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探索儿童福利工作者遭受二次创伤的经历和应对策略。

An exploration of child welfare caseworkers' experience of secondary trauma and strategies for coping.

机构信息

Butler Institute for Families, Graduate School of Social Work, University of Denver, Denver, CO 80208, USA.

出版信息

Child Abuse Negl. 2020 Dec;110(Pt 3):104355. doi: 10.1016/j.chiabu.2020.104355. Epub 2020 Jan 14.

Abstract

BACKGROUND

The use of coping strategies can protect against the detrimental effects of many work-related stressors. Given the stressful nature of casework with traumatized children and families, there is a need to better understand how to prevent the experience of secondary trauma.

OBJECTIVE

The goal of this study is to examine child welfare caseworkers' experience of secondary traumatic stress (STS) and the extent to which coping strategies act as a buffer.

PARTICIPANTS AND SETTING

This study utilizes both cross-sectional (N = 1968 at baseline) and longitudinal (N = 653 at 3-year follow-up) data from child welfare caseworkers in three states.

METHODS

Participants were recruited as part of a larger workforce study and invited to complete an online survey.

RESULTS

Results indicated relatively high levels of secondary trauma, with 29.6 % of caseworkers scoring in the "severe" range. Caseworkers' experience of STS was positively associated with burnout and negatively associated with organizational support and coping. Those who utilized coping strategies reported fewer symptoms of secondary traumatic stress both concurrently and three years later. Of the 15 coping strategies explored, the more proficient copers were most likely to have a clear self-care plan, participate in activities or hobbies, and have a work-to-home transition plan.

CONCLUSIONS

Study results point to the importance of developing a self-care plan and having organizational supports that help protect child welfare caseworkers from the negative effects of secondary trauma exposure, both concurrently and over time.

摘要

背景

应对策略的运用可以保护人们免受许多与工作相关的应激源的不利影响。鉴于创伤儿童和家庭的个案工作具有压力性,因此需要更好地了解如何防止二次创伤的发生。

目的

本研究旨在探讨儿童福利工作者经历的二次创伤性应激(STS),以及应对策略在多大程度上起到缓冲作用。

参与者和环境

本研究利用了来自三个州的儿童福利工作者的横断面(基线时 N = 1968)和纵向(3 年随访时 N = 653)数据。

方法

参与者是作为一项更大的劳动力研究的一部分招募的,并被邀请完成在线调查。

结果

结果表明,二次创伤的程度相对较高,有 29.6%的个案工作者得分处于“严重”范围。工作者的 STS 体验与倦怠呈正相关,与组织支持和应对呈负相关。那些使用应对策略的人在同期和三年后报告的二次创伤后应激症状较少。在探索的 15 种应对策略中,应对能力较强的人更有可能有明确的自我保健计划、参与活动或爱好,以及有工作到家庭的过渡计划。

结论

研究结果表明,制定自我保健计划和获得组织支持对于保护儿童福利工作者免受二次创伤暴露的负面影响至关重要,无论是在同期还是随着时间的推移。

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