Exhausted through client interaction-Detached concern profiles as an emotional resource over time?

Abstract

To identify long-term profiles of Detached Concern (DC), based on its core dimensions detachment (D) and empathic concern (C), and to determine their association with burnout among human service professionals. Self-reported data from healthcare, teaching and social professionals (N = 108) were collected in 3-waves over an 8-month period. Latent profile analysis and analysis of covariance for repeated measures were applied. Five relatively stable longitudinal DC profiles emerged: (1) 'detached' (high D-low C; 33%); (2) 'empathic' (high C-moderate D; 31%); (3) 'balanced' (high D-high C; 21%); (4) 'boundless' (high C-low D, curvilinear trend; 8%); (5) 'moderately uninvolved' (low C-moderate D, increasing; 7%). Findings revealed profile differences based on gender (p < 0.05; χ2(4) = 9.73) and work experience (F [4, 103] = 3.26, p < .05). Differences could also be found for emotional exhaustion (F [4, 101] = 6.34, p < .001). The lowest emotional exhaustion over time occurred among balanced professionals. A stable or increasing risk of exhaustion over time was found in particular among profiles with moderate-to-low levels of detachment. A balanced DC protects professionals' mental health because it is associated with the lowest levels of emotional exhaustion over time among the distinct DC profiles. Findings provide evidence-based information for education and health-promoting interventions and contribute to self-awareness of the strengths and risks of DC and burnout for human service organisations and professionals.