An Examination of the Psychometric Properties
of the Vicarious Trauma Scale in a Sample
of Licensed Social Workers
Elizabeth Aparicio, Lynn M. Michalopoulos, and George J. Unick
Vicarious trauma (VT) involves affective distress and shifts in cognitive schemas following
secondary exposure to traumatic material. The Vicarious Trauma Scale (VTS) is a brief mea-
sure designed to assess distress resulting from such exposure and has potential as a screening
tool for VT in practice and educational settings. The current study is the first examination
of the psychometric properties of the VTS in a sample of social workers (n = 157) collected
in a cross-sectional survey. Results from item response models (IRM) and confirmatory fac-
tor analysis (CFA) suggest the VTS has good to excellent psychometric properties and could
be a general screening tool for exposure to traumatic material or distressed clients and a mea-
sure of the affective and cognitive impact of such exposure. Both CFA and IRM approaches
suggest a two-dimensional solution for the VTS, corresponding to cognitive and affective
components. Implications for research and applications to practice are discussed.
KEY WORDS: factor analysis; item response models; psychometric analysis; social workers; vicarious trauma
I
n the line of duty, social workers are fre-
quently exposed to secondary traumatic mate-
rial disclosed by their clients, thereby
increasing their risk for developing vicarious
trauma (VT; see Lerias & Byrne, 2003, for a review
of risk factors associated with VT). Since the term
“vicarious traumatization” was introduced by
McCann and Pearlman (1990), research on the sec-
ondary impact of trauma—particularly among
helping professionals who work with clients who
have experienced trauma—has demonstrated the
potential adverse and long-term effects on mental
health, relationships, and worldview (for example,
Arnold, Calhoun, Tedeschi, & Cann, 2005;
Regehr, Hemsworth, Leslie, Howe, & Chau,
2004; Schauben & Frazier, 1995). Addressing the
clinical risks of working with trauma survivors
demands our attention (Arnold et al., 2005), both
for the clinicians’ sake and to help ensure ethical,
high-quality treatment for clients (Harrison &
Westwood, 2009). Previous studies have focused
on a wide range of mental health providers; how-
ever, the current study is related specifically to VT
in social workers. Although VT seems an impor-
tant construct related to social work, few studies of
VT in social workers exist (for example, Adams,
Matto, & Harrington, 2001). This study seeks to
examine the psychometric properties and practical
utility of the Vicarious Trauma Scale (VTS)
(Vrklevski & Franklin, 2008), a brief measure of
VT, on a community sample of licensed social
workers.
DEVELOPMENT AND IMPACT OF VICARIOUS
TRAUMA
VT involves both affective and cognitive compo-
nents resulting from chronic and cumulative expo-
sure to secondhand traumatic material (see
Pearlman & Saakvitne, 1995, for their work on
theory related to VT). Without integration of the
traumatic material (that is, making meaning of the
experience relative to other personal events in
one’s history), VT is associated with symptoms
similar to those of posttraumatic stress disorder,
such as re-experiencing the details and avoidance
of the traumatic material, as well as symptoms of
depression (Regehr et al., 2004). Furthermore, VT
involves cognitive shifts in the social worker’s
frame of reference, including disturbances in iden-
tity, spirituality, and worldview, as well as changes
in self-perception, ego resources, and psychological
needs (Canfield, 2005; Pearlman & Saakvitne,
1995). VT can be distinguished from related phe-
nomena—such as secondary traumatic stress that
doi: 10.1093/hsw/hlt017 © 2013 National Association of Social Workers 199