Vol 18, No 1 (2021)
Research paper
Published online: 2020-11-16
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Workload, manifestation of empathy and symptoms of secondary traumatic stress among professionals working with people after violence experiences

Nina Jolanta Ogińska-Bulik
DOI: 10.5603/PSYCH.a2020.0041
·
Psychiatria 2021;18(1):8-17.

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Vol 18, No 1 (2021)
Prace oryginalne - nadesłane
Published online: 2020-11-16

Abstract

Introduction: Professionals working with trauma victims are exposed to secondary traumatic stress (STS). Factors determining its occurrence include various aspects of work, especially occupational load, as well as individual properties of helpers,
including empathy. The aim of the study was to establish a relationship between workload, manifestation of empathy and
symptoms of STS in professionals who, as part of their work, help people who have experienced trauma related to violence.

Material and methods: The results of 154 women representing three professional groups (therapists, social
workers and probation officers) aged 26–67 (M = 43.98, SD = 10.83) were analyzed. The study used a survey
developed for the purpose of the study, containing questions about workload indicators and two standard
measurement tools, i.e. a modified Posttraumatic Stress Disorder Checklist and the Empathic Sensitiveness
Scale, measuring three aspects of empathy, i.e. empathic concern, personal distress and perspective taking.

Results: High severity of STS symptoms, meaning a high probability of diagnosis of secondary posttraumatic
stress disorder was recorded in 14.3% of respondents. This risk was higher for social workers (26.7%) than for
probation officers (14.5%) and therapists (8.7%). Positive correlations of STS with workload and all three aspects
of empathy were revealed. Regression analysis showed that the main predictor of STS is personal stress, i.e. a tendency
to experience anxiety and discomfort in response to strong negative experiences (suffering) of other people.

Conclusions: There is a need to cover preventive actions for professionals working with victims of trauma, especially
social workers.

Abstract

Introduction: Professionals working with trauma victims are exposed to secondary traumatic stress (STS). Factors determining its occurrence include various aspects of work, especially occupational load, as well as individual properties of helpers,
including empathy. The aim of the study was to establish a relationship between workload, manifestation of empathy and
symptoms of STS in professionals who, as part of their work, help people who have experienced trauma related to violence.

Material and methods: The results of 154 women representing three professional groups (therapists, social
workers and probation officers) aged 26–67 (M = 43.98, SD = 10.83) were analyzed. The study used a survey
developed for the purpose of the study, containing questions about workload indicators and two standard
measurement tools, i.e. a modified Posttraumatic Stress Disorder Checklist and the Empathic Sensitiveness
Scale, measuring three aspects of empathy, i.e. empathic concern, personal distress and perspective taking.

Results: High severity of STS symptoms, meaning a high probability of diagnosis of secondary posttraumatic
stress disorder was recorded in 14.3% of respondents. This risk was higher for social workers (26.7%) than for
probation officers (14.5%) and therapists (8.7%). Positive correlations of STS with workload and all three aspects
of empathy were revealed. Regression analysis showed that the main predictor of STS is personal stress, i.e. a tendency
to experience anxiety and discomfort in response to strong negative experiences (suffering) of other people.

Conclusions: There is a need to cover preventive actions for professionals working with victims of trauma, especially
social workers.

Get Citation

Keywords

secondary posttraumatic stress disorder, workload, empathy, professionals, violence

About this article
Title

Workload, manifestation of empathy and symptoms of secondary traumatic stress among professionals working with people after violence experiences

Journal

Psychiatria (Psychiatry)

Issue

Vol 18, No 1 (2021)

Article type

Research paper

Pages

8-17

Published online

2020-11-16

DOI

10.5603/PSYCH.a2020.0041

Bibliographic record

Psychiatria 2021;18(1):8-17.

Keywords

secondary posttraumatic stress disorder
workload
empathy
professionals
violence

Authors

Nina Jolanta Ogińska-Bulik

References (45)
  1. Figley CR. Compassion fatigue as secondary traumatic stress disorder: an overview. In: Figley CR. ed. Compassion fatigue: Coping with secondary traumatic stress disorder in those who treat the traumatized. Brunner/Mazel Publishers, New York 1995: 1–20.
  2. APA – American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Washington: DC 2013.
  3. McCann IL, Pearlman LA. Vicarious traumatization: A framework to understanding the psychological effects of working witch victims. J Trauma Stress. 1990; 3(1): 131–149.
  4. Tosone C, Nuttman-Shwartz O, Stephens T. Shared Trauma: When the Professional is Personal. Clinical Social Work Journal. 2012; 40(2): 231–239.
  5. Manning-Jones S, Terte Ide, Stephens C. The Relationship Between Vicarious Posttraumatic Growth and Secondary Traumatic Stress Among Health Professionals. Journal of Loss and Trauma. 2017; 22(3): 256–270.
  6. Molnar B, Sprang G, Killian K, et al. Advancing science and practice for vicarious traumatization/secondary traumatic stress: A research agenda. Traumatology. 2017; 23(2): 129–142.
  7. Choi GY. Organizational Impacts on the Secondary Traumatic Stress of Social Workers Assisting Family Violence or Sexual Assault Survivors. Administration in Social Work. 2011; 35(3): 225–242.
  8. Elwood LS, Mott J, Lohr JM, et al. Secondary trauma symptoms in clinicians: a critical review of the construct, specificity, and implications for trauma-focused treatment. Clin Psychol Rev. 2011; 31(1): 25–36.
  9. Beckerman NL, Wozniak D. Domestic violence counselors and secondary traumatic stress (STS): A brief qualitative report and strategies for support. Social Work in Mental Health. 2018; 16(4): 470–490.
  10. Lee R. The impact of engaging with clients’ trauma stories. Probation Journal. 2017; 64(4): 372–387.
  11. Lewis K, Lewis L, Garby T. Surviving the Trenches: The Personal Impact of the Job on Probation Officers. American Journal of Criminal Justice. 2013; 38(1): 67–84.
  12. Merhaw I, Lewental M, Poled-Avram M. Vicarious traumatization: Working with clients of probation services. Br. J. Soc. Work. 2018; 48(8): 2215–2234, https://doi.org/10/1093/bjsw/bcx162.
  13. Severson M, Pettus-Davis C. Parole Officers’ Experiences of the Symptoms of Secondary Trauma in the Supervision of Sex Offenders. Int J Offender Ther Comp Criminol. 2013; 57(1): 5–24.
  14. Slattery S, Goodman L. Secondary Traumatic Stress Among Domestic Violence Advocates: Workplace Risk and Protective Factors. Violence Against Women. 2009; 15(11): 1358–1379.
  15. Denkinger JK, Windthorst P, Rometsch-Ogioun El Sount C, et al. Secondary Traumatization in Caregivers Working With Women and Children Who Suffered Extreme Violence by the "Islamic State". Front Psychiatry. 2018; 9: 234.
  16. Steed L, Bicknell J. Trauma and the therapist: The experience of therapists working with the perpetrators of sexual abuse. The Australasian Journal of Disaster and Trauma Studies. 2001; 1: 1–14.
  17. Hensel J, Ruiz C, Finney C, et al. Meta-Analysis of Risk Factors for Secondary Traumatic Stress in Therapeutic Work With Trauma Victims. Journal of Traumatic Stress. 2015; 28(2): 83–91.
  18. Perez L, Jones J, Englert D, et al. Secondary Traumatic Stress and Burnout among Law Enforcement Investigators Exposed to Disturbing Media Images. Journal of Police and Criminal Psychology. 2010; 25(2): 113–124.
  19. Schauben L, Frazier P. Vicarious Trauma: The Effects on Female Counselors of Working with Sexual Violence Survivors. Psychology of Women Quarterly. 2016; 19(1): 49–64.
  20. Figley CR. Compassion fatigue: Toward a new understanding of the cost of caring. In: Stamm BH. ed. Secondary traumatic stress. Sidran Institute, Towson 1999: 3–28.
  21. Figley CR. Compassion fatigue: psychotherapists' chronic lack of self care. J Clin Psychol. 2002; 58(11): 1433–1441.
  22. Ludick M, Figley C. Toward a mechanism for secondary trauma induction and reduction: Reimagining a theory of secondary traumatic stress. Traumatology. 2017; 23(1): 112–123.
  23. MacRitchie V, Leibowitz S. Secondary Traumatic Stress, Level of Exposure, Empathy and Social Support in Trauma Workers. South African Journal of Psychology. 2010; 40(2): 149–158.
  24. Rauvola R, Vega D, Lavigne K. Compassion Fatigue, Secondary Traumatic Stress, and Vicarious Traumatization: a Qualitative Review and Research Agenda. Occupational Health Science. 2019; 3(3): 297–336.
  25. Davis MH. A multidimensional approach to individual differences in empathy JSAS.Catolog of selected documents in psychology. 1980; 10: 85.
  26. Davis MH. Empatia. O umiejętności współodczuwania. GWP, Gdańsk 1999.
  27. Omdahl BL, O'Donnell C. Emotional contagion, empathic concern and communicative responsiveness as variables affecting nurses' stress and occupational commitment. J Adv Nurs. 1999; 29(6): 1351–1359.
  28. Ogińska-Bulik N, Juczyński Z. Kiedy trauma innych staje się własną. Wydawnictwo Naukowe PWN, Warszawa 2020.
  29. MacRitchie V, Leibowitz S. Secondary Traumatic Stress, Level of Exposure, Empathy and Social Support in Trauma Workers. South African Journal of Psychology. 2010; 40(2): 149–158.
  30. Salston MG. Secondary traumatic stress. A study exploring empathy and the exposure to the traumatic material of survivors of community violence. Dissertation Abstract International: Section B. The Science and Engineering. 2011; 61 (10-B), 5232.
  31. Wagaman MA, Geiger JM, Shockley C, et al. The Role of Empathy in Burnout, Compassion Satisfaction, and Secondary Traumatic Stress among Social Workers. Soc Work. 2015; 60(3): 201–209.
  32. Crumpei I, Dafinoiu I. The relation of clinical empathy to secondary traumatic stress. Procedia - Social and Behavioral Sciences. 2012; 33: 438–442.
  33. Turgoose D, Glover N, Barker C, et al. Empathy, compassion fatigue, and burnout in police officers working with rape victims. Traumatology. 2017; 23(2): 205–213.
  34. Splevins K, Cohen K, Joseph S, et al. Vicarious Posttraumatic Growth Among Interpreters. Qualitative Health Research. 2010; 20(12): 1705–1716.
  35. Kincheloe V. Correlation of clinician empathy and the vicarious experience of combat related trauma. Walden University. Unpublished Dissertation, 2014.
  36. Ogińska-Bulik N, Juczyński Z, Lis-Turlejska M, Merecz-Kot D. Polska adaptacja PTSD Checklist for DSM-5 – PCL-5. Doniesienie wstępne. Przegląd Psychologiczny 2018; 61(2): 281–285, http://www.kul.pl/files/714/2.61.2018_art.5.pdf/Polish adaptation of PTSD Checklist for DSM-5 – PCL-5. A preliminary communication. The Review of Psychology. 2018; 61(2): 287–291, http://www.kul.pl/files/714/2.61.2018_art.5.eng.pdf.
  37. Kaźmierczak M, Plopa M, Retowski S. Skala Wrażliwości Empatycznej. Przegląd Psychologiczny. 2007; 50(1): 9–24.
  38. Ogińska-Bulik N, Michalska P. The Mediating Role of Cognitive Processing in the Relationship Between Negative and Positive Effects of Trauma Among Female Victims of Domestic Violence. J Interpers Violence. 2020 [Epub ahead of print]: 886260520903141.
  39. Amin A, Vankar J, Nimbalkar S, et al. Perceived Stress and Professional Quality of Life in Neonatal Intensive Care Unit Nurses in Gujarat, India. The Indian Journal of Pediatrics. 2015; 82(11): 1001–1005.
  40. Bride BE. Prevalence of secondary traumatic stress among social workers. Soc Work. 2007; 52(1): 63–70.
  41. Dagan K, Itzhaky H, Ben-Porat A. Therapists Working With Trauma Victims: The Contribution of Personal, Environmental, and Professional-Organizational Resources to Secondary Traumatization. J Trauma Dissociation. 2015; 16(5): 592–606.
  42. Devilly GJ, Wright R, Varker T. Vicarious trauma, secondary traumatic stress or simply burnout? Effect of trauma therapy on mental health professionals. Aust N Z J Psychiatry. 2009; 43(4): 373–385.
  43. Sabin-Farrell R, Turpin G. Vicarious traumatization: implications for the mental health of health workers? Clin Psychol Rev. 2003; 23(3): 449–480.
  44. Jenkins SR, Baird S. Secondary traumatic stress and vicarious trauma: a validational study. J Trauma Stress. 2002; 15(5): 423–432.
  45. Dutton MA, Rubinstein FL. (1995). Working with people with PTSD: Research implications. In: Figley CR. (ed.). Compassion fatigue: Coping with secondary traumatic stress disorder in those who treat the traumatized. Brunner/Mazel Publishers, New York 1995; p. 82–100.

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