Ghahramanlou M, Brodbeck C
Department of Psychology, Fairleigh Dickinson University, USA.
Int J Emerg Ment Health. 2000 Fall;2(4):229-40.
This study evaluated psychological distress, secondary trauma intensity, and specific components of secondary trauma in 89 sexual assault trauma counselors (SATC). Results indicated that some SATC were experiencing secondary trauma based on measures of psychological distress and PTSD-like symptoms. The study also examined whether personal trauma history, greater counseling experience, emergency room work as primary client contact type, counseling satisfaction levels, and demographic variables significantly predicted self-reported psychological distress and PTSD-like symptoms. Results supported the hypothesis that personal trauma history and younger age significantly predicted self-reported psychological distress. Results also supported hypotheses that personal trauma history, younger counselor age, and lower counseling satisfaction levels significantly predicted higher levels of secondary trauma intensity. Contrary to prediction, exposure to trauma survivors, emergency room work as primary client contact type, and education did not significantly predict psychological distress or secondary trauma intensity. Findings were robust even when SATC currently in psychotherapy or taking medication were conservatively excluded in follow-up analyses. Research and training implications are discussed [International Journal of Emergency Mental Health, 2000, 2(4), 229-240).
本研究评估了89名性侵犯创伤咨询师（SATC）的心理困扰、继发性创伤强度以及继发性创伤的具体组成部分。结果表明，根据心理困扰和创伤后应激障碍样症状的测量，一些SATC正在经历继发性创伤。该研究还考察了个人创伤史、更丰富的咨询经验、作为主要客户接触类型的急诊室工作、咨询满意度水平以及人口统计学变量是否能显著预测自我报告的心理困扰和创伤后应激障碍样症状。结果支持了个人创伤史和较年轻年龄能显著预测自我报告的心理困扰这一假设。结果还支持了以下假设，即个人创伤史、咨询师较年轻的年龄以及较低的咨询满意度水平能显著预测更高水平的继发性创伤强度。与预测相反，接触创伤幸存者、作为主要客户接触类型的急诊室工作以及受教育程度并不能显著预测心理困扰或继发性创伤强度。即使在后续分析中保守地排除了目前正在接受心理治疗或正在服药的SATC，研究结果依然很可靠。文中讨论了研究和培训方面的意义[《国际应急心理健康杂志》，2000年，第2卷第4期，第229 - 240页]
