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寄养照顾者的继发性创伤和同情疲劳。

Secondary trauma and compassion fatigue in foster carers.

作者信息

Hannah Beatrice, Woolgar Matt

机构信息

1 Department of Psychology, Institute of Psychiatry, Psychology & Neuroscience, King's College London, UK.

2 South London and Maudsley NHS Foundation Trust, UK.

出版信息

Clin Child Psychol Psychiatry. 2018 Oct;23(4):629-643. doi: 10.1177/1359104518778327. Epub 2018 May 31.

Abstract

BACKGROUND

With the number of children being placed in the care of local authorities increasing, the need to recruit and retain foster carers is essential. Compassion fatigue is recognised as a negative effect for professionals working with adults and children who have experienced trauma. This study aims to confirm the proof of concept within foster carers and to explore the potential risks associated with intent to continue fostering, overall job satisfaction and psychological factors (avoidant coping) that could be targets for interventions.

METHODS

In total, 131 foster carers completed an online survey including self-report measures of compassion fatigue and associated risk factors.

RESULTS

Results confirm the existence of compassion fatigue among foster carers with rates in line with previous studies on other professionals working with children. High compassion fatigue was associated with lower intent to continue fostering and lower job satisfaction. Avoidant cognitive styles of psychological inflexibility and thought suppression were associated with compassion fatigue.

CONCLUSION

The confirmation of compassion fatigue among foster carers and the potential risks to job retention are important findings for social care. The associations with avoidant cognitive styles have clinical implications for potential interventions. Recommendations for further research and the limitations of this study are also discussed.

摘要

背景

随着被安置在地方当局照料下的儿童数量不断增加,招募并留住寄养家庭照顾者至关重要。同情疲劳被认为是对与经历过创伤的成人和儿童打交道的专业人员的一种负面影响。本研究旨在证实寄养家庭照顾者中概念验证的存在,并探讨与继续寄养意愿、总体工作满意度以及可能成为干预目标的心理因素(回避应对)相关的潜在风险。

方法

共有131名寄养家庭照顾者完成了一项在线调查,其中包括对同情疲劳及相关风险因素的自我报告测量。

结果

结果证实寄养家庭照顾者中存在同情疲劳,其发生率与之前关于其他从事儿童工作的专业人员的研究一致。高同情疲劳与较低的继续寄养意愿和较低的工作满意度相关。心理不灵活性和思维抑制的回避认知风格与同情疲劳相关。

结论

寄养家庭照顾者中同情疲劳的证实以及对工作保留的潜在风险是社会护理的重要发现。与回避认知风格的关联对潜在干预具有临床意义。还讨论了进一步研究的建议和本研究的局限性。

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