George-Levi Sivan, Faverman Lir, Galin-Lonchich Yael, Ben-Gal Dahan Anat, Frei-Landau Rivi
Israeli Center for Addiction and Mental Health (ICAMH), Department of Psychology, The Hebrew University of Jerusalem, Jerusalem, Israel.
College of Management Academic Studies, Rishon LeZion, Israel.
Front Psychol. 2025 Jun 4;16:1594885. doi: 10.3389/fpsyg.2025.1594885. eCollection 2025.
The massacre on October 7th, 2023 in southern Israel had a profound impact on mental health therapists in the region. Such collective trauma can lead to heightened stress and secondary trauma among therapists. Identifying resilience and risk factors is, therefore, essential for mitigating these effects. This preliminary study involved 60 therapists (75% women; = 48.3 years, = 10.7) from the Sderot Resilience Center, located near the Gaza border, who completed questionnaires about demographic, professional, and war-related factors, as well as secondary trauma symptoms, finding meaning in work, sense of hope, and stress levels during the war, 1 year after the attack. Loss of a loved one during the war was associated with higher stress levels. Secondary trauma symptoms were linked with increased stress, and higher levels of hope were associated with reduced stress. Moderation models indicated that finding meaning in work was associated with lower stress only when secondary trauma symptoms were low or moderate, but not when they were high. Higher hope levels were linked to reduced stress regardless of secondary trauma severity. Although preliminary and cross-sectional, these findings suggest that whereas finding meaning in work may motivate therapists, it may not fully protect them against stress during extreme trauma. Hope, however, appears to offer a stronger protective buffer. Interventions to mitigate risk factors, reduce secondary trauma, and foster hopeful thinking are essential.
2023年10月7日发生在以色列南部的大屠杀事件对该地区的心理健康治疗师产生了深远影响。这种集体创伤可能会导致治疗师的压力加剧和继发性创伤。因此，识别恢复力和风险因素对于减轻这些影响至关重要。这项初步研究涉及来自靠近加沙边境的斯德洛特恢复力中心的60名治疗师（75%为女性；平均年龄=48.3岁，标准差=10.7），他们完成了关于人口统计学、专业和与战争相关因素的问卷，以及继发性创伤症状、在工作中找到意义、希望感和袭击发生1年后战争期间的压力水平的问卷。战争期间失去亲人与更高的压力水平相关。继发性创伤症状与压力增加有关，而更高的希望水平与压力减轻有关。调节模型表明，只有当继发性创伤症状较低或中等时，在工作中找到意义才与较低的压力相关，而当症状严重时则不然。无论继发性创伤的严重程度如何，更高的希望水平都与压力减轻有关。尽管这些发现是初步的且为横断面研究，但它们表明，虽然在工作中找到意义可能会激励治疗师，但在极端创伤期间，它可能无法完全保护他们免受压力。然而，希望似乎提供了更强的保护缓冲。采取干预措施以减轻风险因素、减少继发性创伤并培养充满希望的思维至关重要。
