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Functional Near-Infrared Spectroscopy Hyperscanning Study in Psychological Counseling

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Psychological well-being among Canadian chiropractors: a cross-sectional questionnaire-based study.

Gregory Neil Kawchuk¹, Silvano Mior^2,3, Crystal Draper^4,5

¹Department of Physical Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Canada.

Chiropractic & Manual Therapies

|November 29, 2025

Summary

Canadian chiropractors report significant mental health challenges, including burnout and suicidal ideation. This study identifies at-risk profiles to inform targeted interventions for chiropractor well-being.

Keywords:

Anxiety Burnout Chiropractic Depression Health occupations Mental health Psychological well-being Suicidal ideation

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Area of Science:

Occupational Health
Psychology
Chiropractic Medicine

Background:

The mental health of chiropractors is largely unexamined, unlike other health professions.
Understanding chiropractor well-being is crucial for individual health, intervention design, and workforce planning.

Purpose of the Study:

To conduct the first comprehensive mental health and wellness survey of the Canadian chiropractic profession.
To identify mental health challenges and at-risk profiles within this group.

Main Methods:

A cross-sectional survey of Canadian chiropractors and students was conducted using an adapted Canadian Medical Association questionnaire.
Data were analyzed using descriptive and inferential statistics, stratified by demographics and practice characteristics.
At-risk and least-at-risk profiles were constructed based on psychological assessment results.

Main Results:

Over 2100 chiropractors responded, with 57.8% flourishing and 5.3% languishing mentally.
Significant mental health issues were reported: burnout (33.2%), anxiety (22.0%), depressed mood (36.8%), and lifetime suicidal ideation (26.7%).
Young female chiropractors with less than 5 years of experience were identified as the most at-risk group.

Conclusions:

This study provides the first comprehensive mental health evaluation of Canadian chiropractors, revealing significant challenges.
Findings highlight the need for preventative and intervention strategies, particularly for identified high-risk groups.
International surveys are underway to compare mental health across different chiropractic communities.