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Cogn Behav Ther. 2017 Nov;46(6):522-532. doi: 10.1080/16506073.2017.1315612. Epub 2017 Apr 28.
Previously called Secondary Traumatic Stress (STS), secondary exposure to trauma is now considered a valid DSM-5 Criterion A stressor for posttraumatic stress disorder (PTSD). Previous studies have found high rates of STS in clinicians who treat traumatically injured patients. However, little research has examined STS among Emergency Medicine (EM) physicians and advanced practice providers (APPs). The current study enrolled EM providers (N = 118) working in one of 10 hospitals to examine risk factors, protective factors, and the prevalence of STS in this understudied population. Most of the participants were physicians (72.9%), Caucasian (85.6%), and male (70.3%) with mean age of 39.7 (SD = 8.9). Overall, 12.7% of the sample screened positive for STS with clinical levels of intrusion, arousal, and avoidance symptom clusters, and 33.9% had at least one symptom cluster at clinical levels. Low resilience and a history of personal trauma were positively associated with positive STS screens and STS severity scores. Borderline significance suggested that female gender and spending ≥10% of one's time with trauma patients could be additional risk factors. Findings suggest that resilience-building interventions may be beneficial.
先前被称为二次创伤应激（STS），现在二次暴露于创伤被认为是创伤后应激障碍（PTSD）的 DSM-5 标准 A 应激源。先前的研究发现，治疗创伤性损伤患者的临床医生中 STS 发生率很高。然而，很少有研究检查急诊医学（EM）医生和高级实践提供者（APP）中的 STS。本研究招募了在 10 家医院之一工作的 EM 提供者（N=118），以检查该研究人群中 STS 的风险因素、保护因素和患病率。大多数参与者是医生（72.9%）、白种人（85.6%）和男性（70.3%），平均年龄为 39.7（SD=8.9）。总体而言，12.7%的样本对 STS 进行了阳性筛查，表现为侵入、唤醒和回避症状群的临床水平，33.9%的样本至少有一个症状群达到临床水平。低韧性和个人创伤史与 STS 阳性筛查和 STS 严重程度评分呈正相关。边缘显著表明，女性性别和花费≥10%的时间与创伤患者在一起可能是额外的风险因素。研究结果表明，建立韧性的干预措施可能是有益的。
