PTSD, burnout and well-being among rescue workers: Seeking to understand the impact of the European refugee crisis on rescuers

Chatzea, Vasiliki-Eirini; Sifaki-Pistolla, Dimitra; Vlachaki, Sofia-Aikaterini; Melidoniotis, Evangelos; Pistolla, Georgia

doi:10.1016/j.psychres.2017.09.022

Cited by 46 publications

(41 citation statements)

References 31 publications

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“…The risk factors of PTSD among workers on duty after earthquake were as follows: injury, experience with water shortage, disconnection from family and friends during the response, having passive coping styles, exhibiting neurotic personalities in case of Chinese medical rescue workers [19], lower education status, and resilience in case of Japanese rescue workers [20]. The risk factors of PTSD among workers on duty during the European refugee crisis were as follows: marital status (single/divorced/widower), age, long operation period (> 14 days, aOR = 2.3; 1.4-3.2), long shift hours (> 4 h/day, aOR = 3.9; 3.1-4.7), and handling dead refugees (> 6 refugees, aOR = 3.4; 2.3-4.5) and dead children (> 1 children, aOR = 3.2; 1.9-4.4) [21,22]. One study conducted on first responders suggested that the variety of exposure and the frequency of exposure were associated with PTSD [23].…”

Section: Risk Factors Of Ptsd Among Workersmentioning

confidence: 99%

Occupational post-traumatic stress disorder: an updated systematic review

Lee

Yoon

et al. 2020

BMC Public Health

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Background: Although numerous studies on occupational post-traumatic stress disorder (PTSD) have been conducted prior to the 1950-2010 seminal systematic review by Skogstad et al., the prevalence, risk factors, and impact of this disorder following traumatic events in occupational settings remain unclear. This study aims to address this knowledge gap by reviewing the literature published after 2010. Methods: We reviewed literature from databases such as PubMed and Google Scholar using PRISMA guidelines to identify studies that address occupational PTSD and examined the status (prevalence or incidence), the risk factors, and the health effects of PTSD among workers. Results: In total, 123 articles were identified, and finally, 31 (25.2%) articles were selected after excluding duplicates. Various occupational traumatic physical events were reported such as natural or manmade disaster, explosion, accident, handling refugee corpses, or bullying at work. Risk of PTSD was closely associated with working conditions, severity of injury, history of mental disorder, occurrence of psychiatric symptoms at the time of the event, personality, interpersonal relationships, etc. Workers with PTSD were likely to experience a deterioration of physical and psychological health and impairment of social and occupational functioning. Conclusions: Our review suggests that many workers remain highly vulnerable to occupational PTSD and its consequences.

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Section: Risk Factors Of Ptsd Among Workersmentioning

confidence: 99%

Occupational post-traumatic stress disorder: an updated systematic review

Lee

Yoon

et al. 2020

BMC Public Health

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“…Until recently, relatively few studies have examined the association between burnout and firefighters’ mental health in Korea [22]. Therefore, we investigated the association between burnout due to work-related stress and the risk of PTSD in firefighters.…”

Section: Introductionmentioning

confidence: 99%

Effect of Burnout on Post-traumatic Stress Disorder Symptoms Among Firefighters in Korea: Data From the Firefighter Research on Enhancement of Safety & Health (FRESH)

Kim

Bae

Chang

et al. 2019

J Prev Med Public Health

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It is well-known that post-traumatic stress disorder (PTSD) among firefighters contributes to their job-related stress. However, the relationship between burnout and PTSD in firefighters has rarely been studied. This study therefore explored the association between burnout and its related factors, such as trauma and violence, and PTSD symptoms among firefighters in Korea. Methods: A total of 535 firefighters participated in the Firefighter Research on Enhancement of Safety & Health study at 3 university hospitals from 2016 to 2017. The 535 participants received a baseline health examination, including questionnaires assessing their mental health. A Web-based survey was also conducted to collect data on job-related stress, history of exposure to violence, burnout, and trauma experience. The associations among burnout, its related factors, and PTSD symptoms were investigated using structural equation modeling. Results: Job demands (β =0.411, p<0.001) and effort-reward balance (β =-0.290, p<0.001) were significantly related to burnout. Burnout (β=0.237, p<0.001) and violence (β=0.123, p=0.014) were significantly related to PTSD risk. Trauma (β=0.131, p=0.001) was significantly related to burnout; however, trauma was not directly associated with PTSD scores (β=0.085, p=0.081). Conclusions: Our results show that burnout and psychological, sexual, and physical violence at the hands of clients directly affected participants' PTSD symptoms. Burnout mediated the relationship between trauma experience and PTSD.

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“…Pre-departure psycho-educational training, as well as periodically organized psychological support sessions, might be essential for the prevention and mitigation of psychiatric morbidity in caregivers in refugee hotspots [119,120,121]. …”

Section: Impact Of the Refugee Crisis On The Well-being Of Rescue mentioning

confidence: 99%

Impact of the Refugee Crisis on the Greek Healthcare System: A Long Road to Ithaca

Kotsiou

Kotsios

Srivastava

et al. 2018

IJERPH

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Greece is the country of “Xenios Zeus”, the Ancient Greek god of foreigners and hospitality; however, it is also the main point of entry to Europe. Since the beginning of 2014, 1,112,332 refugees crossed the borders of Greece. Overall, 33,677 children and adolescent refugees sought asylum in Greece from 2013 to 2017, while 57,042 refugees are currently being hosted. The rapid entry of refugees into Greece raised the critical issue of health policy. The Greek National Health Service (NHS) faces many challenges. Adequate economic and human support is essential if this situation is to be managed successfully. However, Greece still bears the burden of the economic downturn since 2009. In fact, the crisis led to shortages in crucial equipment, and unmet health needs for both locals and refugees. The NHS deals with traumatic experiences, as well as cultural and linguistic differences. Overcrowded reception centers and hotspots are highly demanding and are associated with severe disease burden. This highlights the importance of guidelines for medical screening, healthcare provision, and a well-managed transition to definitive medical facilities. Furthermore, non-governmental organizations make an essential contribution by ensuring appropriate support to refugee minors, especially when they experience poor access to the NHS.

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PTSD, burnout and well-being among rescue workers: Seeking to understand the impact of the European refugee crisis on rescuers

Cited by 46 publications

References 31 publications

Occupational post-traumatic stress disorder: an updated systematic review

Occupational post-traumatic stress disorder: an updated systematic review

Effect of Burnout on Post-traumatic Stress Disorder Symptoms Among Firefighters in Korea: Data From the Firefighter Research on Enhancement of Safety & Health (FRESH)

Impact of the Refugee Crisis on the Greek Healthcare System: A Long Road to Ithaca

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