Department of Psychiatry, University of Kentucky College of Medicine.
Psychol Trauma. 2022 Mar;14(3):507-515. doi: 10.1037/tra0001183.
This study examines the relationships between multiple COVID-19 related stressors and experiences of secondary traumatic stress (STS) and burnout (BO).
This sample (N = 550) of professionals and caregivers from a foster care system in the United States completed an online survey regarding their experiences of COVID-19 related stress in multiple domains (disruptions in routines, income/employment, food access, medical/mental health care access, access to social support, worries about COVID, family conflict/violence, and COVID diagnoses). The survey also included established measures of STS and BO.
A subset of COVID-19 stressors was found to account for 27.4% of the variance in STS and 24.7% of the variance in BO scores in regression analyses. Significant correlates for STS included worries about COVID, family conflict/violence and food access, while only worries about COVID and family conflict/violence were significant in the model testing BO. Part of the sample (N = 64) had participated in a related 2019 study of STS and BO and were included in comparison analyses of these conditions before and during the COVID-19 pandemic. Results for T1 and T2 comparisons yielded significant increases in STS related symptoms of intrusion and alterations in cognitions and mood, with differences in total STS scores trending toward significance. No significant differences were found in BO scores.
These findings and associated implications are discussed for groups of caregivers and helping professionals with preexisting high levels of indirect trauma exposure in a pandemic context. This study provides some guidance on how to identify those at risk for increased distress in their helping roles and considerations for implementing support strategies during a pandemic. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
本研究考察了多种与 COVID-19 相关的应激源与继发性创伤应激(STS)和倦怠(BO)体验之间的关系。
本研究在美国寄养系统中的专业人员和护理人员中抽取了 550 名样本,他们完成了一份关于其在多个领域(日常生活中断、收入/就业、食品获取、医疗/心理健康保健获取、社会支持获取、对 COVID 的担忧、家庭冲突/暴力和 COVID 诊断)中经历与 COVID-19 相关的应激源的在线调查。该调查还包括 STS 和 BO 的既定测量方法。
回归分析发现,一组 COVID-19 应激源可以解释 STS 得分 27.4%的方差和 BO 得分 24.7%的方差。STS 的显著相关因素包括对 COVID 的担忧、家庭冲突/暴力和食品获取,而在测试 BO 的模型中,只有对 COVID 的担忧和家庭冲突/暴力才具有显著意义。部分样本(N=64)参加了 2019 年有关 STS 和 BO 的相关研究,并纳入了 COVID-19 大流行前后这些条件的比较分析。T1 和 T2 比较的结果显示,STS 相关的侵入症状和认知与情绪改变显著增加,总 STS 得分的差异也有显著趋势。BO 得分没有显著差异。
在大流行背景下,对于具有先前存在的间接创伤暴露的护理人员和帮助专业人员群体,这些发现和相关影响被讨论。本研究就如何识别在帮助角色中出现更多困扰的风险以及在大流行期间实施支持策略提供了一些指导。