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Review
. 2023 Oct 12:14:1150150.
doi: 10.3389/fpsyg.2023.1150150. eCollection 2023.

Helper Syndrome and Pathological Altruism in nurses - a study in times of the COVID-19 pandemic

Victoria E Maringgele  1 , Martin Scherr  1 , Wolfgang Aichhorn  1 , Andreas K Kaiser  1
Affiliations
Review

Helper Syndrome and Pathological Altruism in nurses - a study in times of the COVID-19 pandemic

Victoria E Maringgele et al. Front Psychol. .

Abstract

Background: Pathological Altruism and the concept of Helper Syndrome are comparable. We focused on Schmidbauer's description because it provides a comprehensive and testable definition. Nevertheless, this concept of Helper Syndrome has not yet been empirically investigated in a sample of helping professionals.

Aim: To investigate whether nurses working with covid-19 patients are more likely to have Helper Syndrome compared with individuals from non-helper professions.

Methods: The online survey took place between April 2021 and February 2022, in urban and rural regions of Salzburg, during the time of the COVID-19 pandemic. Nurses (n = 447) and controls (n = 295) were compared regarding Helper Syndrome characteristics. To measure characteristics of Helper Syndrome the following questionnaires were used: WHO-Five (WHO-5), selected scales of the Personality, Style and Disorder Inventory (PSSI) and the Freiburg Personality Inventory-Revised (FPI-R), the Alcohol Use Disorders Identification Test (AUDIT). Insecure gender identity and self-assessment of having a Helper Syndrome was measured by a Likert scale.

Results: In both groups, Helper Syndrome was detected (nurses 29.5%, controls 30.5%). Participants with Helper Syndrome showed significant differences in personality styles and traits, namely significantly higher scores for Foreboding-Schizotypical Personality Style, Spontaneous-Borderline Personality Style, Amiable-Histrionic Personality Style, Ambitious-Narcissistic Personality Style, Loyal-Dependent Personality Style, Helpful-Selfless Personality Style, Carefully-Obsessive Personality Style, Optimistic-Rhapsodic Personality Style, Social Orientation, Strain, Emotionality and lower well-being. The only difference between nurses and controls was that nurses were significantly less open aggressive.

Conclusion: For the first time, we were able to demonstrate Schmidbauer's concept of Helper Syndrome. According to our data, we found a subgroup of individuals similar to Schmidbauer's description of Helper Syndrome, but this sample was independent of helping or non-helping profession. These individuals seem to be at higher risk for psychiatric disorders.

Keywords: COVID - 19; Helper Syndrome; Pathological Altruism; health care professionals; nurses; personality; well-being.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
The appearance of Helper Syndrome – described by Schmidbauer (2018) – and the survey methods [PSSI, Personality Styles and Disorder Inventory; FPI-R, Freiburg Personality Inventory; AUDIT, Alcohol Use Disorders Identification Test; WHO-5, The World Health Organization – Five Well-Being Index (WHO-5)].
See this image and copyright information in PMC

References

    1. Brähler E., Mühlan H., Albani C., Schmidt S. (2007). Teststatistische prüfung und normierung der deutschen versionen des EUROHIS-QOL Lebensqualität-index und des WHO-5 Wohlbefindens-index [testing and standardization of the German version of the EUROHIS-QOL and WHO-5 quality-of life-indices]. Diagnostica 53, 83–96. doi: 10.1026/0012-1924.53.2.83 - DOI
    1. Bühner M., Ziegler M. Statistik für Sozialwissenschaftler [statistics for social scientists]. Munich: Pearson, (2009).
    1. Bundesministerium für Soziales, Gesundheit, Pflege und Konsumentenschutz [The Federal Ministry of Social Affairs, Health, Care and Consumer Protection of Austria states] . (2021). Nichtärztliches Gesundheitspersonal 2020 in Krankenanstalten nach Geschlecht, Fachrichtung und Bundesland (Stand 31.12.2020). Available at: file:///C:/Users/Startklar/Downloads/nichtaerztliches_gesundheitspersona...
    1. Cañadas-De la Fuente G. A., Vargas C., San Luis C., García I., Cañadas G. R., De la Fuente E. I. (2015). Risk factors and prevalence of burnout syndrome in the nursing profession. Int. J. Nurs. Stud. 52, 240–249. doi: 10.1016/j.ijnurstu.2014.07.001 - DOI - PubMed
    1. Carol J. (1975). Alexander, is “nice” nurse concealing passive aggression? AORN J. 21, 1179–1182. doi: 10.1016/S0001-2092(07)67954-X - DOI - PubMed