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Post-traumatic stress among Swedish ambulance personnel
Open accessAbstract
Objective: Emergency workers, including ambulance personnel, must cope with a variety of duty related stressors including traumatic incident exposures. Little is known about the variables that might be associated with post-traumatic stress symptom in high risk occupational groups such as ambulance personnel. This study investigated the prevalence of post-traumatic stress disorder among Swedish ambulance personnel. Methods: To estimate the prevalence of trauma related disorders, a representative group of 362 ambulance personal from the county of Västra Götaland in Sweden was surveyed through use of a Swedish version of Antonovsky’s 13-item short version of Sense of Coherence Scale, to measure reactions to traumatic events two instruments were used, Impact of Event Scale (IES-15) and the Post Traumatic Symptom Scale (PTSS-10). A total of 223 of the ambulance personnel reported that they had had experience of what they described as traumatic situations. Results: Of those who reported a traumatic situation 15.2% scored 31 or more on the IES-15 sub scale. Scores over 31 indicate a stress reaction with certain likelihood of post-traumatic disorder. On the PTSS-10 subscale 12.1% scored 5 or more, which indicates a relative strong reaction. The study indicates that lower sense of coherence predicts post-traumatic stress. Other predictors for the extent of traumatic stress were longer job experience, age, physical and psychological workload. Conclusions: The high prevalence of post-traumatic stress disorder symptoms in ambulance personnel indicates an inability to cope with stress in daily work. The strong relation between post-traumatic stress and Sense of Coherence Scale may be useful in predicting vulnerability for post-traumatic symptoms among recently employed ambulance service personnel. To prevent or reduce the upcoming of post-traumatic stress disorder symptoms it must be possible to take leave of absence, or for a longer or shorter time be transferred to non-emergency duties. This study presents a better understanding between post-traumatic stress and underlying factors among ambulance personnel.
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“Jonsson highlighted that one-third of their 362 survey participants indicated high levels of psychopathology, burnout, and posttraumatic symptoms (Jonsson et al., 2003).”
From Understanding the Occupational Factors that Influence Paramedic Health and Wellbeing (2024) · cites this paper as Jonsson et al., 2003
In the citing paper
“Of 362 paramedics who completed the survey, 223 re- ported that they had experienced a traumatic situation”
From Understanding the Occupational Factors that Influence Paramedic Health and Wellbeing (2024) · cites this paper as Jonsson, A., Segesten, K. & Mattsson, B. 2003
In the citing paper
“and of those 15.2% scored a reaction which predicted a high likelihood of PTSD.”
From Understanding the Occupational Factors that Influence Paramedic Health and Wellbeing (2024) · cites this paper as Jonsson, A., Segesten, K. & Mattsson, B. 2003
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Hugelius, K., Berg, S. W., Westerberg, E., Gifford, M., & Adolfsson, A. (2014) · Prehospital and Disaster Medicine · doi:10.1017/s1049023x14001071 · Cited by 15
First-Aid Activities and Well-Being: The Experience of Professional and Volunteer Rescuers
Sartori, R. D. G., & Fave, A. D. (2014) · Journal of Social Service Research · doi:10.1080/01488376.2013.876954 · Cited by 16
Moya, P. N., Carrasco, M. G., & Hoz, E. V. (2017) · Scandinavian Journal of Trauma Resuscitation and Emergency Medicine · doi:10.1186/s13049-017-0433-6 · Cited by 19
Predictors of Depression Among a Sample of South African Mortuary Workers
Nöthling, J., Ganasen, K. A., & Seedat, S. (2015) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0000000000000260 · Cited by 18
Porter, S., & Johnson, A. (2008) · The College Quarterly · Cited by 15
Emotional impact of 2004 Asian tsunami on Singapore medical relief workers
Chan, A. O. M., & Huak, C. Y. (2004) · International Journal of Disaster Medicine · doi:10.1080/15031430510034695 · Cited by 15
Metadata
- Authors
- Jonsson, A., Segesten, K., & Mattsson, B.
- Affiliations
- University of Borås (SE)
- University of Gothenburg (SE)
- Venue
- Emergency Medicine Journal
- Publisher
- BMJ
- Published
- 2003-01
- Volume
- 20
- Issue
- 1
- Pages
- 79-84
- ISSN
- 1351-0622 (ISSN-L)
- 1472-0205
- 1472-0213
- PMC
- PMC1726002
- OpenAlex
- W1977270317
- Cited by
- 224
- References
- 34
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 5 · 2023: 6 · 2022: 10 · 2021: 14 · 2020: 14 · 2019: 13 · 2018: 17 · 2017: 16 · 2016: 16 · 2015: 12 · 2014: 11 · 2013: 14 · 2012: 13
- FWCI
- 6.92
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Emergency Medicine Journal (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational Health and Performance
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational Health and Burnout
- Keywords
- post-traumatic stress disorder, ambulance personnel, emergency medical personnel, occupational stress, sense of coherence, prevalence, mental workload, work experience, stress coping
- MeSH terms
- Adaptation, Psychological, Adult, Aged, Emergency Medical Technicians, Female, Humans, Male, Middle Aged, Surveys and Questionnaires, Stress Disorders, Post-Traumatic, Sweden, Prevalence
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