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      Vicarious traumatization in the general public, members, and non-members of medical teams aiding in COVID-19 control.

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          Abstract

          Since December 2019, more than 79,000 people have been diagnosed with infection of the Corona Virus Disease 2019 (COVID-19). A large number of medical staff was sent to Wuhan city and Hubei province to aid COVID-19 control. Psychological stress, especially vicarious traumatization caused by the COVID-19 pandemic, should not be ignored. To address this concern, the study employed a total of 214 general public and 526 nurses (i.e., 234 front-line nurses and 292 non-front-line nurses) to evaluate vicarious traumatization scores via a mobile app-based questionnaire. Front-line nurses are engaged in the process of providing care for patients with COVID-19. The results showed that the vicarious traumatization scores for front-line nurses including scores for physiological and psychological responses, were significantly lower than those of non-front-line nurses (P < 0.001). Interestingly, the vicarious traumatization scores of the general public were significantly higher than those of the front-line nurses (P < 0.001); however, no statistical difference was observed compared to the scores of non-front-line nurses (P > 0.05). Therefore, increased attention should be paid to the psychological problems of the medical staff, especially non-front-line nurses, and general public under the situation of the spread and control of COVID-19. Early strategies that aim to prevent and treat vicarious traumatization in medical staff and general public are extremely necessary.

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          Most cited references13

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          Working with the psychological effects of trauma: consequences for mental health-care workers--a literature review.

          This literature review explores how interacting with seriously traumatized people has the potential to affect health-care workers. The review begins with an introduction to post-traumatic stress disorder as being one of the possible negative consequences of exposure to traumatic events. The report proceeds with examining the concepts of vicarious traumatization, secondary traumatic stress, traumatic countertransference, burnout and compassion fatigue, as potential adverse consequences for workers who strive to help people who are traumatized. The differences between these concepts are also discussed. The notion of compassion satisfaction is examined as findings have demonstrated that it is a protective factor which can be used as a buffer to prevent the aforementioned concepts. Conversely, findings have shown that a history of previous stressful life events in helpers is a potential risk factor. The review concludes with an overview of the concepts considered, but cautions against generalization of the findings owing to the dearth of longitudinal studies into the issues raised and also the lack of investigation into the many different types of trauma.
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            Vicarious trauma: The impact on solicitors of exposure to traumatic material.

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              Is Open Access

              Photovoice Ethics: Critical Reflections From Men’s Mental Health Research

              As photovoice continues to grow as a method for researching health and illness, there is a need for rigorous discussions about ethical considerations. In this article, we discuss three key ethical issues arising from a recent photovoice study investigating men’s depression and suicide. The first issue, indelible images, details the complexity of consent and copyright when participant-produced photographs are shown at exhibitions and online where they can be copied and disseminated beyond the original scope of the research. The second issue, representation, explores the ethical implications that can arise when participants and others have discordant views about the deceased. The third, vicarious trauma, offers insights into the potenial for triggering mental health issues among researchers and viewers of the participant-produced photographs. Through a discussion of these ethical issues, we offer suggestions to guide the work of health researchers who use, or are considering the use of, photovoice.
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                Author and article information

                Journal
                Brain Behav Immun
                Brain, behavior, and immunity
                Elsevier BV
                1090-2139
                0889-1591
                August 2020
                : 88
                Affiliations
                [1 ] Department of Anesthesiology and Perioperative Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China.
                [2 ] Department of Ultrasound Imaging, Renmin Hospital of Wuhan University, Wuhan 430060, China.
                [3 ] Department of Anesthesiology, Tongji Hospital, Tongji Medical College, Wuhan 430030, China.
                [4 ] Department of Anesthesiology, Renmin Hospital of Wuhan University, Wuhan 430060, China.
                [5 ] Department of Critical Care Medicine, Renmin Hospital of Wuhan University, Wuhan 430060, China.
                [6 ] Department of Anesthesiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China.
                [7 ] Department of Critical Care Medicine, The Third Affiliated Hospital of Soochow University, China.
                [8 ] Department of Anesthesiology, The Second Affiliated Changzhou People's Hospital of Nanjing Medical University, Changzhou 213000, China.
                [9 ] Division of Clinical Neuroscience, Chiba University Center for Forensic Mental Health, Chiba 260-8670, Japan.
                [10 ] Department of Orthopedics, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China.
                [11 ] Department of Psychology, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China.
                [12 ] Department of Nursing, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China. Electronic address: wangrong_nj@163.com.
                [13 ] Department of Anesthesiology and Perioperative Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China. Electronic address: mingliu870@sohu.com.
                [14 ] Department of Anesthesiology and Perioperative Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China. Electronic address: chunyang@njmu.edu.cn.
                Article
                S0889-1591(20)30309-3
                10.1016/j.bbi.2020.03.007
                7102670
                32169498
                0f5b2533-878f-4007-a128-b99cd6f33b6b
                Copyright © 2020 Elsevier Inc. All rights reserved.
                History

                Vicarious traumatization,Non-front-line nurses,General public,Front-line nurses,COVID-19

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