{"title":"马拉卡拉地震后精神卫生专业人员继发性创伤应激的跨诊断危险因素:探索性分析","authors":"Furkan Malkoç, Nihan Osmanağaoğlu","doi":"10.1037/tra0001986","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Mental health professionals are at increased risk for developing secondary traumatic stress (STS), which can progress to posttraumatic stress disorder. Distress tolerance (DT) and rumination play important roles in posttraumatic stress disorder development and maintenance, yet few studies have examined these constructs in relation to STS. This study first compared mental health professionals and individuals in nonhelping professions regarding STS, DT, and rumination. Second, it explored whether rumination mediates the relationship between DT and STS.</p><p><strong>Method: </strong>Participants included mental health professionals (N = 90) and individuals not at risk for STS through their work (<i>N</i> = 67). Self-report measures assessed DT, rumination, and STS. Independent-samples t tests were used for group comparisons, and mediation analyses were conducted using the SPSS PROCESS Macro.</p><p><strong>Results: </strong>Mental health professionals showed lower STS and higher DT scores, but no significant differences were found in rumination. Lower DT was associated with higher STS and rumination. Rumination partially mediated the relationship between DT and STS.</p><p><strong>Conclusions: </strong>While mental health professionals experienced lower levels of STS and higher DT, this study highlights the role of transdiagnostic factors-such as DT and rumination-that are relevant across various mental health conditions. Low DT may lead to maladaptive cognitive strategies, like rumination, which in turn heighten STS. These findings emphasize the importance of understanding transdiagnostic constructs to develop targeted interventions and prevention efforts for both the general population and mental health professionals. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":""},"PeriodicalIF":2.7000,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Transdiagnostic risk factors for secondary traumatic stress among mental health professionals after the Maraş Earthquake: Exploratory analysis.\",\"authors\":\"Furkan Malkoç, Nihan Osmanağaoğlu\",\"doi\":\"10.1037/tra0001986\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>Mental health professionals are at increased risk for developing secondary traumatic stress (STS), which can progress to posttraumatic stress disorder. Distress tolerance (DT) and rumination play important roles in posttraumatic stress disorder development and maintenance, yet few studies have examined these constructs in relation to STS. This study first compared mental health professionals and individuals in nonhelping professions regarding STS, DT, and rumination. Second, it explored whether rumination mediates the relationship between DT and STS.</p><p><strong>Method: </strong>Participants included mental health professionals (N = 90) and individuals not at risk for STS through their work (<i>N</i> = 67). Self-report measures assessed DT, rumination, and STS. Independent-samples t tests were used for group comparisons, and mediation analyses were conducted using the SPSS PROCESS Macro.</p><p><strong>Results: </strong>Mental health professionals showed lower STS and higher DT scores, but no significant differences were found in rumination. Lower DT was associated with higher STS and rumination. Rumination partially mediated the relationship between DT and STS.</p><p><strong>Conclusions: </strong>While mental health professionals experienced lower levels of STS and higher DT, this study highlights the role of transdiagnostic factors-such as DT and rumination-that are relevant across various mental health conditions. Low DT may lead to maladaptive cognitive strategies, like rumination, which in turn heighten STS. These findings emphasize the importance of understanding transdiagnostic constructs to develop targeted interventions and prevention efforts for both the general population and mental health professionals. 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引用次数: 0
摘要
目的:心理健康专业人员患继发性创伤应激(STS)的风险增加,并可发展为创伤后应激障碍。痛苦耐受(DT)和反刍在创伤后应激障碍的发展和维持中起着重要作用,但很少有研究研究这些构念与STS的关系。本研究首先比较了心理健康专业人员和非帮助专业人员在STS、DT和反刍方面的差异。其次,探究反刍是否在DT和STS之间起中介作用。方法:参与者包括心理健康专业人员(N = 90)和通过工作没有STS风险的个人(N = 67)。自我报告测量评估DT、反刍和STS。采用独立样本t检验进行组间比较,采用SPSS PROCESS Macro进行中介分析。结果:心理健康专业人员STS得分较低,DT得分较高,反刍得分差异无统计学意义。较低的DT与较高的STS和反刍相关。反刍部分介导了DT和STS之间的关系。结论:虽然心理健康专业人员经历了较低水平的STS和较高的DT,但本研究强调了跨各种心理健康状况相关的转诊断因素(如DT和反刍)的作用。低DT可能导致不适应的认知策略,如反刍,从而加剧STS。这些发现强调了理解跨诊断结构对于制定针对一般人群和精神卫生专业人员的干预和预防措施的重要性。(PsycInfo Database Record (c) 2025 APA,版权所有)。
Transdiagnostic risk factors for secondary traumatic stress among mental health professionals after the Maraş Earthquake: Exploratory analysis.
Objective: Mental health professionals are at increased risk for developing secondary traumatic stress (STS), which can progress to posttraumatic stress disorder. Distress tolerance (DT) and rumination play important roles in posttraumatic stress disorder development and maintenance, yet few studies have examined these constructs in relation to STS. This study first compared mental health professionals and individuals in nonhelping professions regarding STS, DT, and rumination. Second, it explored whether rumination mediates the relationship between DT and STS.
Method: Participants included mental health professionals (N = 90) and individuals not at risk for STS through their work (N = 67). Self-report measures assessed DT, rumination, and STS. Independent-samples t tests were used for group comparisons, and mediation analyses were conducted using the SPSS PROCESS Macro.
Results: Mental health professionals showed lower STS and higher DT scores, but no significant differences were found in rumination. Lower DT was associated with higher STS and rumination. Rumination partially mediated the relationship between DT and STS.
Conclusions: While mental health professionals experienced lower levels of STS and higher DT, this study highlights the role of transdiagnostic factors-such as DT and rumination-that are relevant across various mental health conditions. Low DT may lead to maladaptive cognitive strategies, like rumination, which in turn heighten STS. These findings emphasize the importance of understanding transdiagnostic constructs to develop targeted interventions and prevention efforts for both the general population and mental health professionals. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
期刊介绍:
Psychological Trauma: Theory, Research, Practice, and Policy publishes empirical research on the psychological effects of trauma. The journal is intended to be a forum for an interdisciplinary discussion on trauma, blending science, theory, practice, and policy.
The journal publishes empirical research on a wide range of trauma-related topics, including:
-Psychological treatments and effects
-Promotion of education about effects of and treatment for trauma
-Assessment and diagnosis of trauma
-Pathophysiology of trauma reactions
-Health services (delivery of services to trauma populations)
-Epidemiological studies and risk factor studies
-Neuroimaging studies
-Trauma and cultural competence