An Assessment of Depression, Anxiety, and Stress Among Nationally Certified EMS Professionals

References

• Dawson DE, Brown WE Jr, Harwell TS. Assessment of nationally registered emergency medical technician certification training in the United States: the LEADS Project. Longitudinal Emergency Medical Technician Attributes Demographic Study. Prehosp Emerg Care 2003;7:114–9.
   PubMedGoogle Scholar
• Clohessy S, Ehlers A. PTSD symptoms, response to intrusive memories and coping in ambulance service workers. Br J Clin Psychol. 1999;38(pt 3):251–65.
   PubMedGoogle Scholar
• Moran C, Britton NR. Emergency work experience and reactions to traumatic incidents. J Trauma Stress. 1994;7:575–85.
   PubMed Web of Science ®Google Scholar
• Regehr C, Goldberg G, Hughes J. Exposure to human tragedy, empathy, and trauma in ambulance paramedics. Am J Orthopsychiatry. 2002;72:505–13.
   PubMed Web of Science ®Google Scholar
• Nortje C, Roberts CB, Moller AT. Judgement of risk in traumatized and nontraumatized emergency medical service personnel. Psychol Rep. 2004;95(3 pt 2):1119–28.
   PubMed Web of Science ®Google Scholar
• Sterud T, Hem E, Ekeberg O, Lau B. Health problems and help-seeking in a nationwide sample of operational Norwegian ambulance personnel. BMC Public Health. January 4, 2008;8:3.
   PubMed Web of Science ®Google Scholar
• Alexander DA, Klein S. Ambulance personnel and critical incidents: impact of accident and emergency work on mental health and emotional well-being. Br J Psychiatry. 2001;178:76–81.
   PubMed Web of Science ®Google Scholar
• Rodgers LM. A five year study comparing early retirements on medical grounds in ambulance personnel with those in other groups of health service staff. Part II: Causes of retirements. Occup Med (Lond). 1998;48:119–32.
   PubMed Web of Science ®Google Scholar
• Revicki DA, Gershon RR. Work-related stress and psychological distress in emergency medical technicians. J Occup Health Psychol. 1996;1:391–6.
   PubMedGoogle Scholar
• Donnelly E. Work-related stress and posttraumatic stress in emergency medical services. Prehosp Emerg Care. 2012;16:76–85.
   PubMed Web of Science ®Google Scholar
• Williams CL, Solomon SD, Bartone P. Primary prevention in aircraft disasters. Integrating research and practice. Am Psychol. 1988;43:730–9.
   PubMed Web of Science ®Google Scholar
• Hammer JS, Mathews JJ, Lyons JS, Johnson NJ. Occupational stress within the paramedic profession: an initial report of stress levels compared to hospital employees. Ann Emerg Med. 1986;15:536–9.
   PubMed Web of Science ®Google Scholar
• Cydulka RK, Emerman CL, Shade B, Kubincanek J. Stress levels in EMS personnel: a longitudinal study with work-schedule modification. Acad Emerg Med. 1994;1:240–6.
   PubMedGoogle Scholar
• Lerner EB, Fernandez AR, Shah MN. Do emergency medical services professionals think they should participate in disease prevention? Prehosp Emerg Care. 2009;13:64–70.
   PubMed Web of Science ®Google Scholar
• Studnek JR, Bentley M, Crawford JM, Fernandez AR. An assessment of key health indicators among emergency medical services professionals. Prehosp Emerg Care. 2010;14:14–20.
   PubMed Web of Science ®Google Scholar
• Studnek JR, Ferketich A. Organizational policy and other factors associated with emergency medical technician seat belt use. J Safety Res. 2007;38:1–8.
   PubMed Web of Science ®Google Scholar
• Studnek JR, Fernandez AR. Organizational description and emergency preparedness of nationally registered first responders. Prehosp Disaster Med. 2008;23:250–5.
   PubMedGoogle Scholar
• Studnek JR, Fernandez AR, Margolis GS, O'Connor RE. Physician medical oversight in emergency medical services: where are we? Prehosp Emerg Care. 2009;13:53–8.
   PubMed Web of Science ®Google Scholar
• Antony MM, Bieling PJ, Cox BJ, Enns MW, Swinson RP. Psychometric properties of the 42-item and 21-item versions of the Depression Anxiety Stress Scales in clinical groups and a community sample. Psychol Assess. 1998;10:176–81.
   Web of Science ®Google Scholar
• Studnek JR, Bentley M, Crawford JM, Fernandez AR. An assessment of key health indicators among emergency medical services professionals. Prehosp Emerg Care. 2010;14:14–20.
   PubMed Web of Science ®Google Scholar
• Gloster AT, Rhoades HM, Novy D, Psychometric properties of the Depression Anxiety and Stress Scale-21 in older primary care patients. J Affect Disord. 2008;110:248–59.
   PubMed Web of Science ®Google Scholar
• Henry JD, Crawford JR. The short-form version of the Depression Anxiety Stress Scales (DASS-21): construct validity and normative data in a large non-clinical sample. Br J Clin Psychol. 2005;44(pt 2):227–39.
   PubMed Web of Science ®Google Scholar
• Nieuwenhuijsen K, de Boer AG, Verbeek JH, Blonk RW, van Dijk FJ. The Depression Anxiety Stress Scales (DASS): detecting anxiety disorder and depression in employees absent from work because of mental health problems. Occup Environ Med. 2003;60(suppl 1):i77–82.
   PubMedGoogle Scholar
• Norton PJ. Depression Anxiety and Stress Scales (DASS-21): psychometric analysis across four racial groups. Anxiety Stress Coping. 2007;20:253–65.
   PubMed Web of Science ®Google Scholar
• Lovibond SH, Lovibond PF. Manual for the Depression Anxiety Stress Scales. Sydney, Australia: Psychology Foundations, 2005.
   Google Scholar
• Apostolo JL, Figueiredo MH, Mendes AC, Rodrigues MA. Depression, anxiety and stress in primary health care users. Rev Lat Am Enfermagem. 2011;19:348–53.
   PubMed Web of Science ®Google Scholar
• Edimansyah B, Rusli B, Naing L. Effects of short duration stress management training on self-perceived depression, anxiety and stress in male automotive assembly workers: a quasi-experimental study. J Occup Med Toxicol. 2008;3:28.
   PubMedGoogle Scholar
• Hackett A, Palmer S, Farrants J. Phase 1 of an investigation into the levels of stress in United Kingdom hospice services. Int J Palliat Nurs. 2009;15:66–72.
   PubMedGoogle Scholar
• Hadi AA, Naing NN, Daud A, Nordin, R, Sulong MR. Prevalence and factors associated with stress among secondary school teachers in Kota Bharu, Kelantan, Malaysia. Southeast Asian J Trop Med Public Health. 2009;40:1359–70.
   PubMed Web of Science ®Google Scholar
• Tully PJ, Zajac IT, Venning AJ. The structure of anxiety and depression in a normative sample of younger and older Australian adolescents. J Abnorm Child Psychol. 2009;37: 717–26.
   PubMed Web of Science ®Google Scholar
• Aasa U, Brulin C, Angquist KA, Barnekow-Bergkvist M. Work-related psychosocial factors, worry about work conditions and health complaints among female and male ambulance personnel. Scand J Caring Sci. 2005;19:251–8.
   PubMed Web of Science ®Google Scholar
• Aasa U, Kalezic N, Lyskov E, Angquist KA, Barnekow-Bergkvist M. Stress monitoring of ambulance personnel during work and leisure time. Int Arch Occup Environ Health. 2006;80:51–9.
   PubMed Web of Science ®Google Scholar
• Alexander DA, Klein S. First responders after disasters: a review of stress reactions, at-risk, vulnerability, and resilience factors. Prehosp Disaster Med. 2009;24:87–94.
   PubMedGoogle Scholar
• 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;11:821–8.
   PubMed Web of Science ®Google Scholar
• Cydulka RK, Emerman CL, Shade B, Kubincanek J. Stress levels in EMS personnel: a national survey. Prehosp Disaster Med. 1997;12:136–40.
   PubMedGoogle Scholar
• Essex B, Scott LB. Chronic stress and associated coping strategies among volunteer EMS personnel. Prehosp Emerg Care. 2008;12:69–75.
   PubMed Web of Science ®Google Scholar
• Hagh-Shenas H, Goodarzi MA, Dehbozorgi G, Farashbandi H. Psychological consequences of the Bam earthquake on professional and nonprofessional helpers. J Trauma Stress. 2005;18:477–83.
   PubMed Web of Science ®Google Scholar
• Jonsson A, Segesten K. The meaning of traumatic events as described by nurses in ambulance service. Accid Emerg Nurs. 2003;11:141–52.
   PubMedGoogle Scholar
• Lubin G, Sids C, Vishne T, Shochat T, Ostfield Y, Shmushkevitz M. Acute stress disorder and post-traumatic stress disorder among medical personnel in Judea and Samaria areas in the years 2000–2003. Mil Med. 2007;172:376–8.
   PubMed Web of Science ®Google Scholar
• Nirel N, Goldwag R, Feigenberg Z, Abadi D, Halpern P. Stress, work overload, burnout, and satisfaction among paramedics in Israel. Prehosp Disaster Med. 2008;23:537–46.
   PubMedGoogle Scholar
• Regehr C, Goldberg G, Glancy GD, Knott T. Posttraumatic symptoms and disability in paramedics. Can J Psychiatry. 2002;47:953–8.
   PubMed Web of Science ®Google Scholar
• Sterud T, Hem E, Ekeberg O, Lau B. Occupational stressors and its organizational and individual correlates: a nationwide study of Norwegian ambulance personnel. BMC Emerg Med. December 2, 2008;8:16.
   PubMedGoogle Scholar
• Sterud T, Hem E, Lau B, Ekeberg O. Suicidal ideation and suicide attempts in a nationwide sample of operational Norwegian ambulance personnel. J Occup Health. 2008;50: 406–14.
   PubMed Web of Science ®Google Scholar
• Hosmer DW, Lemeshow S. Applied Logistic Regression. New York: Wiley, 2000.
   Google Scholar
• Lin HS, Probst JC, Hsu YC. Depression among female psychiatric nurses in southern Taiwan: main and moderating effects of job stress, coping behaviour and social support. J Clin Nurs. 2010;19(15-16):2342–54.
   PubMed Web of Science ®Google Scholar
• Whang W, Kubzansky LD, Kawachi I, Depression and risk of sudden cardiac death and coronary heart disease in women: results from the Nurses’ Health Study. J Am Coll Cardiol. 2009;53:950–8.
   PubMed Web of Science ®Google Scholar
• Ardekani ZZ, Kakooei H, Ayattollahi SM, Choobineh A, Seraji GN. Prevalence of mental disorders among shift work hospital nurses in Shiraz, Iran. Pak J Biol Sci. 2008;11: 1605–9.
   PubMedGoogle Scholar
• Tabolli S, Ianni A, Renzi C, Di Pietro C, Puddu P. [Job satisfaction, burnout and stress amongst nursing staff: a survey in two hospitals in Rome]. G Ital Med Lav Ergon. 2006;28(1 suppl 1):49–52.
   PubMedGoogle Scholar
• Cooke M, Holzhauser K, Jones M, Davis C, Finucane J. The effect of aromatherapy massage with music on the stress and anxiety levels of emergency nurses: comparison between summer and winter. J Clin Nurs. 2007;16:1695–703.
   PubMed Web of Science ®Google Scholar
• Meeusen V, Van Dam K, Brown-Mahoney C, Van Zundert A, Knape H. Burnout, psychosomatic symptoms and job satisfaction among Dutch nurse anaesthetists: a survey. Acta Anaesthesiol Scand. 2010;54:616–21.
   PubMed Web of Science ®Google Scholar
• Von Rueden KT, Hinderer KA, McQuillan KA, Secondary traumatic stress in trauma nurses: prevalence and exposure, coping, and personal/environmental characteristics. J Trauma Nurs. 2010;17:191–200.
   PubMedGoogle Scholar
• Kashani M, Eliasson A, Chrosniak L, Vernalis M. Taking aim at nurse stress: a call to action. Mil Med. 2010;175:96–100.
   PubMed Web of Science ®Google Scholar
• Preto VA, Pedrao LJ. [Stress among nurses who work at the intensive care unit]. Rev Esc Enferm USP. 2009;43:841–8.
   PubMed Web of Science ®Google Scholar
• Albuquerque J, Deshauer D, Fergusson D, Doucette S, MacWilliam C, Kaufmann IM. Recurrence rates in Ontario physicians monitored for major depression and bipolar disorder. Can J Psychiatry. 2009;54:777–82.
   PubMed Web of Science ®Google Scholar
• Schwenk TL, Gorenflo DW, Leja LM. A survey on the impact of being depressed on the professional status and mental health care of physicians. J Clin Psychiatry. 2008;69:617–20.
   PubMed Web of Science ®Google Scholar
• Ahmed I, Banu H, Al-Fageer R, Al-Suwaidi R. Cognitive emotions: depression and anxiety in medical students and staff. J Crit Care. 2009;24:e1–7.
   PubMed Web of Science ®Google Scholar
• Buddeberg-Fischer B, Stamm M, Buddeberg C, Klaghofer R. [Anxiety and depression in residents—results of a Swiss longitudinal study]. Z Psychosom Med Psychother. 2009;55:37–50.
   PubMed Web of Science ®Google Scholar
• Compton MT, Frank E. Mental health concerns among Canadian physicians: results from the 2007–2008 Canadian Physician Health Study. Compr Psychiatry. 2011;52:542–7.
   PubMed Web of Science ®Google Scholar
• Vanagas G, Bihari-Axelsson S. The factors associated to psychosocial stress among general practitioners in Lithuania. Cross-sectional study. BMC Health Serv Res. June 10, 2005;5:45.
   PubMed Web of Science ®Google Scholar
• Perez-Guzman ID, Zonana-Nacach A, Valles-Medina AM. [Stress levels in health care workers from primary care units]. Rev Med Inst Mex Seguro Soc. 2009;47:575–9.
   PubMedGoogle Scholar
• Asztalos M, De Bourdeaudhuij I, Cardon G. The relationship between physical activity and mental health varies across activity intensity levels and dimensions of mental health among women and men. Public Health Nutr. 2010;13:1207–14.
   PubMed Web of Science ®Google Scholar
• Rosen-Reynoso M, Alegria M, Chen CN, Laderman M, Roberts R. The relationship between obesity and psychiatric disorders across ethnic and racial minority groups in the United States. Eat Behav. 2011;12:1–8.
   PubMed Web of Science ®Google Scholar
• Bowden JA, Miller CL, Hiller JE. Smoking and mental illness: a population study in South Australia. Aust N Z J Psychiatry. 2011;45:325–31.
   PubMed Web of Science ®Google Scholar
• Bertheussen GF, Romundstad PR, Landmark T, Kaasa S, Dale O, Helbostad JL. Associations between physical activity and physical and mental health—a HUNT 3 study. Med Sci Sports Exerc. 2011;43:1220–8.
   PubMed Web of Science ®Google Scholar
• Marinho V, Blay SL, Andreoli SB, Gastal F. A prevalence study of current tobacco smoking in later life community and its association with sociodemographic factors, physical health and mental health status. Soc Psychiatry Psychiatr Epidemiol. 2008;43:490–7.
   PubMed Web of Science ®Google Scholar
• U.S. Department of Health and Human Services. Physical Activity and Health: A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, 1999.
   Google Scholar
• Xiong X, Harville EW, Mattison DR, Elkind-Hirsch K, Pridjian G, Buekens P. Hurricane Katrina experience and the risk of post-traumatic stress disorder and depression among pregnant women. Am J Disaster Med. 2010;5:181–7.
   PubMedGoogle Scholar
• Tedstone Doherty D, Kartalova-O'Doherty Y. Gender and self-reported mental health problems: predictors of help seeking from a general practitioner. Br J Health Psychol. 2010;15(pt 1):213–28.
   PubMedGoogle Scholar