Journal List > J Korean Neuropsychiatr Assoc > v.54(2) > 1017725

Lee, Kim, Sim, Yoo, Won, and Lee: Mental Health of Disaster Workers

Abstract

We sought to gain insights on the prevalence of psychiatric disorders, the risk and protective factors and the prevention and intervention programs of mental health problems among disaster workers. The prevalence of Posttraumatic Stress Disorder (PTSD) among disaster workers was higher than that of the general population and lower than that of disaster survivors. They might suffer from various mental health problems and comorbid disorders. Those mental problems could affect not only their physical health but also self-medication, life satisfaction, and job functioning. Heterogeneous and various factors were positively and negatively associated with psychiatric problems. Prevention and intervention programs were summarized for PTSD among disaster workers. Self-help technique 'RESCUE' and cognitive behavior therapy, developed especially for disaster workers was introduced. Future research and directions were suggested.

Figures and Tables

Table 1

Self-help technique for disaster workers, 'RESCUE!'

jkna-54-135-i001

Permitted and Adapted from Lee SH, Kim SJ, Shim MY, Yoo SY, Won SD, Lee BC. Development of Clinical Guidelines for Management of Post-Traumatic Stress Disorder. NMC;201440)

Table 2

Cognitive-behavioral therapy program for disaster workers

jkna-54-135-i002

Permitted and Adapted from Lee SH, Kim SJ, Shim MY, Yoo SY, Won SD, Lee BC. Development of Clinical Guidelines for Management of Post-Traumatic Stress Disorder. NMC;201440)

Notes

Conflicts of Interest The authors have no financial conflicts of interest.

References

1. Kim BW. [Sewol Ferry Disaster] Rescuers' fear is same with... 'Posttraumatic Stress Disorder'. Newsis;2014. 04. 27. Available from: http://www.newsis.com/ar_detail/view.html?ar_id=NISX20140421_0012869642&cID=10201&pID=10200.
2. Chae J, Kang S, Kim DH, Park J, Bae K, Lee BC, et al. Development of the manual for the management of disaster related PTSD [dissertation]. Bucheon: Catholic University;2013. Available from: http://tnt.gwangju.go.kr/sub/pjPds.php?action=view&seq=90&movePage=1&subKey=0405000000&cat=3.
3. Index.go.kr [homepage on the Internet]. Seoul: E-Nara index;updated 2014 Jul 09. cited 2014 Jul 09. Available from: http://www.index.go.kr/potal/main/EachDtlPageDetail.do?idx_cd=1634.
4. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders: DSM-5. 5th ed. Washington, DC: American Psychiatric Association;2013.
5. Berger W, Coutinho ES, Figueira I, Marques-Portella C, Luz MP, Neylan TC, et al. Rescuers at risk: a systematic review and meta-regression analysis of the worldwide current prevalence and correlates of PTSD in rescue workers. Soc Psychiatry Psychiatr Epidemiol. 2012; 47:1001–1011.
crossref
6. Creamer M, Burgess P, McFarlane AC. Post-traumatic stress disorder: findings from the Australian National Survey of Mental Health and Well-being. Psychol Med. 2001; 31:1237–1247.
crossref
7. de Vries GJ, Olff M. The lifetime prevalence of traumatic events and posttraumatic stress disorder in the Netherlands. J Trauma Stress. 2009; 22:259–267.
crossref
8. Eun HJ, Lee SM, Kim TH. The epidemiological study of posttraumatic stress disorder in an urban area. J Korean Neuropsychiatr Assoc. 2001; 40:581–591.
9. Kessler RC, Chiu WT, Demler O, Merikangas KR, Walters EE. Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry. 2005; 62:617–627.
crossref
10. Galea S, Nandi A, Vlahov D. The epidemiology of post-traumatic stress disorder after disasters. Epidemiol Rev. 2005; 27:78–91.
crossref
11. Choi N, Byun J, Han D, Im SB. Psychological impact and depressive response of sufferers of natural disaster, a torrential downpour. J Korean Acad Psychiatr Ment Health Nurs. 2007; 16:139–149.
12. Fullerton CS, Ursano RJ, Wang L. Acute stress disorder, posttraumatic stress disorder, and depression in disaster or rescue workers. Am J Psychiatry. 2004; 161:1370–1376.
crossref
13. Stellman JM, Smith RP, Katz CL, Sharma V, Charney DS, Herbert R, et al. Enduring mental health morbidity and social function impairment in world trade center rescue, recovery, and cleanup workers: the psychological dimension of an environmental health disaster. Environ Health Perspect. 2008; 116:1248–1253.
crossref
14. Figley CR. Compassion fatigue as secondary traumatic stress disorder: An overview. In : Figley CR, editor. Compassion fatigue: coping with secondary traumatic stress disorder in those who treat the traumatized. New York: Brunner/Mazel;1995. p. 1–20.
15. Figley CR. Treating compassion fatigue (routledge psychosocial stress series). 1st ed. New York: Routledge;2002.
16. Wagner D, Heinrichs M, Ehlert U. Prevalence of symptoms of posttraumatic stress disorder in German professional firefighters. Am J Psychiatry. 1998; 155:1727–1732.
crossref
17. McFarlane A. The American Psychiatric publishing textbook of anxiety disorders. In : Dan J, Stein EH, editors. Textbook of anxiety disorders. Washington, DC: American Psychiatric Press;2002. p. 359–371.
18. Slottje P, Witteveen AB, Twisk JW, Smidt N, Huizink AC, van Mechelen W, et al. Post-disaster physical symptoms of firefighters and police officers: role of types of exposure and post-traumatic stress symptoms. Br J Health Psychol. 2008; 13(Pt 2):327–342.
crossref
19. Gross R, Neria Y, Tao XG, Massa J, Ashwell L, Davis K, et al. Posttraumatic stress disorder and other psychological sequelae among world trade center clean up and recovery workers. Ann N Y Acad Sci. 2006; 1071:495–499.
crossref
20. North CS, Tivis L, McMillen JC, Pfefferbaum B, Spitznagel EL, Cox J, et al. Psychiatric disorders in rescue workers after the Oklahoma City bombing. Am J Psychiatry. 2002; 159:857–859.
crossref
21. Marmar CR, Weiss DS, Metzler TJ, Ronfeldt HM, Foreman C. Stress responses of emergency services personnel to the Loma Prieta earthquake Interstate 880 freeway collapse and control traumatic incidents. J Trauma Stress. 1996; 9:63–85.
crossref
22. Berninger A, Webber MP, Cohen HW, Gustave J, Lee R, Niles JK, et al. Trends of elevated PTSD risk in firefighters exposed to the World Trade Center disaster: 2001-2005. Public Health Rep. 2010; 125:556–566.
crossref
23. Brackbill RM, Hadler JL, DiGrande L, Ekenga CC, Farfel MR, Friedman S, et al. Asthma and posttraumatic stress symptoms 5 to 6 years following exposure to the World Trade Center terrorist attack. JAMA. 2009; 302:502–516.
crossref
24. Perrin MA, DiGrande L, Wheeler K, Thorpe L, Farfel M, Brackbill R. Differences in PTSD prevalence and associated risk factors among World Trade Center disaster rescue and recovery workers. Am J Psychiatry. 2007; 164:1385–1394.
crossref
25. Zimering R, Gulliver SB, Knight J, Munroe J, Keane TM. Posttraumatic stress disorder in disaster relief workers following direct and indirect trauma exposure to Ground Zero. J Trauma Stress. 2006; 19:553–557.
crossref
26. McCaslin SE, Rogers CE, Metzler TJ, Best SR, Weiss DS, Fagan JA, et al. The impact of personal threat on police officers' responses to critical incident stressors. J Nerv Ment Dis. 2006; 194:591–597.
crossref
27. Ursano RJ, Fullerton CS, Vance K, Kao TC. Posttraumatic stress disorder and identification in disaster workers. Am J Psychiatry. 1999; 156:353–359.
28. Bartone PT, Ursano RJ, Wright KM, Ingraham LH. The impact of a military air disaster on the health of assistance workers. A prospective study. J Nerv Ment Dis. 1989; 177:317–328.
crossref
29. Ozer EJ, Best SR, Lipsey TL, Weiss DS. Predictors of posttraumatic stress disorder and symptoms in adults: a meta-analysis. Psychol Bull. 2003; 129:52–73.
crossref
30. Marmar CR, McCaslin SE, Metzler TJ, Best S, Weiss DS, Fagan J, et al. Predictors of posttraumatic stress in police and other first responders. Ann N Y Acad Sci. 2006; 1071:1–18.
crossref
31. McCall M, Salama P. Selection, training, and support of relief workers: an occupational health issue. BMJ. 1999; 318:113–116.
crossref
32. Gaher RM, Simons JS, Jacobs GA, Meyer D, Johnson-Jimenez E. Coping motives and trait negative affect: testing mediation and moderation models of alcohol problems among American Red Cross disaster workers who responded to the September 11,2001 terrorist attacks. Addict Behav. 2006; 31:1319–1330.
crossref
33. Leck P, Difede J, Patt I, Giosan C, Szkodny L. Incidence of male childhood sexual abuse and psychological sequelae in disaster workers exposed to a terrorist attack. Int J Emerg Ment Health. 2006; 8:267–274.
34. Tapp LC, Baron S, Bernard B, Driscoll R, Mueller C, Wallingford K. Physical and mental health symptoms among NYC transit workers seven and one-half months after the WTC attacks. Am J Ind Med. 2005; 47:475–483.
crossref
35. Alvarez J, Hunt M. Risk and resilience in canine search and rescue handlers after 9/11. J Trauma Stress. 2005; 18:497–505.
crossref
36. Armstrong K, Zatzick D, Metzler T, Weiss DS, Marmar CR, Garma S, et al. Debriefing of American Red Cross personnel: pilot study on participants' evaluations and case examples from the 1994 Los Angeles earthquake relief operation. Soc Work Health Care. 1998; 27:33–50.
37. Paton D. Disaster relief work: an assessment of training effectiveness. J Trauma Stress. 1994; 7:275–288.
crossref
38. Beaton R, Murphy S, Johnson C, Pike K, Corneil W. Exposure to duty-related incident stressors in urban firefighters and paramedics. J Trauma Stress. 1998; 11:821–828.
crossref
39. Emergency.cdc.gov [homepage on the Internet]. Centers for Disease Control and Prevention. Information for Responders Disaster Mental Health for Responders: Key Principles, Issues and Questions. cited 2015 Jan 25. Available from: http://emergency.cdc.gov/mentalhealth/.
40. Lee SH, Kim SJ, Shim MY, Yoo SY, Won SD, Lee BC. Manual of Cognitive behavioral therapy for disaster related PTSD. Seoul: NMC;2014. Available from: https://www.nmc.or.kr/html/nmc/webzine_nmctimes.asp?flag=READ.
41. Mayou RA, Ehlers A, Hobbs M. Psychological debriefing for road traffic accident victims. Three-year follow-up of a randomised controlled trial. Br J Psychiatry. 2000; 176:589–593.
crossref
42. Pitman RK, Sanders KM, Zusman RM, Healy AR, Cheema F, Lasko NB, et al. Pilot study of secondary prevention of posttraumatic stress disorder with propranolol. Biol Psychiatry. 2002; 51:189–192.
crossref
43. Difede J, Cukor J, Patt I, Giosan C, Hoffman H. The application of virtual reality to the treatment of PTSD following the WTC attack. Ann N Y Acad Sci. 2006; 1071:500–501.
crossref
44. Donahue SA, Jackson CT, Shear KM, Felton CJ, Essock SM. Outcomes of enhanced counseling services provided to adults through Project Liberty. Psychiatr Serv. 2006; 57:1298–1303.
crossref
45. Difede J, Malta LS, Best S, Henn-Haase C, Metzler T, Bryant R, et al. A randomized controlled clinical treatment trial for World Trade Center attack-related PTSD in disaster workers. J Nerv Ment Dis. 2007; 195:861–865.
crossref
46. Jayasinghe N, Spielman L, Cancellare D, Difede J, Klausner EJ, Giosan C. Predictors of treatment utilization in world trade center attack disaster workers: role of race/ethnicity and symptom severity. Int J Emerg Ment Health. 2005; 7:91–99.
TOOLS
Similar articles