Secondary traumatization (ST) is a topical area among trauma-exposed employees, where many are at risk of occupational mental health problems due to their work with trauma survivors. Challenges related to the accurate operationalization of ST symptoms persist, and there is no valid method for identifying employees at risk of clinically significant symptom levels. This study aimed to test the applicability of latent class analysis (LCA) to identify employees at risk for clinically relevant ST symptoms. LCA was used to identify patterns of ST symptom endorsement using the Professional Quality of Life Scale–5 (ProQoL) in a national sample of Danish child protection workers (CPW; N = 545). Predictors and associated levels of distress and functional impairment across the symptom presentations were tested using regression analysis, and three classes were identified. A total of 3.8% (n = 21) of participants were at high risk of endorsing symptoms of ST that were associated with significant levels of distress and increased functional impairment. The LCA approach outperformed existing scoring procedures in differentiating between employees with varying levels of distress, impairment, and well-being. A minority of Danish CPWs are at risk for levels of ST that may be considered clinically significant for their associations with anxiety and social and cognitive impairment. Although the ProQoL is not a diagnostic tool, per se, a revised scoring procedure may render the measure useful when screening for employees who are at risk for levels of distress and impairment that require intervention.

中文翻译：

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识别有二次创伤风险的儿童保护工作者：职业生活质量量表的潜在类别分析–5

继发性创伤 (ST) 是受过创伤的员工中的一个热门话题，其中许多人由于与创伤幸存者一起工作而面临职业心理健康问题的风险。与 ST 症状的准确操作相关的挑战仍然存在，并且没有有效的方法来识别有临床显着症状水平风险的员工。本研究旨在测试潜在类别分析 (LCA) 在识别有临床相关 ST 症状风险的员工中的适用性。LCA 用于在丹麦儿童保护工作者（CPW；N）的全国样本中使用专业生活质量量表–5（ProQoL）来识别 ST 症状认可的模式= 545）。使用回归分析对症状表现中的预测因素和相关的痛苦和功能障碍水平进行了测试，并确定了三个类别。总计 3.8% ( n= 21) 的参与者有出现 ST 症状的高风险，这些症状与显着的痛苦程度和功能障碍增加有关。LCA 方法在区分具有不同程度的痛苦、损伤和幸福感的员工方面优于现有的评分程序。少数丹麦 CPW 处于 ST 水平的风险中，ST 水平可能被认为具有临床意义，因为它们与焦虑以及社交和认知障碍有关。尽管 ProQoL 本身不是诊断工具，但修订后的评分程序可能会在筛选处于需要干预的痛苦和损伤水平风险中的员工时使该措施有用。