Social Psychiatry and Psychiatric Epidemiology
Volume 52, Issue 1, 2017, Pages 45-54

Who is going to rescue the rescuers? Post-traumatic stress disorder among rescue workers operating in Greece during the European refugee crisis (Article)

Sifaki-Pistolla D.* , Chatzea V.-E. , Vlachaki S.-A. , Melidoniotis E. , Pistolla G.
  • a Clinic of Social and Family Medicine, Faculty of Medicine, University of Crete, Office 4D10, P.O. Box: 2208, Heraklion, 71003, Greece
  • b Clinic of Social and Family Medicine, Faculty of Medicine, University of Crete, Office 4D10, P.O. Box: 2208, Heraklion, 71003, Greece
  • c Department of Sociology, University of the Aegean, Mytilene, Greece
  • d University Hospital of Heraklion, Heraklion, Greece
  • e Health Region of Crete, Heraklion, Greece, Faculty of Medicine, University of Crete, Heraklion, Greece

Abstract

Purpose: During the European refugee crisis, numerous Greek and international rescue workers are operating in Lesvos, offering search, rescue, and first aid services. Exposure to stressful life events while engaging in this rescue work can result in developing Post-Traumatic Stress Disorder (PTSD). The study aimed to assess the prevalence of PTSD and explore potential differences between different categories of rescuers. Methods: A cross-sectional study was conducted among 217 rescue workers. Participants were grouped according to affiliation: “Greek Professionals Rescuers/GPR”, “International Professionals Rescuers/IPR” and “Volunteer Rescuers/VR”. The PTSD Checklist-Civilian Version (PCL-C) was utilized. All tests were two-tailed (a = 0.05). Mann–Whitney, Kruskal–Wallis, and multivariate logistic regression were performed. Results: Overall probable PTSD prevalence found was 17.1%. Rates varied significantly per rescuer’s category; 23.1% in GPR, 11.8% in IPR, and 14.6% in VR (p = 0.02). GPR demonstrated the highest risk compared to IPR and VR (p < 0.001). Females had approximately two times higher risk. Other significant risk factors included marital status, age, and number of children. Lack of previous experience, longer operation period, longer shift hours, and handling dead refugees and dead children were also considered major risk factors. Conclusions: Rescue workers providing substantial aid to the refugees and migrants at Lesvos experience significant psychological distress. The present findings indicate the urgent need for targeted interventions. Further studies are needed to address long-term effects of the refugee crisis on rescuers, and explore effective measures to prevent PTSD. © 2016, Springer-Verlag Berlin Heidelberg.

Author Keywords

Post-traumatic stress disorder Rescue workers PTSD Prevalence Refugee crisis

Index Keywords

refugee human Life Change Events Refugees middle aged life event volunteer Volunteers Cross-Sectional Studies Rescue Work Humans cross-sectional study psychology male female Greece prevalence adult Stress Disorders, Post-Traumatic

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84992365533&doi=10.1007%2fs00127-016-1302-8&partnerID=40&md5=e4c46d8af22fb8c4c2e3c8f8e0aba216

DOI: 10.1007/s00127-016-1302-8
ISSN: 09337954
Cited by: 6
Original Language: English