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Who Will Save the Savior? The Relationship between Therapists’ Secondary Traumatic Stress, Secondary Stress Self-Efficacy, and Attitudes toward Trauma-Informed Care
Abstract
Therapists who treat traumatized preschool children are vulnerable to secondary traumatic stress. This study investigates the relationship between therapists’ attitudes toward trauma-informed care (TIC) and risk of secondary traumatic stress, with secondary traumatic self-efficacy as a mediating variable. Participants included Israeli social workers (N = 101) in preschool trauma frameworks, with 97.2% following trauma-informed care principles. The questionnaire combined three instruments: attitudes related to TIC (ARTIC), secondary traumatic stress (STS), and secondary traumatic stress efficacy (STSE). Therapists with less positive attitudes toward trauma-informed care showed higher levels of secondary traumatic stress (r[99] = −0.23, p = 0.019), while more positive attitudes predicted higher levels of secondary traumatic stress efficacy (r[99] = 40, p < 0.001). Secondary traumatic self-efficacy mediated the relationship between attitudes toward trauma-informed care and secondary traumatic stress (z = 2.72, p = 0.006). Therapists’ secondary traumatic stress may be reduced by improving positive attitudes toward trauma-informed care and enhancing their secondary traumatic self-efficacy.
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“On the other hand, exposure to secondary trauma is linked to lower professional confidence (Syed Ali et al., 2023), and secondary traumatic self-efficacy predicts attitudes toward trauma-informed practice (Miller Itay & Turliuc, 2023).”
From Effectiveness Of Narrative Therapy In Addressing Psychological Challenges: A Systematic Review Of Randomised Controlled Trials (2026) · cites this paper as Miller Itay & Turliuc, 2023
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Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., Koss, M. P., & Marks, J. S. (1998) · American Journal of Preventive Medicine · doi:10.1016/s0749-3797(98)00017-8 · Cited by 18,943 · cited 1×
“…traumatic events, including physical, sexual, and emotional abuse, experience of household dysfunction (e.g., divorce/separation, domestic violence), and living with an adult experiencing poor mental health (psychopathology, substance use/misuse, or incarceration), as Felitti et al. indicated [22].”
BackgroundCore Implementation Components
Fixsen, D. L., Blase, K. A., Naoom, S. F., & Wallace, F. (2009) · Research on Social Work Practice · doi:10.1177/1049731509335549 · Cited by 1,103
Development and Validation of the Secondary Traumatic Stress Scale
Bride, B. E., Robinson, M. M., Yegidis, B., & Figley, C. R. (2004) · Research on Social Work Practice · doi:10.1177/1049731503254106 · Cited by 874 · cited 5×
“Therapists suffering from STS are also likely to be absent from work more often [30,36,37].”
BackgroundMethodInfluentialAarons, G. A. (2005) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2004.04.008 · Cited by 296
Meadors, P., & Lamson, A. (2008) · Journal of Pediatric Health Care · doi:10.1016/j.pedhc.2007.01.006 · Cited by 243 · cited 2×
“This is expected to decrease the harm to the well-being of therapists, allow them to provide higher-quality service to clients, and create a more positive work environment for their colleagues and organization [30,35–37].”
BackgroundMelinte, B. M., Turliuc, M. N., & Măirean, C. (2023) · Clinical Psychology: Science and Practice · doi:10.1037/cps0000159 · Cited by 13
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Cited by
Sorted by citations
Permatasari, D. P., Windarwati, H. D., & Lestari, R. (2026) · Indigenous: Jurnal Ilmiah Psikologi · doi:10.23917/indigenous.v11i1.13778
Metadata
- Authors
- Miller Itay, M. R., & Turliuc, M. N.
- Affiliations
- Faculty of Psychology and Educational Sciences, Alexandru Ioan Cuza University of Iași, 700506 Iaşi, Romania
- Venue
- Behavioral Sciences
- Publisher
- MDPI AG
- Published
- 2023-12-13
- Volume
- 13
- Issue
- 12
- Pages
- 1012
- ISSN
- 2076-328X
- PMC
- PMC10740790
- Cited by
- 7
- References
- 6
- Language
- en
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