Sharon Rae Jenkins

Secondary Traumatic Stress and Vicarious Trauma: A Validational Study

Vicarious trauma (VT) and secondary traumatic stress (STS) or compassion fatigue both describe effects of working with traumatized persons on therapists. Despite conceptual similarities, their emphases differ: cognitive schemas vs. posttraumatic symptoms and burnout, respectively. The TSI Belief Scale (TSI-BSL) measures VT; the Compassion Fatigue Self-Test (CFST) for Psychotherapists measures STS. Neither has substantial psychometric evidence yet, nor has their association been studied. Results for 99 sexual assault and domestic violence counselors show concurrent validity between TSI-BSL and CFST, moderate convergence with burnout but useful discrimination, and strong convergence with general distress, but adequate independent shared variance. Counselors with interpersonal trauma histories scored higher on CFST, but not TSI-BSL or burnout, consistent with the CFSTs emphasis on trauma symptomatology.

Vicarious traumatization, secondary traumatic stress, and burnout in sexual assault and domestic violence agency staff

This study investigated three occupational hazards of therapy with trauma victims: vicarious trauma and secondary traumatic stress (or “compassion fatigue”), which describe therapists’ adverse reactions to clients’ traumatic material, and burnout, a stress response experienced in many emotionally demanding “people work” jobs. Among 101 trauma counselors, client exposure workload and being paid as a staff member (vs. volunteer) were related to burnout sub-scales, but not as expected to overall burnout or vicarious trauma, secondary traumatic stress, or general distress. More educated counselors and those seeing more clients reported less vicarious trauma. Younger counselors and those with more trauma counseling experience reported more emotional exhaustion. Findings have implications for training, treatment, and agency support systems.

Gender Differences in Early Adolescents’ Relationship Qualities, Self-Efficacy, and Depression Symptoms

Relationship qualities and low perceived social self-efficacy might be associated with early adolescents’depression symptoms and with later gender differences in depression prevalence. Gender comparisons in the means, and associations with depression symptoms of self-rated intimate support, conflict, intimate support self-efficacy, and conflict management self-efficacy were examined for predominantly White community-recruited 12-year-olds (114 boys, 109 girls). Perceived low parental intimate support, high conflict with parents, and lower perceived self-efficacy (both types) were related to depression symptoms. Girls reported greater best friend intimate support and less conflict, greater self-efficacy (both types), and stronger conflict-depression associations than did boys. For boys, but not for girls, conflict management self-efficacy contributed unique variance to depression after intimate support and conflict were controlled. Incidentally, sons of fathers with more education reported more paternal intimate support than did sons of less educated fathers; daughters showed the opposite pattern, which generates questions for further research.

Gender, sexual orientation, and disordered eating

Abstract While most patients with bulimia nervosa are heterosexual women, a significant number of men with bulimia nervosa are gay males, suggesting that gay men, more than heterosexual men, may be at risk for developing eating disorders. This study compared the food-related attitudes and behaviors of heterosexual men and women in contrast with those of lesbians and gay men, attempting to find whether ones sexual orientation may contribute to differential risk. Two thousand employees were randomly selected from a large health care corporation, of whom 805 returned a completed questionnaire including Stunkard and Messicks (1985) Dietary Restraint and Disinhibition Scales. A stratified random sample was drawn to include demographically comparable groups of 25 lesbians, 50 gay men, 75 heterosexual women, and 75 heterosexual men. Women were less satisfied with their appearance at their present weight and expressed more restraint and more negative feelings after bingeing than did men. Heterosexual women were...

Feeling Healthy: So Why Should Mexican-Descent Women Screen for Breast Cancer?

Mexican-descent women are at particular risk of late-stage breast cancer diagnosis by being the least likely of the major U.S. Hispanic subgroups to undergo breast cancer screening. This grounded theory study investigated how cultural health beliefs regarding the causes and nature of breast cancer influence women’s decision to participate in screening. Thirty-four women (age 49 to 81) were interviewed in five focus groups using theoretical sampling across levels of acculturation and socioeconomic status. Analysis of the most prevalent cultural health beliefs led to a discovery that the core problem Mexican-descent women face is that they perceive there is no reason to participate in breast cancer screening when they are “feeling healthy.” In addition, women who subjectively and cognitively feel healthy and otherwise have no evidence of illness according to their cultural health beliefs are unlikely to risk feeling ill rather than healthy by seeking to discover breast cancer through screening.

Feeling frugal: socioeconomic status, acculturation, and cultural health beliefs among women of Mexican descent.

Psychosocial and socioeconomic variables are often confounded. The authors combined quantitative with grounded theory analysis to investigate influences of acculturation, socioeconomic status (SES), and cultural health beliefs on Mexican-descent womens preventive health behaviors. In 5 focus group interviews sampling across levels of acculturation and SES, women expressing more traditional Mexican health beliefs about breast cancer screening were of lower SES and were less U.S. acculturated. However, SES and acculturation were uncorrelated with screening behaviors. Qualitative analysis generated hypotheses about joint influences of SES and traditional health beliefs; for example, low-SES women may learn frugal habits as part of their cultural traditions that influence their health care decision making, magnifying SES-imposed structural restrictions on health care access.

Feeling indecent : Breast cancer screening resistance of Mexican-descent women

This grounded theory study investigated how Mexican-descent womens traditional cultural beliefs, values, and norms regarding the propriety of their behavior and that of their health care providers influence their decision to participate in breast cancer screening. Thirty-four women (aged 49–81 years old) were interviewed in five focus groups using theoretical sampling across levels of acculturation and socioeconomic status. We discovered that the womens basic social-psychological problem is that screening is an insensitive procedure that violates their cultural standards by requiring inappropriate behavior. The risk involved is ‘feeling indecent’ since both touching ones breast and breast exposure to health care providers is prohibited according to cultural norms for respectable female behavior. Thus, women resist participating in breast cancer screening to avoid feeling indecent.

The Counselor's Trauma as Counseling Motivation: Vulnerability or Stress Inoculation?

Should counselors with interpersonal trauma histories work with similarly traumatized clients? How does the work affect them? Current research is inconsistent. This study examines 101 sexual assault and domestic violence counselors’ recalled motivations for trauma work, their reported subjective personal changes, and their secondary and vicarious trauma symptoms and burnout. Counselors motivated by interpersonal trauma report both more symptoms and positive changes (including dealing with their own trauma). Those seeking personal meaning report becoming more hypervigilant and self-isolating. Those saying they learned from clients rate symptoms lower, suggesting stress inoculation. Supervisors of trauma counselors should facilitate learning from clients separately from processing the counselor’s trauma.

Psychometrics and latent structure of the IDS and QIDS with young adult students

BACKGROUND Students and young adults have high rates of suicide and depression, thus are a population of interest. To date, there is no normative psychometric information on the IDS and QIDS in these populations. Furthermore, there is equivocal evidence on the factor structure and subscales of the IDS. METHODS Two samples of young adult students (ns=475 and 1681) were given multiple measures to test the psychometrics and dimensionality of the IDS and QIDS. RESULTS The IDS, its subscales, and QIDS had acceptable internal consistencies (αs=.79-90) and favorable convergent and divergent validity correlations. A three-factor structure and two Rasch-derived subscales best fit the IDS. LIMITATIONS The samples were collected from one university, which may influence generalizability. CONCLUSIONS The IDS and QIDS are desirable measures of depressive symptoms when studying young adult students.

Toward theory development and measure evolution for studying women's relationships and HIV infection

This commentary reviews and integrates selected empirical findings from this special issue of Sex Roles on Gender, Power, and Womens Relationships: Implications for HIV. Then the effects of current definitions of certain social science practices on theory development in these areas are considered. These practices especially hamper cross-cultural theory and measure development. New directions are proposed, centering on the relations between theory development, measurement, and application in the context of cultural variations. I conclude with a proposed strategy for local culture theory development. This strategy localizes measurement of theoretical constructs to adapt the theory to local cultural conditions, then localizes theory by indicating needed adjustments to the structure of theoretical linkages.