Secondary Traumatic Stress Disorder in the Surgical Profession

被引:1
作者
Jang, Hyerim [1 ]
Scantling, Dane [2 ]
Allee, Lisa [2 ]
Brahmbhatt, Tejal S. [3 ,4 ]
机构
[1] Boston Univ, Chobanian & Avedisian Sch Med, Boston, MA 02118 USA
[2] Boston Univ, Chobanian & Avedisian Sch Med, Dept Surg, Boston, MA 02118 USA
[3] Boston Univ, Chobanian & Avedisian Sch Med, Div Trauma & Acute Care Surg & Surg Crit Care, Boston, MA 02118 USA
[4] Boston Univ, Chobanian & Avedisian Sch Med, Div Trauma, Surg,Acute Care Surg & Surg Crit Care, 840 Harrison Ave,Dowling 2 South,Suite 2509, Boston, MA 02118 USA
关键词
Post-traumatic stress disorder; Secondary traumatic stress disorder; Vicarious traumatization; COMPASSION FATIGUE; BURNOUT; PREVALENCE; SURGEONS; PTSD; CARE;
D O I
10.1016/j.jss.2023.06.053
中图分类号
R61 [外科手术学];
学科分类号
摘要
Introduction: The psychological impact of treating individuals who have undergone severely traumatic experiences is known as secondary traumatic stress (STS). It has been well characterized by mental health therapists and social workers. Analysis of STS in surgeons and medical students is limited to merely a handful of studies, with only 1 paper describing STS in trauma surgeons and two describing STS in medical students. This review aims to provide a comprehensive account of existing work on STS, identify gaps in knowledge of STS in surgeons and medical students, and distinguish STS from other similar phenomena that have been commonly misidentified by recent works.Materials and methods: A review of the literature in English was conducted through PubMed. MeSH terms included "STS, compassion fatigue, vicarious traumatization, and secondary trauma." All papers referenced in the identified works were screened and assessed for relevance.Results: Only two studies that directly assess STS in surgeons were identified. STS levels reported varied widely between the two. Similar studies were identified that focused on burnout, compassion fatigue, or post-traumatic stress disorder, which are similar but not identical. Only 1 study evaluated STS in trauma surgeons and found that 65% of those in the study had at least 1 symptom of STS. Only two studies were identified that studied STS in medical students, but with conflicting results on prevalence. It was identified that there are various measuring tools to assess for STS symptoms but no established standard of assessment that allows for cross-comparisons.Conclusion: Knowledge of STS is extremely limited in surgeons and medical students, not only due to a general lack of awareness of STS but also due to confusion and misuse of other related terms. This review calls for more efforts to identify and address STS in surgeons and medical students while also standardizing methodologies that screen for STS symptoms.& COPY; 2023 Elsevier Inc. All rights reserved.
引用
收藏
页码:176 / 181
页数:6
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