Validation of the Compassion Fatigue Short Scale among Portuguese firefighters
Abstract
This study aimed to adapt the Compassion Fatigue-Short Scale to Portugal and examine the reliability and validity of the Portuguese version of the scale (Pt-CF-Short Scale) among Portuguese firefighters. The factor structure of the Pt-CF-Short Scale was compared to the one-factor model fit and a two-factor model and second-order factor model in a sample of 512 firefighters. Confirmatory factor analysis procedures confirmed the good fit of a second-order factor model with two first-order factors (secondary trauma and job burnout). The Pt-CF-Short Scale showed good internal consistency evidence. The Kessler Psychological Distress Scale (K-10), the Brief Symptom Inventory (BSI) and WHOQOOL-Bref were used as convergent measures to assess psychological distress, anxiety, depression, and interpersonal sensitivity and quality of life, respectively. The measure presented a strong correlation with psychological distress and weak and negative association with quality of life. The Pt-CF-Short Scale contributes to understanding compassion fatigue and its correlates within the context of emergency workers. Results indicate that this scale is a valid and reliable assessment tool in evaluating compassion fatigue.
Keywords
Full Text:
PDFReferences
Adams, R. E., Boscarino, J. A., & Figley, C. R. (2006). Compassion fatigue and psychological distress among social workers: A validation study. American Journal of Orthopsychiatry, 76(1), 103-108. https://doi.org/10.1037/0002-9432.76.1.103
Adams, R. E., Figley, C. R., & Boscarino, J. A. (2008). The Compassion Fatigue Scale: Its use with social workers following urban disaster. Research on Social Work Practice, 18(3), 238-250. https://doi.org/10.1177/1049731507310190
Armstrong, D., Shakespeare-Finch, J., & Shochet, I. (2014). Predicting post-traumatic growth and post-traumatic stress in firefighters. Australian Journal of Psychology, 66(1), 38-46. https://doi.org/10.1111/ajpy.12032
Badger, K., Royse, D., & Craig, C. (2008). Hospital social workers and indirect trauma exposure: An exploratory study of contributing factors. Health & Social Work, 33(1), 63-71. https://doi.org/10.1093/hsw/33.1.63
Bagby, R. M., Parker, J. D. A., & Taylor, G. J. (1994). The twenty-item Toronto Alexithymia Scale – I. Item selection and cross-validation of the factor structure. Journal of Psychosomatic Research, 38(1), 23-32. https://doi.org/10.1016/0022-3999(94)90005-1
Bagby, R. M., Taylor, G. J., & Parker, J. D. A. (1994). The twenty-item Toronto Alexithymia Scale-II. Convergent, discriminant, and concurrent validity. Journal of Psychosomatic Research, 38(1), 33-40. https://doi.org/10.1016/0022-3999(94)90006-X
Beaumont, E., Durkin, M., Martin, C., & Carson, J. (2016). Compassion for others, self-compassion, quality of life and mental well-being measures and their association with compassion fatigue and burnout in student midwives: A quantitative survey. Midwifery, 34, 239-244. https://doi.org/10.1016/j.midw.2015.11.002
Bell, S., Hopkin, G., & Forrester, A. (2019). Exposure to traumatic events and the experience of burnout, compassion fatigue and compassion satisfaction among prison mental health staff: An exploratory survey. Issues in Mental Health Nursing, 40(4), 304-309. https://doi.org/10.1080/01612840.2018.1534911
Boscarino, J. A., Figley, C. R., & Adams, R. E. (2004). Compassion fatigue following the September 11 terrorist attacks: A study of secondary trauma among New York City social workers. International Journal of Emergency Mental Health, 6(2), 57-66.
Canavarro, M. C. (2007). Inventário de Sintomas Psicopatológicos (BSI): Uma revisão crítica dos estudos realizados em Portugal. In M. R. Simões, C. Machado, M. M. Gonçalves, & L. S. Almeida (Eds.), Avaliação psicológica: Instrumentos validados para a população portuguesa (Vol. III, pp. 305-330). Quarteto Editora.
Cocker, F., & Joss, N. (2016). Compassion fatigue among healthcare, emergency and community service workers: A systematic review. International Journal of Environmental Research & Public Health, 13(6), 618.
Coetzee, S. K., & Klopper, H. C. (2010). Compassion fatigue within nursing practice: A concept analysis. Nursing in Health Sciences, 12(2), 235-243.
Cohen, M., Gagin, R., & Peled-Avram, M. (2006). Multiple terrorist attacks: Compassion fatigue in Israeli social workers. Traumatology, 12(4), 293-301. https://doi.org/10.1177/1534765606297820
Davis, M. H. (1980). A multidimensional approach to individual differences in empathy. JSAS Catalog of Selected Documents in Psychology, 10, 85-103.
Davis, M. H. (1983). Measuring individual differences in empathy: Evidence for a multidimensional approach. Journal of Personality and Social Psychology, 44, 113-126.
DeJoy, D. M., Smith, T. D., & Dyal, M. A. (2017). Safety climate and firefighting: Focus group results. Journal of Safety Research, 62, 107-116.
Derogatis, L. R. (1982). BSI: Brief Symptom Inventory (3rd ed.). National Computers Systems.
Dinç, S., & Ekinci, M. (2019). Turkish adaptation, validity and reliability of Compassion Fatigue Short Scale. Psikiyatride Guncel Yaklasimlar – Current Approaches in Psychiatry, 11(Suppl. 1), 192-202. https://doi.org/10.18863/pgy.590616
Figley, C. R. (1995). Compassion fatigue as secondary traumatic stress disorder: An overview. In C. R. Figley (Ed.), Compassion fatigue: Coping with secondary traumatic stress disorder in those who treat the traumatized (pp. 1-20). Brunner-Routledge.
Figley, C. R. (2002a). Compassion fatigue: Psychotherapists’ chronic lack of self care. Journal of Clinical Psychology, 58(11), 1433-1441. https://doi.org/10.1002/jclp.10090
Figley, C. R. (2002b). Treating Compassion Fatigue. Routledge.
Franco, P., Tesio, V., Bertholet, J., Gasnier, A., Gonzalez del Portillo, E., Spalek, M., Bibault, J.-E., Borst, G., van Elmpt, W., Thorwarth, D., Mullaney, L., Røe Redalen, K., Dubois, L., Chargari, C., Perryck, S., Heukelom, J., Petit, S., Lybeer, M., & Castelli, L. (2020). Professional quality of life and burnout amongst radiation oncologists: The impact of alexithymia and empathy. Radiotherapy and Oncology, 147, 162-168. https://doi.org/10.1016/j.radonc.2020.05.017
Gentry, J. E., Baranowsky, A. B., & Dunning, K. (2002). ARP: The Accelerated Recovery Program (ARP) for compassion fatigue. In C. R. Figley (Ed.), Treating compassion fatigue (pp. 123-137). Brunner-Routledge.
Gleichgerrcht, E., & Decety, J. (2013). Empathy in clinical practice: How individual dispositions, gender, and experience moderate empathic concern, burnout, and emotional distress in physicians. PLoS ONE, 8(4), e61526. https://doi.org/10.1371/journal.pone.0061526
Gonzalez, T. C., Burnett, H. J., Helm, H., & Edwards, L. (2019). An examination of resilience, compassion fatigue, burnout, and compassion satisfaction between men and women among trauma responders. North American Journal of Psychology, 21(1), 1-20.
Gwaltney, C. J., Shields, A. L., & Shiffman, S. (2008). Equivalence of electronic and paper-and-pencil administration of patient-reported outcome measures: A meta-analytic review. Value in Health, 11(2), 322-333. https://doi.org/10.1111/j.1524-4733.2007.00231.x
Hannah, B., & Woolgar, M. (2018). Secondary trauma and compassion fatigue in foster carers. Clinical Child Psychology and Psychiatry, 23(4), 629-643. https://doi.org/10.1177/1359104518778327
Hiirola, A., Pirkola, S., Karukivi, M., Markkula, N., Bagby, R. M., Joukamaa, M., Jula, A., Kronholm, E., Saarijärvi, S., Salminen, J., Suvisaari, J., Taylor, G., & Mattila, A. K. (2017). An evaluation of the absolute and relative stability of alexithymia over 11 years in a Finnish general population. Journal of Psychosomatic Research, 95, 81-87. https://doi.org/10.1016/j.jpsychores.2017.02.007
Hotchkiss, J. T., & Lesher, R. (2018). Factors predicting burnout among chaplains: Compassion satisfaction, organizational factors, and the mediators of mindful self-care and secondary traumatic stress. Journal of Pastoral Care & Counseling: Advancing Theory and Professional Practice through Scholarly and Reflective Publications, 72(2), 86-98. https://doi.org/10.1177/1542305018780655
Hubbard, G. B., Beeber, L., & Eves, E. (2017). Secondary traumatization in psychiatric mental health nurses: Validation of five key concepts. Perspectives in Psychiatric Care, 53(2), 119-126. https://doi.org/10.1111/ppc.12145
Hunt, P., Denieffe, S., & Gooney, M. (2019). Running on empathy: Relationship of empathy to compassion satisfaction and compassion fatigue in cancer healthcare professionals. European Journal of Cancer Care, 28(5). https://doi.org/10.1111/ecc.13124
Jenkins, S. R., & Baird, S. (2002). Secondary traumatic stress and vicarious trauma: A validational study. Journal of Traumatic Stress, 15, 423-432. https://doi.org/10.1023/A:1020193526843
Jimenez-Herrera, M. F., & Axelsson, C. (2015). Some ethical conflicts in emergency care. Nursing Ethics, 22(5), 548-560.
Kelloway, E. K. (1995). Structural equation modelling in perspective. Journal of Organizational Behavior, 16, 215-224.
Kessler, R. C., Andrews, G., Colpe, L. J., Hiripi, E., Mroczek, D. K., Normand, S. L. T., Walters, E. E., & Zaslavsky, A. M. (2002). Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychological Medicine, 32(6), 959-976. https://doi.org/10.1017/S0033291702006074
Kline, R. B. (2005). Principles and practice of structural equation modeling (2nd ed.). Guilford Press.
Lee, T. H., Sakaki, M., Cheng, R., Velasco, R., & Mather, M. (2014). Emotional arousal amplifies the effects of biased competition in the brain. Social Cognitive and Affective Neuroscience, 9(12), 2067-2077. https://doi.org/10.1093/scan/nsu015
Limpo, T., Alves, R. A., & Castro, S. L. (2013). Measuring empathy: Portuguese adaptation of the Interpersonal Reactivity Index. Laboratório de Psicologia, 8(2), 171-184. https://doi.org/10.14417/lp.640
Matos, M., Pinto-Gouveia, J., & Martins, S. (2011). O impacto traumático de experiências de vergonha: Estudo das propriedades psicométricas da versão portuguesa da Impact of Event Scale – Revised. Psychologica, 54, 413-438.
McCann, L., & Pearlman, L. (1990). Vicarious traumatization: A framework for understanding the psychological effects of working with victims. Journal of Traumatic Stress, 3, 131-149.
Meda, R., Moreno-Jiménez, B., Palomera, A., Arias, E., & Vargas, R. (2012). La evaluación del estrés traumático secundario. Estudio comparado en bomberos y paramédicos de los servicios de emergencia de Guadalajara, México. Terapia Psicologica, 30(2), 31-41. https://doi.org/10.4067/s0718-48082012000200003
Mento, C., Galletti, F., Freni, F., Longo, P., Testini, G., Rizzo, A., & Settineri, S. (2016). The role of temperament in traumatic hearing loss: A single case study of a cochlear-implanted patient. International Journal of Adolescent Medicine and Health, 28(1), 107-113. https://doi.org/10.1515/ijamh-2014-0075
Miller, M. N., & Mcgowen, R. (2000). The painful truth. Southern Medical Journal, 93(10), 966-973. https://doi.org/10.1097/00007611-200093100-00004
Nimmo, A., & Huggard, P. (2013). A systematic review of compassion fatigue, vicarious trauma, and secondary traumatic stress in physicians. Australasian Journal of Disaster and Trauma Studies, 1, 37-44.
Nunnally, J. C. (1978). Psychometric theory (2nd ed.). McGraw-Hill.
Pereira, A., Oliveira, C. A., Bártolo, A., Monteiro, S., Vagos, P., & Jardim, J. (2019). Reliability and factor structure of the 10-item kessler psychological distress scale (k10) among Portuguese adults. Ciência e Saúde Coletiva, 24(3), 729-736. https://doi.org/10.1590/1413-81232018243.06322017
Praceres, N., Parker, J. D. A., & Taylor, G. J. (2000). Portuguese adaptation of the 20-item Toronto Alexithymia Scale (TAS-20). Revista Ibero-Americana de Diagnóstico e Avaliação Psicológica, 9(1), 9-21.
Ratner, B. (2009). The correlation coefficient: Its values range between +1/-1, or do they?. Journal of Targeting Measurement and Analysis for Marketing, 17(2), 139-142.
Regambal, M. J., Alden, L. E., Wagner, S. L., Harder, H. G., Koch, W. J., Fung, K., & Parsons, C. (2015). Characteristics of the traumatic stressors experienced by rural first responders. Journal of Anxiety Disorders, 34, 86-93.
Regehr, C., Blanc, V., Jelley, R. B., & Barath, I. (2008). Acute stress and performance in police recruits. Stress and Health, 24(4), 295-303. https://doi.org/10.1002/smi.1182
Regehr, C., Goldberg, G., & Hughes, J. (2002). Exposure to human tragedy, empathy, and trauma in ambulance paramedics. American Journal of Orthopsychiatry, 72(4), 505-513. https://doi.org/10.1037/0002-9432.72.4.505
Saakvitne, K., & Pearlman, L. (1996). Transforming the pain: A workbook on vicarious traumatization. Norton.
Schmidt, M., & Haglund, K. (2017). Debrief in emergency departments to improve compassion fatigue and promote resiliency. Journal of Trauma Nursing, 24(5), 317-322. https://doi.org/10.1097/JTN.0000000000000315
Serra, A. V., Canavarro, M. C., Simões, M. R., Pereira, M., Gameiro, S., Quartilho, M. J., Rijo, D., Carona, C., & Paredes, T. (2006). Psychometric studies of the World Health Organization quality of life assessment instrument (WHOQOL-Bref) for Portuguese of Portugal. Psiquiatria Clínica, 27(1), 41-49.
Settineri, S., Merlo, E. M., Frisone, F., Marchetti, D., Verrocchio, M. C., Mento, C., & Fenga, C. (2018). The experience of health and suffering in the medical profession. Mediterranean Journal of Clinical Psychology.
Shahar, I., Asher, I., & Ben Natan, M. (2019). Compassion fatigue among nurses working in a long‐term care facility: The Israeli experience. Nursing & Health Sciences, 21(3), 291-296. https://doi.org/10.1111/nhs.12594
Sinclair, S., Raffin-Bouchal, S., Venturato, L., Mijovic-Kondejewski, J., & Smith-MacDonald, L. (2017). Compassion fatigue: A meta-narrative review of the healthcare literature. International Journal of Nursing Studies, 69, 9-24.
Sonneck, G., & Wagner, R. (1996). Suicide and burnout of physicians. OMEGA – Journal of Death and Dying, 33(3), 255-263. https://doi.org/10.2190/0YVL-APPT-NL35-1LXJ
Sprang, G., Clark, J. J., & Whitt-Woosley, A. (2007). Compassion fatigue, compassion satisfaction, and burnout: Factors impacting a professional’s quality of life. Journal of Loss and Trauma, 12(3), 259-280. https://doi.org/10.1080/15325020701238093
Sprang, G., Craig, C., & Clark, J. (2011). Secondary traumatic stress and burnout in child welfare workers: A comparative analysis of occupational distress across professional groups. Child Welfare, 90(6), 149-168.
Stamm, B. H. (2002). Measuring compassion satisfaction as well as fatigue: Developmental history of the compassion fatigue and satisfaction test. In C. R. Figley (Ed.), Treating compassion fatigue (pp. 107-119). Brunner-Routledge.
Sun, B., Hu, M., Yu, S., Jiang, Y., & Lou, B. (2016). Validation of the Compassion Fatigue Short Scale among Chinese medical workers and firefighters: A cross-sectional study. BMJ Open, 6(6), 1-8. https://doi.org/10.1136/bmjopen-2016-011279
Tabachnick, B. G., & Fidell, L. S. (2013). Using multivariate statistics. Pearson Education.
The WHOQOL Group. (1998). Development of the World Health Organization WHOQOL-BREF Quality of Life Assessment. Psychological Medicine, 28(3), 551-558. https://doi.org/10.1017/S0033291798006667
Thomas, J. T., & Otis, M. D. (2010). Intrapsychic correlates of professional quality of life: Mindfulness, empathy, and emotional separation. Journal of the Society for Social Work and Research, 1(2), 83-98. https://doi.org/10.5243/jsswr.2010.7
Thompson, I., Amatea, E., & Thompson, E. (2014). Personal and contextual predictors of mental health counselors’ compassion fatigue and burnout. Journal of Mental Health Counseling, 36(1), 58-77. https://doi.org/10.17744/mehc.36.1.p61m73373m4617r3
Tuckey, M. R., & Hayward, R. (2011). Global and occupation-specific emotional resources as buffers against the emotional demands of fire-fighting. Applied Psychology: An International Review, 60(1), 1-23.
Tuckey, M. R., & Scott, J. E. (2014). Group critical incident stress debriefing with emergency services personnel: A randomized controlled trial. Anxiety, Stress, & Coping, 27(1), 38-54. https://doi.org/10.1080/10615806.2013.809421
Turgoose, D., & Maddox, L. (2017). Predictors of compassion fatigue in mental health professionals: A narrative review. Traumatology, 23(2), 172-185. https://doi.org/10.1037/trm0000116
Weiss, D. S., & Marmar, C. R. (1997). The Impact of Event Scale – Revised. In J. P. Wilson & T. M. Keane (Eds.), Assessing psychological trauma and PTSD (pp. 399-411). Guilford Press.
Zeidner, M., Hadar, D., Matthews, G., & Roberts, R. D. (2013). Personal factors related to compassion fatigue in health professionals. Anxiety, Stress and Coping, 26(6), 595-609. https://doi.org/10.1080/10615806.2013.777045
DOI: https://doi.org/10.14417/ap.1939
Refbacks
- There are currently no refbacks.
Nº ERC: 107494 | ISSN (in print): 0870-8231 | ISSN (online): 1646-6020 | Copyright © ISPA - CRL, 2012 | Rua Jardim do Tabaco, 34, 1149-041 Lisboa | NIF: 501313672 | The portal and metadata are licensed under the license Creative Commons CC BY-NC