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Physical Health Consequences of Vicarious Trauma: Prospective Relationship Between Hospital Patient Care Worker
Elisabeth Anne Stelson1, Glorian Sorensen, Lisa Berkman
1From the Department of Social & Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts (E.A.S., G.S., L.B., L.D.K., E.L.S.); Department of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, Massachusetts (E.A.S.); Division of Gastroenterology and Hepatology, Beth Israel Deaconess Medical Center, Boston, Massachusetts (S.B.); Boston College Law School, Newton, Massachusetts (D.H.); and Boston College School of Social Work, Chestnut Hill, Massachusetts (E.L.S.).
Objective:
Vicarious trauma (VT) is "secondhand" trauma healthcare workers experience when interacting with trauma survivors. The prospective relationship between workers' VT symptoms and physical health has not been studied.
Methods:
Survey data from 775 hospital workers were linked to health insurance expenditures to identify stress-related conditions known as disorders of gut-brain interaction (DGBIs) occurrence within 1-year follow-up. VT symptoms (modeled continuously and categorically) and conditional odds of developing DGBI were assessed with multilevel logistic regression.
Results:
Conditional odds of DGBI increased 4% for every one-point increase in VT symptom score (95% confidence interval, 0.98 to 1.11; P = 0.17). Participants with high versus low VT symptoms had 3.40-times the conditional odds of DGBI (95% confidence interval, 1.44 to 8.06; P = 0.01).
Conclusion:
Workers with high versus low VT symptoms had significantly higher odds of developing DGBIs, indicating that VT may adversely impact workers' physical health.
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