<p>Syftet med denna studie var att undersöka risken för Compassion Fatique hos sjuksköterskor vid Akademiska sjukhuset i Uppsala. Compassion Fatigue är då en person som konsekvens av sitt empatiska engagemang gentemot en annan person blir emotionellt utmattad. En enkätstudie bland psykiatrisjuksköterskor och sjuksköterskor inom den somatiska vården gjordes, dessa jämfördes i avseende på Compassion Fatique-risk. Huvudresultatet tyder på att nästan en fjärdedel av sjuksköterskorna som grupp är i riskzonen för att utveckla Compassion Fatique och att närmare 40 % av alla deltagare var i riskzonen för att utveckla utbrändhet. 21,9 % låg under referensvärdet för Compassion Satisfaction, vilket innebär att man ej känner sig tillfredställd med sin arbetssituation.  Risken för Compassion Fatigue och utbrändhet var lika för de båda grupperna, men värdet på Compassion Satisfaction skilde sig och var lägst bland psykiatrisjuksköterskorna. Det finns dock ingen signifikant skillnad mellan psykiatrisjuksköterskorna eller de sjuksköterskor som arbetade inom somatiken gällande risk för Compassion Fatique, risk för utbrändhet eller Compassion Satisfaction. Både sjuksköterskor inom den somatiska och psykiatriska vården vid Akademiska universitessjukhuset i Uppsala visar tecken på Compassion Fatique och utbrändhet. I studien kunde även ett samband mellan utbrändhet och Compassion Fatigue påvisas.</p>

Syftet med denna studie var att undersöka risken för Compassion Fatique hos sjuksköterskor vid Akademiska sjukhuset i Uppsala. Compassion Fatigue är då en person som konsekvens av sitt empatiska engagemang gentemot en annan person blir emotionellt utmattad. En enkätstudie bland psykiatrisjuksköterskor och sjuksköterskor inom den somatiska vården gjordes, dessa jämfördes i avseende på Compassion Fatique-risk. Huvudresultatet tyder på att nästan en fjärdedel av sjuksköterskorna som grupp är i riskzonen för att utveckla Compassion Fatique och att närmare 40 % av alla deltagare var i riskzonen för att utveckla utbrändhet. 21,9 % låg under referensvärdet för Compassion Satisfaction, vilket innebär att man ej känner sig tillfredställd med sin arbetssituation.  Risken för Compassion Fatigue och utbrändhet var lika för de båda grupperna, men värdet på Compassion Satisfaction skilde sig och var lägst bland psykiatrisjuksköterskorna. Det finns dock ingen signifikant skillnad mellan psykiatrisjuksköterskorna eller de sjuksköterskor som arbetade inom somatiken gällande risk för Compassion Fatique, risk för utbrändhet eller Compassion Satisfaction. Både sjuksköterskor inom den somatiska och psykiatriska vården vid Akademiska universitessjukhuset i Uppsala visar tecken på Compassion Fatique och utbrändhet. I studien kunde även ett samband mellan utbrändhet och Compassion Fatigue påvisas.

Siekiant nustatyti iš misijos Afganistane grįžusių karių psichologinę būklę, patiriamus stresogeninius įvykius, kokios stresinės situacijos įtakoja potrauminio streso pasireiškimą, šiame darbe analizuojami jų patirti stresogeniniai įvykiai, potrauminio streso išsivystymas bei grupės sutelktumas. „Karių patiriamo streso klausimynas“, Potrauminio streso Misisipės skalė“, „Grupės sutelktumo“ klausimynais. Apklausta 111 iš misijos Afganistane grįžusių karių. Rezultatai parodė, kad kariams, patyrusiems daugiau stresogeninių įvykių bei blogiau vertinantiems grupės sutelktumą, yra labiau išreikšti potrauminio streso simptomai, nei tiek pat patyrusiems stresogeninių įvykių, bet geriau vertinantiems grupės sutelktumą. Nustatyta, kad nepriklausomai nuo patiriamų stresogeninių įvykių, kariai patiria daugiau potrauminio streso simptomų, esant blogesniam grupės sutelktumui. Tiek aukštojo, tiek neturinčių aukštojo išsilavinimo, tiek vyresnių, tiek jaunesnių ir patyrusių stresogeninių įvykių karių potrauminio streso simptomų išreikštumas nesiskiria. / Aiming to assess the psychological condition of soldiers, who have returned from an international mission in Afghanistan, the incurred stressogenic events, to find out what stressful situations cause post-traumatic stress, the stressogenic events they have experienced as well as development of post-traumatic stress and unit cohesion are the scope of analysis of this paper. 111 soldiers, who had returned from an international mission, were interviewed using the following surveys: Soldiers' Stress Survey, Mississippi Scale for Post-traumatic Stress, Unit Cohesion. The results demonstrated that the soldiers, who had experienced more stressogenic events and evaluated the unit cohesion with a lower grade, had a deeper post-traumatic stress symptoms than those, who had experienced the same number of stressogenic events but gave a better evaluation of the unit cohesion. It has been established that in the event of lower unit cohesion, soldiers experience deeper post-traumatic stress symptoms, regardless of incurred stressogenic events. The depth of post-traumatic stress symptoms did not vary between groups of soldiers having higher education degree and those who did not, as well as between older and younger or the ones, with bigger stressogenic event experience.

The present study utilized the ecological-transactional theory (Bronfenbrenner, 1983; Cicchetti & Lynch, 1993) as a theoretical framework for examining the relationship between Community Violence Exposure (CVE) and Posttraumatic Stress Disorder (PTSD) among Jamaican inner-city children and adolescents. Social support and spirituality/religiosity were proposed as potential mediating factors. Based on the empirical and theoretical literature, two competing models were designed and tested, a priori. In the primary model, CVE was proposed to directly impact PTSD both directly and indirectly through social support and spirituality/religiosity. The alternate model tested the full meditational effect of social support and spirituality/religiosity on the relationship between CVE and PTSD. It was hypothesized that the primary model would adequately fit the data. Structural equation modeling was used to assess the fit of the two models to the data for the present study. Results indicated a poor fit for both the primary and the alternate model. However, post hoc model modification yielded adequate fit with the removal of social support from the model. Theoretical, research, and practice implications are discussed in relation to these findings, as well as methodological limitations and directions for future research. The study concluded that spirituality/religiosity has the potential to protect Jamaican inner-city children and adolescents from the consequences of CVE / Access permanently restricted to Ball State community only / Department of Counseling Psychology and Guidance Services

Thesis (MA (Theol.))-University of Pretoria, 2007. / Includes bibliographical references.

Thesis (M.S.W.)--Smith College School for Social Work, Northampton, Mass., 2009. / Includes bibliographical references (p. 39-40).

The purpose of this study is to tell the story of lay trauma counsellors - how the work they do affects them, what helps them to cope and what hinders their coping. The epistemological framework of this study is constructivism. This study involved in-depth interviews with three lay trauma counsellors from different cultural backgrounds who counselled for a minimum of one year. Hermeneutics was the method used to analyse the data. The stories of participants were recounted through the researcher&#8217;s lens in the form of specific themes that emerged for individual participants. Recurring themes evident in the stories of all three participants were discussed and compared with the literature. The information gleaned could be valuable to organisations considering setting up lay trauma programmes, to those with established programmes, as well as to prospective and experienced lay counsellors. / Psychology / M.A. (Psychology)

Master of Science / School of Family Studies and Human Services / Briana S. Nelson Goff / Traumatic events affect not only the primary trauma survivor, but also secondary trauma survivors (e.g., spouses, children). Intimate partner relationships provide unique conditions for examining how the interpersonal and/or systemic impact of trauma exposure and post-trauma responses can impact both the primary and secondary trauma survivors, and the interpersonal dynamics of the couple. Preliminary work has indicated that the extent of trauma disclosure may serve as a buffering effect for relationship adjustment for those below the clinical threshold for PTSD (Monk & Nelson Goff, 2014). Researchers also have found that relationships can suffer effects in direct correlation to trauma disclosure (Creech, Benzer, Liebsack, Proctor, & Taft, 2013; Nelson Goff et al., 2006). The current study explored qualitative and quantitative data from low trauma disclosure individuals (n = 15) and their partners. The Couple Adaptation to Traumatic Stress Model (Nelson Goff & Smith, 2005; Oseland, Gallus, & Nelson Goff, in press) was used to provide the framework for understanding the experiences of low trauma disclosure to spouses in a sample of Army soldiers and their spouses. The low trauma disclosure group reported some positive and negative themes related to relationship functioning. The mixed trauma disclosure partners (n = 7) reported primarily negative themes related to relationship functioning, as well as the positive theme of increased communication. The high trauma disclosure partners (n = 4) reported all positive themes related to relationship functioning. Contrary to the original hypothesis, the results indicated mixed trauma disclosure partners seemed to be functioning at lower levels than the low or high trauma disclosure partners A quantitative analysis demonstrated a number of trends throughout the disclosure groups. The low trauma disclosure group reported scores between the mixed and high trauma disclosure groups for all measures. The mixed trauma disclosure group overall reported the highest PTSD scores and lowest couple adjustment scores, despite experiencing the lowest number of traumatic events and general trauma symptoms. The high trauma disclosure group reported the highest couple adjustment scores, despite experiencing the highest number of traumatic events, trauma symptoms, and lowest PTSD scores. Implications for practice and future research also are described.

D.Litt. et Phil. / A plethora of research has been conducted on victims of township violence, detention and political unrest, but there is no research on car hijack victims or the prevalence of Post-Traumatic Stress Disorder (PTSD), which could result from this crime. The implications of this lack of research are important because people are confronted by trauma on a daily basis but there are few guidelines for providing treatment. Hijackings are a somewhat recent phenomenon unlike other traumas such as wars and natural disasters, but the effects of hijacking are no less severe. Post-Traumatic Stress Disorder (PTSD) always requires an initiating event which is assumed to be traumatic. The context in which car hijackings occur in South Africa can be considered to meet the criteria for what constitutes a traumatic event, which could possibly lead to the development of PTSD (Myerson, 1995). Not all crime victims who need professional assistance will enter therapy. This is often due to the victim's self-perception of weakness, feelings of embarrassment, or the perception that others will not understand their experience. A group-based intervention offers the advantages of reducing isolation, providing comfort and support, and eliminating feelings of stigma. For this reason it was important to analyse the nature of PTSD and how to intervene to aid the recovery from PTSD, in the South African context. The literature points to the recovery from PTSD as being contingent upon the psychotherapeutic input that the traumatised individual receives. This research focused on the development of a group-based cognitive behaviour intervention programme for victims who developed Post-Traumatic Stress Disorder as a result of car hijackings. Cognitive behavioural therapy is the only treatment modality that is supported by objective measures of success (Peterson, Prout & Schwartz, 1991) and has been found to be one of the most effective treatments (Kaplan & Sadock, 1993). In order to test the hypotheses, the Beck's Depression Inventory was used to measure the level of depression, the Spielburger's Stai Anxiety scale was used to measure the level of anxiety, and the CAPS and PCL were used to determine whether Post-Traumatic Stress Disorder existed in the individuals who participated in the study and the intensity and frequency of the symptoms.

This research report documents the therapeutic intervention undertaken with a 23-year-old Swazi rape victim. The format of this research report takes the form of a case study that follows the principles proposed by Fishman (2005). Its aim is to document the treatment process of an individual of African decent in order to establish whether the treatment model can be effective in clinical settings and in contexts and cultural settings different from that in which it was developed. The Ehlers and Clark (2000) cognitive therapy model for post-traumatic stress disorder (PTSD) was utilised to assess, conceptualise, and treat the case. The client entered therapy three years after being raped for a third time. The case formulation identified factors maintaining the disorder as well as how other traumatic and abusive events earlier in her life influenced her response to the rapes. Data consisted off audio-tape recordings and detailed written synopses of each assessment and therapy session, psychometric measurement instruments and self-report scales completed throughout the intervention, material written by the client, and a research interview conducted by an independent party. She was treated for PTSD and comorbid depression over a period of five months in accordance with the principles described by Ehlers and Clark and a narrative of the treatment process was written. The case narrative in conjunction with quantitative data suggested that this model assisted the client in initiating a healing process. As such the model was found to be both effective and transportable to an African context. Various points of discussion are highlighted, including the challenges of working with PTSD and comorbid major depression, the client-therapist relationship, and that a client and therapist from different cultures, backgrounds, and with different home languages can work together effectively using the Ehlers and Clark model.