{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T14:32:59Z","timestamp":1774708379388,"version":"3.50.1"},"reference-count":43,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2015,1,21]],"date-time":"2015-01-21T00:00:00Z","timestamp":1421798400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100008635","name":"University of Texas Health Science Center at San Antonio","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008635","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychol Psychother"],"published-print":{"date-parts":[[2016,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      Prolonged exposure (\n                      <jats:styled-content style=\"fixed-case\">PE<\/jats:styled-content>\n                      ) and cognitive processing therapy (\n                      <jats:styled-content style=\"fixed-case\">CPT<\/jats:styled-content>\n                      ) \u2013 post\u2010traumatic stress disorder (\n                      <jats:styled-content style=\"fixed-case\">PTSD<\/jats:styled-content>\n                      ) treatments now available at the Veterans Health Administration (\n                      <jats:styled-content style=\"fixed-case\">VHA<\/jats:styled-content>\n                      ) \u2013 expose the provider to graphic traumatic material. Little is known about the impact of traumatic material on\n                      <jats:styled-content style=\"fixed-case\">VHA<\/jats:styled-content>\n                      providers. The purpose of this study was to examine the relationship between trauma content, patient characteristics, and burnout among\n                      <jats:styled-content style=\"fixed-case\">VHA PTSD<\/jats:styled-content>\n                      Clinical Team (\n                      <jats:styled-content style=\"fixed-case\">PCT<\/jats:styled-content>\n                      ) providers. It was hypothesized that trauma content and patient characteristics would significantly predict burnout in this population.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>\n                      This cross\u2010sectional study consisted of 137 participants. The sample was mostly female (67%), Caucasian (non\u2010Hispanic; 81%), and married (70%) with a mean age of 44.3\u00a0years (\n                      <jats:italic>\n                        <jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>\n                      <\/jats:italic>\n                      \u00a0=\u00a011.3).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Participants completed an electronic survey that assessed demographics, patient characteristics (i.e., anger, personality disorder, malingering), trauma content characteristics (e.g., killing of women and children) as well as burnout as measured by the Maslach Burnout Inventory\u2010General Survey (\n                      <jats:styled-content style=\"fixed-case\">MBI<\/jats:styled-content>\n                      \u2010\n                      <jats:styled-content style=\"fixed-case\">GS<\/jats:styled-content>\n                      ; Maslach et\u00a0al., 1996,\n                      <jats:italic>Burnout inventory manual<\/jats:italic>\n                      . Palo Alto: Consulting Psychologist Press).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Over half of the study population reported being bothered by trauma content; however, trauma content did not predict burnout. Treating patients with personality disorders and suspected malingering predicted burnout in\n                      <jats:styled-content style=\"fixed-case\">PCT<\/jats:styled-content>\n                      providers. High numbers (77%) reported perceiving that emotional exhaustion impacted the quality of care they provided.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      These findings suggest an important role of burnout assessment, prevention, and treatment strategies at the\n                      <jats:styled-content style=\"fixed-case\">VHA<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Practitioner points<\/jats:title>\n                    <jats:p>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>This paper addresses the impact of provider burnout on perceived quality of care.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>\n                            This paper also addresses potential predictors of burnout in\n                            <jats:styled-content style=\"fixed-case\">PCT<\/jats:styled-content>\n                            settings.\n                          <\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>\n                            This paper outlines potential remedies to provider burnout in the\n                            <jats:styled-content style=\"fixed-case\">VHA<\/jats:styled-content>\n                            .\n                          <\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/papt.12057","type":"journal-article","created":{"date-parts":[[2015,1,21]],"date-time":"2015-01-21T07:23:31Z","timestamp":1421825011000},"page":"66-81","source":"Crossref","is-referenced-by-count":23,"title":["The influence of trauma and patient characteristics on provider burnout in\n                    <scp>VA<\/scp>\n                    post\u2010traumatic stress disorder specialty programmes"],"prefix":"10.1111","volume":"89","author":[{"given":"Hector A.","family":"Garcia","sequence":"first","affiliation":[{"name":"South Texas Veterans Health Care System The University of Texas Health Science Center at San Antonio Texas USA"},{"name":"Department of Psychiatry The University of Texas Health Science Center at San Antonio Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cindy A.","family":"McGeary","sequence":"additional","affiliation":[{"name":"Department of Psychiatry The University of Texas Health Science Center at San Antonio Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erin P.","family":"Finley","sequence":"additional","affiliation":[{"name":"South Texas Veterans Health Care System The University of Texas Health Science Center at San Antonio Texas USA"},{"name":"Department of Medicine The University of Texas Health Science Center at San Antonio Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Donald D.","family":"McGeary","sequence":"additional","affiliation":[{"name":"Department of Psychiatry The University of Texas Health Science Center at San Antonio Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norma S.","family":"Ketchum","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics The University of Texas Health Science Center at San Antonio Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alan L.","family":"Peterson","sequence":"additional","affiliation":[{"name":"Department of Psychiatry The University of Texas Health Science Center at San Antonio Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,1,21]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/1061580021000020716"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.7205\/MILMED\u2010D\u201010\u201000269"},{"key":"e_1_2_6_4_1","volume-title":"Cognitive processing therapy therapist group manual: Veteran\/military version","author":"Chard K. 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