Secondary traumatic stress among mental health providers working with the military: prevalence and its work- and exposure-related correlates

Roman Cieslak, Valerie Anderson, Judith Bock, Bret A Moore, Alan L Peterson, Charles C Benight, Roman Cieslak, Valerie Anderson, Judith Bock, Bret A Moore, Alan L Peterson, Charles C Benight

Abstract

Our research assessed the prevalence of secondary traumatic stress (STS) among mental health providers working with military patients. We also investigated personal, work-related, and exposure-related correlates of STS. Finally, using meta-analysis, the mean level of STS symptoms in this population was compared with the mean level of these symptoms in other groups. Participants (N = 224) completed measures of indirect exposure to trauma (i.e., diversity, volume, frequency, ratio), appraisal of secondary exposure impact, direct exposure to trauma, STS, and work characteristics. The prevalence of STS was 19.2%. Personal history of trauma, complaints about having too many patients, and more negative appraisals of the impact caused by an indirect exposure to trauma were associated with higher frequency of STS symptoms. A meta-analysis showed that the severity of intrusion, avoidance, and arousal symptoms of STS was similar across various groups of professionals indirectly exposed to trauma (e.g., mental health providers, rescue workers, social workers).

References

    1. Adams RE, Boscarino JA, Figley CR. (2006) Compassion fatigue and psychological distress among social workers: A validation study. Am J Orthopsychiatry. 76: 103– 108.
    1. American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders (4th ed–text rev). Washington, DC: American Psychiatric Association.
    1. Argentero P, Setti I. (2011) Engagement and vicarious traumatization in rescue workers. Int Arch Occup Environ Health. 84: 67– 75.
    1. Ballenger-Browning KK, Schmitz KJ, Rothacker JA, Hammer PS, Webb-Murphy JA, Johnson DC. (2011) Predictors of burnout among military mental health providers. Mil Med. 176: 253– 260.
    1. Bride BE. (2007) Prevalence of secondary traumatic stress among social workers. Soc Work. 52: 63– 70.
    1. Bride BE, Jones JL, Macmaster SA. (2007) Correlates of secondary traumatic stress in child protective services workers. J Evid Based Soc Work. 4: 69– 80.
    1. Bride BE, Robinson MM, Yegidis B, Figley CR. (2004) Development and validation of the Secondary Traumatic Stress Scale. Res Soc Work Pract. 14: 27– 35.
    1. Bride BE, Smith Hatcher S, Humble MN. (2009) Trauma training, trauma practices, and secondary traumatic stress among substance abuse counselors. Traumatology. 15: 96– 105.
    1. Brockhouse R, Msetfi RM, Cohen K, Joseph S. (2011) Vicarious exposure to trauma and growth in therapists: The moderating effects of sense of coherence, organizational support, and empathy. J Trauma Stress. 24: 735– 742.
    1. Choi GY. (2011a) Secondary traumatic stress of service providers who practice with survivors of family or sexual violence: A national survey of social workers. Smith Coll Stud Soc Work. 81: 101– 119.
    1. Choi GY. (2011b) Organizational impacts on the secondary traumatic stress of social workers assisting family violence or sexual assault survivors. Adm Soc Work. 35: 225– 242.
    1. Cieslak R, Knoll N, Luszczynska A. (2007) Reciprocal relations among job demands, job control, and social support are moderated by neuroticism: A cross-lagged analysis. J Vocat Behav. 71: 84– 96.
    1. Creamer TL, Liddle BJ. (2005) Secondary traumatic stress among disaster mental health workers responding to the September 11 attacks. J Trauma Stress. 18: 89– 96.
    1. Dalgleish T. (2004) Cognitive approaches to posttraumatic stress disorder: The evolution of multirepresentational theorizing. Psychol Bull. 130: 228– 260.
    1. Deighton RM, Gurris N, Traue H. (2007) Factors affecting burnout and compassion fatigue in psychotherapists treating torture survivors: Is the therapist’s attitude to working through trauma relevant? J Trauma Stress. 20: 63– 75.
    1. Devilly GJ, Wright R, Varker T. (2009) Vicarious trauma, secondary traumatic stress or simply burnout? Effect of trauma therapy on mental health professionals. Aust N Z J Psychiatry. 43: 373– 385.
    1. Dominguez-Gomez E, Rutledge DN. (2009) Prevalence of secondary traumatic stress among emergency nurses. J Emerg Nurs. 35: 199– 204.
    1. Ehlers A, Clark DM. (2000) A cognitive model of posttraumatic stress disorder. Behav Res Ther. 38: 319– 345.
    1. Elwood LS, Mott J, Lohr JM, Galovski TE. (2011) Secondary trauma symptoms in clinicians: A critical review of the construct, specificity, and implications for trauma-focused treatment. Clin Psychol Rev. 31: 25– 36.
    1. Figley CR. (2002) Compassion fatigue: Psychotherapists’ chronic lack of self care. J Clin Psychol. 58: 1433– 1441.
    1. Galek K, Flannelly KJ, Greene PB, Kudler T. (2011) Burnout, secondary traumatic stress, and social support. Pastoral Psychol. 60: 633– 649.
    1. Jenkins SR, Baird S. (2002) Secondary traumatic stress and vicarious trauma: A validational study. J Trauma Stress. 15: 423– 432.
    1. Kessler RC, Berglund P, Demler O, Jin R, Merikangas KR, Walters EE. (2005) Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry. 62: 593– 602.
    1. Kessler RC, Chiu WT, Demler O, Merikangas KR, Walters EE. (2005) Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry. 62: 617– 627.
    1. Lazarus RS, Folkman S. (1984) Stress, appraisal, and coping. New York: Springer.
    1. Marcus S, Dubi M. (2006) The relationship between resilience and compassion fatigue in counselors. In Walz GR, Bleuer JC, Yep KK, RK (Eds), Vistas: Compelling perspectives on counseling (pp 223– 225). Alexandria, VA: American Counseling Association.
    1. Maguen S, Turcotte DM, Peterson AL, Dremsa TL, Garb HN, McNally RJ, Litz BT. (2008) Description of risk and resilience factors among military medical personnel before deployment to Iraq. Mil Med. 173: 1– 9.
    1. McCann IL, Pearlman LA. (1990) Vicarious traumatization: A framework for understanding the psychological effects of working with victims. J Trauma Stress. 3: 131– 149.
    1. Norris FH. (1990) Screening for traumatic stress: A scale for use in the general population. J Appl Soc Psychol. 20: 1704– 1718.
    1. Pearlman LA, Mac Ian PS. (1995) Vicarious traumatization: An empirical study of the effects of trauma work on trauma therapists. Prof Psychol Res Pr. 26: 558– 565.
    1. Perez LM, Jones J, Englert DR, Sachau D. (2010) Secondary traumatic stress and burnout among law enforcement investigators exposed to disturbing media images. J Police Crim Psychol. 25: 113– 124.
    1. Peterson AL, Cigrang JA, Isler WC. (2009) Future directions: Trauma, resilience, and recovery research. In Freeman SM, Moore B, Freeman A. (Eds), Living and surviving in harm’s way: A psychological treatment handbook for pre-and post-deployment of military personnel (pp. 467– 493). New York: Routledge.
    1. Prati G, Pietrantoni L, Cicognani E. (2010) Self-efficacy moderates the relationship between stress appraisal and quality of life among rescue workers. Anxiety Stress Coping. 23: 463– 470.
    1. Quinal L, Harford S, Rutledge DN. (2009) Secondary traumatic stress in oncology staff. Cancer Nurs. 32: E1– E7.
    1. Richardson LK, Frueh BC, Acierno R. (2010) Prevalence estimates of combat-related post-traumatic stress disorder: A critical review. Aust N Z J Psychiatry. 44: 4– 19.
    1. Rosenheck RA, Fontana AF. (2007) Recent trends in VA treatment of post-traumatic stress disorder and other mental disorders. Health Aff (Millwood). 26: 1720– 1727.
    1. Sabin-Farrell R, Turpin G. (2003) Vicarious traumatization: Implications for the mental health of health workers? Clin Psychol Rev. 23: 449– 480.
    1. Smith Hatcher S, Bride BE, Oh H, Moultrie King D, Franklin Catrett J. (2011) An assessment of secondary traumatic stress in juvenile justice education workers. J Correct Health Care. 17: 208– 217.
    1. Stergiopoulos E, Cimo A, Cheng C, Bonato S, Dewa CS. (2011) Interventions to improve work outcomes in work-related PTSD: A systematic review. BMC Public Health. 31: e838.
    1. Van der Doef M, Maes S. (1999) The Job Demand-Control (-Support) Model and psychological well-being: A review of 20 years of empirical research. Work Stress. 13: 87– 114.
    1. Voss Horrell SC, Holohan DR, Didion LM, Vance GT. (2011) Treating traumatized OEF/OIF veterans: How does trauma treatment affect the clinician? Prof Psychol Res Pr. 42: 79– 86.
    1. Wald J, Taylor S. (2009) Work impairment and disability in posttraumatic stress disorder: A review and recommendations for psychological injury research and practice. Psychol Inj Law. 2: 254– 262.

Source: PubMed

3
Předplatit