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1

Wild, J., K. V. Smith, E. Thompson, F. Béar, M. J. J. Lommen, and A. Ehlers. "A prospective study of pre-trauma risk factors for post-traumatic stress disorder and depression." Psychological Medicine 46, no. 12 (2016): 2571–82. http://dx.doi.org/10.1017/s0033291716000532.

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BackgroundIt is unclear which potentially modifiable risk factors best predict post-trauma psychiatric disorders. We aimed to identify pre-trauma risk factors for post-traumatic stress disorder (PTSD) or major depression (MD) that could be targeted with resilience interventions.MethodNewly recruited paramedics (n = 453) were assessed for history of mental disorders with structured clinical interviews within the first week of their paramedic training and completed self-report measures to assess hypothesized predictors. Participants were assessed every 4 months for 2 years to identify any episod
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Hong, Sun-Woo, Kyung-Sook Bang, Hwal Lan Bang, and Jihee Lim. "Attitude and knowledge on PTSD of nursing and paramedic students in Korea." Journal of Korean Academic Society of Nursing Education 26, no. 4 (2020): 393–401. http://dx.doi.org/10.5977/jkasne.2020.26.4.393.

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Purpose: This study aimed to identify attitude and knowledge level on post-traumatic stress disorder (PTSD) among nursing and paramedic students.Methods: A questionnaire survey was conducted from December 1st to 20th in 2019. A total of 210 students participated from two universities in Korea. Data were analyzed using descriptive statistics, t-tests and one-way analysis of variance.Results: Students were positive about the government's spending on PTSD treatment (91.4%), and professional training (92.4%). PTSD patients were considered to be more dangerous (68.1%) and violent (42.4%) than the g
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Bang, Kyung-sook, Hwal Bang, Sun-Woo Hong, and Jihee Lim. "Validity and Reliability of Korean Version of Post-traumatic Stress Disorder Scale (K-PTSD) Measuring Attitudes and Knowledge of PTSD." Journal of Korean Academic Society of Nursing Education 26, no. 1 (2020): 47–55. http://dx.doi.org/10.5977/jkasne.2020.26.1.47.

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Purpose: The aim of this study was to examine the validity and reliability of the Korean version of the PTSD scale (K-PTSD) for measuring attitudes and knowledge of PTSD. Methods: A cross-sectional study design was used. The K-PTSD scale consisted of 8 items for attitudes, 8 items for general knowledge of PTSD, and 3 items for knowledge of PTSD treatment; 211 nursing students and paramedic students participated. Content validity, item analysis, and factor analysis were used to examine the construct validity. Criterion validity was tested by using educational experience with PTSD as a criterion
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Mausz, Justin, Elizabeth Anne Donnelly, Sandra Moll, Sheila Harms, and Meghan McConnell. "Mental Disorder Symptoms and the Relationship with Resilience among Paramedics in a Single Canadian Site." International Journal of Environmental Research and Public Health 19, no. 8 (2022): 4879. http://dx.doi.org/10.3390/ijerph19084879.

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There is growing recognition in research and policy of a mental health crisis among Canada’s paramedics; however, despite this, epidemiological surveillance of the problem is in its infancy. Just weeks before the emergence of the COVID-19 pandemic, we surveyed paramedics from a single, large, urban paramedic service in Ontario, Canada to assess for symptom clusters consistent with post-traumatic stress disorder (PTSD), major depressive disorder, and generalized anxiety disorder and to identify potential risk factors for each. In total, we received 589 completed surveys (97% completion rate) an
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Smith, Erin, Frederick M. Burkle, Kristine Gebbie, David Ford, and Cécile Bensimon. "Acceptable Limitations on Paramedic Duty to Treat During Disaster: A Qualitative Exploration." Prehospital and Disaster Medicine 33, no. 5 (2018): 466–70. http://dx.doi.org/10.1017/s1049023x18000857.

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AbstractIntroductionThe Australian prehospital profession has not yet facilitated a comprehensive discussion regarding paramedic role and responsibility during disasters. Whether paramedics have a duty to treat under extreme conditions and what acceptable limitations may be placed on such a duty require urgent consideration. The purpose of this research is to encourage discussion within the paramedic profession and broader community on this important ethical and legal issue.MethodsThe authors employed qualitative methods to gather paramedic and community member perspectives in Victoria, Austra
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Kosydar-Bochenek, Justyna, Bogumił Lewandowski, Dorota Ozga, and Krystyna Woźniak. "Przegląd narzędzi diagnostycznych i metod pomiaru zespołu stresu pourazowego (Posttraumatic Stress Disorder, PTSD) z możliwością wykorzystania wśród ratowników medycznych / Overview of diagnostic tools and Posttraumatic Stress Disorder (PTSD) measurement methods with the possibility of use among paramedics." Pielegniarstwo XXI wieku / Nursing in the 21st Century 15, no. 2 (2016): 45–49. http://dx.doi.org/10.1515/pielxxiw-2016-0017.

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Abstract The profession of a paramedic involves a constant contact with traumatic events - road accidents, disasters, acts of violence and so on. As a consequence of such frequent and long-lasting exposure to traumatic events, paramedics are prone to developing PTSD (Posttraumatic Stress Disorder). This is a chronic disorder impacting cognitive, emotional, behavioral and somatic experiences. As a result of a prolonged exposure to stressful events, such condition can be life threatening. There are two ways of diagnosing PTSD: structured interviews and self-rating questionnaires (self-rating sca
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Abdulrahman, Hamad Abdullah AlThawab, Ahmad abdulrahman almulhim Sultan, Abdulrahman Khalid Alotaibi Khalid, Abdulrahman Khalid Alotaibi Khalid, and noman alhosain Aminah. "Trauma Exposure, Posttraumatic Stress Disorder and the Effect of Explanatory Variables in Paramedic Trainees." International Journal of Healthcare Sciences 11, no. 1 (2023): 195–201. https://doi.org/10.5281/zenodo.8233500.

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<strong>Abstract:</strong> Background: Emergency healthcare workers, including trainees and individuals in related occupations are at heightened risk of developing posttraumatic stress disorder (PTSD) and depression owing to work-related stressors. We aimed to investigate the type, frequency, and severity of direct trauma exposure, posttraumatic stress symptoms and other psychopathology amongst paramedic trainees. In order to create a risk profile for individuals who are at higher occupational risk of developing PTSD, we examined risk and resilience factors that possibly contributed to the pre
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Gramlich, Michael A., and Sandra M. Neer. "Firefighter-Paramedic With Posttraumatic Stress Disorder, Horrific Images, and Depression: A Clinical Case Study." Clinical Case Studies 17, no. 3 (2018): 150–65. http://dx.doi.org/10.1177/1534650118770792.

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Despite the existence of evidence-based treatments for posttraumatic stress disorder (PTSD), no identifiable study reported delivery of exposure therapy for a first responder with PTSD, as well as horrific images that generalized beyond the index trauma to loved ones. Horrific images have been defined as strongly aversive intrusive thoughts such as images of dismembered bodies or disgusting scenes. This clinical case describes the assessment and treatment of Ryan, a 41-year-old, firefighter-paramedic who completed a multifaceted intervention that included imaginal exposure therapy, behavioral
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Tew, Joanna, and Richard Ward. "Paramedics at risk? How responding to a terror attack affects mental wellbeing." Journal of Paramedic Practice 16, no. 10 (2024): 416–25. http://dx.doi.org/10.12968/jpar.2023.0061.

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Background: Terror attacks have a significant impact on first responders’ wellbeing, with an associated risk of post-traumatic stress disorder (PTSD). Aims: To improve understanding of how responding to terror attacks affects paramedics’ mental health. Methodology: A literature search was carried out on databases using the PRISMA strategy. Critical appraisal tools were used alongside thematic analysis to appraise and synthesise the literature. Findings: Ten papers were identified. Themes arising regarding risks to responders included: the level of exposure, with the amount related to the risks
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Thomas, Jade. "Mental health difficulties in paramedics: A review of the literature." Counselling Psychology Review 38, no. 2 (2023): 18–29. http://dx.doi.org/10.53841/bpscpr.2023.38.2.18.

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BackgroundParamedics are frequently exposed to traumatic events as part of their role. The implications of this constant exposure have suggested that paramedics are at high risk of developing long-term mental health issues such as depression, anxiety, burnout, trauma, PTSD, and suicide.PurposeTo synthesise studies to examine factors that play a role in the development of mental health difficulties in ambulance personnel. As well as, establishing gaps within the literature for further research.Data SourcesFrom the first 77 published journals reviewed from Psycinfo, PsychArticles, CINAHL, Educat
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Smith, Erin C., and Frederick M. Burkle. "Paramedic and Emergency Medical Technician Reflections on the Ongoing Impact of the 9/11 Terrorist Attacks." Prehospital and Disaster Medicine 34, no. 1 (2019): 56–61. http://dx.doi.org/10.1017/s1049023x18001255.

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AbstractIntroductionIn the years following the September 11, 2001 terrorist attacks in New York City (New York USA), otherwise known as 9/11, first responders began experiencing a range of health and psychosocial impacts. Publications documenting these largely focus on firefighters. This research explores paramedic and emergency medical technician (EMT) reflections on the long-term impact of responding to the 9/11 terrorist attacks.MethodsQualitative methods were used to conduct interviews with 54 paramedics and EMTs on the 15-year anniversary of 9/11.ResultsResearch participants reported a ra
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Wojtysiak, Katarzyna, Adriana Wielgus, and Halina Zielińska-Więczkowska. "THE IMPACT OF WORKING CONDITIONS ON STRESS AND ITS EFFECTS IN THE GROUP OF PARAMEDICS: A SYSTEMATIC REVIEW." Humanities & Social Sciences Reviews 9, no. 4 (2021): 188–93. http://dx.doi.org/10.18510/hssr.2021.9426.

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Purpose: This is a review to assess the working conditions that affect the stress level of paramedics and their ability to cope with stress. The profession of a paramedic is characterized by constant contact with other people and exposure to many factors, including biological (HIV, flu virus), chemical (causing allergic reactions, burns) physical (noise, low or excessive temperature), psychosocial (aggression, violence, traumatic experiences).&#x0D; Methodology: This is a Systematic review paper. The PubMed, Cochrane Library, and Google scholar search were used to analyze the problem. The foll
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Kobelski, Grzegorz, Katarzyna Naylor, Robert Ślusarz, and Mariusz Wysokiński. "Post-Traumatic Stress Disorder among Polish Healthcare Staff in the Era of the COVID-19 Pandemic." Journal of Clinical Medicine 12, no. 12 (2023): 4072. http://dx.doi.org/10.3390/jcm12124072.

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Introduction: The COVID-19 pandemic has brought many adverse phenomena, particularly in the area of health for both individuals and society as a whole. Healthcare staff also suffered dire consequences. Aim: The aim of this study was to assess whether the COVID-19 pandemic increased the risk of post-traumatic stress disorder among healthcare professionals in Poland. Material and method: The survey was conducted between 4 April 2022 and 4 May 2022. The study applied the Computer Assisted Web Interview (CAWI) technique using the standardised Peritraumatic Distress Inventory (PDI) questionnaire. R
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Figueroa Cabello, Rodrigo Andrés, Tomás León, and Richard Sorensen. "Post-traumatic symptoms in the staff of a mental health inpatient unit after the suicide of a patient: a case report in Chile." Summa Psicológica 13, no. 2 (2016): 13–22. http://dx.doi.org/10.18774/448x.2016.13.304.

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BACKGROUND: Multiple studies have shown that the suicide of a patient can produce posttraumatic and depressive symptoms among the mental health care providers, who typically have high levels of baseline burnout. OBJECTIVES: To measure posttraumatic, depressive and burnout symptoms in the staff of an inpatient psychiatric unit after the suicide of a patient. METHODS: Two months after the suicide all the employees were invited to answer, anonymously, the Posttraumatic Check-List (PCL), the Beck Depression Inventory (BDI), and the Maslach Burnout Inventory (MBI), for measuring posttraumatic, depr
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Miller, Elisha. "The prevalence of stress and burnout in UK emergency ambulance service workers and its impact on their mental health and well-being." British Paramedic Journal 5, no. 4 (2021): 62–63. http://dx.doi.org/10.29045/14784726.2021.3.5.4.62.

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&lt;sec id="s1"&gt; Aims: To assess the prevalence of burnout among emergency ambulance service workers in one ambulance station; to determine if there are any variances based on socio-demographic information such as gender, clinical grade and length of service; to examine the distinctions between personal, work-related and patient-related burnout; to identify current workplace interventions to reduce stress and burnout that will improve mental health and well-being. &lt;/sec&gt; &lt;sec id="s2"&gt; Methods: Mixed methods ‐ the Copenhagen Burnout Inventory (CBI) was utilised, measuring burnout
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Streb, Markus, Pascal Häller, and Tanja Michael. "PTSD in Paramedics: Resilience and Sense of Coherence." Behavioural and Cognitive Psychotherapy 42, no. 4 (2013): 452–63. http://dx.doi.org/10.1017/s1352465813000337.

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Background: Paramedics are frequently subjected to traumatic experiences and have higher PTSD prevalence rates than people in the general population. However, the vast majority of paramedics do not develop PTSD. While several risk factors for PTSD have been established, little is known about protective factors. It has been suggested that a good sense of coherence (SOC) and high resilience lower the risk for developing PTSD. Aims: To examine whether SOC and resilience are associated with PTSD severity in paramedics. Method: A cross-sectional study investigated SOC, resilience and PTSD in parame
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Baqai, Kamran. "PTSD in paramedics: history, conceptual issues and psychometric measures." Journal of Paramedic Practice 12, no. 12 (2020): 495–502. http://dx.doi.org/10.12968/jpar.2020.12.12.495.

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Post-traumatic stress disorder (PTSD) is more common in paramedics than in the general population because of the stressful and distressing nature of their work. Forms of PTSD associated with chronic stress and repeated trauma are scarcely researched among paramedics. This is striking as this workforce is potentially more likely to be affected by these types of PTSD. Diagnostic processes are still largely based on acute rather than chronic psychological trauma. PTSD diagnosis has been influenced by sociological perceptions of mental illness and changes in diagnostic criteria. Criteria for the d
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Parobkiewicz, Aleksandra, Michał Ziarko, Julia Krawczyk, and Jagna Jasielska. "Posttraumatic Stress Disorder symptoms in persons involved in road accidents and paramedics." Journal of Medical Science 90, no. 2 (2021): e515. http://dx.doi.org/10.20883/medical.e515.

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Aim. The aim of the study was to assess the risk of posttraumatic stress disorder (PTSD) among persons involved in road accidents and paramedics. Little is known about similarity or difference of PTSD symptoms between these two groups involved in accident in voluntary and involuntary way. Material and Methods. Persons involved in road accidents (N = 78) and paramedics (N = 106) completed the Polish version of the Impact of Event Scale–Revised.Results. The percentage of those who reported PTSD symptoms was similar and insignificant among persons involved in road accidents (56%) and among parame
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Alshahrani, Khalid Mufleh, Judith Johnson, Adnan Atiya Alzahrani, and Daryl B. O’Connor. "Exploring the Relationships between Encountering Potentially Traumatic Work Events, Coping, and Symptoms of Posttraumatic Stress Disorder in Saudi Paramedics: A Daily Diary Study." Emergency Health Services Journal 2, no. 1 (2025): 13–22. https://doi.org/10.4103/ehsj.ehsj_3_25.

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BACKGROUND: Paramedics and emergency medical technicians (EMTs) suffer from high levels of trauma at work due to traumatic incidents they face each day. This study aimed to investigate the association between daily Post-Traumatic Stress Disorder (PTSD) symptoms and daily incidents, coping styles and social support among Saudi ambulance personnel. METHODS: Utilizing a daily diary design, 63 Saudi paramedics completed the baseline questionnaire and 51 of them completed at least two shifts. The baseline measurements included Screen of Post-traumatic Stress Disorders Scale (SPTSS), PTSD Check-List
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Hong, Sun-Woo, Kyung-Sook Bang, Hwal Lan Bang, Hye Jin Hyun, Miyoung Lee, and Yu Na Jung. "Experiences of traumatic events, knowledge and attitudes concerning post-traumatic stress disorder, and resilience among nurses and paramedics working in emergency department." Journal of Korean Academic Society of Nursing Education 29, no. 1 (2023): 86–97. http://dx.doi.org/10.5977/jkasne.2023.29.1.86.

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Purpose: This study aimed to assess exposure to traumatic events, knowledge and attitudes concerning post-traumatic stress disorder (PTSD) and the level of resilience among nurses and paramedics working in emergency departments. Methods: Data were collected from May 22 to June 12, 2022, using a self-administered survey questionnaire. The participants comprised 135 nurses and 80 paramedics working in emergency departments. The collected data were analyzed with descriptive statistics, a t-test, and an analysis of variance with Scheffé’s test. Results: Compared with emergency room nurses, paramed
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Roberts, B., N. Makhashvili, J. Javakhishvili, et al. "Mental health care utilisation among internally displaced persons in Ukraine: results from a nation-wide survey." Epidemiology and Psychiatric Sciences 28, no. 1 (2017): 100–111. http://dx.doi.org/10.1017/s2045796017000385.

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AimsThere are an estimated 1.5 million internally displaced persons (IDPs) in Ukraine because of the armed conflict in the east of the country. The aim of this paper is to examine utilisation patterns of mental health and psychosocial support (MHPSS) care among IDPs in Ukraine.MethodsA cross-sectional survey design was used. Data were collected from 2203 adult IDPs throughout Ukraine between March and May 2016. Data on mental health care utilisation were collected, along with outcomes including post-traumatic stress disorder (PTSD), depression and anxiety. Descriptive and multivariate regressi
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Khan, Wahaj Anwar A., Russell Conduit, Gerard A. Kennedy, Ahmed Abdullah Alslamah, Mohammad Ahmad Alsuwayeh, and Melinda L. Jackson. "Sleep and Mental Health among Paramedics from Australia and Saudi Arabia: A Comparison Study." Clocks & Sleep 2, no. 2 (2020): 246–57. http://dx.doi.org/10.3390/clockssleep2020019.

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Paramedics face many challenges while on duty, one of which is working different types of shifts. Shift work has been linked to a number of health issues such as insomnia, depression, and anxiety. Besides shift work, Saudi paramedics, a group that has not been investigated for sleep or mental health issues previously, may be facing more demands than Australian paramedics due to lower numbers of paramedics in comparison to the general population. The aim of this study was to investigate the prevalence of sleep and mental health disorders among paramedics in Saudi Arabia and Australia. Paramedic
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Wolkow, Alexander, Rachael Harris, Elle Nguyen, et al. "0346 Insomnia in the Initial Months of Emergency Work Is Associated with Future PTSD Symptoms in New Recruit Paramedics." SLEEP 47, Supplement_1 (2024): A148—A149. http://dx.doi.org/10.1093/sleep/zsae067.0346.

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Abstract Introduction New paramedics commencing emergency work and adjusting to shift work can experience an increase in sleep problems. Sleep disturbances have been closely associated with poor mental health in emergency personnel. It is unknown, however, whether poor sleep experienced in the initial months of emergency work represents an early risk factor for future mental health problems in paramedics. The present study examined whether sleep disturbances in paramedics after 6-months of shift and emergency work were associated with mental health symptoms later in their career. Methods Sleep
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Vig, K. D., J. E. Mason, R. N. Carleton, G. J. G. Asmundson, G. S. Anderson, and D. Groll. "Mental health and social support among public safety personnel." Occupational Medicine 70, no. 6 (2020): 427–33. http://dx.doi.org/10.1093/occmed/kqaa129.

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Abstract Background Social support may be a protective factor for the mental health of public safety personnel (PSP), who are frequently exposed to potentially psychologically traumatic events and report substantial post-traumatic stress disorder (PTSD) and major depressive disorder (MDD) symptoms. Research examining perceived social support and its association with PTSD and MDD in different PSP categories (e.g. firefighters, paramedics) is limited. Aims To examine differences in perceived social support across PSP and determine whether perceived social support is associated with differences i
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Mzahim, Bandr, Fatimah Albrekkan, Ronald Schouten, Ahmad Al-Muhainy, Khaled Al-Surimi, and Nuha Sulaiman Alhumaid. "The Risk of Post-Traumatic Stress Disorder (PTSD) among Frontline Healthcare Workers in Saudi Arabia during the COVID-19 Pandemic: A Cross-sectional Study." Journal of Medicine, Law & Public Health 2, no. 2 (2022): 113–22. http://dx.doi.org/10.52609/jmlph.v2i2.50.

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Background: Frontline healthcare workers (HCWs) are at risk of developing post-traumatic stress disorder (PTSD) due to the nature of their work and, due to the additional stress and mental fatigue brought on by the COVID-19 pandemic, this risk has increased significantly. A proper understanding of the risk factors for PTSD in this context is crucial to the development of both preventive and corrective measures that will improve the psychological and emotional health of HCWs and reduce their predisposition to PTSD in the short and long term. This study was conducted to determine the prevalence
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Alaqeel, Meshal K., Nawfal A. Aljerian, Muhannad A. AlNahdi, and Raiyan Y. Almaini. "Post-Traumatic Stress Disorder among Emergency Medical Services Personnel: A Cross-sectional Study." Asian Journal of Medical Sciences 10, no. 4 (2019): 28–31. http://dx.doi.org/10.3126/ajms.v10i4.23990.

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Background: Post-Traumatic Stress Disorder is characterized by directly experiencing traumatic events or witnessing, learning, or repetitively experiencing the details of these events. High risk occupations (i.e., EMS personnel) frequently encounter traumatic eventscoping with events exceeding the range of human experiences. Regional lack of studies necessitated the need to report the prevalence of PTSD among healthcare providers in Saudi Arabia (SA).&#x0D; Aims and Objective: To explore the prevalence of PTSD among EMS personnel.&#x0D; Materials and Methods: This a descriptive cross-sectional
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Van Eerd, Dwayne, Emile Tompa, Emma Irvin, et al. "P-600 WORKPLACE POLICIES AND PRACTICES FOR THE PREVENTION OF PTSI WORK DISABILITY." Occupational Medicine 74, Supplement_1 (2024): 0. http://dx.doi.org/10.1093/occmed/kqae023.1423.

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Abstract Introduction First responders (FR) such as police, paramedics, and firefighters are routinely exposed to traumatic situations and may suffer from post-traumatic stress injuries (PTSI) as a result. The scientific evidence on optimal treatment and workplace practices for PTSI is not strong. The objective of this project was to examine first responder workplace policies and practices for the prevention of PTSI work disability. Methods The research team worked with a stakeholder advisory committee (police, paramedics, firefighters) to conduct an interview study with FR (workers and manage
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Ben-Ezra, Menachem, Yuval Palgi, Amit Shrira, Dina Sternberg, and Nir Essar. "Changes in Post-Traumatic Symptom Pattern during and after Exposure to Extreme War Stress: An Uncontrolled, Preliminary Study Supporting the Dose-Response Model." Prehospital and Disaster Medicine 25, no. 1 (2010): 38–41. http://dx.doi.org/10.1017/s1049023x00007640.

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AbstractIntroduction:Exposure to prolonged war stress is understudied. While there is debate regarding the empirical data of the dose-response model for post-traumatic stress disorder (PTSD), little is known about how weekly changes in external stress influences the level of PTSD symptoms. The purpose of this study was to measure the relation between objective external stress and PTSD symptoms across time, and thus, gain a deeper understating of the dose-response model.Hypothesis:The study hypothesis postulates that the more severe the external stressor, the more severe the exhibition of traum
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Goniewicz, Mariusz, Anna Włoszczak-Szubzda, Ahmed M. Al-Wathinani, and Krzysztof Goniewicz. "The Silent Burden: Investigating Post-Traumatic Stress Disorder and Social Isolation Among Healthcare Workers During COVID-19." Healthcare 12, no. 23 (2024): 2360. http://dx.doi.org/10.3390/healthcare12232360.

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Background: The COVID-19 pandemic has significantly impacted the mental health of healthcare professionals, particularly nurses and paramedics. This study investigates the prevalence of Post-Traumatic Stress Disorder (PTSD) and the impact of social ostracism on psychological distress among healthcare workers (HCWs) in Poland, with a focus on exploring the interplay between professional and social factors contributing to their stress. Methods: A cross-sectional survey was conducted between March 2021 and February 2022 with 852 HCWs from four Polish provinces. PTSD symptoms were measured using t
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Amamou, B., I. Betbout, A. Ben Haouala, et al. "Prevalence and associated factors to Post-Traumatic Stress Disorder (PTSD) and Social Anxiety Disorder (SAD) among health workers in the emergency room." European Psychiatry 66, S1 (2023): S681. http://dx.doi.org/10.1192/j.eurpsy.2023.1425.

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Introductionpost-traumatic stress disorder (PTSD) is a mental health illness that can develop after being exposed to one or more traumatic events. This is a serious, long-term emotional response to extreme psychological trauma. As for public health emergencies, it demands large-scale coordination among many staff, and participants, especially medical workers, are exposed to high levels of stress, which can easily lead to psychiatric illnesses such as social anxiety disorder (SAD). Posttraumatic stress disorder (PTSD) and social anxiety disorder (SAD) demonstrate a high degree of comorbidity, y
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Feemster, J., T. Steele, Y. Tao, et al. "0817 Abnormal REM Sleep Atonia Control In Patients With Chronic Post-traumatic Stress Disorder." Sleep 43, Supplement_1 (2020): A310—A312. http://dx.doi.org/10.1093/sleep/zsaa056.813.

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Abstract Introduction Post-traumatic stress disorder (PTSD) is characterized by persistent mental and emotional stress following one or more significant physical or psychological traumatic incidents earlier in life. Vivid recall of the events, including traumatic nightmares, and prominent sleep disturbance are usual in PTSD. Previous studies have suggested that PTSD may share some clinical features with idiopathic REM sleep behavior disorder (iRBD) including altered REM sleep without atonia (RSWA) levels. Our group has previously found evidence for altered RSWA control in patients with psychia
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Sui, Shuang Ge, Ming Xiang Wu, Mark E. King, et al. "Abnormal grey matter in victims of rape with PTSD in Mainland China: a voxel-based morphometry study." Acta Neuropsychiatrica 22, no. 3 (2010): 118–26. http://dx.doi.org/10.1111/j.1601-5215.2010.00459.x.

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Sui SG, Wu MX, King ME, Zhang Y, Ling L, Xu JM, Weng XC, Duan L, Shan BC, Li LJ. Abnormal grey matter in victims of rape with PTSD in Mainland China: a voxel-based morphometry study.Objective:This study examined changes in brain grey matter in victims of rape (VoR) with and without post-traumatic stress disorder (PTSD). Previous research has focused on PTSD caused by various traumatic events, such as war and disaster, among others. Although considerable research has focused on rape-related PTSD, limited studies have been carried out in the context of Mainland China.Methods:The study included 1
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Halpern, Janice, Robert G. Maunder, Brian Schwartz, and Maria Gurevich. "Downtime after Critical Incidents in Emergency Medical Technicians/Paramedics." BioMed Research International 2014 (2014): 1–7. http://dx.doi.org/10.1155/2014/483140.

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Effective workplace-based interventions after critical incidents (CIs) are needed for emergency medical technicians (EMT)/paramedics. The evidence for a period out of service post-CI (downtime) is sparse; however it may prevent posttraumatic stress disorder (PTSD) and burnout symptoms. We examined the hypothesis that downtime post-CI is associated with fewer symptoms of four long-term emotional sequelae in EMT/paramedics: depression, PTSD, burnout, and stress-related emotional symptoms (accepted cut-offs defined high scores). Two hundred and one paramedics completed questionnaires concerning a
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Kucmin, Tomasz, Adriana Kucmin, Dorota Turska, Andrzej Turski, and Adam Nogalski. "Coping styles and dispositional optimism as predictors of PTSD symptoms intensity in paramedics." Psychiatria Polska 52, no. 3 (2018): 557–71. http://dx.doi.org/10.12740/pp/68514.

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35

Alshahrani, Khalid M., Judith Johnson, Arianna Prudenzi, and Daryl B. O’Connor. "The effectiveness of psychological interventions for reducing PTSD and psychological distress in first responders: A systematic review and meta-analysis." PLOS ONE 17, no. 8 (2022): e0272732. http://dx.doi.org/10.1371/journal.pone.0272732.

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Background First responders are faced with stressful and traumatic events in their work that may affect their psychological health. The current review examined the effectiveness of psychological interventions to treat posttraumatic stress disorder (PTSD), anxiety, depression, stress and burnout in first responders. Methods Four databases were searched to identify controlled studies that examined the efficacy of psychological interventions to reduce PTSD symptoms (primary outcome) in first responders (including firefighters, police/law enforcement officers, search and rescue personnel, emergenc
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Pagani, M., D. Nardo, F. Flumeri, et al. "Volumetric Changes in PTSD and in a Subgroup of PTSD Patients not Responding to EMDR Psychotherapy." European Psychiatry 24, S1 (2009): 1. http://dx.doi.org/10.1016/s0924-9338(09)70588-7.

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Background:Several studies have reported limbic structures volume decrease in Post-Traumatic Stress Disorder (PTSD). However, in PTSD the effect of therapy on brain structures has seldom been investigated. The aim of the study was to evaluate the grey matter (GM) loss in occupational related PTSD and to assess the volumetric differences between patients responding (R) and non-responding (NR) to psychotherapy.Methods:Pre-EMDR MRI data of 21 train drives who did develop PTSD (S) and 22 who did not develop PTSD (NS) after person-under-the-train accidents were compared. Within S further comparison
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Pagani, M., D. Nardo, F. Flumeri, et al. "Volumetric Changes in PTSD and in a Subgroup of PTSD Patients not Responding to EMDR Psychotherapy." European Psychiatry 24, S1 (2009): 1. http://dx.doi.org/10.1016/s0924-9338(09)71290-8.

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Background:Several studies have reported limbic structures volume decrease in Post-Traumatic Stress Disorder (PTSD). However, in PTSD the effect of therapy on brain structures has seldom been investigated. the aim of the study was to evaluate the grey matter (GM) loss in occupational related PTSD and to assess the volumetric differences between patients responding (R) and non-responding (NR) to psychotherapy.Methods:Pre-EMDR MRI data of 21 train drives who did develop PTSD (S) and 22 who did not develop PTSD (NS) after person-under-the-train accidents were compared. Within S further comparison
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38

Hsiao, Yin Ying, Wei Hung Chang, I. Chun Ma, et al. "Long-Term PTSD Risks in Emergency Medical Technicians Who Responded to the 2016 Taiwan Earthquake: A Six-Month Observational Follow-Up Study." International Journal of Environmental Research and Public Health 16, no. 24 (2019): 4983. http://dx.doi.org/10.3390/ijerph16244983.

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Although several factors associated with posttraumatic stress disorder (PTSD) in disaster rescue workers were identified in previous studies, the results were inconsistent. This study aimed to explore the prognostic factors of PTSD among disaster rescuers using different screening tools. A 6.4 magnitude earthquake struck southern Taiwan on February 6, 2016. Emergency medical technicians (EMTs) who responded to the earthquake were recruited. The initial survey was conducted one month after the earthquake using a standardized, self-reported, paper-based questionnaire. After six months, we re-eva
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Bryant, Richard A., Katie S. Dawson, Srishti Yadav, et al. "Augmenting trauma‐focused cognitive behavior therapy for post‐traumatic stress disorder with memory specificity training: a randomized controlled trial." World Psychiatry 24, no. 1 (2025): 113–19. https://doi.org/10.1002/wps.21280.

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Although trauma‐focused cognitive behavior therapy (TF‐CBT) is the recommended treatment for post‐traumatic stress disorder (PTSD), up to one‐half of patients do not respond to this intervention. There is an urgent need to develop new strategies to improve treatment response. Training people to recall specific positive memories may augment treatment gains in TF‐CBT. We conducted a controlled trial in Australia with current or former first responders (including police, firefighters and paramedics) with PTSD, who were randomized on a 1:1 basis to 12 weekly 90‐min individual sessions of either TF
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Rusmana, Nandang, Anne Hafina, Yadi Ruyadi, Lutfi Nur, and Muchamad Riduwan. "Symptoms of Posttraumatic Stress Disorder in Middle School Students After the Covid-19 Outbreak." Jurnal Kajian Bimbingan dan Konseling 8, no. 2 (2023): 137–46. http://dx.doi.org/10.17977/um001v8i22023p137-146.

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Abstract: COVID-19 bears various traumatic impacts on students. This study aims to identify PTSD symptoms in junior and senior high school students after the COVID-19 outbreak. The study was conducted using a cross-sectional survey method. Meanwhile, the data was collected using a problem checklist instrument. Further, the obtained data were analyzed using non-parametric statistics with the Mann-Whitney test to identify differences in PTSD symptoms based on gender and level of education. The results of the analysis show that symptoms appear in every physical, emotional, mental, behavioral, and
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Peterson, B., A. Castelnovo, B. Riedner, R. Herringa, and S. Jones. "1003 Sleep Spindle Abnormalities In Youth With Ptsd." Sleep 43, Supplement_1 (2020): A381. http://dx.doi.org/10.1093/sleep/zsaa056.999.

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Abstract Introduction Sleep disturbance is central to the phenomenology of PTSD across the lifespan with up to 90% of youth with PTSD reporting sleep disturbance. Subjective sleep dysfunction has also been linked to the development, maintenance and severity of the disorder. However, to date there have been no objective EEG assessments of sleep in youth with PTSD, and little is known about how the disease impacts specific sleep features. Methods Ten youth with PTSD (aged 14.5±3.2; CAPS-CA score 60.5±25.3) and ten age-and sex-matched typically developing youth (TD) (aged 14.7±3.2) completed two
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Michael, Tanja, Markus Streb, and Pascal Häller. "PTSD in Paramedics: Direct Versus Indirect Threats, Posttraumatic Cognitions, and Dealing With Intrusions." International Journal of Cognitive Therapy 9, no. 1 (2016): 57–72. http://dx.doi.org/10.1521/ijct.2016.9.1.57.

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43

Strelchuk, Daniela, Gemma Hammerton, Jazz Croft, et al. "T112. PTSD AS A MEDIATOR OF THE RELATIONSHIP BETWEEN TRAUMA AND PSYCHOTIC EXPERIENCES." Schizophrenia Bulletin 46, Supplement_1 (2020): S273. http://dx.doi.org/10.1093/schbul/sbaa029.672.

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Abstract Background Trauma exposure is linked to the development of psychotic illnesses, but little is known about potentially modifiable mechanisms underlying this relationship. Despite the high prevalence of PTSD symptoms in psychotic illnesses, only a few studies have examined the role of PTSD as a mediator, and these were all cross-sectional. This study aims to examine whether PTSD symptoms mediate the relationship between trauma and psychotic experiences (PE), using data from a large birth cohort study. Methods We used data from the Avon Longitudinal Study of Parents and Children (ALSPAC)
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Wild, Jennifer, Shama El-Salahi, Gabriella Tyson, et al. "Preventing PTSD, depression and associated health problems in student paramedics: protocol for PREVENT-PTSD, a randomised controlled trial of supported online cognitive training for resilience versus alternative online training and standard practice." BMJ Open 8, no. 12 (2018): bmjopen—2018–022292. http://dx.doi.org/10.1136/bmjopen-2018-022292.

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IntroductionEmergency workers dedicate their lives to promoting public health and safety, yet suffer higher rates of post-traumatic stress disorder (PTSD) and major depression (MD) compared with the general population. They also suffer an associated increased risk for physical health problems, which may be linked to specific immunological and endocrine markers or changes in relevant markers. Poor physical and mental health is costly to organisations, the National Health Service and society. Existing interventions aimed at reducing risk of mental ill health in this population are not very succe
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Nardo, D., G. Högberg, F. Flumeri, et al. "Self-rating scales assessing subjective well-being and distress correlate with rCBF in PTSD-sensitive regions." Psychological Medicine 41, no. 12 (2011): 2549–61. http://dx.doi.org/10.1017/s0033291711000912.

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BackgroundThe aim of this study was to investigate the distribution of the regional cerebral blood flow (rCBF) in occupational-related post-traumatic stress disorder (PTSD) subjects and to seek possible correlations between brain perfusion and self-rating scales (SRS) in order to cross-check their diagnostic value and to look for their neural correlates.MethodA total of 13 traumatized underground and long-distance train drivers developing (S) and 17 not developing (NS) PTSD who had experienced a ‘person under train’ accident or who had been assaulted at work underwent clinical assessment and 9
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Kucmin, Tomasz, Malgorzata Plowas Goral, Adam Nogalski, and Agnieszka Mikula-Mazurkiewicz. "Are Polish paramedics more prone to PTDS than general population?" Resuscitation 83 (October 2012): e4. http://dx.doi.org/10.1016/j.resuscitation.2012.08.013.

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47

Xue, Qichao, Jingcai Zhang, Jian He, and Chunwei Zhang. "Control Performance and Robustness of Pounding Tuned Mass Damper for Vibration Reduction in SDOF Structure." Shock and Vibration 2016 (2016): 1–15. http://dx.doi.org/10.1155/2016/8021690.

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This paper investigates the control performance of pounding tuned mass damper (PTMD) in reducing the dynamic responses of SDOF (Single Degree of Freedom) structure. Taking an offshore jacket-type platform as an example, the optimal damping ratio and the gap between mass block and viscoelastic material are presented depending on a parametric study. Control efficiency influenced by material properties and contact geometries for PTMD is analyzed here, as well as robustness of the device. The results of numerical simulations indicated that satisfactory vibration mitigation and robustness can be ac
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Colherinhas, Gino B., Maura A. M. Shzu, Suzana M. Avila, and Marcus V. G. de Morais. "A parametric study of a tower controlled by a pendulum tuned mass damper: beam modelling." MATEC Web of Conferences 211 (2018): 14006. http://dx.doi.org/10.1051/matecconf/201821114006.

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This paper models a tower with a passive Pendulum Tuned Mass Damper (PTMD) with Finite Elements (FE) using the resources and capabilities of commercial software ANSYS. Although structural control of high and slender towers using PTMDs are widely studied in literature, it was not found yet studies modelling the PTMD with ANSYS. This FE model is called by a routine coded in MATLAB to find the relation between the mass, length, stiffness, and damping coefficient of the pendulum in function of the high vibration amplitudes at the top of the tower (defined as a beam element type). This parametric s
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McGill, Makenna B., Alexandra L. Clark, and David M. Schnyer. "18 Vascular Risk, Cerebral White Matter, and Executive Functioning in Vietnam-Era Veterans with Traumatic Brain Injury and/or Post-Traumatic Stress Disorder: A Department of Defense Alzheimer’s Disease Initiative (DoD-ADNI) Study." Journal of the International Neuropsychological Society 29, s1 (2023): 127–28. http://dx.doi.org/10.1017/s1355617723002229.

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Objective:Research indicates that Veterans with a history of traumatic brain injury (TBI) are at increased risk for dementia. Although the precise mechanisms underlying this relationship are poorly understood, remote TBI may exacerbate normal age-related changes to cerebral white matter (WM) and result in cognitive decline. However, Veterans commonly experience a constellation of mental (e.g., post-traumatic stress disorder [PTSD] and depression) and vascular (e.g., diabetes, hypertension, obesity) health conditions that have also been implicated in pathologic cerebral WM and cognitive aging t
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Mysliwiec, Vincent, Matthew Brock, Panagiotis Matsangas, et al. "0734 Gender Differences in US Military Personnel with Insomnia, Obstructive Sleep Apnea & Comorbid Insomnia and Obstructive Sleep Apnea." SLEEP 46, Supplement_1 (2023): A323. http://dx.doi.org/10.1093/sleep/zsad077.0734.

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Abstract Introduction Women constitute approximately 17% of the military. Yet, relatively little is known regarding sleep disorders and comorbid diagnoses effecting this gender. The aim of this study was to determine if there were gender-related differences in symptoms of sleep disorders and sleep-related impairment, comorbid sleep, behavioral medicine, and traumatic brain injury (TBI) diagnoses and polysomnographic (PSG) variables in military personnel with insomnia, OSA, and comorbid insomnia and OSA (COMISA). Methods Participants were 372 military personnel (46.2% females, 53.8% males) with
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