• Korean Journal of Social Welfare Studies
• /
• v.49 no.1
• /
• pp.109-132
• /
• 2018

This study investigated the impact of the secondary trauma stress experienced by workers who support sexual violence victims on occupational stress level, and verified the moderating effect of the job education from support facilities in this relationship. The data analyzed in this study were sampled from "The Primary Study on The Development of Training Program to Cultivate Professional Workers of Support Organizations for Sexual Violence Survivors" as a secondary data and 482 nationwide workers were selected. By applying SPSS PROCESS macro, the moderation model was analyzed. The analysis results are as follows. First, sexual violence victim support workers' secondary trauma stress has a significantly influence on occupational stress level of workers. Second, the job education from support agencies themselves moderates the relationship between the secondary trauma stress and occupational stress level of support agents. It also showed that the higher level of job education participates, the less the experience of being stressed on the job. Thus, on the basis of the result, the theoretical discussion on the secondary trauma stress and occupational stress level of sexual violence victim support worker was drawn out and the empirical implication on the direction of the education for job related was suggested.

• Korean Journal of Social Welfare Studies
• /
• v.44 no.2
• /
• pp.387-407
• /
• 2013

The aim of the present study was to determine whether secondary traumatic stress and burnout of CPS workers in Korea differ, being significantly affected by different variables of each own. A two-way MANCOVA was conducted to determine the effect of trauma exposure and work-condition satisfaction on secondary traumatic stress(intrusion and avoidance) and burnout(emotional deprivation, depersonalization, personal achievement) while controlling for gender, age, and personal trauma history. Exposure to clients' traumatic material did not affect secondary traumatic stress and burnout either. Rather, it was found that both of secondary traumatic stress and burnout was significantly affected by the same independent variables(level of exposure to being threatened by violent abusers of victims and the level of workers' satisfaction of work conditions in workplace). Therefore, it was difficult to address that secondary traumatic stress and burnout have a completely different construct.

• Korean Journal of Social Welfare
• /
• v.69 no.2
• /
• pp.219-246
• /
• 2017

The purpose of this study is to develop a substantive theory that understand the burnout and secondary traumatic stress experience of social workers who worked in the trauma centers. This research was conducted by Grounded Theory. The result is as follow: In the initial coding, 159 units of mean, 47 subcategories, and 12 main categories. The central phenomenon of the initial coding was 'the wounded existence.' In the focused coding, the core category was 'seeking to recover professional identity as a social worker.' In the theoretical coding, the burnout and secondary traumatic stress experience of social workers who worked in the trauma centers were classified as four phases;'Commitment to the mission', 'Conflict', 'Stagnant' and 'Disruption'. Based on the findings, the preparation for the disaster social work practice, the perspective on "social healing" of trauma, and the necessity of the mandatory policy or intervention for social workers self-care were discussed.

• Anxiety and mood
• /
• v.14 no.2
• /
• pp.71-79
• /
• 2018

Objective : Several earlier studies have reported similar symptoms in patients with posttraumatic stress disorder (PTSD) who have been repeatedly exposed to relevant media after disasters and trauma. This study aimed to examine the effects of indirect trauma experience through media rather than direct traumatic events on an individual's social life. Methods : Five hundred and fifty-four individuals participated in our online, self-reported questionnaire survey. All subjects were asked to complete a demographic questionnaire, Posttraumatic Diagnostic Scale, Beck Depression Inventory, the Impact of Event Scale-Revised, State-Trait Anxiety Inventory, Korean version of Alcohol Use Disorder Identification Test, Patient Health Questionnaire-15, Suicidal Behaviors Questionnaire-Revised. Participants were assessed in regards to their experience of violent media exposure within the past three months. Results : Data from our study indicates that the group exposed to violent media had significantly higher perceived stress, physical symptoms, insomnia, and suicide ideation in comparison to the control group. Among the major symptoms of PTSD, the proportion of intrusion symptoms was relatively high in the media exposed group. Conclusion : This suggests that indirect trauma caused by media exposure could cause post-traumatic stress symptoms. The PTSD caused by indirect trauma may have slight differences from the PTSD caused by direct trauma. Therefore, it is necessary to understand, prevent, and control the adverse effects of media.

• Korean Journal of Adult Nursing
• /
• v.24 no.1
• /
• pp.38-51
• /
• 2012

Purpose: In this study the literature of compassion fatigue in nurses was reviewed in order to analyze the trends of overall research for level of fatigue, symptoms, and factors. Methods: For this study, five databases were searched using the key words 'compassion fatigue', 'secondary traumatization', 'secondary traumatic stress', and 'vicarious traumatization'. Thirty-six papers were analyzed. Results: Most of the compassion fatigue research (86%) was conducted between 2006 and 2011 and the most frequent research approach was quantitative research with the ProQOL which was the most frequently used instrument in the studies. He research was conducted in pediatric, emergency & trauma, oncology, psychiatric, and hospice units with no consistent patterns of t compassion fatigue levels. Factors affecting compassion fatigue were personal factors such as age, education background, work-related factors such as caring for trauma patients, work hours, psychological factors such as work stress, burnout, and support/coping factors such as organizational support, and coping resources. Conclusion: Nurses' compassion fatigue varied from low to high by nursing specialties. Many factors affected the compassion fatigue of nurses. In the future there is a need for study on Korean nurses, and identification of groups at risk for compassion fatigue. Furthermore there is a need to develop management programs on compassion fatigue in nurses, stress reduction and wellbeing.

• Anxiety and mood
• /
• v.6 no.1
• /
• pp.65-70
• /
• 2010

Objectives : Indirect contact with trauma may occur when a person empathically listens to detailed descriptions, exposing the person to intense emotional pain from trauma victims. Although less severe than direct trauma, indirectly traumatized persons may experience the same fear, rage, and despair as direct trauma victims. This phenomenon has been variously termed vicarious trauma, traumatic countertransference, burnout, compassion fatigue, and secondary traumatic stress. Using a psychiatric symptoms questionnaires, this study investigated the effects of indirect exposure to co-worker's trauma on the mental health of firefighters who had not directly experienced traumatic events in the previous year. Methods : We administered self-report questionnaires, such as the Impact of Event Scale-Revised (IESR) and Alcohol Use Disorder Identification Test (AUDIT), to firefighters working at two fire stations in a metropolitan city. We analyzed 188 of 232 collected surveys, after excluding falsely entered data (28 cases) and questionnaires by directly-traumatized victims (16 cases). Results : Alcohol consumption and posttraumatic stress disorder (PTSD) symptoms, as determined by the AUDIT and IES-R, were significantly higher in the indirectly-traumatized group. The ratio of high-risk members scoring higher than 23 in IES-R was larger in the indirectly traumatized group, although this was not statistically significant. Conclusion : Alcohol consumption was significantly higher in the indirectly traumatized group. This group also included more members at high risk for PTSD. Further research, with a larger group of indirectly traumatized firefighters and ongoing investigation of PTSD development and other psychiatric symptoms, is needed.

• Korean Journal of Social Welfare
• /
• v.63 no.4
• /
• pp.33-57
• /
• 2011

This study aims to evaluate psychometric properties of the korean version of the secondary traumatic stress scale. A total of 238 practitioners in child protection agencies are recruited using complete enumeration method. The psychometric properties of the instrument are tested by item-analysis, exploratory factor analysis,(EFA) and convergent and construct validity. The results show that the internal consistency values for the two dimensions of the K-STSS are good. While the convergent and discriminant validity is empirically confirmed, the construct validity is not supported. The EFA with the common factor analysis method reveals the factor structure in the observed variables. The findings of the study confirmed that although it was reliable and discriminant, the K-STSS needed to be explored more in a way to support construct validity.

• Korean Journal of Adult Nursing
• /
• v.24 no.1
• /
• pp.64-73
• /
• 2012

Purpose: The purpose of this study was to investigate emergency nurses' reported traumatic events, professional quality of life and physical symptoms. Methods: The design of the study was descriptive. The respondents were 157 Emergency nurses with the majority were women (94.3% female and 5.7% were men). Data were collected from September 28 to December 1, 2011. The professional quality of life (ProQOL) instrument is conceptualized with three sub-dimensions (compassion satisfaction, burnout, and secondary traumatic stress), in addition information about traumatic events, physical symptoms and demographic variables were collected. Burnout and secondary traumatic stress (STS) are two parts of compassion fatigue. Data were analyzed using the SPSS/WIN 18.0 program and included descriptive statistics, t-test, ANOVA, Pearson's correlations. Results: Thirteen percent of the participants reported a high ProQOL. Compassion satisfaction was negatively correlated with burnout and physical symptoms, whereas, traumatic events had positive correlations with STS. Also, burnout and STS were positively correlated with physical symptoms respectively. Conclusion: Since the level of professional quality of life among emergency nurses was relatively low it is recommended that an intervention program for emergency nurses be instituted to improve compassion satisfaction and to decrease compassion fatigue and physical symptoms.

• Journal of Korean Critical Care Nursing
• /
• v.13 no.3
• /
• pp.62-74
• /
• 2020

Purpose : This study aimed to investigate the prevalence and risk factors of mental health problems in patients discharged from the intensive care unit (ICU). Methods : This was a secondary analysis study using data from a multicenter prospective cohort of post-ICU patients. We analyzed data of 311 patients enrolled in the primary cohort study who responded to the mental health questionnaire three months after the discharge. Anxiety and depression were measured on the Hospital Anxiety-Depression Scale, and post-traumatic stress disorder (PTSD) was measured on the Posttraumatic Diagnostic Scale. Results : The prevalence of anxiety, depression, and PTSD in patients at three months after ICU discharge were 25.7%, 17.4%, and 18.0%, respectively, and 7.7% of them experienced all three problems. Unemployment (OR=1.99, p=.033) and unplanned ICU admission (OR=2.28, p=.017) were risk factors for depression, while women gender (OR=2.34, p=.009), comorbid diseases (OR=2.88, p=.004), non-surgical ICUs (trauma ICU: OR=7.31, p=.002, medical ICU: OR=3.72, p=.007, neurological ICU: OR=2.95, p=.019) and delirium (OR=2.89, p=.009) were risk factors for PTSD. Conclusion : ICU nurses should proactively monitor risk factors for post-ICU mental health problems. In particular, guidelines on the detection and management of delirium in critically ill patients should be observed.

• The Journal of the Korea Contents Association
• /
• v.20 no.12
• /
• pp.393-405
• /
• 2020

The purpose of this study is to develop and validate a scale of vicarious trauma for sexual violence counselors. To this end, the concept of composition and preliminary questions of the vicarious trauma of sexual violence counselors were selected through the analysis of a content of individual interviews of sexual violence counselors and the precedent theory. Then, preliminary scale was developed after expert's evaluation of the validity of the contents. Next, as a result of a confirmatory factor analysis on the preliminary scale of 349 sexual violence counselors with experience in consulting sexual violence clients, it is confirmed that the conformity of five-factor structure was found to be favorable. As a result of convergent and discriminative validity analysis, it was confirmed that the developed scale is a reasonable tool for measuring vicarious trauma of sexual violence counselors by showing proper correlation with Secondary Traumatic Stress Scale, Counselor Burnout Inventory and Inventory of Countertransference Behavior. Furthermore, as a result of correlation analysis between professional identity and Belief in a Just World, it confirmed that it has predictive validity of the scale by indicating a high negative correlation. Furthermore, the relationship between the scale of vicarious trauma of sexual violence counselors and career background was analyzed. Finally, based on the results of this study, the significance and limitations of this study and the direction of future research were discussed.