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DOI: 10.1055/a-2311-4665
Risikofaktoren für sekundären traumatischen Stress (STS) und Posttraumatische Belastungsstörung (PTBS) bei Dolmetschenden mit eigener Traumaerfahrung
Risk Factors for Secondary Traumatic Stress (STS) and Post-Traumatic Stress Disorder (PTSD) in Interpreters with Personal Trauma ExperienceZusammenfassung
Ziel der Studie Dolmetschende spielen eine entscheidende Rolle bei der Versorgung von Geflüchteten. Allerdings wird der psychischen Gesundheit von Dolmetschenden bisher nur wenig Beachtung gegeben. Trotz eines erhöhten Belastungslevels von sekundärem traumatischem Stress (STS) und gesteigerten Prävalenzen Posttraumatischer Belastungsstörung (PTBS) bei Dolmetschenden im Geflüchtetenkontext, gibt es bisher nur wenig Forschung zu Risikofaktoren für STS und PTBS in dieser Population. Das Ziel dieser Studie war es, potenzielle Risikofaktoren für jeweils STS- und PTBS-Symptomschwere bei Dolmetschenden in der Geflüchtetenversorgung zu untersuchen.
Methodik Eine deutschlandweite Online-Befragung wurde 2019 unter Dolmetschenden für Geflüchtete durchgeführt, in der 83 Personen eingeschlossen wurden, die angaben, mindestens ein traumatisches Erlebnis erfahren zu haben. Die Untersuchung der potenziellen Risikofaktoren (primäre traumatische Ereignisse, traumabezogne Inhalte, eigener Fluchthintergrund) und die Interaktion von primären traumatischen Ereignissen und traumabezogenen Inhalten erfolgte mittels moderierter multipler Regression.
Ergebnisse Es wurde jeweils ausschließlich für STS- (p=0,003) und PTBS-Symptomschwere (p=0,042) ein positiver Zusammenhang mit der Anzahl primär erlebter traumatischen Ereignisse festgestellt.
Diskussion/Schlussfolgerung In der vorliegenden Studie wurde die Anzahl der erlebten primären traumatischen Ereignisse als potenzieller Risikofaktor für STS und PTBS identifiziert. Die Institutionalisierung präventiver Maßnahmen wie Supervisionen, Nachgespräche und dolmetscher-spezifische Fortbildungen könnte einen wichtigen Beitrag zum Schutz der psychischen Gesundheit von Dolmetschenden leisten. Weitere Studien sind erforderlich, um ein besseres Verständnis von Risikofaktoren für STS und PTBS bei Dolmetschenden zu erlangen.
Abstract
Background Interpreters play a crucial role in the care of refugees. However, little attention has been paid to the mental health of interpreters. Despite increased levels of secondary traumatic stress (STS) and increased prevalence of post-traumatic stress disorder (PTSD) among interpreters in the refugee context, there has been little research on risk factors for STS and PTSD in this population. The aim of this study was to investigate potential risk factors for STS and PTSD symptom severity.
Methods A Germany-wide online survey was conducted among interpreters for refugees in 2019. Only those who stated that they had experienced at least one traumatic event were included in the study. The final sample comprises N=83 interpreters. The examination of the potential risk factors (primary traumatic events, traumatic content, and personal refugee background) as well as the interaction between primary traumatic events and traumatic content was carried out using moderated multiple regression.
Results There was exclusively found a positive association between the number of primary traumatic events for both STS (p=0.003) and PTSD symptom severity (p=0.042).
Discussion/Conclusion In the present study, the number of primary traumatic events experienced was identified as a potential risk factor for STS and PTSD. The institutionalization of preventive measures such as regular supervision, follow-up talks, and interpreter-specific training could make an important contribution to protecting the mental health of interpreters. Further research is needed to gain a better understanding of risk factors for STS and PTSD in interpreters.
Schlüsselwörter
Sprach- und Kulturmittelnde - Geflüchtete - Sekundärer traumatischer Stress - Posttraumatische Belastungsstörung - RisikofaktorenKeywords
Language and cultural brokers - Refugees - Secondary traumatic Stress - Posttraumatic stress disorder - Risk factorsPublication History
Received: 29 February 2024
Accepted: 16 April 2024
Article published online:
12 June 2024
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Literatur
- 1 Rousseau C, Frounfelker RL. Mental Health Needs and Services for Migrants: An Overview for Primary Care Providers. J Travel Med 2018; DOI: 10.1093/jtm/tay150.
- 2 Geiling A, Knaevelsrud C, Shad KB. et al. Psychotherapie mit Dolmetschenden–Schritt für Schritt. PSYCH Up2date 2022; DOI: 10.1055/a-1392-3352.
- 3 Kindermann D, Schmid C, Derreza-Greeven C. et al. Prevalence of and Risk Factors for Secondary Traumatization in Interpreters for Refugees: A Cross-Sectional Study. Psychopathology 2017; DOI: 10.1159/000477670.
- 4 Mehus CJ, Becher EH. Secondary Traumatic Stress, Burnout, and Compassion Satisfaction in a Sample of Spoken-language Interpreters. Traumatology 2016; DOI: 10.1037/trm0000023.
- 5 Wichmann M, Nick S, Redlich A. et al. Sekundäre Traumatische Belastung bei Dolmetschern in der Flüchtlingsversorgung. Trauma und Gewalt 2018; DOI: 10.21706/TG-12-3-226.
- 6 Teegen F, Gönnenwein C. Posttraumatische Belastungsstörungen bei Dolmetschern für Flüchtlinge. Verhal Verhal 2002; 23: 419-436
- 7 Geiling A, Knaevelsrud C, Böttche M. et al. Mental Health and Work Experiences of Interpreters in the Mental Health Care of Refugees: A Systematic Review. Front Psychiatry 2021; DOI: 10.3389/fpsyt.2021.710789.
- 8 Stamm B. The Concise Manual for the Professional Quality of Life Scale. 2010
- 9 Sprang G, Ford J, Kerig P. et al. Defining Secondary Traumatic Stress and Developing Targeted Assessments and Interventions: Lessons Learned from Research and Leading Experts. Traumatology 2019; DOI: 10.1037/trm0000180.
- 10 Fennig M, Denov M. Interpreters Working in Mental Health Settings with Refugees: An Interdisciplinary Scoping Review. Am J Orthopsychiatry 2021; DOI: 10.1037/ort0000518.
- 11 Yick AG, Daines AM. Data In–Data Out? A Metasynthesis of Interpreter’s Experiences in Health and Mental Health. Qual Soc Work 2019; DOI: 10.1177/1473325017707027.
- 12 Green H, Sperlinger D, Carswell K. Too Close to Home? Experiences of Kurdish Refugee Interpreters Working in UK Mental Health Services. J Ment Health 2012; DOI: 10.3109/09638237.2011.651659.
- 13 Butler CA. Speaking the Unspeakable: Female Interpreters’ Response to Working with Women who have been Raped in War. Clin Psychol Forum 2008; 192: 22-26
- 14 Splevins KA, Cohen K, Joseph S. et al. Vicarious Posttraumatic Growth among Interpreters. Qual Health Res 2010; DOI: 10.1177/1049732310377457.
- 15 Shlesinger Y. Vicarious Traumatization among Interpreters who work with Torture Survivors and their Therapists. Copenhagen Studies in Language 2007; 153-172
- 16 Geiling A, Knaevelsrud C, Böttche M. et al. Psychological Distress, Exhaustion, and Work-Related Correlates among Interpreters working in Refugee Care: Results of a Nationwide Online Survey in Germany. Eur J Psychotraumatol 2022; DOI: 10.1080/20008198.2022.2046954.
- 17 Prins A, Bovin MJ, Kimerling R. et al. The Primary Care PTSD Screen for DSM-5 (PC-PTSD-5). 2015
- 18 Mollica RF, Caspi Y, Bollini P. et al. The Harvard Trauma Questionnaire: Validating a Cross-Cultural Instrument for Measuring Torture, Trauma, and Posttraumatic Stress Disorder in Refugees. J Nerv Ment 1992; 180: 107-111
- 19 Weathers FW, Litz BT, Keane TM. et al. The PTSD Checklist for DSM-5 (PCL-5). Scale available from the National Center for PTSD at www ptsd va gov. 2013
- 20 RCoreTeam. R: A Language and Environment for Statistical Computing. Im Internet: www.r-project.org/; Stand: 13.09.2022
- 21 Hayes AF. The PROCESS Macro for SPSS, SAS, and R. Im Internet: www.processmacro.org/index.html; Stand: 13.09.2022
- 22 Hensel JM, Ruiz C, Finney C. et al. Meta-Analysis of Risk Factors for Secondary Traumatic Stress in Therapeutic Work with Trauma Victims. J Trauma Stress 2015; DOI: 10.1002/jts.21998.
- 23 Elwood LS, Mott J, Lohr JM. et al. Secondary Trauma Symptoms in Clinicians: A Critical Review of the Construct, Specificity, and Implications for Trauma-focused Treatment. Clin Psychol Rev 2011; DOI: 10.1016/j.cpr.2010.09.004.
- 24 Doherty SM, MacIntyre AM, Wyne T. How does it feel for you? The Emotional Impact and Specific Challenges of Mental Health Interpreting. Ment Health Rev J 2010; DOI: 10.5042/mhrj.2010.0657.
- 25 Brewin CR, Andrews B, Valentine JD. Meta-Analysis of Risk Factors for Posttraumatic Stress Disorder in Trauma-Exposed Adults. J Consult Clin.Psychol 2000; DOI: 10.1037/0022-006X.68.5.748.
- 26 Hotchkiss JT, Wong MYC. Factorial Structure of the ProQOL-Systematic Meta-analysis and Integration of 27 International Factor Analysis Studies. Trends Psychol 2022; DOI: 10.1007/s43076-022-00184-5.