Personal trauma history and secondary traumatic stress in mental health professionals: A systematic review

IF 2.6 4区医学 Q1 NURSING Journal of Psychiatric and Mental Health Nursing Pub Date : 2024-07-07 DOI:10.1111/jpm.13082

Anita Henderson, Tom Jewell, Xia Huang, Alan Simpson

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Abstract

Introduction

Caring for those who have been traumatized can place mental health professionals at risk of secondary traumatic stress, particularly in those with their own experience of personal trauma.

Aim

To identify the prevalence of personal trauma history and secondary traumatic stress in mental health professionals and whether there is an association between these two variables in mental health professionals.

Method

We preregistered the review with PROSPERO (CRD42022322939) and followed PRISMA guidelines. Medline, Embase, PsycINFO, Web of Science and CINHAL were searched up until 17th August 2023. Articles were included if they assessed both personal trauma history and secondary traumatic stress in mental health professionals. Data on the prevalence and association between these variables were extracted. Quality assessment of included studies was conducted using an adapted form of the Newcastle-Ottawa scale.

Results

A total of 23 studies were included. Prevalence of personal trauma history ranged from 19%–81%, secondary traumatic stress ranged from 19% to 70%. Eighteen studies reported on the association between personal trauma history and secondary traumatic stress, with 14 out of 18 studies finding a statistically significant positive relationship between these variables. The majority of studies were of fair methodological quality.

Discussion

Mental health professionals with a personal history of trauma are at heightened risk of suffering from secondary traumatic stress.

Implications for Practice

Targeted support should be provided to professionals to prevent and/or address secondary traumatic stress in the workforce.

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心理健康专业人员的个人创伤史与继发性创伤应激反应：系统综述。

简介：目的：确定精神卫生专业人员中个人创伤史和继发性创伤应激的发生率，以及精神卫生专业人员中这两个变量之间是否存在关联：我们在 PROSPERO（CRD42022322939）上进行了预先注册，并遵循了 PRISMA 指南。我们对 Medline、Embase、PsycINFO、Web of Science 和 CINHAL 进行了检索，直至 2023 年 8 月 17 日。对精神卫生专业人员的个人创伤史和继发性创伤应激反应进行评估的文章均被收录。研究人员提取了有关这些变量的流行率和关联性的数据。采用改编的纽卡斯尔-渥太华量表对纳入的研究进行质量评估：结果：共纳入 23 项研究。个人创伤史的发生率为 19%-81%，继发性创伤压力的发生率为 19%-70%。18 项研究报告了个人创伤史与继发性创伤压力之间的关系，其中 14 项研究发现这些变量之间存在统计学意义上的显著正相关关系。大部分研究的方法质量尚可：讨论：有个人创伤史的精神卫生专业人员罹患继发性创伤压力的风险较高：对实践的启示：应向专业人员提供有针对性的支持，以预防和/或解决工作场所中的继发性创伤压力。

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来源期刊

Journal of Psychiatric and Mental Health Nursing 医学-护理

CiteScore

4.70

自引率

3.70%

发文量

审稿时长

4-8 weeks

期刊介绍： The Journal of Psychiatric and Mental Health Nursing is an international journal which publishes research and scholarly papers that advance the development of policy, practice, research and education in all aspects of mental health nursing. We publish rigorously conducted research, literature reviews, essays and debates, and consumer practitioner narratives; all of which add new knowledge and advance practice globally. All papers must have clear implications for mental health nursing either solely or part of multidisciplinary practice. Papers are welcomed which draw on single or multiple research and academic disciplines. We give space to practitioner and consumer perspectives and ensure research published in the journal can be understood by a wide audience. We encourage critical debate and exchange of ideas and therefore welcome letters to the editor and essays and debates in mental health.