Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Feb;67(1):84-89.
doi: 10.1177/0020764020940742. Epub 2020 Jul 8.

Secondary Traumatization Outcomes and Associated Factors Among the Health Care Workers Exposed to the COVID-19

Affiliations

Secondary Traumatization Outcomes and Associated Factors Among the Health Care Workers Exposed to the COVID-19

Selim Arpacioglu et al. Int J Soc Psychiatry. 2021 Feb.

Abstract

Background: Secondary traumatization exposure and mental health conditions of health care workers gained importance during the coronavirus disease 2019 (COVID-19) epidemic period.

Aims: In our study, we aim to research the secondary traumatization and associated factors among health care workers.

Method: This cross-sectional study was applied through an online questionnaire using the snowball sampling method. Two hundred fifty-one health care workers from different units/services and 312 non-medical worker adults attended to the research. Health care workers were divided into two groups based on working with COVID-19 patients at the frontline or not. The data were collected via Introductory Information Form, Secondary Traumatic Stress Scale (STSS) and Patient Health Questionnaire-4 (PHQ-4) between 22 May and 30 May 2020.

Results: Among the 563 participants, 251 (44.6%) were health care workers and 312 (55.4%) were non-medical workers. The anxiety, depression and secondary traumatization scores of the frontline health care workers for the COVID-19 were found to be significantly higher than those of the other health workers or non-medical workers (p < .001). Also, we found that being a woman, being in the first years of the work, living with a parent, having a chronic disease, having a trauma history and increased social media use are related to having higher scores from the secondary traumatization scale.

Conclusion: The secondary traumatization exposure and the mental health conditions of the health care workers directly working with the COVID-19 patients should be taken into consideration. It is important to provide social support, examine and control riskier groups for mental health regularly during the pandemic.

Keywords: COVID-19; anxiety; depression; health care workers; risk factors; secondary traumatization.

PubMed Disclaimer

Conflict of interest statement

Conflict of interest: The author(s) declared no potential conflicts of interest with respect to the research, authorship and/or publication of this article.

References

    1. Ahmed M. Z., Ahmed O., Aibao Z., Hanbin S., Siyu L., Ahmad A. (2020). Epidemic of COVID-19 in China and associated psychological problems. Asian Journal of Psychiatry, 51, 102092. 10.1016/j.ajp.2020.102092 - DOI - PMC - PubMed
    1. Bao Y., Sun Y., Meng S., Shi J., Lu L. (2020). 2019-nCoV epidemic: Address mental health care to empower society. The Lancet, 395(10224), e37–e38. 10.1016/S0140-6736(20)30309-3 - DOI - PMC - PubMed
    1. Bride B. E., Robinson M. M., Yegidis B., Figley C. R. (2004). Development and validation of the secondary traumatic stress scale. Research on Social Work Practice, 14(1), 27–35. 10.1177/1049731503254106 - DOI
    1. Chan S. (2003). Nurses fighting against severe acute respiratory syndrome (SARS) in Hong Kong. Journal of Nursing Scholarship, 35(3), 209. 10.1111/j.1547-5069.2003.00209.x - DOI - PubMed
    1. Chen Q., Liang M., Li Y., Guo J., Fei D., Wang L., He L., . . . Zhang Z. (2020). Mental health care for medical staff in China during the COVID-19 outbreak. Lancet Psychiatry, 7(4), e15–e16. 10.1016/S2215-0366(20)30078-X - DOI - PMC - PubMed