Search results

The purpose of this paper is to describe risk and protective factors for symptoms of post-traumatic stress disorder (PTSD) experienced over a 1.5-year period among both frontline and “non-traditional” responders to the 2010 and 2011 earthquakes in Christchurch, New Zealand.

A longitudinal survey administered to Christchurch workers with referents from the city of Hamilton at 6, 12 and 18 months after the 2011 earthquake. Potential risk and protective determinants were assessed by questionnaire items at baseline and over time, the outcome being PTSD as assessed by the PTSD Checklist-Civilian version. A longitudinal latent class analysis identified groups with similar trajectories of PTSD.

A total of 226 individuals, 140 (26 per cent) from Christchurch and 86 (16 per cent) from Hamilton, participated at baseline, 180 at 12 and 123 at 18 months, non-traditional responders forming the largest single group. Two latent classes emerged, with PTSD (21 per cent) and without PTSD (79 per cent), with little change over the 18-month period. Class membership was predicted by high scores in the Social Support and Impact of Events scale items, Health-related Quality of Life scores being protective. PTSD scores indicative of distress were found in females, and predicted by burnout risk, behavioural disengagement and venting.

Non-traditional responders should be screened for PTSD. Social support should be considered with the promotion of adaptive coping mechanisms.

The strength was longitudinal follow-up over an 18-month period, with demonstration of how the potential determinants influenced the course of PTSD over time.

The purpose of this paper is to provide a review of the literature with respect to traumatic stress in a firefighting context. The goal was to provide a clear and concise review intended for use by both researchers and practitioners. Firefighters are an under-researched group in the academic literature and updated review articles are necessary to advance this body of work.

Searches of the English language literature on firefighters and traumatic stress were completed and supplemented with a review of clinical information related to post-traumatic stress disorder (PTSD). The search was comprehensive but was not guided by systematic review guidelines.

Research regarding firefighters and traumatic stress is limited and inconsistent in outcome. Much of the available literature supports a link between fire service work and increased post-traumatic symptomatology; however, some research has neglected to demonstrate a relationship for these factors. Some efforts such as the training of coping skills and team building may improve firefighters’ resilience to PTSD, while therapeutic and psychopharmacological treatments may be effective in reducing PTSD progression.

To the authors’ knowledge, no previous paper is available that has specifically intended to address firefighters and traumatic stress in a review format for researchers and practitioners. In the authors’ experience, fire service members are eager for literature addressing their profession and presented in a manner accessible for both non-academic and academic audiences.

Post-traumatic stress disorder (PTSD) affects both civilian and military populations following wartime experiences. However, despite an abundance of research investigating civilian and military populations separately, much less focus has been given to synthesizing and integrating findings to describe how civilian and military war survivors are comparatively affected by PTSD. This review is broken down into three sections covering (1) risk factors associated with PTSD, (2) relationships between PTSD and mental health outcomes, and (3) protective factors that can attenuate PTSD and its effects. Each section covers findings for civilians and military personnel and highlights similarities and differences between groups.

Background: Post‐traumatic stress disorder (PTSD) is over represented in the prisoner population and is predictive of violence and suicide. This raises issues in relation to prisoner management, as well as theoretical issues such as why there is a range of vulnerability for PTSD. The current study examines the relationship between PTSD and personality profiles of prisoners. Method: Data from 1305 participants in the NSW survey of health in prisoners are examined to identify relationships between personality profiles derived from the Temperament and Character Inventory (TCI) and PTSD. Participants are grouped as experiencing no trauma; with a trauma history but no PTSD; and being diagnosed with PTSD. A logistic regression modelled significant predictors of PTSD. These data indicated that women prisoners report PTSD at twice the rate of males. An increased risk for PTSD is associated with high Harm Avoidance, low Self‐Directedness, high Persistence and high Self‐Transcendence. Conclusions: A combination of both temperament and character traits influences the trajectory towards PTSD development. Targeted treatment of these traits is needed in addressing the problems of prisoners with PTSD and managing the associated risks of violence and suicide.

Unaccompanied refugee minors (URMs) are known to be subjected to several potentially traumatic life events, risking more mental health problems than other populations of same age. Evidence concerning the mental health of Eritrean URMs in Ethiopia is scarce. This paper aims to present an estimate of probable posttraumatic stress disorder (PTSD) within this group and describes its associations with traumatic life events and participants’ characteristics.

This cross-sectional quantitative study surveyed a random sample of 384 Eritrean URMs, aged 12–17 years, in the Shimelba refugee camp. The Stressful Life Events (SLE) questionnaire and the Reactions of Adolescents to Traumatic Stress (RATS) questionnaire were used to assess traumatic events and PTSD symptoms, respectively. Descriptive statistics, the chi-square test with the odds-ratio and stepwise regression were used to analyze data.

Large proportions of the URMs had experienced traumatic events including physical abuse (261, 68%), separation from family against will (240, 62.5%), a stressful life event in which they were in danger (198, 51.6%), and important changes in family life (196, 51%). About 38% of the URMs met the criteria for classifying probable PTSD diagnosis, suggesting that they are likely to have PTSD. The odds-ratio statistic revealed that girls and the oldest age group (15–17 years) were at a greater risk for PTSD. The total score on the SLE appeared to be the robust predictor, explaining 28% of the variance in RATS total scores.

Self-report questionnaires used in this study yield less diagnostic information than extensive interviews. Additional information should be collected from the viewpoint of significant adults (caregivers/ teachers). Such information would be crucial in assessing the degree of impairment in daily functioning and the severity of the symptoms.

Awareness of the stressful experiences and the mental health status of the URMs has implications for taking preventive and curative measures to provide a broad range of intervention programs and psychosocial support.

The purpose of the study was to assess the relationship between child sexual abuse (CSA) and posttraumatic stress disorder (PTSD) in female inmates in China. A total of 471 participants were assessed for CSA, personality traits, coping strategies, and frequency of lifetime PTSD. Results demonstrated that CSA and negative coping were predictive factors for lifetime PTSD among female inmates after personality traits were controlled. The findings suggest that CSA is one potential factor contributing to lifetime PTSD among female inmates. The importance of screening for CSA among female inmates was highly emphasized. Early intervention and prevention programmes based on coping skills may be useful to forestall the development of chronic PTSD in female inmates.

The purpose of this paper is to analyze factors associated with post-traumatic stress disorder (PTSD) among elderly who live in a post-earthquake area.

This was a cross-sectional study involving 152 elder people who survived the disaster and were selected conveniently. The study was conducted in two worst-affected districts of Lombok Utara regency. PTSD was diagnosed using a modified version of the Clinician-Administered PTSD Scale version 5 (CAPS-5). The demographic data were assessed using a self-developed questionnaire consisting of 13 items. All data were analyzed by descriptive analysis, χ² test and binary logistic regression with p<0.05.

Out of the 152 elder people, 91 (59.9 percent) suffered PTSD. Intrusion symptoms were the most common symptoms experienced by the respondents (94.1 percent). The factors associated with the PTSD in the elderly after the earthquake were having chronic illnesses (OR=2.490; 95% CI=1.151–5.385), public health center utilization (OR=2.200; 95% CI=1.068–4.535) and occupational status before the disaster (OR=2.726; 95% CI=1.296–5.730). These findings highlight that individual factors and access to health care services remain an important aspect of stress identification among the elderly following the disaster event.

Elder people constitute a vulnerable group that is often forgotten and neglected during post-disaster recovery, though they have potentially higher psychosocial distress than younger age groups. This study was conducted to raise awareness about mental health problems suffered by the elderly.

This is the first study to apply CAPS-5 to assess PTSD among Indonesian elderly people following a natural disaster. This paper also provides insights that can be used by governments and other relevant parties to address PTSD problems suffered by many elderly people in a post-disaster area.

This study aims to view police mental and physical health and overall well-being through a victimological lens so as to attempt to prevent problems from starting or protecting them by informing them of what may occur within their career.

Knowledge production within the field of police health and career implications is exponentially increasing as officers all over the world try and sometimes fail to navigate the difficulties of their complex career choice. Many of the disciplines that deal with this research are acting as silos, so there is not a lot of crossover in Australian literature. This study creates a contemporary collective of literary evidence in relation to police well-being as well as the impact of COVID on them. Creating this collective is why the literature review as a research method is critical. Traditional literature reviews can lack clear process. By using a literature review as a specific methodology, the outcome is a meticulous record of all relevant materials.

The results of this literature review identified, without bias or interpretation, many officers became disillusioned, mentally unwell and took time away from work for two main reasons: (1) for many police officers, the substantial distress from cumulative exposure to bureaucratic administration and management styles, erratic work hours and long hours of repetitive work and (2) the dangers of day-to-day policing with the presence at fatal accidents, suicides, receiving threats to life, being assaulted and gaining poor eating and drinking habits creating issues for sleep and physical health.

For the purposes of creating a contemporary paper, the authors restricted the sample of literature to 22 years (accessing from 2,000 onward). By only selecting journals from Google Scholar, relating to specific years and drawing on search terms to limit our search, it may be perceived to have skewed the sample and the outcomes. Further work will be completed in the future to correct this.

Police organisations may consider altering their bureaucratic procedures and make an effort to allow officers to better self-manage minor issues. From a victimological perspective, given that police officers are more than likely to be affected by cumulative experience of traumatic events over their career, they should be taught how to lower their individual levels of stress, to practice self-care and to be able to trust that the care they seek will be readily available without judgement.

Knowing the triggers related to police breakdown, both physically and mentally, may help intervene in the early years to prevent The extremes of policing range from being faced with overwhelming paperwork and administration to acute trauma events and can leave the officer dealing with cumulative stress in all its guises. Allowing a judgment free public debate into this issue will assist police (and other emergency service works) in the future.

Viewing police officers as victims of their career choice is not common and reviewing the factors that impact them on a daily basis and throughout their career is critical for both prevention and understanding. This paper has value to numerous disciplines.

The purpose of this paper is to investigate the predispositional hypothesis related to the “rescue personality” and the mental health of firefighter recruits.

This study compared responses to a written set of personality and mental health measures between firefighter recruits and non-rescue comparison participants – individually matched based on age, gender, ethnicity, and marital status. Data analysis involved statistical one-way between subjects analyses of variance complemented with epidemiological paired odds ratio calculations.

The results indicated that firefighter recruits self-reported as less open to experience, less neurotic, and less Type A. They also self-reported as less likely to report somatization, hostility, and posttraumatic stress symptomatology than comparison participants. Recruits were higher in extraversion and conscientiousness, but indicated no differences in perceptions of risk or sensation-seeking behaviour.

The present study contributes to the literature on firefighter recruits and provides some initial data regarding personality of those attracted to the fire services, as well as information about the mental health of firefighters prior to service. Mitchell’s “rescue personality” was partly supported and evidence was provided suggesting that new recruits have strong self-perceived mental health.

The purpose of this paper is to examine the role that psychological screening and surveillance can take in improving the delivery of psychological support to emergency service responders (ESRs) at a time of increasing demands and complexity.

The study aims to present and discuss the use of psychological screening and surveillance of trauma exposed emergency service workers.

The evidence supports the use of psychological screening and surveillance using appropriate validated questionnaires and surveys.

The findings suggest that emergency services should be using psychological screening and surveillance of ESRs in roles where there is high exposure to traumatic stress.

These findings will help emergency service organisations to recognise how psychological screening and surveillance can be used as part of a wider programme of well-being support. This approach can also help them meet their legal health and safety obligations to protect the psychological health and well-being of their ESRs.