{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T04:28:39Z","timestamp":1784089719258,"version":"3.55.0"},"reference-count":50,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2023,7,1]],"date-time":"2023-07-01T00:00:00Z","timestamp":1688169600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,7,1]],"date-time":"2023-07-01T00:00:00Z","timestamp":1688169600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,7,19]],"date-time":"2023-07-19T00:00:00Z","timestamp":1689724800000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Qualitative Research in Medicine & Healthcare"],"published-print":{"date-parts":[[2023,7]]},"DOI":"10.4081\/qrmh.2023.11261","type":"journal-article","created":{"date-parts":[[2023,8,1]],"date-time":"2023-08-01T10:23:18Z","timestamp":1690885398000},"page":"11261","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":14,"title":["\u201cIt's real. It's a thing:\u201d Mental health counselors\u2019 listening exhaustion during COVID-19"],"prefix":"10.1016","volume":"7","author":[{"given":"Damla","family":"Ricks","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grace Ellen","family":"Brannon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"3","key":"10.4081\/qrmh.2023.11261_bib1","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1002\/capr.12124","article-title":"Therapist response to a distressed client: Differences in active listening and changes in negative affect","volume":"17","author":"Altabef","year":"2017","journal-title":"Counseling & Psychotherapy Research"},{"key":"10.4081\/qrmh.2023.11261_bib2","author":"America's Health Insurance Plans"},{"key":"10.4081\/qrmh.2023.11261_bib3","author":"American Psychological Association"},{"key":"10.4081\/qrmh.2023.11261_bib4","author":"American Psychological Association"},{"issue":"2","key":"10.4081\/qrmh.2023.11261_bib5","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1016\/j.pec.2009.04.008","article-title":"Burnout prevention: a review of intervention programs","volume":"78","author":"Awa","year":"2010","journal-title":"Client Education and Counseling"},{"issue":"3","key":"10.4081\/qrmh.2023.11261_bib6","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1080\/87567555.2020.1841079","article-title":"The impact of active empathetic listening on an introductory communication course","volume":"69","author":"Bletscher","year":"2021","journal-title":"College Teaching"},{"issue":"2","key":"10.4081\/qrmh.2023.11261_bib7","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1080\/10570314.2014.943429","article-title":"The role of \u201cActive listening\u201d in informal helping conversations: Impact on perceptions of listener helpfulness, sensitivity, and supportiveness and discloser emotional improvement","volume":"79","author":"Bodie","year":"2015","journal-title":"Western Journal of Communication"},{"issue":"2","key":"10.4081\/qrmh.2023.11261_bib8","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"Braun","year":"2006","journal-title":"Qualitative Research in Psychology"},{"key":"10.4081\/qrmh.2023.11261_bib9","series-title":"Successful qualitative research: A practical guide for beginners","author":"Braun","year":"2013"},{"issue":"1","key":"10.4081\/qrmh.2023.11261_bib10","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1177\/2374373516685952","article-title":"Is telehealth right for your practice and your patients with asthma?","volume":"4","author":"Brown","year":"2017","journal-title":"Journal of patient experience"},{"issue":"3","key":"10.4081\/qrmh.2023.11261_bib11","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1177\/1045159520916489","article-title":"Online academic incivility among adult learners","volume":"31","author":"Campbell","year":"2020","journal-title":"Adult Learning"},{"issue":"4","key":"10.4081\/qrmh.2023.11261_bib12","doi-asserted-by":"crossref","first-page":"431","DOI":"10.1080\/00221309.2020.1795613","article-title":"The effectiveness of supervisor support in lessening perceived uncertainties and emotional exhaustion of university employees during the COVID-19 crisis: The constraining role of organizational intransigence","volume":"148","author":"Charoensukmongkol","year":"2021","journal-title":"Journal of General Psychology"},{"issue":"4","key":"10.4081\/qrmh.2023.11261_bib13","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1037\/tep0000130","article-title":"The efficacy of self-care for graduate students in professional psychology: A meta-analysis","volume":"10","author":"Colman","year":"2016","journal-title":"Training and Education in Professional Psychology"},{"issue":"3","key":"10.4081\/qrmh.2023.11261_bib14","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1080\/10615800903085818","article-title":"Compassion satisfaction, compassion fatigue, and burnout in a national sample of trauma treatment therapists","volume":"23","author":"Craig","year":"2010","journal-title":"Anxiety, Stress & Coping"},{"issue":"S1","key":"10.4081\/qrmh.2023.11261_bib15","doi-asserted-by":"crossref","first-page":"S180","DOI":"10.1037\/tra0000852","article-title":"The traumatic impact of job loss and job search in the aftermath of COVID-19","volume":"12","author":"Crayne","year":"2020","journal-title":"Psychological Trauma: Theory, Research, Practice, and Policy"},{"key":"10.4081\/qrmh.2023.11261_bib16","series-title":"Qualitative inquiry & research design: Choosing among five approaches","author":"Creswell","year":"2007"},{"issue":"9","key":"10.4081\/qrmh.2023.11261_bib17","doi-asserted-by":"crossref","first-page":"844","DOI":"10.1002\/da.22766","article-title":"Associations between therapists\u2019 occupational burnout and their clients\u2019 depression and treatment outcomes","volume":"35","author":"Delgadillo","year":"2018","journal-title":"Depression & Anxiety (1091-4269)"},{"issue":"2","key":"10.4081\/qrmh.2023.11261_bib18","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1375\/bech.26.2.83","article-title":"Associations among therapist beliefs, personal resources and burnout in clinical psychologists","volume":"26","author":"Emery","year":"2009","journal-title":"Behaviour Change"},{"issue":"1","key":"10.4081\/qrmh.2023.11261_bib19","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1300\/J294v08n01_07","article-title":"Burnout in psychotherapists: Incidence, types, and trends","volume":"8","author":"Farber","year":"1990","journal-title":"Psychotherapy in Private Practice"},{"key":"10.4081\/qrmh.2023.11261_bib20","doi-asserted-by":"crossref","DOI":"10.4081\/qrmh.2022.10296","article-title":"Views from the trenches: California family physicians\u2019 challenges and resilience factors while providing client care during the initial wave of COVID-19","volume":"6","author":"Fischer","year":"2022","journal-title":"Qualitative Research in Medicine & Healthcare"},{"issue":"6","key":"10.4081\/qrmh.2023.11261_bib21","first-page":"38","article-title":"Nonverbal communication in psychotherapy","volume":"7","author":"Foley","year":"2010","journal-title":"Psychiatry"},{"key":"10.4081\/qrmh.2023.11261_bib22","author":"Gold"},{"issue":"11","key":"10.4081\/qrmh.2023.11261_bib23","doi-asserted-by":"crossref","first-page":"2431","DOI":"10.1111\/jgs.16845","article-title":"Rapid integration of home telehealth visits amidst COVID 19: What do older adults need to succeed?","volume":"68","author":"Hawley","year":"2020","journal-title":"Journal of the American Geriatrics Society"},{"key":"10.4081\/qrmh.2023.11261_bib24","doi-asserted-by":"crossref","DOI":"10.1016\/j.socscimed.2021.114523","article-title":"Sample sizes for saturation in qualitative research: A systematic review of empirical tests","volume":"292","author":"Hennink","year":"2022","journal-title":"Social Science & Medicine"},{"issue":"1","key":"10.4081\/qrmh.2023.11261_bib25","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1080\/02691728.2019.1681555","article-title":"\u201cI was close to them\u201d: Re-experiencing war through trauma-based interviews","volume":"34","author":"Jefti\u0107","year":"2020","journal-title":"Social Epistemology"},{"key":"10.4081\/qrmh.2023.11261_bib26","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1111\/inm.12416","article-title":"Mental healthcare staff well-being and burnout: A narrative review of trends, causes, implications, and recommendations for future interventions","volume":"27","author":"Johnson","year":"2018","journal-title":"International Journal of Mental Health Nursing"},{"key":"10.4081\/qrmh.2023.11261_bib27","doi-asserted-by":"crossref","DOI":"10.1016\/j.ajp.2020.102300","article-title":"Burnout: A risk factor amongst mental health professionals during COVID-19","volume":"54","author":"Joshi","year":"2020","journal-title":"Asian Journal of Psychiatry"},{"issue":"12","key":"10.4081\/qrmh.2023.11261_bib28","doi-asserted-by":"crossref","first-page":"1782","DOI":"10.1002\/jclp.22485","article-title":"Professional burnout, early maladaptive schemas, and physical health in clinical and counselling psychology trainees","volume":"73","author":"Kaeding","year":"2017","journal-title":"Journal of Clinical Psychology"},{"issue":"1","key":"10.4081\/qrmh.2023.11261_bib29","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1080\/17470919.2014.954732","article-title":"Perceiving active listening activates the reward system and improves the impression of relevant experiences","volume":"10","author":"Kawamichi","year":"2015","journal-title":"Society for Neuroscience"},{"issue":"2","key":"10.4081\/qrmh.2023.11261_bib30","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1037\/pro0000182","article-title":"Predictors of burnout among community therapists in the sustainment phase of a systemdriven implementation of multiple evidence-based practices in children's mental health","volume":"49","author":"Kim","year":"2018","journal-title":"Professional Psychology: Research & Practice"},{"issue":"1","key":"10.4081\/qrmh.2023.11261_bib31","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1002\/capr.12245","article-title":"Relationship between environmental factors and burnout of psychotherapists: Meta-analytic approach","volume":"20","author":"Lee","year":"2019","journal-title":"Counseling and Psychotherapy Research"},{"issue":"1","key":"10.4081\/qrmh.2023.11261_bib32","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1037\/amp0000151","article-title":"Journal article reporting standards for qualitative primary, qualitative meta-analytic, and mixed methods research in psychology: The APA Publications and Communications Board task force report","volume":"73","author":"Levitt","year":"2018","journal-title":"American Psychologist"},{"key":"10.4081\/qrmh.2023.11261_bib33","doi-asserted-by":"crossref","DOI":"10.3389\/fpsyg.2018.01897","article-title":"The prevalence and cause(s) of burnout among applied psychologists: A systematic review","volume":"9","author":"McCormack","year":"2018","journal-title":"Frontiers in Psychology"},{"issue":"4","key":"10.4081\/qrmh.2023.11261_bib34","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1002\/jts.22544","article-title":"Cognitive processing therapy for posttraumatic stress disorder via telehealth: Practical considerations during the COVID-19 pandemic","volume":"33","author":"Moring","year":"2020","journal-title":"Journal of Traumatic Stress"},{"issue":"5","key":"10.4081\/qrmh.2023.11261_bib35","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1007\/s10488-011-0352-1","article-title":"Burnout in mental health services: A review of the problem and Its remediation","volume":"39","author":"Morse","year":"2012","journal-title":"Administration and Policy in Mental Health and Mental Health Services Research"},{"issue":"3-4","key":"10.4081\/qrmh.2023.11261_bib36","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1080\/09515070.2020.1769557","article-title":"Telepsychotherapy: A leaflet for psychotherapists in the age of COVID-19. A review of the evidence","volume":"34","author":"Poletti","year":"2021","journal-title":"Counselling Psychology Quarterly"},{"key":"10.4081\/qrmh.2023.11261_bib37","series-title":"Client-centered therapy","author":"Rogers","year":"1951"},{"issue":"8","key":"10.4081\/qrmh.2023.11261_bib38","doi-asserted-by":"crossref","first-page":"5660","DOI":"10.1007\/s12144-020-01149-6","article-title":"The COVID-19 era: How therapists can diminish burnout symptoms through self-care","volume":"41","author":"Rokach","year":"2022","journal-title":"Current Psychology"},{"issue":"1","key":"10.4081\/qrmh.2023.11261_bib39","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1111\/j.1752-0606.2006.tb01590.x","article-title":"Burnout among mental health professionals: Special considerations for the marriage and family therapist","volume":"32","author":"Rosenberg","year":"2007","journal-title":"Journal of Marital and Family Therapy"},{"issue":"29","key":"10.4081\/qrmh.2023.11261_bib40","article-title":"An observational study of the impact of COVID-19 and the rapid implementation of telehealth on community mental health center providers","volume":"2","author":"Sklar","year":"2021","journal-title":"Implement Science Communications"},{"issue":"1","key":"10.4081\/qrmh.2023.11261_bib41","doi-asserted-by":"crossref","DOI":"10.3402\/ejpt.v4i0.21869","article-title":"Compassion satisfaction, burnout, and secondary traumatic stress in UK therapists who work with adult trauma clients","volume":"4","author":"Sodeke-Gregson","year":"2013","journal-title":"European Journal of Psychotraumatology"},{"key":"10.4081\/qrmh.2023.11261_bib42","series-title":"The ethnographic interview","author":"Spradley","year":"1979"},{"issue":"1","key":"10.4081\/qrmh.2023.11261_bib43","doi-asserted-by":"crossref","first-page":"33","DOI":"10.3109\/09638237.2014.971145","article-title":"Exhausted but not cynical: burnout in therapists working within improving access to psychological therapy services","volume":"24","author":"Steel","year":"2015","journal-title":"Journal of Mental Health"},{"issue":"10","key":"10.4081\/qrmh.2023.11261_bib44","doi-asserted-by":"crossref","first-page":"955","DOI":"10.1176\/appi.ajp.2020.19090901","article-title":"Well-being, burnout, and depression among North American psychiatrists: The state of our profession","volume":"177","author":"Summers","year":"2020","journal-title":"The American Journal of Psychiatry"},{"issue":"3-4","key":"10.4081\/qrmh.2023.11261_bib45","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1080\/09515070.2020.1770696","article-title":"Work with emotions in remote psychotherapy in the time of COVID-19: A clinical experience","volume":"34","author":"Thompson-de Benoit","year":"2021","journal-title":"Counselling Psychology Quarterly"},{"key":"10.4081\/qrmh.2023.11261_bib46","author":"U. S. Department of Health and Human Services"},{"key":"10.4081\/qrmh.2023.11261_bib47","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1016\/j.bbi.2020.05.048","article-title":"COVID-19 pandemic and mental health consequences: Systematic review of the current evidence","volume":"89","author":"Vindegaard","year":"2020","journal-title":"Brain, Behavior, and Immunity"},{"issue":"2","key":"10.4081\/qrmh.2023.11261_bib48","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1037\/tep0000328","article-title":"Comparing burnout between graduatelevel and professional clinicians","volume":"15","author":"Warlick","year":"2021","journal-title":"Training and Education in Professional Psychology"},{"issue":"1","key":"10.4081\/qrmh.2023.11261_bib49","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1080\/10904018.2013.813234","article-title":"The relative effectiveness of active listening in initial interactions","volume":"28","author":"Weger","year":"2014","journal-title":"International Journal of Listening"},{"issue":"4","key":"10.4081\/qrmh.2023.11261_bib50","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1089\/tmj.2020.0068","article-title":"The role of telehealth in reducing the mental health burden from COVID-19","volume":"26","author":"Zhou","year":"2020","journal-title":"Telemedicine and e-Health"}],"container-title":["Qualitative Research in Medicine & Healthcare"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.pagepressjournals.org\/index.php\/qrmh\/article\/download\/11261\/11155","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2532204425001315?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2532204425001315?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.pagepressjournals.org\/index.php\/qrmh\/article\/download\/11261\/11155","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T09:04:06Z","timestamp":1753952646000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2532204425001315"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7]]},"references-count":50,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023,7]]}},"alternative-id":["S2532204425001315"],"URL":"https:\/\/doi.org\/10.4081\/qrmh.2023.11261","relation":{},"ISSN":["2532-2044"],"issn-type":[{"value":"2532-2044","type":"print"}],"subject":[],"published":{"date-parts":[[2023,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"\u201cIt's real. It's a thing:\u201d Mental health counselors\u2019 listening exhaustion during COVID-19","name":"articletitle","label":"Article Title"},{"value":"Qualitative Research in Medicine & Healthcare","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.4081\/qrmh.2023.11261","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2023 KeAi Communications Co. Ltd. Publishing services by Elsevier B.V.Published by Elsevier B.V.","name":"copyright","label":"Copyright"}],"article-number":"11261"}}