Objective-The present study has two goals: to assess the difference between secondary trauma and job burnout and to examine the utility of secondary trauma in predicting psychological distress.
Method-The data come from a survey of social workers (N = 236) living in New York City 20 months following the September 11 terrorist attacks on the World Trade Center (WTC).Results-Social workers' involvement in WTC recovery efforts is related to secondary trauma but not burnout. Analyses also reveal that both secondary trauma and burnout are related to psychological distress after controlling for other risk factors.Conclusion-This study supports the importance of compassion fatigue as a risk factor for social workers counseling traumatized clients and its association with psychological problems. Keywords compassion fatigue; secondary trauma; vicarious trauma; burnout; posttraumatic stress disorder; stress-process model; scale development During the past 20 years, most studies related to psychosocial stressor exposures have tended to focus on individuals seeking social support and coping assistance when dealing with a negative or traumatic life event (Aneshensel, Pearlin, & Schuler, 1993;Pearlin, 1989;Thoits, 1995). Less often has been a concern for those who give social support (e.g., emotional or informational) or coping assistance (e.g., raising self-esteem or self-efficacy) to others. Although studies have shown that providing social support in these situations can be highly stressful (Ohaeri, 2003;Schulz et al., 1997), relatively little research has focused on formal caregivers (e.g., social workers, therapists, child protection workers, paramedics etc.) and their social support efforts on behalf of traumatized clients (Figley, 1995). Yet, social support and coping assistance are the kinds of care these workers provide in clinical and organizational settings.Past researchers have raised concerns about the mental health status of service professionals who work with AIDS patients (Wade, Beckerman, & Stein, 1996), oncology patients (Simon, Pryce, Roff, & Klemmack, 2006), the elderly (Leon, Altholz, & Dziegielewski, 1999), child welfare clients (Bride, Jones, & MacMaster, in press;Bride, Jones, MacMaster, & Shatila, 2003;Conrad & Kellar-Guenther 2006;Daley, 1979;Dane, 2000;Jayaratne, Chess, & Kunkel, 1986;Rycraft, 1994) Peled-Avram, & Ben-Yizhack, 2004), clients who have committed suicide (Ting, Sanders, Jacobson, & Power, 2006), child sexual abuse victims, and social workers working with a variety of clients (Bride, Robinson, Yegidis, & Figley, 2004;Deighton, Gurris & Taue, 2007). Bride (2007) concludes that social workers engaged in direct clinical practice are likely to be secondarily exposed to traumatic events through their work with traumatized populations, and that a significant minority (15%), likely meet the diagnostic criteria for posttraumatic stress disorder (PTSD), conclusions that are consistent with an earlier report by the same author (Bride, 2004) and with Siebert's (2004) finding that 19% of s...