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Journals / Türk Psikolojik Danışma ve Rehberlik Dergisi / 2026 / Volume: 16 Issue: 81

Examination of Secondary Traumatic Stress in Psychological Counsellors Working with Earthquake Victims within the Scope of Psychosocial Support: Mixed-Methods Study

Mustafa Kılıç(Karamanoğlu Mehmetbey Üniversitesi)0000-0002-2775-4262
Coşkun Arslan(NECMETTİN ERBAKAN ÜNİVERSİTESİ, AHMET KELEŞOĞLU EĞİTİM FAKÜLTESİ)0000-0003-0247-9847
Erdal Hamarta(NECMETTİN ERBAKAN ÜNİVERSİTESİ, AHMET KELEŞOĞLU EĞİTİM FAKÜLTESİ)0000-0003-0925-3824
Pages
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Publication Date
2026-06-29
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

The findings revealed weak negative correlations between age and both the arousal subdimension and total secondary traumatic stress levels, as well as between professional experience and the arousal subdimension.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:This study aims to examine the dimensions of secondary traumatic stress experienced by psychological counselors providing psychosocial support services in the aftermath of an earthquake.
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Key Findings & Data:The sample consisted of 51 psychological counselors (35 females, 16 males) with a mean age of 32.53 years.
💡
Conclusion & Impact:The findings revealed weak negative correlations between age and both the arousal subdimension and total secondary traumatic stress levels, as well as between professional experience and the arousal subdimension.
🔬Design:Modeling & Simulation
📍Scope:Comprehensive Sample
⚙️Variables:Psychological counseling · psychological counselor · psychosocial support

Abstract

This study aims to examine the dimensions of secondary traumatic stress experienced by psychological counselors providing psychosocial support services in the aftermath of an earthquake. The sample consisted of 51 psychological counselors (35 females, 16 males) with a mean age of 32.53 years. Data were collected using the Turkish version of the Secondary Traumatic Stress Scale, a personal information form, and a semi-structured interview form. For the analysis of secondary traumatic stress levels, Spearman’s rank correlation coefficient was employed for age and professional experience; the Mann–Whitney U test was utilized for gender, marital status, receipt of psychosocial support training, and parental status; and the Kruskal–Wallis test was applied to analyze the duration of psychosocial support provision. Qualitative data were analyzed using thematic analysis. The findings revealed weak negative correlations between age and both the arousal subdimension and total secondary traumatic stress levels, as well as between professional experience and the arousal subdimension. Psychological counselors without children exhibited significantly higher scores in the arousal subdimension and total secondary traumatic stress compared to those with children. Qualitative findings indicated that basic therapeutic approaches were prominent among the trainings received, with short-term psychological counseling models being the most prevalent. Furthermore, the cases with which counselors experienced the greatest difficulty were related to loss and grief. The majority of participants (82.4%) reported intrusive thoughts regarding their cases during non-working hours, and middle adulthood (35–59 years) was identified as the most challenging age group to work with. Future research with larger and more comprehensive samples is recommended to examine secondary traumatic stress in greater depth.

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Cite This Article

Kılıç, M., Arslan, C., Hamarta, E., *, M. K. (2026). Examination of Secondary Traumatic Stress in Psychological Counsellors Working with Earthquake Victims within the Scope of Psychosocial Support: Mixed-Methods Study. Türk Psikolojik Danışma ve Rehberlik Dergisi, Volume: 16 Issue: 81. https://doi.org/10.17066/tpdrd.1809573

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References (74)

  1. Altınöz, E., & Kaptanoğlu, C. (2018). Mental illnesses and conditions developing after human-induced mass traumatic events. Current Psychiatry, 8(1), 1–8. https://www.researchgate.net/publication/325246942_Insan_Kaynakli_Kitlesel_Travmatik_Olaylar_Ardindan_Gelisen_Ruhsal_Hastaliklar_Ve_Durumlar
  2. Baird, K., & Kracen, A. C. (2006). Vicarious traumatization and secondary traumatic stress: A research synthesis. Counselling Psychology Quarterly, 19(2), 181–188. https://doi.org/10.1080/09515070600811899
  3. Bayri Bingol, F., Demirgoz Bal, M., Aygun, M., & Bilgic, E. (2021). Secondary traumatic stress among midwifery students. Perspectives in Psychiatric Care, 57(3), 1195–1201. https://doi.org/10.1111/ppc.12674
  4. Bıçakcı, A. B., & Ergüney Okumuş, F. E. (2023). Psychological effects of earthquakes and aid workers. Eurasian File, 14(1), 206–236. https://dergipark.org.tr/tr/pub/avrasyadosyasi/article/1308731#article_cite
  5. Bonanno, G. A. (2004). Loss, trauma, and human resilience: Have we underestimated the human capacity to thrive after extremely aversive events? American Psychologist, 59(1), 20–28. https://doi.org/10.1037/0003-066X.59.1.20
  6. Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa
  7. Bride, B. E. (2007). Prevalence of secondary traumatic stress among social workers. Social Work, 52(1), 63–70. https://doi.org/10.1093/sw/52.1.63
  8. Bride, B. E., Robinson, M. M., Yegidis, B., & Figley, C. R. (2004). Development and validation of the secondary traumatic stress scale. Research on Social Work Practice, 14(1), 27–35. https://doi.org/10.1177/1049731503254106
  9. Brooks, S. K., Dunn, R., Amlôt, R., Greenberg, N., & Rubin, G. J. (2016). Social and occupational factors associated with psychological distress and disorder among disaster responders: a systematic review. BMC Psychology, 4, 18. https://doi.org/10.1186/s40359-016-0120-9
  10. Bryant, R. A., Kenny, L., Rawson, N., Cahill, C., Joscelyne, A., Garber, B., Tockar, J., Dawson, K., & Nickerson, A. (2019). Efficacy of exposure-based cognitive behaviour therapy for post-traumatic stress disorder in emergency service personnel: A randomised clinical trial. Psychological Medicine, 49(09), 1565–1573. https://doi.org/10.1017/S0033291718002234
  11. Büyüköztürk, Ş., Kılıç Çakmak, E., Akgün, Ö. E., Karadeniz, Ş., & Demirel, F. (2023). Scientific research methods in education (35th ed.). Pegem Academy.
  12. Cengiz, S., & Peker, A. (2023). Investigation of depression levels in adults after an earthquake. TRT Academy, 8(18), 652–669. https://doi.org/10.37679/trta.1277689
  13. Christopher, J. C., & Maris, J. A. (2010). Integrating mindfulness as self‐care into counselling and psychotherapy training. Counselling and Psychotherapy Research, 10(2), 114–125. https://doi.org/10.1080/14733141003750285
  14. Christopher, J. C., Christopher, S. E., Dunnagan, T., & Schure, M. (2006). Teaching self-care through mindfulness practices: The application of yoga, meditation, and igong to counselor training. Journal of Humanistic Psychology, 46(4), 494–509. https://doi.org/10.1177/0022167806290215
  15. Cieslak, R., Shoji, K., Douglas, A., Melville, E., Luszczynska, A., & Benight, C. C. (2014). A meta-analysis of the relationship between job burnout and secondary traumatic stress among workers with indirect exposure to trauma. Psychological Services, 11(1), 75–86. https://doi.org/10.1037/a0033798
  16. Çolak, B., Şişmanlar, Ş. G., Karakaya, I., Etiler, N., & Biçer, Ü. (2012). Vicarious traumatization among professional groups evaluating child sexual abuse cases. Anatolian Journal of Psychiatry, 13(1), 51–58.
  17. Collins, S. (2008). Statutory social workers: Stress, job satisfaction, coping, social support and individual differences. British Journal of Social Work, 38(6), 1173–1193. https://doi.org/10.1093/bjsw/bcm047
  18. Creswell, J. W., & Plano Clark, V. L. (2018). Designing and conducting mixed methods research (3rd ed.). SAGE Publications.
  19. Crumpei, I., & Dafinoiu, I. (2012). Secondary traumatic stress in medical students. Procedia - Social and Behavioral Sciences, 46, 1465–1469. https://doi.org/10.1016/j.sbspro.2012.05.322
  20. Deniz Pak, M., Özcan, E., & İçağasıoğlu Çoban, A. (2017). Secondary traumatic stress level and psychological resilience of emergency department workers. Journal of International Social Research, 10(52), 628–644. https://doi.org/10.17719/jisr.2017.1923
  21. Everly, G. S., & Flynn, B. W. (2006). Principles and practical procedures for acute psychological first aid training for personnel without mental health experience. International Journal of Emergency Mental Health, 8(2), 93–100. https://pubmed.ncbi.nlm.nih.gov/16703847/
  22. 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). Taylor & Francis Group. http://ebookcentral.proquest.com/lib/erbakantr/detail.action?docID=1222737
  23. Figley, C. R. (2002). Compassion fatigue: Psychotherapists’ chronic lack of self care. Journal of Clinical Psychology, 58(11), 1433–1441. https://doi.org/10.1002/jclp.10090
  24. Foa, E. B., McLean, C. P., Zang, Y., Rosenfield, D., Yadin, E., Yarvis, J. S., Mintz, J., Young-McCaughan, S., Borah, E. V., Dondanville, K. A., Fina, B. A., Hall-Clark, B. N., Lichner, T., Litz, B. T., Roache, J., Wright, E. C., & Peterson, A. L. (2018). Effect of prolonged exposure therapy delivered over 2 weeks vs 8 weeks vs present-centered therapy on PTSD symptom severity in military personnel. JAMA, 319(4), 354. https://doi.org/10.1001/jama.2017.21242
  25. Greinacher, A., Derezza-Greeven, C., Herzog, W., & Nikendei, C. (2019). Secondary traumatization in first responders: A systematic review. European Journal of Psychotraumatology, 10(1). https://doi.org/10.1080/20008198.2018.1562840
  26. Hirai, H., Nagao, M., Ohira, T., Maeda, M., Okazaki, K., Nakano, H., Hayashi, F., Harigane, M., Suzuki, Y., Takahashi, A., Sakai, A., Kazama, J. J., Hosoya, M., Yabe, H., Yasumura, S., Ohto, H., Kamiya, K., & Shimabukuro, M. (2022). Psychological burden predicts new-onset diabetes in men: A longitudinal observational study in the Fukushima Health Management Survey after the Great East Japan earthquake. Frontiers in Endocrinology, 13, 1–17. https://doi.org/10.3389/fendo.2022.1008109
  27. Hobfoll, S. E., Watson, P., Bell, C. C., Bryant, R. A., Brymer, M. J., Friedman, M. J., Friedman, M., Gersons, B. P. R., de Jong, J. T. V. M., Layne, C. M., Maguen, S., Neria, Y., Norwood, A. E., Pynoos, R. S., Reissman, D., Ruzek, J. I., Shalev, A. Y., Solomon, Z., Steinberg, A. M., & Ursano, R. J. (2007). Five essential elements of immediate and mid–term mass trauma intervention: Empirical evidence. Psychiatry: Interpersonal and Biological Processes, 70(4), 283–315. https://doi.org/10.1521/psyc.2007.70.4.283
  28. Kahil, A. (2016). Investigation of secondary traumatic stress levels of professionals and volunteers providing helping behavior to individuals with traumatic experiences [Master’s thesis, Ufuk University]. https://acikerisim.ufuk.edu.tr/items/02524fa5-b95b-4d79-865d-0e1354d6609c
  29. Kellogg, M. B., Knight, M., Dowling, J. S., & Crawford, S. L. (2018). Secondary traumatic stress in pediatric nurses. Journal of Pediatric Nursing, 43, 97–103. https://doi.org/10.1016/j.pedn.2018.08.016
  30. Kılıç, C., & İnci, F. (2015). Traumatic stress in emergency medicine workers: The protective effect of age and education. Turkish Journal of Psychiatry, 26(4), 236–241. https://turkpsikiyatri.com/PDF/C26S4/02.pdf
  31. Killian, K. D. (2008). Helping till it hurts? A multimethod study of compassion fatigue, burnout, and self-care in clinicians working with trauma survivors. Traumatology, 14(2), 32–44. https://doi.org/10.1177/1534765608319083
  32. Kim, J. S., & Franklin, C. (2009). Solution-focused brief therapy in schools: A review of the outcome literature. Children and Youth Services Review, 31(4), 464–470. https://doi.org/10.1016/j.childyouth.2008.10.002
  33. Kırman, F. (2023). Traumatic stress reactions after an earthquake and their reflections on social media. Antakiyat, 6(1), 15–30. https://dergipark.org.tr/tr/pub/antakiyat/article/1288869
  34. Knight, B. G., & Satre, D. D. (1999). Cognitive behavioral psychotherapy with older adults. Clinical Psychology: Science and Practice, 6(2), 188–203. https://doi.org/10.1093/clipsy.6.2.188
  35. Kutlu Ünal, S. (2019). Perception of the concept of earthquake and evaluations regarding earthquakes: The case of the March 8, 2010 Okçular-Kovancılar Earthquake [Master’s thesis, Çanakkale Onsekiz Mart University]. https://tez.yok.gov.tr/UlusalTezMerkezi/tezDetay.jsp?id=Uclg_ukMpHoZ44ObXKU76Q&no=Y3bFnvKbpIu9bF_-0uWViQ
  36. Landreth, G. L. (2023). Play therapy: The art of the relationship (4th ed.). Routledge.
  37. Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. SAGE Publications.
  38. Maslow, A. H. (1943). A theory of human motivation. Psychological Review, 50(4), 370–396. https://doi.org/10.1037/h0054346
  39. Masten, A. S. (2015). Ordinary magic: Resilience in development. Guilford Press.
  40. McCann, I. L., & Pearlman, L. A. (1990). Vicarious traumatization: A framework for understanding the psychological effects of working with victims. Journal of Traumatic Stress, 3(1), 131–149. https://doi.org/10.1007/BF00975140
  41. Miles, M. B., & Huberman, A. M. (1994). Qualitative data analysis: An expanded sourcebook (2nd ed.). SAGE Publications.
  42. Miller, M. K., Reichert, J., Bornstein, B. H., & Shulman, G. (2018). Judicial stress: The roles of gender and social support. Psychiatry, Psychology and Law, 25(4), 602–618. https://doi.org/10.1080/13218719.2018.1469436
  43. Mishra, P., Pandey, C., Singh, U., Gupta, A., Sahu, C., & Keshri, A. (2019). Descriptive statistics and normality tests for statistical data. Annals of Cardiac Anaesthesia, 22(1), 67–72. https://doi.org/10.4103/aca.ACA_157_18
  44. Neff, K. D., & Germer, C. K. (2013). A pilot study and randomized controlled trial of the mindful self‐compassion program. Journal of Clinical Psychology, 69(1), 28–44. https://doi.org/10.1002/jclp.21923
  45. Newell, J. M., & MacNeil, G. A. (2010). Professional burnout, vicarious trauma, secondary traumatic stress, and compassion fatigue: A review of theoretical terms, risk factors, and preventive methods for clinicians and researchers. Best Practices in Mental Health: An International Journal, 6(2), 57–68. https://doi.org/10.70256/607490pbruec
  46. Önder, D. (2022). Evaluation of earthquake survivors after the İzmir Earthquake in terms of post-traumatic stress, development of claustrophobia, and psychological resilience [Master’s thesis, Ege University]. https://acikerisim.ege.edu.tr/items/7129929c-7c5f-4b4d-85e1-67250244a49d/full
  47. Özkul, M., & Çalık Var, E. (2018). Evaluation of the relationship between secondary traumatic stress and social support. Journal of Turkish Health Sciences and Research, 1(2), 49–62. https://dergipark.org.tr/tr/download/article-file/638481
  48. Pan, X., Liu, W., Deng, G., Liu, T., Yan, J., Tang, Y., Dong, W., Cui, Y., & Xu, M. (2015). Symptoms of posttraumatic stress disorder, depression, and anxiety among junior high school students in worst-hit areas 3 years after the Wenchuan Earthquake in China. Asia Pacific Journal of Public Health, 27(2), NP1985–NP1994. https://doi.org/10.1177/1010539513488625
  49. Pandit, A., & Nakagawa, Y. (2021). How does reciprocal exchange of social support alleviate individuals’ depression in an earthquake-damaged community? International Journal of Environmental Research and Public Health, 18(4), 1585. https://doi.org/10.3390/ijerph18041585
  50. Papadopoulos, R. K. (2007). Refugees, trauma and adversity-activated development. European Journal of Psychotherapy & Counselling, 9(3), 301–312. https://doi.org/10.1080/13642530701496930
  51. Pfefferbaum, B., Sweeton, J. L., Nitiéma, P., Noffsinger, M. A., Varma, V., Nelson, S. D., & Newman, E. (2014). Child disaster mental health interventions: Therapy components. Prehospital and Disaster Medicine, 29(5), 494–502. https://doi.org/10.1017/S1049023X14000910
  52. Ray, D. C. (2011). Advanced play therapy: Essential conditions, knowledge, and skills for child practice. Routledge. https://doi.org/10.4324/9780203837269
  53. Santrock, J. W. (2011). Life-span development (13th ed.). McGraw-Hill.
  54. Sargın, N., & Demirelli, M. A. (2023). Psychosocial support and psychological first aid. Current Research and Reviews in Psychology and Psychiatry, 3(2), 81–92. https://dergipark.org.tr/tr/download/article-file/3382252
  55. Schwind, J. S., Norman, S. A., Brown, R., Frances, R. H., Koss, E., Karmacharya, D., & Santangelo, S. L. (2019). Association between earthquake exposures and mental health outcomes in Phulpingdanda Village after the 2015 Nepal Earthquakes. Community Mental Health Journal, 55(7), 1103–1113. https://doi.org/10.1007/s10597-019-00404-w
  56. Shapiro, F. (2017). Eye movement desensitization and reprocessing (EMDR) therapy: Basic principles, protocols, and procedures (3rd ed.). The Guilford Press.
  57. Shen, Y.-J. (2002). Short-term group play therapy with Chinese earthquake victims: Effects on anxiety, depression and adjustment. International Journal of Play Therapy, 11(1), 43–63. https://doi.org/10.1037/h0088856
  58. Silverman, D. (2013). Doing qualitative research (4th ed.). SAGE Publications.
  59. Sönmez, M. B. (2022). Psychological effects of earthquakes, psychological support, and coping with fear. TOTBİD Journal, 21(3), 337–343. https://doi.org/10.5578/totbid.dergisi.2022.46
  60. Southwick, S. M., Bonanno, G. A., Masten, A. S., Panter-Brick, C., & Yehuda, R. (2014). Resilience definitions, theory, and challenges: Interdisciplinary perspectives. European Journal of Psychotraumatology, 5(1). https://doi.org/10.3402/ejpt.v5.25338
  61. Stamm, B. H. (2010). The concise ProQOL manual (2nd ed.). The ProQOL.org.
  62. Stroebe, M., & Schut, H. (2010). The dual process model of coping with bereavement: A decade on. OMEGA - Journal of Death and Dying, 61(4), 273–289. https://doi.org/10.2190/OM.61.4.b
  63. Stroebe, M., Schut, H., & Stroebe, W. (2007). Health outcomes of bereavement. The Lancet, 370(9603), 1960–1973. https://doi.org/10.1016/S0140-6736(07)61816-9
  64. Tansel, B., Tunç, A., & Gündoğdu, M. (2016). Investigation of secondary traumatic stress levels of police officers working in the Juvenile Branch Directorate. Hitit University Journal of Social Sciences Institute, 8(2), 675–688. https://doi.org/10.17218/husbed.87035
  65. Tedeschi, R. G., & Calhoun, L. G. (2004). Posttraumatic growth: Conceptual foundations and empirical evidence. Psychological Inquiry, 15(1), 1–18. https://doi.org/10.1207/s15327965pli1501_01
  66. Terr, L. (1990). Too scared to cry: Psychic trauma in childhood. Basic Books.
  67. Thabet, A. A. M., EL-Buhaisi, O., & Vostanis, P. (2014). Trauma, PTSD, anxiety and coping strategies among Palestinians adolescents exposed to War in Gaza. The Arab Journal of Psychiatry, 25(1), 71–82. https://doi.org/10.12816/0004117
  68. Topkara, F. N., Aktaş Reyhan, F., Dağlı, E., & Bakır, E. (2024). Determining the relationship between compassion fatigue and secondary traumatic stress levels of healthcare workers working in the earthquake zone. TOGÜ Journal of Health Sciences, 4(2), 152–165. https://doi.org/10.52369/togusagbilderg.1418440
  69. Tribe, R., & Morrissey, J. (2004). Good practice issues in working with interpreters in mental health. Intervention, 2(2), 129–142. https://www.researchgate.net/publication/47529094_Good_practice_issues_in_working_with_interpreters_in_mental_health
  70. Trippany, R. L., Kress, V. E. W., & Wilcoxon, S. A. (2004). Preventing vicarious trauma: What counselors should know when working with trauma survivors. Journal of Counseling & Development, 82(1), 31–37. https://doi.org/10.1002/j.1556-6678.2004.tb00283.x
  71. Walsh, F. (2016). Family resilience: A developmental systems framework. European Journal of Developmental Psychology, 13(3), 313–324. https://doi.org/10.1080/17405629.2016.1154035
  72. World Health Organization (WHO). (2011). Psychological first aid: Guide for field workers. https://www.who.int/publications/i/item/9789241548205
  73. Yalom, I. D. (1980). Existential psychotherapy. Basic Books.
  74. Yeşil, A., Aker, A. T., & Sezgin, U. (2009). Psychological symptoms in the care team providing care to patients undergoing hemodialysis treatment. Düşünen Adam: The Journal of Psychiatry and Neurological Sciences, 22(1–4), 9–17. https://dusunenadamdergisi.org/storage/upload/pdfs/1587544325-en.pdf