Conflict of interest: No authors have a conflict of interest.
Paediatric health-care professionals: Relationships between psychological distress, resilience and coping skills
Article first published online: 1 JUL 2013
© 2013 The Authors. Journal of Paediatrics and Child Health © 2013 Paediatrics and Child Health Division (Royal Australasian College of Physicians)
Journal of Paediatrics and Child Health
Volume 49, Issue 9, pages 725–732, September 2013
How to Cite
McGarry, S., Girdler, S., McDonald, A., Valentine, J., Lee, S.-L., Blair, E., Wood, F. and Elliott, C. (2013), Paediatric health-care professionals: Relationships between psychological distress, resilience and coping skills. Journal of Paediatrics and Child Health, 49: 725–732. doi: 10.1111/jpc.12260
This work was conducted at Princess Margaret Hospital.
- Issue published online: 5 SEP 2013
- Article first published online: 1 JUL 2013
- Manuscript Accepted: 21 MAR 2013
- multidisciplinary team;
- psychiatry/mental health;
To investigate the impact of regular exposure to paediatric medical trauma on multidisciplinary teams in a paediatric hospital and the relationships between psychological distress, resilience and coping skills.
Symptoms of post-traumatic stress disorder, secondary traumatic stress, depression, anxiety, stress, burnout, compassion satisfaction, resilience and coping skills were measured in 54 health professionals and compared with published norms.
Participants experienced more symptoms of secondary traumatic stress (P < 0.01), showed less resilience (P = 0.05) and compassion satisfaction (≥0.01), more use of optimism and sharing as coping strategies, and less use of dealing with the problem and non-productive coping strategies than comparative groups. Non-productive coping was associated with more secondary traumatic stress (r = 0.50, P = 0.05), burnout (r = 0.45, P = 0.01), post-traumatic stress disorder (r = 0.41, P = 0.05), anxiety (r = 0.42, P = 0.05), depression (r = 0.54, P = 0.01), and stress (r = 0.52, P = 0.01) and resilience was positively associated with optimism (r = 0.48, P = 0.01). Health professionals <25 years old used more non-productive coping strategies (P = 0.05), less ‘sharing as a coping strategy’ (P = 0.05) and tended to have more symptoms of depression (P = 0.06).
Paediatric medical trauma can adversely affect a health professional's well-being, particularly those <25 years of age who make less use of positive coping strategies and more use of non-productive coping. These findings will assist the development of effective and meaningful interventions for health professionals working in paediatric hospitals.