Effects of compassion satisfaction, burnout, and secondary traumatic stress on current drug use among healthcare workers: Differences by occupational level

Work-related stress has been well-examined among physicians, but little is known about how it might affect drug use or healthcare workers in lower-wage occupations characterized by high job demands and low occupational autonomy (e.g., medical assistants, nursing assistants). We collected data from a...

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Main Authors: Sylvia A. Okon, Tourna N. Khan, Nora J. Duffy, Carson C. Roan, Rachel A. Hoopsick
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Addictive Behaviors Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2352853225000021
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author Sylvia A. Okon
Tourna N. Khan
Nora J. Duffy
Carson C. Roan
Rachel A. Hoopsick
author_facet Sylvia A. Okon
Tourna N. Khan
Nora J. Duffy
Carson C. Roan
Rachel A. Hoopsick
author_sort Sylvia A. Okon
collection DOAJ
description Work-related stress has been well-examined among physicians, but little is known about how it might affect drug use or healthcare workers in lower-wage occupations characterized by high job demands and low occupational autonomy (e.g., medical assistants, nursing assistants). We collected data from a diverse sample of healthcare workers (N = 200) and separately examined the cross-sectional relationships between several work-related experiences (i.e., compassion satisfaction, burnout, and secondary traumatic stress) and measures of current drug use (i.e., non-medical use of prescription drugs [NMUPD], cannabis use, and illicit drug use). We then examined for differences in these relationships by occupational level (i.e., prescriber/administrator vs. other healthcare worker). In main effects models, greater burnout and secondary traumatic stress were both associated with higher odds of NMUPD, cannabis use, and illicit drug use (ps < 0.01). Greater compassion satisfaction was associated with lower odds of illicit drug use (p < 0.05), but not with NMUPD or cannabis use (ps > 0.05). There was a significant interaction between secondary traumatic stress and occupational level on NMUPD (p < 0.05) such that there was no relationship among prescribers/administrators, but the likelihood of NMUPD increased with greater secondary traumatic stress among other healthcare workers. Similar trend-level interactions were observed between secondary traumatic stress and occupational level on cannabis use (p < 0.10) and between burnout and occupational level on NMUPD. Burnout and secondary traumatic stress may contribute to drug use, and lower-wage healthcare workers may be especially vulnerable.
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spelling doaj-art-e7c8497a09134aa48a3c4882cb8c67fb2025-01-11T06:41:38ZengElsevierAddictive Behaviors Reports2352-85322025-06-0121100584Effects of compassion satisfaction, burnout, and secondary traumatic stress on current drug use among healthcare workers: Differences by occupational levelSylvia A. Okon0Tourna N. Khan1Nora J. Duffy2Carson C. Roan3Rachel A. Hoopsick4Department of Health and Kinesiology, University of Illinois Urbana-ChampaignDepartment of Health and Kinesiology, University of Illinois Urbana-ChampaignDepartment of Psychology, University of Illinois Urbana-ChampaignDepartment of Health and Kinesiology, University of Illinois Urbana-ChampaignDepartment of Health and Kinesiology, University of Illinois Urbana-Champaign; Corresponding author.Work-related stress has been well-examined among physicians, but little is known about how it might affect drug use or healthcare workers in lower-wage occupations characterized by high job demands and low occupational autonomy (e.g., medical assistants, nursing assistants). We collected data from a diverse sample of healthcare workers (N = 200) and separately examined the cross-sectional relationships between several work-related experiences (i.e., compassion satisfaction, burnout, and secondary traumatic stress) and measures of current drug use (i.e., non-medical use of prescription drugs [NMUPD], cannabis use, and illicit drug use). We then examined for differences in these relationships by occupational level (i.e., prescriber/administrator vs. other healthcare worker). In main effects models, greater burnout and secondary traumatic stress were both associated with higher odds of NMUPD, cannabis use, and illicit drug use (ps < 0.01). Greater compassion satisfaction was associated with lower odds of illicit drug use (p < 0.05), but not with NMUPD or cannabis use (ps > 0.05). There was a significant interaction between secondary traumatic stress and occupational level on NMUPD (p < 0.05) such that there was no relationship among prescribers/administrators, but the likelihood of NMUPD increased with greater secondary traumatic stress among other healthcare workers. Similar trend-level interactions were observed between secondary traumatic stress and occupational level on cannabis use (p < 0.10) and between burnout and occupational level on NMUPD. Burnout and secondary traumatic stress may contribute to drug use, and lower-wage healthcare workers may be especially vulnerable.http://www.sciencedirect.com/science/article/pii/S2352853225000021BurnoutCompassion satisfactionDrug useHealthcare workersSecondary traumatic stress
spellingShingle Sylvia A. Okon
Tourna N. Khan
Nora J. Duffy
Carson C. Roan
Rachel A. Hoopsick
Effects of compassion satisfaction, burnout, and secondary traumatic stress on current drug use among healthcare workers: Differences by occupational level
Addictive Behaviors Reports
Burnout
Compassion satisfaction
Drug use
Healthcare workers
Secondary traumatic stress
title Effects of compassion satisfaction, burnout, and secondary traumatic stress on current drug use among healthcare workers: Differences by occupational level
title_full Effects of compassion satisfaction, burnout, and secondary traumatic stress on current drug use among healthcare workers: Differences by occupational level
title_fullStr Effects of compassion satisfaction, burnout, and secondary traumatic stress on current drug use among healthcare workers: Differences by occupational level
title_full_unstemmed Effects of compassion satisfaction, burnout, and secondary traumatic stress on current drug use among healthcare workers: Differences by occupational level
title_short Effects of compassion satisfaction, burnout, and secondary traumatic stress on current drug use among healthcare workers: Differences by occupational level
title_sort effects of compassion satisfaction burnout and secondary traumatic stress on current drug use among healthcare workers differences by occupational level
topic Burnout
Compassion satisfaction
Drug use
Healthcare workers
Secondary traumatic stress
url http://www.sciencedirect.com/science/article/pii/S2352853225000021
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