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The Impact of Emotional Exhaustion on Psychological Factors in Workers with Secondary Traumatic Experiences: A Multi-Group Path Analysis

Psychiatry Investigation 2020년 17권 11호 p.1064 ~ 1072
진민진, 김지선, 이호성, 권영준, 심세훈, 최범성, 이동우, 백종우, 이병철, 정성원, 이화영,
소속 상세정보
진민진 ( Jin Min-Jin ) - Chung-Ang University Department of Psychology
김지선 ( Kim Ji-Sun ) - Soonchunhyang University Cheonan Hospital Department of Psychiatry
이호성 ( Lee Ho-Sung ) - Soonchunhyang University Cheonan Hospital Department of Pulmonology and Allergy
권영준 ( Kwon Young-Joon ) - Soonchunhyang University Cheonan Hospital Department of Psychiatry
심세훈 ( Shim Se-Hoon ) - Soonchunhyang University Cheonan Hospital Department of Psychiatry
최범성 ( Choi Bum-Sung ) - Pusan National University Yangsan Hospital Department of Psychiatry
이동우 ( Lee Dong-Woo ) - Inje University Sanggye Paik Hospital Department of Psychiatry
백종우 ( Paik Jong-Woo ) - Kyung Hee University School of Medicine Department of Psychiatry
이병철 ( Lee Boung-Chul ) - Hallym University College of Medicine Department of Neuropsychiatry
정성원 ( Jung Sung-Won ) - Keimyung University School of Medicine Department of Psychiatry
이화영 ( Lee Hwa-Young ) - Soonchunhyang University Cheonan Hospital Department of Psychiatry

Abstract


Objective: The objective of the present study was to explore causal pathways to understand how second traumatic experiences could affect the development of emotional exhaustion and psychiatric problems.

Methods: A total of 582 workers who had jobs vulnerable to secondary traumatic experiences were enrolled for this study. Emotional exhaustion, secondary trauma, resilience, perceived stress, depression, anxiety, and sleep problems were evaluated. A model with pathways from secondary traumatic experience score to depression and anxiety was proposed. The participants were divided into three groups according to the resilience: the low, middle and high resilience group.

Results: Resilience was a meaningful moderator between secondary traumatic experiences and psychiatric problems. In the path model, the secondary trauma and perceived stress directly and indirectly predicted perceived stress, emotional exhaustion, depression, anxiety, and sleep problems in all three groups. Direct effects of perceived stress on depression and anxiety were the largest in the low resilience group. However, direct effects of secondary trauma on perceived stress and emotional exhaustion were the largest in the high resilience group.

Conclusion: Understanding the needs of focusing for distinct psychological factors offers a valuable direction for the development of intervention programs to prevent emotional exhaustion among workers with secondary traumatic experiences.

키워드

Workers; Secondary traumatic experiences; Emotional exhaustion; Associated factors; Path analysis

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