From negative to positive effects of secondary exposure to trauma – the mediating role of cognitive coping strategies

IF 0.8 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Medycyna pracy Pub Date : 2023-12-11 DOI:10.13075/mp.5893.01432

N. Ogińska-Bulik, Paulina Michalska, Z. Juczyński

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引用次数: 0

Abstract

Background: Professionals working with trauma victims can experience both negative and positive effects following exposure to secondary trauma. The aim of the study was to determine the relationship between secondary traumatic stress (STS), secondary post-traumatic growth (SPTG) and cognitive coping strategies and to establish the mediating role of cognitive coping strategies in the relationship between STS and SPTG. Material and Methods: A group of 500 professionals working with trauma survivors were surveyed. The Secondary Traumatic Stress Inventory , the Secondary Posttraumatic Growth Inventory and the Cognitive Processing of Trauma Scale was used. Results: The results indicated that 29% of professionals demonstrate a high intensity of STS, and nearly 34% exhibit a high level of SPTG. Denial and regret were positively correlated with STS; positive cognitive restructuring, resolution/acceptance and downward comparison were positively related to SPTG. Two cognitive coping strategies, i.e., positive cognitive restructuring and downward comparison, were found to act as mediators in the relationship between STS and SPTG. Conclusions: Understanding the effects of secondary exposure to trauma and the coping responses of professionals working with trauma survivors will support the development of prevention and intervention actions aimed at protecting them from the deleterious impact of exposure to secondary trauma at work and promoting secondary posttraumatic growth. Med Pr Work Health Saf. 2023;74(6)

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二次遭受创伤的消极影响到积极影响--认知应对策略的中介作用

背景：与创伤受害者打交道的专业人员在受到二次创伤后可能会产生消极和积极的影响。本研究旨在确定继发性创伤压力（STS）、继发性创伤后成长（SPTG）和认知应对策略之间的关系，并确定认知应对策略在 STS 和 SPTG 关系中的中介作用。材料与方法：对 500 名从事创伤幸存者工作的专业人员进行了调查。调查使用了二次创伤压力量表、二次创伤后成长量表和创伤认知处理量表。结果显示结果显示，29% 的专业人员表现出高度的 STS，近 34% 的专业人员表现出高度的 SPTG。否认和后悔与 STS 呈正相关；积极的认知重组、解决/接受和向下比较与 SPTG 呈正相关。研究发现，积极的认知重组和向下比较这两种认知应对策略在 STS 和 SPTG 的关系中起着中介作用。结论了解二次创伤暴露的影响以及与创伤幸存者打交道的专业人员的应对反应将有助于制定预防和干预措施，以保护他们免受工作中二次创伤暴露的有害影响，并促进二次创伤后成长。Med Pr Work Health Saf.2023;74(6)

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来源期刊

Medycyna pracy PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

1.90

自引率

10.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The journal publishes original papers, review papers and case studies in Polish and English. The subject matter of the articles includes occupational pathology, physical, chemical and biological agents at workplace, toxicology, mutagenesis, health policy, health management, health care, epidemiology, etc. The magazine also includes reports from national and international scientific conferences on occupational medicine. It also contains letters to the editor. Each first-in-year issue of the magazine comprises former-year indices of authors and keywords.