PurposeThough working in the ambulance service implies persistent confrontation with human suffering and exposure to significant work-related stressors, previous research revealed comparatively low self-reported stress in paramedics. This study investigated stress, personality traits, sensation seeking and resilience in paramedics. Moreover, the impact of psychological variables on individual differences in paramedics' stress burden was explored.Design/methodology/approachA convenience sample of 395 paramedics and 397 professionals from other disciplines completed the Perceived Stress Questionnaire, Stress Coping Style Questionnaire, Big Five Inventory, Sensation Seeking Scale and Resilience Scale. Multivariate group comparison and regression analysis were performed.FindingsCompared to other professionals, paramedics reported lower stress burden, more positive and less negative coping strategies, lower neuroticism and higher extraversion, conscientiousness, openness, agreeableness, adventure seeking and resilience. In the regression analysis conducted on paramedics, positive coping, resilience, extraversion and conscientiousness negatively predicted perceived stress; negative coping and neuroticism were positive predictors.Research limitations/implicationsThe cross-sectional design of the study limits the interpretability of the data.Practical implicationsTraining in stress management and resilience should be core elements in the education of paramedics.Originality/valueThe findings confirm the notion of reduced stress burden and increased resilience in paramedics. Regarding personality traits, a pattern of emotional stability, conscientiousness, extraversion, prosocial attitudes and propensity to exciting experiences might characterize this group. Moreover, the use of adaptive coping strategies, high levels of resilience, extraversion and conscientiousness and low neuroticism are associated with lower stress burden in paramedics.

Background and aimsWhile social interactions like verbal support and physical touch have repeatedly been shown to reduce experimental pain, analgesic effects of passive social support, i.e. the sole physical presence of a supportive other, remain unclear. Moreover, little is known about individual factors influencing the extent of pain attenuation during social support. This study investigated analgesic effects of passive support by a romantic partner and the role of partner empathy therein.MethodsIn 48 heterosexual couples, sensitivity to pressure pain was assessed; each participant was tested alone and in the passive presence of his/her partner. Dispositional empathy was quantified by a questionnaire.ResultsIn the presence, as compared to absence, of their partners men and women exhibited higher pain threshold and tolerance, as well as lower sensory and affective pain ratings on constant pressure stimuli. Partner empathy was positively associated with pain tolerance and inversely associated with sensory pain experience.ConclusionsThe results confirm the analgesic effects of social support, which may even occur without verbal or physical contact. Partner empathy may buffer affective distress during pain exposure, thereby reducing pain sensitivity and promoting pain coping. These processes may occur solely due to a partner’s physical presence and do not necessarily require direct empathetic feedback.

Major depressive disorder (MDD) severely affects patients' psychosocial function and quality of life and causes significant socioeconomic burden (Paykel, Brugha, & Fryers, 2005). The lifetime prevalence of MDD is estimated at 20%, with approximately two thirds of patients experiencing recurrent episodes or a chronic course (Kessler et al., 2010). The vast impact of the disorder on public health is reflected by its recognition as the major cause of disability worldwide (WHO, 2017). Abnormalities in autonomic nervous system activity are considered an important factor in

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Abstract. This study investigated cardiovascular variability and stress reactivity in major depressive disorder (MDD). While previous research has documented reduced heart rate variability, knowledge about blood pressure variability in MDD remains scarce. Regarding reactivity, a particular focus was placed on the time courses of the cardiovascular responses, which may provide insight into the autonomic mechanisms underlying the hypo-reactivity expected in MDD. In 76 MDD patients and 71 healthy controls, blood pressure was continuously recorded at rest and during mental stress induced by a 3-min serial subtraction task. Compared to controls, patients exhibited lower systolic and diastolic blood pressure, heart rate variability, and systolic and diastolic blood pressure variability. Moreover, smaller stress-related changes in heart rate, systolic and diastolic blood pressure, and sensitivity of the cardiac baroreflex arose in patients. Cardiovascular parameters did not differ between patients using antidepressants and unmedicated patients. According to time-course analysis, reduced hemodynamic modulations in MDD mainly occurred after 50 s of the stress period. Low heart rate variability in MDD reflects deficient top-down integration of the brain mechanisms allowing flexible autonomic and behavioral control; diminished blood pressure variability is indicative of poor homeostatic capacity with respect to the regulation of blood pressure and organ perfusion. Moreover, blunted cardiovascular reactivity implies poor adjustment of energetic resources to internal and environmental demands and may be a correlate of deficient motivational dynamics characterizing MDD. While cardiovascular hypo-reactivity in MDD may be mediated by baroreflex and adrenergic mechanisms, the fast-acting parasympathetic system may play a subordinate role.