{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T05:44:02Z","timestamp":1789019042621,"version":"build-2803163510"},"reference-count":72,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,4,2]],"date-time":"2025-04-02T00:00:00Z","timestamp":1743552000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Forced displacement constitutes a global crisis impacting millions of people especially in the Middle East, leaving them impacted by traumatic history. Humanitarian aid workers (HAWs) who support displaced individuals are exposed to high risk of burnout and secondary traumatic stress (STS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study aimed to identify the prevalence of compassion satisfaction (CS) and compassion fatigue (CF), referring to burnout and STS, respectively, using the Professional Quality of Life Scale (ProQOL). The study explored the relationships between these factors and personal variables that are related to shared trauma, as well as coping mechanisms assessed using the Brief-COPE questionnaire among Middle Eastern HAWs working with displaced individuals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study involved 78 HAWs supporting displaced individuals in the Middle East. The mean age was 25.81\u202fyears (SD\u202f=\u202f\u00b1 5.54); 55% were females, and the majority (88%) were Syrians. Approximately 90% of participants were engaged in Turkey and Syria. The most prevalent coping mechanisms were religion and planning. Being a graduate predicted burnout, whereas older age, previous mental diagnosis, and shared trauma predicted higher STS levels. Compassion satisfaction was predicted by active coping, and compassion fatigue was predicted by negative coping.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>HAWs require education to recognize CF signs and psychological training to promote effective coping mechanisms, mitigate CF, and enhance higher levels of CS. More research is needed on the psychology of HAWs and the role of shared trauma and coping mechanisms.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpsyg.2025.1522092","type":"journal-article","created":{"date-parts":[[2025,4,2]],"date-time":"2025-04-02T06:08:03Z","timestamp":1743574083000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":7,"title":["Compassion satisfaction and compassion fatigue in humanitarian aid workers: the relationship with shared trauma and coping mechanisms"],"prefix":"10.3389","volume":"16","author":[{"given":"Mohamed","family":"Adwi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nada","family":"Abdellatif","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ismail","family":"Sadek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Elsheikh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,4,2]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.9734\/BJESBS\/2016\/25882","article-title":"Social work in Egypt: experiences and challenges","volume":"16","author":"Abo El Nasr","year":"2016","journal-title":"Br. J. Educ. Soc. Behav. Sci."},{"key":"ref2","doi-asserted-by":"publisher","first-page":"103","DOI":"10.1037\/0002-9432.76.1.103","article-title":"Compassion fatigue and psychological distress among social workers: a validation study","volume":"76","author":"Adams","year":"2006","journal-title":"Am. J. Orthopsychiatry"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"713","DOI":"10.1002\/jts.21764","article-title":"Stress, mental health, and burnout in national humanitarian aid workers in Gulu, northern Uganda","volume":"25","author":"Ager","year":"2012","journal-title":"J. Trauma. Stress."},{"key":"ref4","doi-asserted-by":"publisher","first-page":"202","DOI":"10.1002\/jts.22279","article-title":"Secondary traumatic stress and burnout among refugee resettlement workers: the role of coping and emotional intelligence","volume":"31","author":"Akinsulure-Smith","year":"2018","journal-title":"J. Trauma. Stress."},{"key":"ref5","first-page":"502","article-title":"Cross-cultural validation and psychometric properties of the arabic brief cope in Saudi population","volume":"75","author":"Alghamdi","year":"2020","journal-title":"Med. J. Malays."},{"key":"ref6","doi-asserted-by":"publisher","first-page":"461","DOI":"10.1002\/jclp.20049","article-title":"Religious coping and psychological adjustment to stress: a meta-analysis","volume":"61","author":"Ano","year":"2005","journal-title":"J. Clin. Psychol."},{"key":"ref7","volume-title":"Managing stress in humanitarian workers guidelines for good practice","year":"2012"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1080\/13642537.2015.1130073","article-title":"The notion of professional identity among practitioners working with asylum seekers. A discursive analysis of practitioners\u2019 experience of clinical supervision and working context in work with asylum seekers","volume":"18","author":"Apostolidou","year":"2016","journal-title":"Eur J Psychother Couns"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"89","DOI":"10.1080\/09515070.2012.727553","article-title":"Working with refugee survivors of torture and trauma: an opportunity for vicarious post-traumatic growth","volume":"26","author":"Barrington","year":"2013","journal-title":"Couns. Psychol. Q."},{"key":"ref10","doi-asserted-by":"publisher","first-page":"318","DOI":"10.4172\/1522-4821.1000165","article-title":"The compassion fatigue and resilience connection: a survey of resilience, compassion fatigue, burnout, and compassion satisfaction among trauma responders","volume":"17","author":"Burnett","year":"2015","journal-title":"Int. J. Emerg. Ment. Health"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"581","DOI":"10.1037\/a0030969","article-title":"Factors affecting mental health of local staff working in the Vanni region, Sri Lanka","volume":"5","author":"Cardozo","year":"2013","journal-title":"Psychol. Trauma"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"92","DOI":"10.1207\/s15327558ijbm0401_6","article-title":"You want to measure coping but your protocol\u2019s too long: consider the brief COPE","volume":"4","author":"Carver","year":"1997","journal-title":"Int. J. Behav. Med."},{"key":"ref13","doi-asserted-by":"publisher","first-page":"267","DOI":"10.1037\/0022-3514.56.2.267","article-title":"Assessing coping strategies: a theoretically based approach","volume":"56","author":"Carver","year":"1989","journal-title":"J. Pers. Soc. Psychol."},{"key":"ref14","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1080\/15426432.2017.1311246","article-title":"Islam in the 21st century: can the Islamic belief system and the ethics of social work be reconciled?","volume":"36","author":"Chaney","year":"2017","journal-title":"J. Relig. Spirit. Social Work"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"163","DOI":"10.1111\/jan.14208","article-title":"Mediating effects of self-efficacy, coping, burnout, and social support between job stress and mental health among young Chinese nurses","volume":"76","author":"Chen","year":"2020","journal-title":"J. Adv. Nurs."},{"key":"ref16","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1037\/a0033798","article-title":"A meta-analysis of the relationship between job burnout and secondary traumatic stress among workers with indirect exposure to trauma","volume":"11","author":"Cieslak","year":"2014","journal-title":"Psychol. Serv."},{"key":"ref17","doi-asserted-by":"publisher","first-page":"1173","DOI":"10.1093\/bjsw\/bcm047","article-title":"Statutory social work: stress, job satisfaction, coping, social support, and individual differences","volume":"38","author":"Collins","year":"2008","journal-title":"Br. J. Soc. Work"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"145","DOI":"10.1093\/epirev\/mxr026","article-title":"Humanitarian relief workers and trauma-related mental illness","volume":"34","author":"Connorton","year":"2012","journal-title":"Epidemiol. Rev."},{"key":"ref19","doi-asserted-by":"publisher","first-page":"319","DOI":"10.1080\/10615800903085818","article-title":"Compassion satisfaction, compassion fatigue, and burnout in a national sample of trauma treatment therapists","volume":"23","author":"Craig","year":"2010","journal-title":"Anxiety Stress Coping"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1097\/WTF.0b013e32833c1e8f","article-title":"Stress and staff support strategies for international aid work","volume":"8","author":"Curling","year":"2010","journal-title":"Intervention"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"161","DOI":"10.1016\/j.psychres.2009.10.018","article-title":"Prevalence and predictors of posttraumatic stress disorder, anxiety, depression, and burnout in Pakistani earthquake recovery workers","volume":"185","author":"Ehring","year":"2011","journal-title":"Psychiatry Res."},{"key":"ref22","doi-asserted-by":"publisher","first-page":"671","DOI":"10.1080\/13674670903029146","article-title":"Social support, organisational support, and religious support in relation to burnout in expatriate humanitarian aid workers","volume":"12","author":"Eriksson","year":"2009","journal-title":"Ment. Health Relig. Cult."},{"key":"ref23","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1037\/a0037703","article-title":"Trajectories of spiritual change among expatriate humanitarian aid workers: a prospective longitudinal study","volume":"7","author":"Eriksson","year":"2015","journal-title":"Psycholog. Relig. Spiritual"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"1433","DOI":"10.1002\/jclp.10090","article-title":"Compassion fatigue: psychotherapists\u2019 chronic lack of self care","volume":"58","author":"Figley","year":"2002","journal-title":"J. Clin. Psychol."},{"key":"ref25","doi-asserted-by":"publisher","first-page":"745","DOI":"10.1146\/annurev.psych.55.090902.141456","article-title":"Coping; pitfalls and promise","volume":"55","author":"Folkman","year":"2004","journal-title":"Annu. Rev. Psychol."},{"key":"ref26","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s13031-023-00512-1","article-title":"Psychosocial model of burnout among humanitarian aid workers in Bangladesh: role of workplace stressors and emotion coping","volume":"17","author":"Foo","year":"2023","journal-title":"Confl. Heal."},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-022-14034-7","article-title":"A comparison of interpreters\u2019 wellbeing and work-related characteristics in the care of refugees across different work settings","volume":"22","author":"Geiling","year":"2022","journal-title":"BMC Public Health"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"56","DOI":"10.1080\/10720537.2019.1700853","article-title":"Constructions of burnout, identity, and self-Care in Professionals Working toward the psychosocial Care of Refugees and Asylum Seekers in Italy","volume":"34","author":"Gemignani","year":"2020","journal-title":"J. Constr. Psychol."},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17051769","article-title":"Protective factors in resilient volunteers facing compassion fatigue","volume":"17","author":"Gonzalez-Mendez","year":"2020","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1037\/tra0001529","article-title":"Religious coping and levels of posttraumatic stress disorder symptomatology after the Beirut explosion","volume":"16","author":"Grey","year":"2024","journal-title":"Psychol. Trauma"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"2394","DOI":"10.1093\/jrs\/feaa068","article-title":"Displaced Syrian mental health workers: an investigation of professional quality of life","volume":"34","author":"Hamid","year":"2021","journal-title":"J. Refug. Stud."},{"key":"ref32","doi-asserted-by":"publisher","first-page":"e034291","DOI":"10.1136\/bmjopen-2019-034291","article-title":"Qualitative accounts from Syrian mental health professionals: shared realities in the context of conflict and forced displacement","volume":"10","author":"Hamid","year":"2020","journal-title":"BMJ Open"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"583","DOI":"10.1080\/07481187.2011.553330","article-title":"African refugees in Egypt: trauma, loss, and cultural adjustment","volume":"36","author":"Henry","year":"2012","journal-title":"Death Stud."},{"key":"ref34","doi-asserted-by":"publisher","first-page":"83","DOI":"10.1002\/jts.21998","article-title":"Meta-analysis of risk factors for secondary traumatic stress in therapeutic work with trauma victims","volume":"28","author":"Hensel","year":"2015","journal-title":"J. Trauma. Stress."},{"key":"ref35","article-title":"On this journey, no one cares if you live or die: Abuse, protection and justice along routes between east and West Africa and Africa\u2019s Mediterranean coast \u2013 Volume 2 | IOM publications platform [WWW document]. IOM Publications Platform","year":"2024"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"904","DOI":"10.15288\/jsad.2016.77.904","article-title":"Effort\u2013reward imbalance and heavy alcohol consumption among humanitarian aid workers","volume":"77","author":"Jachens","year":"2016","journal-title":"J. Stud. Alcohol Drugs"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"193","DOI":"10.1108\/IJMHSC-10-2013-0034","article-title":"Volunteers working to support migrants in Glasgow: a qualitative study","volume":"10","author":"Jones","year":"2014","journal-title":"Int J Migr Health Soc Care"},{"key":"ref38","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1177\/1534765610395623","article-title":"Adaptive and maladaptive coping strategies predict Posttrauma outcomes in ambulance personnel","volume":"17","author":"Kirby","year":"2011","journal-title":"Traumatology (Tallahass Fla)"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"341","DOI":"10.1177\/00912174231197548","article-title":"Religious involvement and psychological well-being in the Middle East","volume":"59","author":"Koenig","year":"2023","journal-title":"Int. J. Psychiatry Med."},{"key":"ref40","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1177\/105413730701500206","article-title":"The impact of the 2ND intifada: an exploration of the experiences of Palestinian psychosocial counselors and social workers","volume":"15","author":"Lindsay","year":"2007","journal-title":"Illness Crisis Loss"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"e44948","DOI":"10.1371\/journal.pone.0044948","article-title":"Psychological distress, depression, anxiety, and burnout among international humanitarian aid workers: a longitudinal study","volume":"7","author":"Lopes Cardozo","year":"2012","journal-title":"PLoS One"},{"key":"ref42","doi-asserted-by":"publisher","first-page":"152","DOI":"10.1111\/j.0361-3666.2005.00278.x","article-title":"The mental health of expatriate and Kosovar Albanian humanitarian aid workers","volume":"29","author":"Lopes Cardozo","year":"2005","journal-title":"Disasters"},{"key":"ref43","doi-asserted-by":"publisher","first-page":"257","DOI":"10.1177\/0739986315578842","article-title":"Secondary trauma among caregivers who work with Mexican and central American refugees","volume":"37","author":"Lusk","year":"2015","journal-title":"Hisp. J. Behav. Sci."},{"key":"ref44","volume-title":"Coping strategies of healthcare professionals with burnout syndrome: A systematic review","author":"Maresca","year":"2022"},{"key":"ref45","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1007\/BF00975140","article-title":"Vicarious traumatization: a framework for understanding the psychological effects of working with victims","volume":"3","author":"McCann","year":"1990","journal-title":"J. Trauma. Stress."},{"key":"ref46","doi-asserted-by":"publisher","first-page":"e0247596","DOI":"10.1371\/journal.pone.0247596","article-title":"Prevalence and predictors of secondary traumatic stress symptoms in health care professionals working with trauma victims: a cross-sectional study","volume":"16","author":"Ogi\u0144ska-Bulik","year":"2021","journal-title":"PLoS One"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1186\/s12888-020-02593-1","article-title":"The usefulness of pre-employment and pre-deployment psychological screening for disaster relief workers: a systematic review","volume":"20","author":"Opie","year":"2020","journal-title":"BMC Psychiatry"},{"key":"ref48","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s41018-021-00100-z","article-title":"Faith and spirituality as psychological coping mechanism among female aid workers: a qualitative study","volume":"16","author":"Ozcan","year":"2021","journal-title":"J. Int. Humanit. Action"},{"key":"ref49","doi-asserted-by":"publisher","first-page":"1658","DOI":"10.1111\/hsc.12991","article-title":"Fostering mental health and well-being among workers who support refugees and asylum seekers in the Australian context","volume":"28","author":"Posselt","year":"2020","journal-title":"Health Soc. Care Community"},{"key":"ref50","doi-asserted-by":"publisher","first-page":"773","DOI":"10.1002\/jts.22659","article-title":"The prevalence of burnout and secondary traumatic stress in professionals and volunteers working with forcibly displaced people: a systematic review and two Meta-analyses","volume":"34","author":"Roberts","year":"2021","journal-title":"J. Trauma. Stress."},{"key":"ref51","doi-asserted-by":"publisher","first-page":"135","DOI":"10.5455\/medscience.2021.08.272","article-title":"Identified predictors and levels of burnout among staff workers in a refugee camp of first immigrant group: a cross-sectional study","volume":"11","author":"Sagaltici","year":"2022","journal-title":"Medicine"},{"key":"ref52","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1177\/1534765607299910","article-title":"Secondary traumatic stress: prevalence in humanitarian aid workers in India","volume":"13","author":"Shah","year":"2007","journal-title":"Traumatology (Tallahass Fla)"},{"key":"ref53","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1037\/a0035220","article-title":"Relationships between coping strategies and burnout symptoms: a meta-analytic approach","volume":"45","author":"Shin","year":"2014","journal-title":"Prof Psychol Res Pr"},{"key":"ref54","volume-title":"Social work in the Middle East","author":"Soliman","year":"2017"},{"key":"ref55","volume-title":"Professional quality of life: compassion satisfaction and fatigue version 5 (ProQOL)","author":"Stamm","year":"2009"},{"key":"ref56","volume-title":"The concise ProQOL manual","author":"Stamm","year":"2010"},{"key":"ref57","doi-asserted-by":"publisher","DOI":"10.3402\/ejpt.v6.28541","article-title":"Trauma-related mental health problems among national humanitarian staff: a systematic review of the literature","volume":"6","author":"Strohmeier","year":"2015","journal-title":"Eur. J. Psychotraumatol."},{"key":"ref58","doi-asserted-by":"publisher","first-page":"938","DOI":"10.2105\/AJPH.2018.304405","article-title":"Determinants of mental disorders in Syrian refugees in Turkey versus internally displaced persons in Syria","volume":"108","author":"Tekeli-Yesil","year":"2018","journal-title":"Am. J. Public Health"},{"key":"ref59","doi-asserted-by":"publisher","first-page":"2266","DOI":"10.3390\/ijerph20032266","article-title":"The role of emotion regulation as a potential mediator between secondary traumatic stress, burnout, and compassion satisfaction in professionals working in the forced migration field","volume":"20","author":"Tessitore","year":"2023","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref60","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/978-3-030-67712-1","volume-title":"Trauma and resilience among displaced populations: a sociocultural exploration","author":"Theisen-Womersley","year":"2021"},{"key":"ref61","doi-asserted-by":"publisher","first-page":"34","DOI":"10.1093\/sw\/swt044","article-title":"Witness to suffering: mindfulness and compassion fatigue among traumatic bereavement volunteers and professionals","volume":"59","author":"Thieleman","year":"2014","journal-title":"Social Work (United States)"},{"key":"ref62","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1177\/1534765611421963","article-title":"The legacy of september 11: shared trauma, therapeutic intimacy, and professional posttraumatic growth","volume":"17","author":"Tosone","year":"2011","journal-title":"Traumatology (Tallahass Fla)"},{"key":"ref63","doi-asserted-by":"publisher","first-page":"1313","DOI":"10.1093\/bjsw\/bct194","article-title":"Shared traumatic stress among social Workers in the Aftermath of hurricane Katrina","volume":"45","author":"Tosone","year":"2015","journal-title":"Br. J. Soc. Work."},{"key":"ref64","doi-asserted-by":"publisher","first-page":"546","DOI":"10.1002\/jts.20686","article-title":"Shared traumatic stress and the long-term impact of 9\/11 on Manhattan clinicians","volume":"24","author":"Tosone","year":"2011","journal-title":"J. Trauma. Stress."},{"key":"ref65","article-title":"Mid-Year Trends 2023 | UNHCR","year":"2023"},{"key":"ref66","article-title":"Global Appeal 2024 | Global Focus","year":"2024"},{"key":"ref67","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1093\/jrs\/10.1.37","article-title":"Policy dysfunction in humanitarian organizations: the role of coping strategies, institutions, and organizational culture","volume":"10","author":"Walkup","year":"1997","journal-title":"J. Refug. Stud."},{"key":"ref68","doi-asserted-by":"publisher","first-page":"207","DOI":"10.1177\/1049732312467706","article-title":"Mental health risks in the local workforce engaged in disaster relief and reconstruction","volume":"23","author":"Wang","year":"2013","journal-title":"Qual. Health Res."},{"key":"ref69","volume-title":"Burnout an \u201coccupational phenomenon\u201d: International Classification of Diseases. 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