title: Positive psychological impact of treating victims of politically motivated violence among hospital-based health care providers.
abstract: BACKGROUND
  Health care personnel treating victims of politically motivated violence are at risk for traumatic stress symptoms. Few studies have assessed the positive psychological impact of politically motivated violence on health care workers. In this study, the level of positive psychological impact among health care workers with recurrent exposure to victims of politically motivated violence was examined.
  
  
  METHODS
  A validated questionnaire survey of health care personnel treating victims of politically motivated violence during 2000-2005 in two hospital settings was conducted. Positive psychological impact was assessed by the Posttraumatic Growth Inventory and traumatic stress symptoms were assessed using the Revised Posttraumatic Stress Disorder Inventory. Subjects included physicians (surgeons and anesthesiologists), nurses, and psychotherapists.
  
  
  RESULTS
  The rate of response to the mail-in questionnaires was 68.3% (n = 138). The sample consisted of 70 physicians, 37 nurses, and 31 hospital-based psychotherapists. Positive psychological impact was noted for the entire sample and among all professions. Traumatic stress symptoms predicted positive psychological impact for the entire sample and for each profession, and there was a curvilinear relationship between traumatic stress symptoms and positive psychological impact. Women experienced greater levels of positive psychological impact.
  
  
  CONCLUSIONS
  Hospital-based health care providers treating victims of politically motivated violence experience both positive and negative psychological impact. Individuals who are more traumatized by their experience are more likely to also have a positive psychological impact.
authors.affiliation: Department of Psychology, Tel Aviv University, Tel Aviv, Israel. shimons3@post.tau.ac.il
authors.forename: Shimon
authors.initials: S
authors.lastname: Shiri
authors.forename: Isaiah D
authors.initials: ID
authors.lastname: Wexler
authors.forename: Yasmin
authors.initials: Y
authors.lastname: Alkalay
authors.forename: Zeev
authors.initials: Z
authors.lastname: Meiner
authors.forename: Shulamith
authors.initials: S
authors.lastname: Kreitler
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D005260:Female; D006282:Health Personnel / Q000523:psychology*; D006801:Humans; D007557:Israel; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D009726:Nurses / Q000523:psychology; D016273:Occupational Exposure; D010820:Physicians / Q000523:psychology; D011057:Politics; D011369:Professional-Patient Relations; D011613:Psychotherapy; D012044:Regression Analysis; D013313:Stress Disorders, Post-Traumatic / Q000523:psychology*; D014754:Violence; D014947:Wounds and Injuries / Q000628:therapy