physical' aggression. Cox proportional hazards regressions were calculated to compute hazard ratios (HR) and 95% confidence intervals (CI) for the association between client aggression and risk of high HCC or burnout over the course of three years. Results: Professional caregivers reporting 'verbal + physical' aggression had higher HCC, more cognitive burnout symptoms, and greater burden in interpersonal domains. Both 'verbal' and 'verbal + physical' aggression were positively associated with burnout risk (verbal: HR = 1.83; 95% CI = 1.27-2.65; verbal + physical: HR = 2.44, 95% CI = 1.56-3.84). 'Verbal + physical' aggression was positively associated with risk of high HCC (HR = 1.58; 95% CI = 1.07-2.36). Conclusions: This longitudinal analysis suggested that psychophysiological stress response is primarily associated with combined verbal and physical aggression. The emotional wearing-down associated with verbal aggression should however not be disregarded. Our exploratory findings could have implications for youth welfare policy, clinical child psychiatry, and future research.
URI: https://digitalcollection.zhaw.ch/handle/11475/14939
Volltext Version: Publizierte Version
Lizenz (gemäss Verlagsvertrag): Lizenz gemäss Verlagsvertrag
Departement: Angewandte Psychologie
Organisationseinheit: Institut für Angewandte Psychologie (IAP)
Enthalten in den Sammlungen:Publikationen Angewandte Psychologie

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Kind, N., Eckert, A., Steinlin, C., Fegert, J. M., & Schmid, M. (2018). Verbal and physical client aggression : a longitudinal analysis of professional caregivers’ psychophysiological stress response and burnout. Psychoneuroendocrinology, 2018(94), 11–16. https://doi.org/10.1016/j.psyneuen.2018.05.001
Kind, N. et al. (2018) ‘Verbal and physical client aggression : a longitudinal analysis of professional caregivers” psychophysiological stress response and burnout’, Psychoneuroendocrinology, 2018(94), pp. 11–16. Available at: https://doi.org/10.1016/j.psyneuen.2018.05.001.
N. Kind, A. Eckert, C. Steinlin, J. M. Fegert, and M. Schmid, “Verbal and physical client aggression : a longitudinal analysis of professional caregivers’ psychophysiological stress response and burnout,” Psychoneuroendocrinology, vol. 2018, no. 94, pp. 11–16, 2018, doi: 10.1016/j.psyneuen.2018.05.001.
KIND, Nina, Anne ECKERT, Célia STEINLIN, Jörg M. FEGERT und Marc SCHMID, 2018. Verbal and physical client aggression : a longitudinal analysis of professional caregivers‘ psychophysiological stress response and burnout. Psychoneuroendocrinology. 2018. Bd. 2018, Nr. 94, S. 11–16. DOI 10.1016/j.psyneuen.2018.05.001
Kind, Nina, Anne Eckert, Célia Steinlin, Jörg M. Fegert, and Marc Schmid. 2018. “Verbal and Physical Client Aggression : A Longitudinal Analysis of Professional Caregivers’ Psychophysiological Stress Response and Burnout.” Psychoneuroendocrinology 2018 (94): 11–16. https://doi.org/10.1016/j.psyneuen.2018.05.001.
Kind, Nina, et al. “Verbal and Physical Client Aggression : A Longitudinal Analysis of Professional Caregivers’ Psychophysiological Stress Response and Burnout.” Psychoneuroendocrinology, vol. 2018, no. 94, 2018, pp. 11–16, https://doi.org/10.1016/j.psyneuen.2018.05.001.


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