Postdisaster psychosocial intervention: a field study of the impact of debriefing on psychological distress

doi:10.1176/ajp.154.3.415

Cited by 140 publications

(18 citation statements)

References 5 publications

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“…A case of burnout was defined as an individual with high scores for both emotional exhaustion (score ≥27) and depersonalisation (score ≥10) [21]. For PTSD, the cut-off score of 26 or higher was used because people are then suspected to suffer from PTSD [30]. For work-related fatigue, people with scores higher than 54.5 are considered to have high work-related fatigue [31].…”

Section: Methodsmentioning

confidence: 99%

The prevalence of common mental disorders among hospital physicians and their association with self-reported work ability: a cross-sectional study

Ruitenburg

Frings‐Dresen

Sluiter

2012

BMC Health Serv Res

146

127

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BackgroundWe studied the prevalence of common mental disorders among Dutch hospital physicians and investigated whether the presence of a mental disorder was associated with insufficient self-reported work ability.MethodsA questionnaire was sent to all (n = 958) hospital physicians of one academic medical center, using validated scales to assess burnout, work-related fatigue, stress, posttraumatic stress disorder (PTSD), anxiety and depression. Furthermore, respondents were asked to rate their current work ability against the work ability in their own best period (adapted version of the first WAI item). The prevalence of each common mental disorder was calculated. In addition, odds ratios of reporting insufficient work ability for subjects with high complaint scores compared to physicians with low complaint scores were calculated for each mental disorder.ResultsThe response rate was 51%, and 423 questionnaires were eligible for analysis. The mental disorder prevalence rates were as follows: work-related fatigue 42%, depression 29%, anxiety 24%, posttraumatic stress complaints 15%, stress complaints 15% and burnout 6%. The mean score for self-reported work ability was 8.1 (range 0–10), and 4% of respondents rated their own work ability as insufficient. Physicians with high mental health complaints were 3.5- for fatigue, 5.6- for PTSD, 7.1- for anxiety, 9.5- for burnout, 10.8- for depression and 13.6-fold for stress more likely to report their work ability as insufficient.ConclusionsThe prevalence of common mental disorders among hospital physicians varied from 6% for burnout to 42% for work-related fatigue. Those physicians with high complaints had significantly 4- to 14 times increased odds of reporting their own work ability as insufficient. This work suggests that to ensure future workers health and patients safety occupational health services should plan appropriate intervention strategies.

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Section: Methodsmentioning

confidence: 99%

The prevalence of common mental disorders among hospital physicians and their association with self-reported work ability: a cross-sectional study

Ruitenburg

Frings‐Dresen

Sluiter

2012

BMC Health Serv Res

146

127

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show abstract

“…Van der Ploeg et al [59] found a Cronbach's alpha of 0.94 in a work-related sample. A cut-off point of ≥26 is applied [60]. …”

Section: Methodsmentioning

confidence: 99%

The Mental Vitality @ Work study: design of a randomized controlled trial on the effect of a workers' health surveillance mental module for nurses and allied health professionals

et al. 2011

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BackgroundEmployees in health care service are at high risk for developing mental health complaints. The effects of mental health complaints on work can have serious consequences for the quality of care provided by these workers. To help health service workers remain healthy and productive, preventive actions are necessary. A Workers' Health Surveillance (WHS) mental module may be an effective strategy to monitor and promote good (mental) health and work performance. The objective of this paper is to describe the design of a three arm cluster randomized controlled trial on the effectiveness of a WHS mental module for nurses and allied health professionals. Two strategies for this WHS mental module will be compared along with data from a control group. Additionally, the cost effectiveness of the approaches will be evaluated from a societal perspective.MethodsThe study is designed as a cluster randomized controlled trial consisting of three arms (two intervention groups, 1 control group) with randomization at ward level. The study population consists of 86 departments in one Dutch academic medical center with a total of 1731 nurses and allied health professionals. At baseline, after three months and after six months of follow-up, outcomes will be assessed by online questionnaires. In both intervention arms, participants will complete a screening to detect problems in mental health and work functioning and receive feedback on their screening results. In cases of impairments in mental health or work functioning in the first intervention arm, a consultation with an occupational physician will be offered. The second intervention arm offers a choice of self-help e-mental health interventions, which will be tailored based on each individual's mental health state and work functioning. The primary outcomes will be help-seeking behavior and work functioning. Secondary outcomes will be mental health and wellbeing. Furthermore, cost-effectiveness in both intervention arms will be assessed, and a process evaluation will be performed.DiscussionWhen it is proven effective compared to a control group, a WHS mental module for nurses and allied health professionals could be implemented and used on a regular basis by occupational health services in hospitals to improve employees' mental health and work functioning.Trial RegistrationNTR2786

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“…Significant research has been done on the psychosocial factors of stress tolerance and resilience building (Duryea et al, 1990; Chemtob et al, 1997; Pietrzak et al, 2010). Cognitive processes, personality traits, and active coping mechanisms, among others, contribute to resilience.…”

Section: Psychological Factors In Resiliencementioning

confidence: 99%

Understanding resilience

eWu

eFeder

eCohen

et al. 2013

Front. Behav. Neurosci.

463

412

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Resilience is the ability to adapt successfully in the face of stress and adversity. Stressful life events, trauma, and chronic adversity can have a substantial impact on brain function and structure, and can result in the development of posttraumatic stress disorder (PTSD), depression and other psychiatric disorders. However, most individuals do not develop such illnesses after experiencing stressful life events, and are thus thought to be resilient. Resilience as successful adaptation relies on effective responses to environmental challenges and ultimate resistance to the deleterious effects of stress, therefore a greater understanding of the factors that promote such effects is of great relevance. This review focuses on recent findings regarding genetic, epigenetic, developmental, psychosocial, and neurochemical factors that are considered essential contributors to the development of resilience. Neural circuits and pathways involved in mediating resilience are also discussed. The growing understanding of resilience factors will hopefully lead to the development of new pharmacological and psychological interventions for enhancing resilience and mitigating the untoward consequences.

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Postdisaster psychosocial intervention: a field study of the impact of debriefing on psychological distress

Cited by 140 publications

References 5 publications

The prevalence of common mental disorders among hospital physicians and their association with self-reported work ability: a cross-sectional study

The prevalence of common mental disorders among hospital physicians and their association with self-reported work ability: a cross-sectional study

The Mental Vitality @ Work study: design of a randomized controlled trial on the effect of a workers' health surveillance mental module for nurses and allied health professionals

Understanding resilience

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