Vicarious exposure to trauma and growth in therapists: The moderating effects of sense of coherence, organizational support, and empathy
Abstract
Therapists who work with traumatized individuals can experience psychological growth following this vicarious exposure to trauma. The purpose of the present study is to examine the variables that may moderate such vicarious posttraumatic growth. Therapists (N = 118) completed measures of vicarious exposure to trauma and growth, as well as empathy, sense of coherence, and perceived organizational support. Results showed that having a strong sense of coherence negatively predicted growth (β = −.28, p = .001), whereas empathy was a positive predictor (β = .37, p < .001). Empathy also moderated the exposure to growth relationship when growth involved relating to others (β = −.20; p = .018). Organizational support did not predict growth. The results have implications for the recruitment, training, and supervision of therapists working with individuals who have experienced trauma.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
A higher sense of coherence in the therapist is a negative predictor of vicarious growth.
“Negatywnym predyktorem zastępczego wzrostu jest wyższe poczucie spójności terapeuty, które tu jest definiowane jako stopień, wjakim terapeuta postrzega świat jako zrozumiały imożliwy do zarządzania [24, 25].”
From Does it only benefit the patient? Potentially positive impact of psychotherapy of traumatized people — on the therapist (2025) · cites this paper as [25]
Cites
The posttraumatic growth inventory: measuring the positive legacy of trauma
Tedeschi, R. G., & Calhoun, L. G. (1996) · Journal of Traumatic Stress · doi:10.1002/jts.2490090305 · Cited by 7,061 · cited 1× · see citing works
“The Post Traumatic Growth Inventory is a 21-item questionnaire, where items can be endorsed from 0 = “I did not experience this change as a result of my therapy work: to 5 = “I experienced this change to a very great degree as a result of my therapy work”(Tedeschi & Calhoun, 1996).”
The structure and properties of the sense of coherence scale
Antonovsky, A. (1993) · Social Science & Medicine · doi:10.1016/0277-9536(93)90033-z · Cited by 3,515 · see citing works
The Importance of the Normality Assumption in Large Public Health Data Sets
Lumley, T., Diehr, P., Emerson, S., & Chen, L. (2002) · Annual Review of Public Health · doi:10.1146/annurev.publhealth.23.100901.140546 · Cited by 1,803 · see citing works
(1998) · doi:10.4324/9781410603401 · Cited by 1,154 · see citing works
Positive and negative adjustment and social support of sexual assault survivors
Borja, S. E., Callahan, J. L., & Long, P. J. (2006) · Journal of Traumatic Stress · doi:10.1002/jts.20169 · Cited by 194 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Wilkinson, H., Whittington, R., Perry, L., & Eames, C. (2017) · Burnout Research · doi:10.1016/j.burn.2017.06.003 · Cited by 509 · see citing works
Knight, C. (2013) · The Clinical Supervisor · doi:10.1080/07325223.2013.850139 · Cited by 106 · see citing works
Manning-Jones, S., de Terte, I., & Stephens, C. (2017) · Journal of Loss and Trauma · doi:10.1080/15325024.2017.1284516 · Cited by 72 · see citing works
Veronese, G., & Pepe, A. (2014) · American Journal of Orthopsychiatry · doi:10.1037/ort0000025 · Cited by 45 · see citing works
Ragger, K., Hiebler-Ragger, M., Herzog, G., Kapfhammer, H.-P., & Unterrainer, H. F. (2019) · BMC Psychiatry · doi:10.1186/s12888-019-2065-z · Cited by 43 · see citing works
Ogińska-Bulik, N., & Juczyński, Z. (2022) · Roczniki Psychologiczne · doi:10.18290/rpsych2022.0006 · Cited by 8 · see citing works
Sterna, W. (2025) · Psychoterapia · doi:10.12740/pt/200100 · Cited by 1 · see citing works
- Authors
- Brockhouse, R., Msetfi, R. M., Cohen, K., & Joseph, S.
- Affiliations
- Lancaster University (GB)
- University of Limerick (IE)
- University of London (GB)
- University of Nottingham (GB)
- Corresponding author
- Msetfi, Rachel M.
- Venue
- Journal of Traumatic Stress
- Publisher
- Wiley
- Published
- 2011-12
- Volume
- 24
- Issue
- 6
- Pages
- 735-742
- ISSN
- 0894-9867 (ISSN-L)
- 1573-6598
- OpenAlex
- W2091020186
- Cited by
- 153
- References
- 5
- Citations by year
- 2026: 7 · 2025: 7 · 2024: 10 · 2023: 9 · 2022: 16 · 2021: 7 · 2020: 14 · 2019: 13 · 2018: 12 · 2017: 7 · 2016: 13 · 2015: 14 · 2014: 9 · 2013: 9 · 2012: 4
- FWCI
- 7.07
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Traumatic Stress (publishedVersion)
- PubMed (publishedVersion)
- Goldsmiths (University of London) (acceptedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Keywords
- posttraumatic growth, therapists, sense of coherence, empathy, organizational support, moderating effect, trauma-informed therapy, therapist supervision, therapist training
- MeSH terms
- Adaptation, Psychological, Adult, Aged, Attitude of Health Personnel, Countertransference, Empathy, Female, United Kingdom, Humans, Male, Middle Aged, Psychotherapy, Surveys and Questionnaires, Regression Analysis, Social Support, Wounds and Injuries
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review