Cleary Eimear, Curran David, Dyer Kevin, Simms Jane, Hanna Donncha
School of Psychology, Queens University Belfast, Belfast, Northern Ireland.
Psychological Therapies Service, Northern Health and Social Care Trust, Antrim, Northern Ireland.
J Trauma Stress. 2024 Feb;37(1):103-112. doi: 10.1002/jts.22995. Epub 2023 Nov 20.
Alongside the recognized potential negative repercussions of working as a psychological therapist, there is growing interest in the potential positive impacts of engaging in such work. The current study used a cross-sectional online survey design to explore the impact of a range of demographic, work-related, and compassion-related factors on levels of secondary traumatic stress (STS) and vicarious posttraumatic growth (VPTG) in an international sample of 359 psychological therapists. Hierarchical multiple regressions demonstrated that burnout, lower levels of self-compassion, having a personal trauma history, reporting a higher percentage of working time with a trauma focus, and being female were the statistically significant contributors to STS scores, explaining 40.8% of the variance, F(9, 304) = 23.2, p <.001. For VPTG, higher compassion satisfaction, higher self-compassion, higher STS, a higher percentage of working time with a trauma focus, fewer years qualified, being male, and having a personal trauma history were all statistically significant contributors, explaining 27.3% of the variance, F (10, 304) = 11.37, p <.001. The findings illustrate the potential risk and protective factors for developing STS and clarify factors that may increase the likelihood of experiencing VPTG. Implications for psychological therapists and the organizations and institutions for which they work are considered along with potential directions for future research in the discussion.
除了作为心理治疗师工作所公认的潜在负面影响外，人们对从事这项工作的潜在积极影响的兴趣也在日益增加。本研究采用横断面在线调查设计，以探讨一系列人口统计学、工作相关和同情心相关因素对359名国际心理治疗师样本中继发性创伤应激（STS）水平和替代性创伤后成长（VPTG）的影响。分层多元回归表明，职业倦怠、较低的自我同情心、有个人创伤史、报告较高比例的专注于创伤的工作时间以及女性身份是STS得分的统计学显著贡献因素，解释了40.8%的方差，F(9, 304) = 23.2，p <.001。对于VPTG，较高的同情心满意度、较高的自我同情心、较高的STS、较高比例的专注于创伤的工作时间、较少的执业年限、男性身份以及有个人创伤史都是统计学显著贡献因素，解释了27.3%的方差，F (10, 304) = 11.37，p <.001。研究结果说明了发展STS的潜在风险和保护因素，并阐明了可能增加经历VPTG可能性的因素。讨论中考虑了对心理治疗师及其工作的组织和机构的启示以及未来研究的潜在方向。
