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替代性创伤、继发性创伤应激还是仅仅是职业倦怠?创伤治疗对心理健康专业人员的影响。

Vicarious trauma, secondary traumatic stress or simply burnout? Effect of trauma therapy on mental health professionals.

作者信息

Devilly Grant J, Wright Renee, Varker Tracey

机构信息

School of Psychology and Griffith Institute for Health and Medical Research, Griffith University-Mt Gravatt Campus, Qld, Australia.

出版信息

Aust N Z J Psychiatry. 2009 Apr;43(4):373-85. doi: 10.1080/00048670902721079.

DOI:10.1080/00048670902721079
PMID:19296294
Abstract

OBJECTIVES

The aim of the present study was to perform an assessment for secondary traumatic stress (STS), vicarious trauma (VT) and workplace burnout for Australian mental health professionals involved in clinical practice.

METHODS

Recruited directly by mail, randomly selected participants were invited to submit a questionnaire by post or online. Of the 480 participants contacted, 152 mental health professionals completed the questionnaire, which contained measures of STS, VT and burnout.

RESULTS

Exposure to patients' traumatic material did not affect STS, VT or burnout, contradicting the theory of the originators of STS and VT. Rather, it was found that work-related stressors best predicted therapist distress.

CONCLUSIONS

These findings have significant implications for the direction of research and theory development in traumatic stress studies, calling into question the existence of secondary trauma-related phenomena and enterprises aimed at treating the consultants.

摘要

目的

本研究旨在对参与临床实践的澳大利亚心理健康专业人员的继发性创伤应激(STS)、替代性创伤(VT)和职业倦怠进行评估。

方法

通过邮件直接招募,随机选择的参与者被邀请通过邮寄或在线方式提交问卷。在联系的480名参与者中,152名心理健康专业人员完成了问卷,问卷包含了STS、VT和职业倦怠的测量指标。

结果

接触患者的创伤性资料并未影响STS、VT或职业倦怠,这与STS和VT的提出者的理论相矛盾。相反,研究发现与工作相关的压力源最能预测治疗师的困扰。

结论

这些发现对创伤应激研究的方向和理论发展具有重要意义,质疑了继发性创伤相关现象的存在以及旨在治疗咨询者的相关事业。

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