Aleksandra Paksina - Thesis submitted in partial fulfilment of the requirements of the degree of Doctor of Clinical Psychology (DClinPsych)
<p><strong>Systematic Review of the Literature (SRL)</strong></p> <p><em>Measuring Secondary Traumatic Stress: A Systematic Review</em></p> <p>Secondary traumatic stress (STS) experienced by some professionals working with traumatised individua...
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| Other Authors: | |
| Format: | Thesis |
| Language: | English |
| Published: |
2024
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| Subjects: |
| _version_ | 1817930759232552960 |
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| author | Paksina, A |
| author2 | McKinnon, A |
| author_facet | McKinnon, A Paksina, A |
| author_sort | Paksina, A |
| collection | OXFORD |
| description | <p><strong>Systematic Review of the Literature (SRL)</strong></p>
<p><em>Measuring Secondary Traumatic Stress: A Systematic Review</em></p>
<p>Secondary traumatic stress (STS) experienced by some professionals working with traumatised individuals can have significant deleterious effects on their personal and professional lives and hinder the quality of care they deliver. However, due to the methodological variations in how STS is measured, it is currently unclear how common this syndrome is and whether a systematic implementation of prevention and treatment strategies for STS is warranted. The purpose of this review was to provide an updated overview of how the concept of STS has been measured in the literature and to appraise the quality of the current literature. A systematic search of PsycINFO, Medline, Embase, Scopus, and Web of Science databases yielded 30 relevant articles and eight different instruments used to measure STS. The psychometric properties of the measures were reviewed, and recommendations for use and future research were offered.</p>
<p><strong>Service Improvement Project (SIP)</strong></p>
<p><em>Understanding the Experiences of Women with Tokophobia Supported by Buckinghamshire Maternal Mental Health Service</em></p>
<p>Poor perinatal mental health can have a profound impact on the mother and her infant. Although the importance of timely mental health interventions has been long recognised in the UK, until recently, women with complex presentations such as post-traumatic stress disorder (PTSD) following perinatal trauma or experiencing severe fear of childbirth (tokophobia) continued to fall through the gaps in the service provision. Maternal Mental Health Services (MMHS) were rolled out nationally to address this gap; however, qualitative data on the patients’ experience of the referral and treatment processes with MMHS has not been collected yet. This project explored the subjective experiences of patients referred for tokophobia support with Buckinghamshire MMHS. Thematic analysis (TA) was used to analyse qualitative responses from semi-restructured interviews with nine patients. Eight themes were yielded from the TA, and the main implications and recommendations based on the findings are discussed.</p>
<p><strong>Theoretically Driven Research Project (TDRP)</strong></p>
<p><em>Pre-Existing Assumptive Worldviews and Rumination as Risk Factors for Secondary Traumatic Stress: A Longitudinal Study in Mental Healthcare Providers</em></p>
<p>Professionals working therapeutically with trauma survivors can develop posttraumatic stress disorder (PTSD) symptoms similar to those in their care – a phenomenon commonly referred to as secondary traumatic stress (STS). However, cognitive risk factors and mechanisms for STS are not well understood. Existing models of PTSD (Ehlers & Clark, 2000) suggest that prior beliefs and problematic cognitive strategies, such as rumination, are likely to make professionals more vulnerable. The present study explored whether pre-existing beliefs in the form of world assumptions are predictive of STS symptoms and whether this relationship is mediated by rumination. An online survey was completed at baseline and 6-month follow-up by 93 trainee and qualified clinical psychologists and psychotherapists recruited from training courses and services in the United Kingdom. Regression analyses suggested that negative worldviews (R2= .11) and rumination (R2 = .17) at baseline predicted STS symptoms at follow up. In turn, mediation analysis revealed that rumination partially mediated the relationship between assumptive worldviews and STS (β = -.12), contributing to higher STS levels at follow-up. In professionals who are regularly exposed to trauma and already vulnerable to STS through theirpre-existing beliefs and worldviews, ruminative thinking is a potentially modifiable risk factor that could be targeted with specific interventions. This study builds on previous work exploring risk factors for STS and is consistent with PTSD literature suggesting pre-existing negative beliefs and rumination are risk factors for PTSD.</p> |
| first_indexed | 2024-09-25T04:21:36Z |
| format | Thesis |
| id | oxford-uuid:1bea5b07-9171-46ed-b4e1-4d096a0e08e2 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-12-09T03:11:14Z |
| publishDate | 2024 |
| record_format | dspace |
| spelling | oxford-uuid:1bea5b07-9171-46ed-b4e1-4d096a0e08e22024-10-09T11:10:57ZAleksandra Paksina - Thesis submitted in partial fulfilment of the requirements of the degree of Doctor of Clinical Psychology (DClinPsych)Thesishttp://purl.org/coar/resource_type/c_db06uuid:1bea5b07-9171-46ed-b4e1-4d096a0e08e2PsychologyClinical psychologyPost-traumatic stress disorderEnglishHyrax Deposit2024Paksina, AMcKinnon, AJenner, SBarnardo, LAitken, L<p><strong>Systematic Review of the Literature (SRL)</strong></p> <p><em>Measuring Secondary Traumatic Stress: A Systematic Review</em></p> <p>Secondary traumatic stress (STS) experienced by some professionals working with traumatised individuals can have significant deleterious effects on their personal and professional lives and hinder the quality of care they deliver. However, due to the methodological variations in how STS is measured, it is currently unclear how common this syndrome is and whether a systematic implementation of prevention and treatment strategies for STS is warranted. The purpose of this review was to provide an updated overview of how the concept of STS has been measured in the literature and to appraise the quality of the current literature. A systematic search of PsycINFO, Medline, Embase, Scopus, and Web of Science databases yielded 30 relevant articles and eight different instruments used to measure STS. The psychometric properties of the measures were reviewed, and recommendations for use and future research were offered.</p> <p><strong>Service Improvement Project (SIP)</strong></p> <p><em>Understanding the Experiences of Women with Tokophobia Supported by Buckinghamshire Maternal Mental Health Service</em></p> <p>Poor perinatal mental health can have a profound impact on the mother and her infant. Although the importance of timely mental health interventions has been long recognised in the UK, until recently, women with complex presentations such as post-traumatic stress disorder (PTSD) following perinatal trauma or experiencing severe fear of childbirth (tokophobia) continued to fall through the gaps in the service provision. Maternal Mental Health Services (MMHS) were rolled out nationally to address this gap; however, qualitative data on the patients’ experience of the referral and treatment processes with MMHS has not been collected yet. This project explored the subjective experiences of patients referred for tokophobia support with Buckinghamshire MMHS. Thematic analysis (TA) was used to analyse qualitative responses from semi-restructured interviews with nine patients. Eight themes were yielded from the TA, and the main implications and recommendations based on the findings are discussed.</p> <p><strong>Theoretically Driven Research Project (TDRP)</strong></p> <p><em>Pre-Existing Assumptive Worldviews and Rumination as Risk Factors for Secondary Traumatic Stress: A Longitudinal Study in Mental Healthcare Providers</em></p> <p>Professionals working therapeutically with trauma survivors can develop posttraumatic stress disorder (PTSD) symptoms similar to those in their care – a phenomenon commonly referred to as secondary traumatic stress (STS). However, cognitive risk factors and mechanisms for STS are not well understood. Existing models of PTSD (Ehlers & Clark, 2000) suggest that prior beliefs and problematic cognitive strategies, such as rumination, are likely to make professionals more vulnerable. The present study explored whether pre-existing beliefs in the form of world assumptions are predictive of STS symptoms and whether this relationship is mediated by rumination. An online survey was completed at baseline and 6-month follow-up by 93 trainee and qualified clinical psychologists and psychotherapists recruited from training courses and services in the United Kingdom. Regression analyses suggested that negative worldviews (R2= .11) and rumination (R2 = .17) at baseline predicted STS symptoms at follow up. In turn, mediation analysis revealed that rumination partially mediated the relationship between assumptive worldviews and STS (β = -.12), contributing to higher STS levels at follow-up. In professionals who are regularly exposed to trauma and already vulnerable to STS through theirpre-existing beliefs and worldviews, ruminative thinking is a potentially modifiable risk factor that could be targeted with specific interventions. This study builds on previous work exploring risk factors for STS and is consistent with PTSD literature suggesting pre-existing negative beliefs and rumination are risk factors for PTSD.</p> |
| spellingShingle | Psychology Clinical psychology Post-traumatic stress disorder Paksina, A Aleksandra Paksina - Thesis submitted in partial fulfilment of the requirements of the degree of Doctor of Clinical Psychology (DClinPsych) |
| title | Aleksandra Paksina - Thesis submitted in partial fulfilment of the requirements of the degree of Doctor of Clinical Psychology (DClinPsych) |
| title_full | Aleksandra Paksina - Thesis submitted in partial fulfilment of the requirements of the degree of Doctor of Clinical Psychology (DClinPsych) |
| title_fullStr | Aleksandra Paksina - Thesis submitted in partial fulfilment of the requirements of the degree of Doctor of Clinical Psychology (DClinPsych) |
| title_full_unstemmed | Aleksandra Paksina - Thesis submitted in partial fulfilment of the requirements of the degree of Doctor of Clinical Psychology (DClinPsych) |
| title_short | Aleksandra Paksina - Thesis submitted in partial fulfilment of the requirements of the degree of Doctor of Clinical Psychology (DClinPsych) |
| title_sort | aleksandra paksina thesis submitted in partial fulfilment of the requirements of the degree of doctor of clinical psychology dclinpsych |
| topic | Psychology Clinical psychology Post-traumatic stress disorder |
| work_keys_str_mv | AT paksinaa aleksandrapaksinathesissubmittedinpartialfulfilmentoftherequirementsofthedegreeofdoctorofclinicalpsychologydclinpsych |