Travma sonrası stres, psikolojik ihtiyaçlar ve profesyonel ve aile bakıcıları arasında empati

Abstract

Aims: The aim of this study is to examine the effects of post-traumatic stress disorder (PTSD), psychological needs, and empathy (EMP) on burnout (BRN) levels among professional and family caregivers. Methods: The study sample consists of a total of 379 participants, including 197 professional caregivers and 182 family caregivers. Participants were selected using the snowball sampling method. Data were collected using the PTSD checklist for DSM-5 (PCL 5), the Toronto Empathy Questionnaire, the Basic Psychological Needs Scale, the Maslach Burnout Inventory (MBI), and a Socio-Demographic Information Form. The study was conducted using a relational survey model, and structural equation modeling (SEM) was employed to examine both direct and indirect effects. Results: The SEM findings revealed that PTSD had a significant direct effect on BRN, which was partially mediated by psychological needs and EMP. Notably, the mediating role of empathy was more pronounced in the professional caregiver group, where the direct effect of PTSD on BRN dropped by nearly 49% after accounting for EMP and psychological needs. In contrast, this reduction was only 15% among family caregivers, suggesting that professional caregivers are more vulnerable to BRN due to EMP-driven mechanisms. Additionally, the indirect effects were also statistically significant. These findings suggest that unmet psychological needs and high levels of EMP may contribute to increased BRN among caregivers. Conclusion: The findings revealed that both psychological needs and EMP play a partial mediating role in the relationship between PTSD and BRN. As caregivers’ levels of EMP increase, they may become more vulnerable to BRN. Addressing unmet psychological needs and promoting balanced EMP are considered important for protecting the mental health of both professional and family caregivers.

Keywords

• Travma sonrası stres
• psikolojik ihtiyaçlar
• empati
• tükenmişlik

Post-traumatic stress, psychological needs and empathy among professional and family caregivers

Abstract

Aims: The aim of this study is to examine the effects of post-traumatic stress disorder (PTSD), psychological needs, and empathy (EMP) on burnout (BRN) levels among professional and family caregivers. Methods: The study sample consists of a total of 379 participants, including 197 professional caregivers and 182 family caregivers. Participants were selected using the snowball sampling method. Data were collected using the PTSD checklist for DSM-5 (PCL 5), the Toronto Empathy Questionnaire, the Basic Psychological Needs Scale, the Maslach Burnout Inventory (MBI), and a Socio-Demographic Information Form. The study was conducted using a relational survey model, and structural equation modeling (SEM) was employed to examine both direct and indirect effects. Results: The SEM findings revealed that PTSD had a significant direct effect on BRN, which was partially mediated by psychological needs and EMP. Notably, the mediating role of empathy was more pronounced in the professional caregiver group, where the direct effect of PTSD on BRN dropped by nearly 49% after accounting for EMP and psychological needs. In contrast, this reduction was only 15% among family caregivers, suggesting that professional caregivers are more vulnerable to BRN due to EMP-driven mechanisms. Additionally, the indirect effects were also statistically significant. These findings suggest that unmet psychological needs and high levels of EMP may contribute to increased BRN among caregivers. Conclusion: The findings revealed that both psychological needs and EMP play a partial mediating role in the relationship between PTSD and BRN. As caregivers’ levels of EMP increase, they may become more vulnerable to BRN. Addressing unmet psychological needs and promoting balanced EMP are considered important for protecting the mental health of both professional and family caregivers.

Keywords

• Post-traumatic stress
• psychological needs
• empathy
• burnout

References

1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5. Köroğlu E, çeviren. 5. baskı. Ankara: Hekimler Yayın Birliği; 2013.
2. Zara A, İçöz FJ. Türkiye’de ruh sağlığı alanında travma mağdurlarıyla çalışanlarda ikincil travmatik stres. Klin Psikiyatr. 2015;18(1):15-23.
3. Uğuz Ş, Toros F, İnanç BY, Çolakkadıoğlu O. Zihinsel ve/veya bedensel engelli çocukların annelerinin anksiyete, depresyon ve stres düzeylerinin belirlenmesi. Klin Psikiyatr. 2004;7(1):42-47.
4. Ceylan R, Aral N. An examination of the correlation between depression and hopelessness levels in mothers of disabled children. Soc Behav Pers. 2007;35(7):903-908. doi:10.2224/sbp.2007.35.7.903
5. Çivitçi DDA. Üniversite öğrencilerinde genel yaşam doyumu ve psikolojik ihtiyaçlar arasındaki ilişkiler. Çukurova Üniversitesi Sosyal Bilimler Enstitüsü Dergisi. 2012;2(2):321-336.
6. Deci EL, Ryan RM. The what and why of goalpursuits: human needs and the self-determination of behaviour. Psychol Inq. 2000;11:319-338. doi: 10.1207/S15327965PLI1104_01
7. Lin C. Culture shock and social support: an ınvestigation of a Chinese student organization on a US campus. J Intercult Commun Res. 2006;35: 117-137. doi:10.1080/17475750600909279
8. Freudenberger HJ. Staff burn-out. J Soc Issues. 1974;30(1):159-165. doi: 10.1111/j.1540-4560.1974.tb00706.x

9. Tunç S, Özkardaş O. Otizmli çocuğu olan annelerde algılanan sosyal desteğin anksiyete ve ebeveyn tükenmişliği üzerindeki etkisi. Soc Sci Res J. 2020;9(4):247-253.
10. Çınar Y. Psikolojik danışmanların tükenmişlik düzeyleri ve problem çözme becerilerinin incelenmesi. [Yayımlanmamış yüksek lisans tezi]. Ankara: Gazi Üniversitesi; 2016.
11. Bakır B, Özer M, Özcan CT, Çetin M, Fedai T. The association between burnout, and depressive symptoms in a Turkish military nurse sample. Bull Clin Klinik Psychopharmacol. 2010;20(2):160-163. doi:10.1080/10177833. 2010.11790651
12. Taşçıoğlu C. Çalışma psikolojisi. J Econ Cult Soc. 2018;57:275-279. doi: 10.26650/JECS423436
13. Klis M, Kossewska J. Empathy in the structure of personality of special educators. Reports-Research. 1996;1:143-148.
14. Garton AF, Gringar E. The development of a scale to measure empathy in 8-and 9-year old children. Aust J of Educ Dev Psychol. 2005;5:17-25.
15. Kline RB. Principles and practice of structural equation modeling. Guilford Press; 2016.
16. Weathers FW, Litz BT, Keane TM, et al. The PTSD checklist for DSM-5 (PCL5). Scale available from the National Center for PTSD; 2013.
17. Boysan M, Guzel Ozdemir, P, Ozdemir O, Selvi Y, Yilmaz E, Kaya N. Psychometric properties of the Turkish version of the PTSD Checklist for diagnostic and statistical manual of mental disorders, (PCL-5). Psychiatry Clin Psychopharmacol. 2017;27(3):300-310. doi:10.1080/24750573. 2017.1342769
18. Maslach C, Schaufeli WB, Leiter PM. Job burnout. Annu Rev Psychol. 2001;52:397-422. doi:10.1146/annurev.psych.52.1.397
19. Ergin C. Doktor ve hemşirelerde tükenmişlik ve Maslach tükenmişlik ölçeği’nin uyarlanması. 7. ulusal psikoloji kongresi bilimsel çalışmaları 1992.
20. Duygun T. Zihinsel engelli ve sağlıklı çocuk annelerinde stres belirtileri stresle başa çıkma tarzları ve algılanan sosyal desteğin tükenmişlik düzeyine olan etkisi. [Yüksek lisans tezi]. Ankara: Ankara Üniversitesi; 2001.
21. Spreng RN, Kinnon CM, Mar RA, Levine B. The Toronto Empathy Questionnaire: scale development and initial validation of a factor-analytic solution to multiple empathy measures. J Pers Assess. 2009;91(1): 62-71. doi: 10.1080/00223890802484381
22. Totan T, Doğan T, Sapmaz F. The Toronto Empathy Questionnaire: evaluation of psychometric properties among Turkish university students. Eurasian J Educ Res. 2012;46:179-198.
23. Kesici Ş, Üre Ö, Bozgeyikli H, Sünbül AM. Temel psikolojik ihtiyaçlar ölçeğinin geçerlik ve güvenirliği. VII. Ulusal PDR Kongresi Bildiri Özetleri Kitabı, Malatya, 2003.
24. Yücel B, Akoğlu B. Secondary traumatization in mental health workers. Psikiyatride Güncel Yaklaşımlar. 203;15(Supplement 1):383-393. doi:10.18863/pgy.1327170
25. Yıldırım MH, İçerli L. Tükenmişlik sendromu: Maslach ve Kopenhag tükenmişlik ölçeklerinin karşılaştırmalı analizi. Organizasyon ve Yönetim Bilimleri Dergisi. 2010;2(1);123-131.
26. Kebapçı A, Akyolcu N. Acil birimlerde çalışan hemşirelerde çalışma ortamının tükenmişlik düzeylerine etkisi. Tr J Emerg Med.2011;11(2):59-67. doi:10.5505/1304.7361.2011.43827
27. Özcan CT, Oflaz F, Çiçek H. Empathy: the effects of undergraduate nursing education in Turkey. Int Nurs Rev. 2010;57:493-499. doi:10.1111/j. 1466-7657.2010.00832.x
28. Figley CR. Treating compassion fatigue. Brunner Routledge: New York. 2002.
29. Katip C. Travma sonrası stres bozukluğu belirtileri, temel psikolojik ihtiyaçlar, irrasyonel inanışlar ve duygudurum arasındaki ilişkinin incelenmesi [Yayımlanmamış yüksek lisans tezi]. İstanbul: Maltepe Üniversitesi; 2021.
30. Akoğlu B. Özel gereksinimi olan çocuğa sahip ailelerde psikolojik sağlamlık üzerine sistematik bir derleme. JHWB. 2022;7(13):47-56. doi: 10.32739/usmut.2022.7.13.11