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Basic Research Article

Traumatic stress, active engagement and resilience in first responders and civilians in the outbreak of war

Estrés traumático, compromiso activo y resiliencia en primeros intervinientes y civiles en el estallido de la guerra

ORCID Icon, ORCID Icon, & ORCID Icon
Article: 2328506 | Received 19 Dec 2023, Accepted 01 Mar 2024, Published online: 22 Mar 2024

References

  • Agaibi, C. E., & Wilson, J. P. (2005). Trauma, PTSD, and resilience: A review of the literature. Trauma, Violence, & Abuse, 6(3), 195–216. https://doi.org/10.1177/1524838005277438
  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.).
  • American Psychological Association. (2014). The road to resilience. http://www.apa.org/helpcenter/road-resilience.aspx
  • Baker, L. D., Ponder, W. N., Carbajal, J., Galusha, J. M., Hidalgo, J. E., & Price, M. (2023). Mapping PTSD, depression, and anxiety: A network analysis of co-occurring symptoms in treatment-seeking first responders. Journal of Psychiatric Research, 168, 176–183. https://doi.org/10.1016/j.jpsychires.2023.10.038
  • Blevins, C. A., Weathers, F. W., Davis, M. T., Witte, T. K., & Domino, J. L. (2015). The posttraumatic stress disorder checklist for DSM-5 (PCL-5): Development and initial psychometric evaluation. Journal of Traumatic Stress, 28(6), 489–498. https://doi.org/10.1002/jts.22059
  • Bonanno, G. A., Galea, S., Bucciarelli, A., & Vlahov, D. (2007). What predicts psychological resilience after disaster? The role of demographics, resources, and life stress. Journal of Consulting and Clinical Psychology, 75(5), 671–682. https://doi.org/10.1037/0022-006X.75.5.671
  • Boulos, D., & Zamorski, M. A. (2013). Deployment-related mental disorders among Canadian forces personnel deployed in support of the mission in Afghanistan, 2001–2008. CMAJ: Canadian Medical Association Journal = Journal de L'Association Medicale Canadienne, 185(11), E545–E552. https://doi.org/10.1503/cmaj.122120
  • Brewin, C. R., Andrews, B., & Valentine, J. D. (2000). Meta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults. Journal of Consulting and Clinical Psychology, 68(5), 748–766. https://doi.org/10.1037/0022-006X.68.5.748
  • Campbell-Sills, L., & Stein, M. B. (2007). Psychometric analysis and refinement of the Connor–Davidson resilience scale (CD-RISC): Validation of a 10-item measure of resilience. Journal of Traumatic Stress, 20(6), 1019–1028. https://doi.org/10.1002/jts.20271
  • Carleton, R. N., Afifi, T. O., Turner, S., Taillieu, T., Duranceau, S., LeBouthillier, D. M., Sareen, J., Ricciardelli, R., MacPhee, R. S., Groll, D., Hozempa, K., Brunet, A., Weekes, J. R., Griffiths, C. T., Abrams, K. J., Jones, N. A., Beshai, S., Cramm, H. A., Dobson, K. S., … Asmundson, G. J. G. (2018). Mental disorder symptoms among public safety personnel in Canada. Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie, 63(1), 54–64. https://doi.org/10.1177/0706743717723825
  • Connor, K. M., & Davidson, J. R. (2003). Development of a new resilience scale: The Connor-Davidson resilience scale (CD-RISC). Depression and Anxiety, 18(2), 76–82. https://doi.org/10.1002/da.10113
  • deRoon-Cassini, T. A., Mancini, A. D., Rusch, M. D., & Bonanno, G. A. (2010). Psychopathology and resilience following traumatic injury: A latent growth mixture model analysis. Rehabilitation Psychology, 55(1), 1–11. https://doi.org/10.1037/a0018601
  • Field, A. (2013). Discovering statistics using IBM SPSS statistics. Sage.
  • Frazier, P., Berman, M., & Steward, J. (2001). Perceived control and posttraumatic stress: A temporal model. Applied and Preventive Psychology, 10(3), 207–223. https://doi.org/10.1016/S0962-1849(01)80015-9
  • Galatzer-Levy, I. R., Madan, A., Neylan, T. C., Henn-Haase, C., & Marmar, C. R. (2011). Peritraumatic and trait dissociation differentiate police officers with resilient versus symptomatic trajectories of posttraumatic stress symptoms. Journal of Traumatic Stress, 24(5), 557–565. https://doi.org/10.1002/jts.20684
  • Green, K. T., Calhoun, P. S., Dennis, M. F., & Beckham, J. C. (2010). Exploration of the resilience construct in posttraumatic stress disorder severity and functional correlates in military combat veterans who have served since September 11, 2001. The Journal of Clinical Psychiatry, 71(7), 823–830. https://doi.org/10.4088/JCP.09m05780blu
  • Greenberg, J., Pyszczynski, T., & Solomon, S. (1986). The causes and consequences of a need for self-esteem: A terror management theory. In R. F. Baumeister (Ed.), Public self and private self (pp. 189–212). Springer.
  • Hancock, L., & Bryant, R. A. (2020). Posttraumatic stress, stressor controllability, and avoidance. Behaviour Research and Therapy, 128, 103591. https://doi.org/10.1016/j.brat.2020.103591
  • Hayes, A. F. (2018). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. Guilford. https://doi.org/10.1111/jedm.12050
  • Helpman, L., Besser, A., & Neria, Y. (2015). Acute posttraumatic stress symptoms but not generalized anxiety symptoms are associated with severity of exposure to war trauma: A study of civilians under fire. Journal of Anxiety Disorders, 35, 27–34. https://doi.org/10.1016/j.janxdis.2015.08.001
  • Hirschberger, G. (2015). Terror management and prosocial behavior: A theory of self-protective altruism. In D. A. Schroeder & W. G. Graziano (Eds.), The Oxford handbook of prosocial behavior (pp. 166–187). Oxford.
  • Hoell, A., Kourmpeli, E., & Dressing, H. (2023). Work-related posttraumatic stress disorder in paramedics in comparison to data from the general population of working age. A systematic review and meta-analysis. Frontiers in Public Health, 11, 1151248. https://doi.org/10.3389/fpubh.2023.1151248
  • Hoge, C. W., Castro, C. A., Messer, S. C., McGurk, D., Cotting, D. I., & Koffman, R. L. (2004). Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care. New England Journal of Medicine, 351(1), 13–22. https://doi.org/10.1056/NEJMoa040603
  • Hoge, E. A., Austin, E. D., & Pollack, M. H. (2007). Resilience: Research evidence and conceptual considerations for posttraumatic stress disorder. Depression and Anxiety, 24(2), 139–152. https://doi.org/10.1002/da.20175
  • Holmes, E. A., Ghaderi, A., Harmer, C. J., Ramchandani, P. G., Cuijpers, P., Morrison, A. P., Roiser, J. P., Bockting, C. L. H., O'Connor, R. C., Shafran, R., Moulds, M. L., & Craske, M. G. (2018). The Lancet Psychiatry Commission on psychological treatments research in tomorrow’s science. The Lancet Psychiatry, 5(3), 237–286. https://doi.org/10.1016/S2215-0366(17)30513-8
  • Horn, S. R., Charney, D. S., & Feder, A. (2016). Understanding resilience: New approaches for preventing and treating PTSD. Experimental Neurology, 284(Pt B), 119–132. https://doi.org/10.1016/j.expneurol.2016.07.002
  • Jinkerson, J. D. (2016). Defining and assessing moral injury: A syndrome perspective. Traumatology, 22(2), 122–130. https://doi.org/10.1037/trm0000069
  • Joyce, S., Tan, L., Shand, F., Bryant, R. A., & Harvey, S. B. (2019). Can resilience be measured and used to predict mental health symptomology among first responders exposed to repeated trauma? Journal of Occupational & Environmental Medicine, 61(4), 285–292. https://doi.org/10.1097/JOM.0000000000001526
  • Kim, J. I., Park, H., & Kim, J. H. (2018). The mediation effect of PTSD, perceived job stress and resilience on the relationship between trauma exposure and the development of depression and alcohol use problems in Korean firefighters: A cross-sectional study. Journal of Affective Disorders, 229, 450–455. https://doi.org/10.1016/j.jad.2017.12.055
  • Komarovskaya, I., Maguen, S., McCaslin, S. E., Metzler, T. J., Madan, A., Brown, A. D., Galatzer-Levy, I. R., Henn-Haase, C., & Marmar, C. R. (2011). The impact of killing and injuring others on mental health symptoms among police officers. Journal of Psychiatric Research, 45(10), 1332–1336. https://doi.org/10.1016/j.jpsychires.2011.05.004
  • Kosloff, S., Anderson, G., Nottbohm, A., & Hoshiko, B. (2019). Proximal and distal terror management defenses: A systematic review and analysis. In C. Routledge & M. Vess (Eds.), Handbook of terror management theory (pp. 31–63). Elsevier.
  • Lade, S., Easterbrook, B., Brown, A., Millman, H., D’Alessandro-Lowe, A. M., O’Connor, C., & McKinnon, M. C. (2023). The mental health toll of service: An examination of self-reported impacts of public safety personnel careers in a treatment-seeking population. European Journal of Psychotraumatology, 14(2), 2269696. https://doi.org/10.1080/20008066.2023.2269696
  • Lee, J. K., Choi, H. G., Kim, J. Y., Nam, J., Kang, H. T., Koh, S. B., & Oh, S. S. (2016). Self-resilience as a protective factor against development of post-traumatic stress disorder symptoms in police officers. Annals of Occupational and Environmental Medicine, 28(1), 58. https://doi.org/10.1186/s40557-016-0145-9
  • Lee, J. S., Ahn, Y. S., Jeong, K. S., Chae, J. H., & Choi, K. S. (2014). Resilience buffers the impact of traumatic events on the development of PTSD symptoms in firefighters. Journal of Affective Disorders, 162, 128–133. https://doi.org/10.1016/j.jad.2014.02.031
  • Lentz, L. M., Smith-MacDonald, L., Malloy, D., Carleton, R. N., & Brémault-Phillips, S. (2021). Compromised conscience: A scoping review of moral injury among firefighters, paramedics, and police officers. Frontiers in Psychology, 12, 639781. https://doi.org/10.3389/fpsyg.2021.639781
  • Levi-Belz, Y., Groweiss, Y., Blank, C., & Neria, Y. (2024). PTSD, depression, and anxiety after the October 7, 2023 attack in Israel: A nationwide prospective study. eClinicalMedicine, 68, 102418. https://doi.org/10.1016/j.eclinm.2023.102418
  • Litz, B. T., Plouffe, R. A., Nazarov, A., Murphy, D., Phelps, A., Coady, A., Houle, S. A., Dell, L., Frankfurt, S., Zerach, G., & Levi-Belz, Y. (2022). Defining and assessing the syndrome of moral injury: Initial findings of the moral injury outcome scale consortium. Frontiers in Psychiatry, 13, 923928. https://doi.org/10.3389/fpsyt.2022.923928
  • Litz, B. T., Stein, N., Delaney, E., Lebowitz, L., Nash, W. P., Silva, C., & Maguen, S. (2009). Moral injury and moral repair in war veterans: A preliminary model and intervention strategy. Clinical Psychology Review, 29(8), 695–706. https://doi.org/10.1016/j.cpr.2009.07.003
  • Maguen, S., Lucenko, B. A., Reger, M. A., Gahm, G. A., Litz, B. T., Seal, K. H., Knight, S. J., & Marmar, C. R. (2010). The impact of reported direct and indirect killing on mental health symptoms in Iraq war veterans. Journal of Traumatic Stress, 23(1), 86–90. https://doi.org/10.1002/jts.20434
  • Maia, D. B., Marmar, C. R., Metzler, T., Nóbrega, A., Berger, W., Mendlowicz, M. V., Coutinho, E. S., & Figueira, I. (2007). Post-traumatic stress symptoms in an elite unit of Brazilian police officers: Prevalence and impact on psychosocial functioning and on physical and mental health. Journal of Affective Disorders, 97(1-3), 241–245. https://doi.org/10.1016/j.jad.2006.06.004
  • McCanlies, E. C., Gu, J. K., Andrew, M. E., Burchfiel, C. M., & Violanti, J. M. (2017). Resilience mediates the relationship between social support and post-traumatic stress symptoms in police officers. Journal of Emergency Management, 15(2), 107–116. https://doi.org/10.5055/jem.2017.0319
  • McCanlies, E. C., Mnatsakanova, A., Andrew, M. E., Burchfiel, C. M., & Violanti, J. M. (2014). Positive psychological factors are associated with lower PTSD symptoms among police officers: Post hurricane Katrina. Stress and Health, 30(5), 405–415. https://doi.org/10.1002/smi.2615
  • McDonald, M. A., Yang, Y., & Lancaster, C. L. (2022). The association of distress tolerance and mindful awareness with mental health in first responders. Psychological Services, 19(Suppl 1), 34–44. https://doi.org/10.1037/ser0000588
  • North, C. S., Tivis, L., McMillen, J. C., Pfefferbaum, B., Cox, J., Spitznagel, E. L., Bunch, K., Schorr, J., & Smith, E. M. (2002). Coping, functioning, and adjustment of rescue workers after the Oklahoma city bombing. Journal of Traumatic Stress, 15(3), 171–175. https://doi.org/10.1023/A:1015286909111
  • North, C. S., Tivis, L., McMillen, J. C., Pfefferbaum, B., Spitznagel, E. L., Cox, J., Nixon, S., Bunch, K. P., & Smith, E. M. (2002). Psychiatric disorders in rescue workers after the Oklahoma city bombing. American Journal of Psychiatry, 159(5), 857–859. https://doi.org/10.1176/appi.ajp.159.5.857
  • O’brien, R. M. (2007). A caution regarding rules of thumb for variance inflation factors. Quality & Quantity, 41(5), 673–690. https://doi.org/10.1007/s11135-006-9018-6
  • Oh, H. K., Jang, C. Y., & Ko, M. S. (2022). Factors influencing post-traumatic stress disorder among police officers in South Korea. Frontiers in Public Health, 10, 1024284. https://doi.org/10.3389/fpubh.2022.1024284
  • O’Neil, J. W., & Kruger, L. (2022). Mindset as a resilience resource and perceived wellness of first responders in a South African context. Jàmbá Journal of Disaster Risk Studies, 14(1), 1312. https://doi.org/10.4102/jamba.v14i1.1312
  • Peleg, O., & Gendelman, L. (2023). Internally displaced people amidst war: The Israeli narrative. The Lancet, 402(10417), 2071. https://doi.org/10.1016/S0140-6736(23)02521-7
  • Pietrzak, R. H., & Cook, J. M. (2013). Psychological resilience in older U.S. veterans: Results from the national health and resilience in veterans study. Depression and Anxiety, 30(5), 432–443. https://doi.org/10.1002/da.22083
  • Pietrzak, R. H., Johnson, D. C., Goldstein, M. B., Malley, J. C., Rivers, A. J., Morgan, C. A., & Southwick, S. M. (2010). Psychosocial buffers of traumatic stress, depressive symptoms, and psychosocial difficulties in veterans of operations enduring freedom and Iraqi freedom: The role of resilience, unit support, and postdeployment social support. Journal of Affective Disorders, 120(1-3), 188–192. https://doi.org/10.1016/j.jad.2009.04.015
  • Pietrzak, R. H., Johnson, D. C., Goldstein, M. B., Malley, J. C., & Southwick, S. M. (2009). Psychological resilience and postdeployment social support protect against traumatic stress and depressive symptoms in soldiers returning from operations enduring freedom and Iraqi freedom. Depression and Anxiety, 26(8), 745–751. https://doi.org/10.1002/da.20558
  • Robinson, H. M., Sigman, M. R., & Wilson, J. P. (1997). Duty-related stressors and PTSD symptoms in suburban police officers. Psychological Reports, 81(3 Pt 1), 835–845. https://doi.org/10.2466/pr0.1997.81.3.835
  • Saito, T., van der Does, F. H. S., Nagamine, M., van der Wee, N. J., Shigemura, J., Yamamoto, T., Takahashi, Y., Koga, M., Toda, H., Yoshino, A., Vermetten, E., & Giltay, E. J. (2022). Risk and resilience in trajectories of post-traumatic stress symptoms among first responders after the 2011 Great East Japan Earthquake: 7-year prospective cohort study. The British Journal of Psychiatry, 221(1), 668–675. https://doi.org/10.1192/bjp.2022.2
  • Senger, A. R., McGrew, S. J., Gallagher, M. W., & Vujanovic, A. (2023). Associations of resilience and hope with mental and physical health among firefighters. Journal of Clinical Psychology, 79(9), 2124–2136. https://doi.org/10.1002/jclp.23534
  • Shay, J. (2014). Moral injury. Psychoanalytic Psychology, 31(2), 182–191. https://doi.org/10.1037/a0036090
  • Skryabina, E. A., Betts, N., Amlôt, R., & Reedy, G. (2021). Understanding the psychological impacts of responding to a terrorist incident. European Journal of Psychotraumatology, 12(1), 1959116. https://doi.org/10.1080/20008198.2021.1959116
  • Southwick, S. M., Bonanno, G. A., Masten, A. S., Panter-Brick, C., & Yehuda, R. (2014). Resilience definitions, theory, and challenges: Interdisciplinary perspectives. European Journal of Psychotraumatology, 5(1), 1. https://doi.org/10.3402/ejpt.v5.25338
  • Streb, M., Häller, P., & Michael, T. (2014). PTSD in paramedics: Resilience and sense of coherence. Behavioural and Cognitive Psychotherapy, 42(4), 452–463. https://doi.org/10.1017/S1352465813000337
  • Tolchin, G., Aafjes-van Doorn, K., Horne, S., Baitch, R., & Silberschatz, G. (2023). Measures of trauma exposure and trauma response: A scoping review. Journal of Clinical Psychology, 79(11), 2668–2684. https://doi.org/10.1002/jclp.23565
  • Ungar, M. (2006). Nurturing hidden resilience in at-risk youth in different cultures. Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent, 15(2), 53–58.
  • Weathers, F. W., Litz, B. T., Keane, T. M., Palmieri, P. A., Marx, B. P., & Schnurr, P. P. (2013). The PTSD checklist for DSM-5 (PCL-5). Scale available from the National Center for PTSD at www.ptsd.va.gov.