Park Sun-Hee, Go Yun Hee, Cho Heeran J, Yoon Myeong-Sook
Department of Social Welfare, Jeonbuk National University, Jeonju, Jeollabuk-do, Republic of Korea.
School of Glocal Studies, Kyungwoon University, Gumi, Gyeongsangbuk-do, Republic of Korea.
Front Psychiatry. 2025 Jun 3;16:1543681. doi: 10.3389/fpsyt.2025.1543681. eCollection 2025.
In response to growing evidence regarding the psychological burden of client deaths on mental health professionals (MHPs), this study investigates how occupational death trauma influences burnout, particularly through the mediating role of secondary traumatic stress (STS).
A structured online survey was administered to 224 MHPs working at mental health welfare centers across South Korea in June 2024. Multiple regression analysis and mediation analysis were performed using bootstrapping with 5,000 resamples in Stata/MP 18.0.
Greater exposure to occupational death trauma was significantly associated with higher levels of burnout among MHPs (β = .515, p <.001). Occupational death trauma exerted a significant direct effect on burnout, and STS was found to partially mediate this relationship (β = .277, p <.001). Specifically, increased exposure to occupational death trauma elevated STS, which in turn intensified burnout among MHPs. These findings underscore both direct and indirect pathways through which occupational death trauma contributes to burnout, emphasizing the need for structured psychological interventions within the mental health workforce.
鉴于越来越多的证据表明服务对象死亡给心理健康专业人员（MHP）带来心理负担，本研究调查职业死亡创伤如何影响倦怠，特别是通过继发性创伤应激（STS）的中介作用。
2024年6月，对韩国各地心理健康福利中心的224名心理健康专业人员进行了结构化在线调查。在Stata/MP 18.0中使用5000次重抽样的自抽样法进行多元回归分析和中介分析。
心理健康专业人员更多地暴露于职业死亡创伤与更高水平的倦怠显著相关（β = 0.515，p < 0.001）。职业死亡创伤对倦怠有显著的直接影响，并且发现继发性创伤应激部分中介了这种关系（β = 0.277，p < 0.001）。具体而言，更多地暴露于职业死亡创伤会增加继发性创伤应激，进而加剧心理健康专业人员的倦怠。这些发现强调了职业死亡创伤导致倦怠的直接和间接途径，强调了在心理健康工作队伍中进行结构化心理干预的必要性。
