Understanding pandemic resilience: a mixed-methods exploration of burdens, resources, and determinants of good or poor well-being among Austrian psychotherapists

IntroductionThe COVID-19 pandemic has exacerbated the mental health burden on the general population, resulting in increased demands on mental healthcare professionals, including psychotherapists. This cross-sectional study assessed the challenges and resources encountered by 513 psychotherapists based on an online survey conducted between April and May 2022.MethodsQualitative methods content analysis of written reports was employed to investigate the emerging challenges and sources of support during the pandemic. A comparative analysis of burdens, resources, sociodemographic factors and daily physical activity was conducted to discern patterns of good and poor well-being.ResultsThe predominant burden identified was mental health-related issues, followed by global crises and government-imposed restrictions to mitigate virus transmission. Essential resources encompassed social connections, mindfulness, work satisfaction, and internal processes. Notably, psychotherapists demonstrating good well-being were older, more physically active, had a lower proportion of females, were employed in private practices rather than in institutionalized settings, had more years of professional experience and treated more patients weekly than their counterparts with poor well-being. Furthermore, they exhibited greater optimism, health focus, and satisfaction with their coping methods.DiscussionThese findings can help develop support systems, policies, and educational programs to better support mental health professionals during global crises and offer strategies for individual practitioners to maintain their well-being.

Automated summary

This cross-sectional study examined the challenges and resources faced by 513 psychotherapists during the COVID-19 pandemic. Mental health-related issues, global crises, and government-imposed restrictions were identified as the main burdens. Social connections, mindfulness, work satisfaction, and internal processes were found to be essential resources. The study also revealed that psychotherapists with good well-being were older, more physically active, had less representation of females, worked in private practices, had more professional experience, treated more patients, and demonstrated optimism, health focus, and satisfaction with coping methods.