Verbal and physical client aggression : a longitudinal analysis of professional caregivers' psychophysiological stress response and burnout

Kind, Nina; Eckert, Anne; Steinlin, Célia; Fegert, Jörg M.; Schmid, Marc

doi:10.1016/j.psyneuen.2018.05.001

Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	Verbal and physical client aggression : a longitudinal analysis of professional caregivers' psychophysiological stress response and burnout
Authors:	Kind, Nina Eckert, Anne Steinlin, Célia Fegert, Jörg M. Schmid, Marc
DOI:	10.1016/j.psyneuen.2018.05.001
Published in:	Psychoneuroendocrinology
Volume(Issue):	2018
Issue:	94
Page(s):	11
Pages to:	16
Issue Date:	2018
Publisher / Ed. Institution:	Elsevier
ISSN:	1873-3360 0306-4530
Language:	English
Subjects:	Burnout; Client aggression; Hair cortisol; Physical aggression; Verbal aggression
Subject (DDC):	150: Psychology 610.73: Nursing
Abstract:	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
Fulltext version:	Published version
License (according to publishing contract):	Licence according to publishing contract
Departement:	Applied Psychology
Organisational Unit:	Institute of Applied Psychology (IAP)
Appears in collections:	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.