Occupational post-traumatic stress disorder: an updated systematic review

Lee, Wanhyung; Lee, Yi Ryoung; Yoon, Jin Ha; Lee, Hye Ji; Kang, Mo‐Yeol

doi:10.1186/s12889-020-08903-2

Cited by 26 publications

(31 citation statements)

References 42 publications

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“…The results also indicated that exposure to traumatic event as a risk feature of occupational stress. Exposure to traumatic events in the workplace is common, and traumatic events may result in psychosomatic disorders (Lee et al 2020 ). In our study, the results showed that the medical workers who had experienced traumatic events the expected risk of developed occupational stress was 65.3%.…”

Section: Discussionmentioning

confidence: 99%

Identifying the risk features for occupational stress in medical workers: a cross-sectional study

Sun

Zhang

et al. 2021

Int Arch Occup Environ Health

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Objective Occupational stress is considered a worldwide epidemic experienced by a large proportion of the working population. The identification of characteristics that place people at high risk for occupational stress is the basis of managing and intervening in this condition. In this study, we aimed to identify and validate the risk features for occupational stress among medical workers using a risk model and nomogram. Methods This cross-sectional study included 1988 eligible participants from Henan Province in China. Occupational stress and worker-occupation fit were measured with the Depression, Anxiety and Stress Scales (DASS-21) and Worker-Occupation Fit Inventory (WOFI). The identification of risk features was achieved through constructing multiple logistic regression model, and the risk features were used to develop the risk model and nomogram. Receiver operating characteristic (ROC) curves and calibration plots were generated to assess the effectiveness and calibration of the risk model. Results Among 1988 participants in our study, there were 42.5% (845/1988) medical workers experienced occupational stress. The risk features for occupational stress included poor work-occupation fit (WOF score < 25, expected risk: 77.3%), nurse population (expected risk: 63.1%), male sex (expected risk: 67.2%), work experience duration of 11–19 years (expected risk: 54.5%), experience of a traumatic event (expected risk: 65.3%) and the lack of a regular exercise habit (expected risk: 60.2%). For medical workers who have these risk features, the expected risk probability of occupational stress would be 90.2%. Conclusion The current data can be used to identify medical workers at risk of developing occupational stress. Identifying risk features for occupational stress and the work-occupation fit can support hierarchical stress management in hospitals. Supplementary Information The online version contains supplementary material available at 10.1007/s00420-021-01762-3.

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Section: Discussionmentioning

confidence: 99%

Identifying the risk features for occupational stress in medical workers: a cross-sectional study

Sun

Zhang

et al. 2021

Int Arch Occup Environ Health

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“… 8 Another more recent review identified a number of occupational groups, including healthcare workers, police officers, prison workers and emergency personnel, with an increased risk of PTSD. 9 Also, various specific work-related exposures (ie, exposures to situations or conditions at work that may have an effect on PTSD) and their association with PTSD have been reported. 7 This included traumatic events experienced by military personnel and first responders (eg, police officers or fire fighters).…”

Section: Introductionmentioning

confidence: 99%

What work-related exposures are associated with post-traumatic stress disorder? A systematic review with meta-analysis

Coenen

Molen

2021

BMJ Open

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ObjectivesAlthough there is evidence that work-related exposures cause post-traumatic stress disorder (PTSD), there are few quantitative studies assessing the degree to which these factors contribute to PTSD. This systematic review with meta-analysis identified work-related exposures associated with PTSD, and quantified their contribution to this disorder.MethodsWe searched Medline, PsycINFO, Embase, PILOTS and Web of Science (2005–10 September 2019) for longitudinal studies on work-related exposures and PTSD. We described included articles, and conducted meta-analyses for exposures with sufficient homogeneous information. We performed subgroup analyses for risk of bias, study design and PTSD ascertainment. We assessed evidence quality using Grades of Recommendations, Assessment, Development and Evaluation, and estimated population attributable fractions.ResultsAfter screening 8590 records, we selected 33 studies (n=5 719 236). From what was moderate quality evidence at best, we identified various work-related exposures that were associated with PTSD, mainly involving individuals in the military and first responder (eg, police or fire brigade) occupations. These exposures included the number of army deployments (OR: 1.15 (95% CI 1.14 to 1.16)), combat exposure (OR 1.89 (95% CI 1.46 to 2.45)), army deployment (OR 1.79 (95% CI 1.45 to 2.21)) and confrontation with death (OR 1.63 (95% CI 1.41 to 1.90)). Effects were robust across subgroups and exposures attributed modestly (7%–34%) to PTSD. We identified additional exposures in other occupations, including life threats, being present during an attack, and hearing about a colleague’s trauma.ConclusionsWe identified various work-related exposures associated with PTSD and quantified their contribution. While exposure assessment, PTSD ascertainment and inconsistency may have biased our findings, our data are of importance for development of preventive interventions and occupational health guidelines.

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“…3,4 Workers who experience poor working conditions, severe injuries, have a history of mental disorder, psychiatric symptoms at the time of the event, and experience a lack of resilience and social support are particularly at risk for PTSD. 5,6 The prevalence of PTSD among emergency care workers has been estimated to be between 10 and 17%, which is higher than the overall population (approximately 6.8%). 7 If PECWs are not supported to deal with PTSD, delays in treatment could further escalate.…”

Section: Introductionmentioning

confidence: 99%

Extent of post-traumatic stress disorder among Eastern Cape emergency care workers in the public health care sector

Visagie

Tonder

Prinsloo

et al. 2021

SAJPEC

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Background: Pre-hospital emergency care workers (PECWs) often struggle to cope with an increasingly hostile environment while on duty. As a result, the prevalence of post-traumatic stress disorder (PTSD) amongst PECWs is on the rise and negatively affects their ability to treat patients. Further, PTSD could cloud PECWs' clinical decision-making and judgement. This ultimately places strain on emergency care department's resources and directly affects patient care and service delivery. The aim of the study was to determine the extent to which PECWs experience PTSD symptoms in Nelson Mandela Bay (NMB). Methods: A quantitative design and convenience sampling method were used. The research population for this study was all operational PECWs employed by the Eastern Cape Department of Health within the emergency medical services (EMS) in NMB. Data were collected by means of a self-administered questionnaire comprising two sections; the first section focused on respondent's demographic information, and the second section was a validated PTSD questionnaire. Descriptive and inferential statistics were reviewed using Microsoft Excel. Results: Sixty-eight PECWs took part in the study. It was identified that of the 68 respondents, 41 (60.3%) showed symptoms of PTSD and could possibly be diagnosed with PTSD. The mean PTSD score was 42.01 ±17.35, ranging in the category of 'possible diagnosis of PTSD'. The highest mean PTSD scores were reported among respondents who identified themselves as female (p < 0.001). Those within the age category of 51-60 years, those who were Advanced Life Support (ALS) practitioners, and those with 20 years or more work experience also had high mean PTSD scores. Conclusion: PTSD remains a burden on both the individual and the organisation employing the individual. This study highlighted that many PECWs employed in the Eastern Cape public health care sector showed symptoms and could be diagnosed with PTSD, with female PECWs being at the highest risk.

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Occupational post-traumatic stress disorder: an updated systematic review

Cited by 26 publications

References 42 publications

Identifying the risk features for occupational stress in medical workers: a cross-sectional study

Identifying the risk features for occupational stress in medical workers: a cross-sectional study

What work-related exposures are associated with post-traumatic stress disorder? A systematic review with meta-analysis

Extent of post-traumatic stress disorder among Eastern Cape emergency care workers in the public health care sector

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