SLPCohortInternational journal of language & communication disorders2025

A Longitudinal Investigation Into the Relationship Between Working as a Speech and Language Therapist and Wellbeing.

Claire Ewen, Craig A Jackson, John Galvin

PMID 40396213

WHAT IT FOUND

High workload, low autonomy and poor support predict distress in speech and language therapists.

Changing jobs improved satisfaction, but personal coping strategies did not. Employers must fix job design, not just encourage individual resilience.

Key findings

0153.3% of UK speech and language therapists showed signs of psychological distress on a general wellbeing measure.

02Therapists in jobs with high demands, low control and low support had the lowest satisfaction and worst wellbeing.

03Changing jobs improved job satisfaction, but making positive personal changes did not.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

The study relied on self-report, so therapists who were extremely stressed or extremely happy may not have responded, skewing the results. Participants were recruited through professional networks and social media, not randomly, so the sample may not represent all UK speech and language therapists. Only seventeen people changed jobs during the three-month follow-up, making the finding about job changes less certain. The survey did not ask about workplace changes at the second time point, so it cannot prove that specific job features caused the changes in wellbeing. Data was collected in 2018, before the pandemic, so current workplace pressures may differ significantly.

Declared interests

The authors declare no conflicts of interest.

The easy way to misread this

Do not conclude that personal coping strategies like mindfulness or exercise are useless for all therapists. This study only found they did not improve wellbeing in this specific group over three months, and it did not control for what those personal changes actually were. The lack of effect may reflect poor implementation or measurement, not the strategies themselves.

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