Posttraumatic stress disorder among emergency ambulance personnel in Baghdad, Iraq
Keywords:
PTSD, Baghdad, emergency ambulance personne, Widespread violAbstract
Background and Objectives: Emergency ambulance personnel (EAP) are vulnerable to posttraumatic stress disorder (PTSD). In Iraq, EAPs were exposed to life threatening situation during political violence conflict post 2003 Gulf war. This study was carried out to report on PTSD among EAP.
Methods: A total of 189 male EAPs (only one female in was in the emergency department) were selected randomly from the Deptartment of ambulance in Baghdad. A questionnaire form was filled for each EAP. The form included the symptoms of PTSD according to DSM- IV (intrusive, avoidance and hyperarousal symptoms). Demographic data and exposure to violence accident, type of accident and duration of damage were included, also.
Results: : The mean age of EAP was 38.5 ± 9.4 years. There was 122 (64.5%) had PTSD. Age, education, marital status and years in emergency ambulance department were significantly associated with PTSD.
Conclusions: High rate of PTSD among EAPs was reported. Measures to prevent PTSD and to give further support to EAP are needed. Further studies will clarify the situation of PTSD in Iraq.
Metrics
References
Ahmed AS. Post-traumatic stress disorder, resilience and vulnerability. Advances in Psychiatric treatment 2007; 13: 369-375.
Smith A, Robert K. Interventions for posttraumatic stress disorder and psychological distress in emergency ambulance personnel: a review of the literature. Emerg Med J 2003; 20: 75-78.
Kessler RC, Sonnega A, Bromet E, Hughes M, Nelson CB. Posttraumatic stress disorder in the National Co morbidity Survey. Arch Gen Psychiatry 1995; 52:1048-1060.
Grevin F. Posttraumatic stress disorder, ego defense mechanisms and empathy among paramedics. Psychpl Rep 1996; 79: 483-495.
Houston AK. Do critical nurse face burnout, PTSD or is it something else? Getting help for helpers. Clinical Issues Critical Care Nursing 1993; 4: 558-565.
Fullerton CS, Ursano RJ, Wang L. Acute stress disaster, posttraumatic stress disorder and depression in rescue workers. Am J Psychiatry 2004; 161: 1370-1376.
Iraq Family Health Service Survey Study Group. Violence related mortality in Iraq from 2002 to 2006. N Engl J Med 2008; 358: 484-493.
Burnham G, Lafta R, Doou S, Robert L. Mortality after 2003 invasion of Iraq: a cross- sectional cluster sample survey. http//: www.thelacent.com. Published online Oct. 11, 2006.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders, 4th ed. DSM –IV. Washington DC. APA. 1994.
Fearson JD. Iraq's civil war. Foreign Affairs. March / April 2007
Al-Diwan Jk, Al-Hadi A, Al-Hadithi T. Mental health of adolescents in Iraq. Submitted to J A B M S 2009.
Kozaric-Kovcic D, Kocijan-Hercigonja D, Iambrosic A. Psychiatric help to psychotraumatized persons during and after war in Croatia. C M T 2002; 43: 221-228.
Dohrenwend BP, Turner JB, Turse NA, Lewis- Fernandez R, Yager TJ. War- related post-traumatic stress disorder in Black, Hispanic and majority of White Vietnam veterans: the role of exposure and vulnerability. J Trauma Stress 2008; 21:133-141.
Schreuder TJN, Igreja V, van Dijk J, Kleijn W. Intrusive re-experiencing of chronic strife or war. Advances in Psychiatric treatment 2001; 7:102-108.
Delisi LE, Maurizio A, Yost M et al. A survey of New Yorkers after the Sept. 11, 2001, terrorist attacks. Am J Psychiatry 2003, 160: 780-783.
Joseph S, William R, Yule W. Understanding post-traumatic stress. A psychosocial perspective on PTSD and treatment. Chichester: Wiley, 1997.
Bonanno GA. Loss, trauma and human resilience: have we underestimated the human capacity to thrive after extremely aversive avent? Am J Psychology 2004; 59: 20-28.
Downloads
Published
How to Cite
Issue
Section
License
The copyright on any article published in Zanco J Med Sci is retained by the author(s) in agreement with the Creative Commons Attribution Non-Commercial ShareAlike License (CC BY-NC-SA 4.0).