■继发性创伤应激(STS)是一个人通过帮助或了解他人创伤的压力而产生的间接创伤。倦怠是对长期工作相关压力的逐渐疲惫。两者都有消极的心理,生理和/或组织后果;然而,法医专业人员(FHCP)的现有研究是有限的.一项研究探索了FCHP中的STS,发现较低的心理灵活性(适应能力)是STS增加的预测因素。现有的关于FHCP职业倦怠的研究表明,个体差异,例如我们应对的方式(与人交谈与使用物质),可以预测倦怠水平。
■患病率调查结果增加了最近的证据基础,也发现了中等程度的倦怠。然而,这项研究首次发现FHCP中存在高水平的继发性创伤应激。与现有文献类似,研究结果表明,FHCP具有较低水平的心理灵活性和更多的适应不良的应对策略可能会经历更大的STS和倦怠症状,而使用更多适应性应对策略的员工可能会经历较少的倦怠。出乎意料的是,报告更焦虑的依恋风格的员工已经精疲力尽;然而,这一发现有局限性。
结论:法医环境中的政策和做法应反映STS和倦怠的风险。实践或干预措施应增强适应性应对策略和心理灵活性,如弹性增强计划或接受和承诺疗法(ACT)。
■介绍:住院法医专业人员(FHCP)的继发性创伤应激(STS)和倦怠文献有限,尽管心理上,生理和组织后果。
目的:本研究旨在进一步扩大这一有限的证据基础,调查FHCP中STS和倦怠的预测因素。
方法:在英国两个法医住院环境中工作的98名医疗保健专业人员完成了评估措施:倦怠,STS,心理灵活性,应对方式,依恋风格和记录服务年限和员工性别的人口统计问卷。
结果:结果显示高STS和中度倦怠水平。STS和倦怠的主要预测因素是心理灵活性较差和适应不良应对方式较大,而较低的倦怠是由较强的适应性应对方式和焦虑依恋方式预测的。
结论:这项研究的证据基础有限,表明较差的心理灵活性和更大的适应不良应对可能是STS和FHCP职业倦怠的危险因素,而更大的适应不良应对可能是一个保护因素。
结论:研究结果表明,诸如接受和承诺疗法(ACT)和应对技巧干预等干预措施,可以为住院法医专业人员提供保护。
UNASSIGNED: Secondary traumatic stress (STS) is the indirect traumatisation of a person through the stress of helping or knowing about other\'s trauma. Burnout is gradual exhaustion in response to long-term work-related stress. Both have negative psychological, physiological and/or organisational consequences; however, the existing research in forensic health care professionals (FHCPs) is limited. One study explored STS in FCHPs and found that lower psychological flexibility (ability to adapt) was a predictor of greater STS. Existing research on burnout in FHCPs suggests that individual differences, such as the ways in which we cope (talking to people vs. using substances), may predict burnout levels.
UNASSIGNED: Prevalence findings add to the recent evidence base, which also found moderate levels of burnout. However, this study is the first to find high levels of secondary traumatic stress in FHCPs. Similar to existing literature, the study\'s findings suggest that FHCP\'s with lower levels of psychological flexibility and more maladaptive coping strategies may experience greater STS and burnout symptoms, while staff who use more adaptive coping strategies may experience less burn-out. Unexpectedly, staff who reported a more anxious attachment style were burnt-out; however, there are limitations to this finding.
CONCLUSIONS: Policies and practices in forensic settings should reflect the risk of STS and burnout. Practices or interventions should enhance adaptive coping strategies and psychological flexibility, such as Resilience Enhancement Programmes or Acceptance and Commitment Therapy (ACT).
UNASSIGNED: INTRODUCTION: Secondary traumatic stress (STS) and burnout literature in inpatient forensic health care professionals (FHCPs) is limited, despite the psychological, physiological and organisational consequences.
OBJECTIVE: This study aimed to further this limited evidence base, investigating predictors of STS and burnout in FHCPs.
METHODS: 98 healthcare professionals working in two UK forensic inpatient settings completed measures assessing: burnout, STS, psychological flexibility, coping style, attachment style and a demographic questionnaire recording length of service and the sex of staff.
RESULTS: Results indicated high STS and moderate burnout levels. The main predictors of STS and burnout were poorer psychological flexibility and greater maladaptive coping styles, whereas lower burnout was predicted by greater adaptive coping styles and an anxious attachment style.
CONCLUSIONS: This study has contributed towards a limited evidence base and indicates poorer psychological flexibility and greater maladaptive coping may be risk factors for STS and burnout in FHCPs, whereas greater maladaptive coping may be a protective factor.
CONCLUSIONS: The findings suggest that interventions such as Acceptance and Commitment Therapy (ACT) and coping skills interventions, may offer protective benefits to inpatient forensic healthcare professionals.