The Prevalence of Post-Traumatic Growth in Emergency Ambulance Personnel

Abstract

Departing from a deprivation approach to the study of trauma, a small body of literature has recently emerged that examines positive, rather than negative, post-trauma changes. Studies to date have focused on individuals’ positive reactions to a personally endured traumatic event for example, as bereaved parents, living with HIV/AIDS, or surviving cancer. Negative symptoms following a traumatic event that is experienced during the course of fulfilling professional obligations (e.g., in ambulance, fire and police services), are reported to be akin to the negative post-trauma symptoms found in direct survivors of a traumatic event. In this study, we investigated the prevalence of self-reported positive changes (posttraumatic growth) in emergency ambulance personnel, a population that are readily exposed to potentially traumatic incidents. Results indicated that a large proportion of both seasoned ambulance personnel and new recruits to the service, perceived positive changes in themselves that they attributed to having experienced a traumatic event at work. A significant mean difference was also detected between personnel who had endured a personal trauma in addition to a work-related trauma (n = 281) and personnel who had endured trauma only in the course of their employment responsibilities (n = 217). The study supports theoretical and clinical expectations that the experience of occupational trauma can act as a catalyst for significant positive post-trauma changes.

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References

Affleck, G. , & Tennen, H. (1996). Construing benefits from adversity: adaptational significance and dispositional underpinnings. Journal of Personality, 64, 899-922.

Blaikie, N. (2000). Designing Social Research, Malden: Blackwell.

Clohessy, S. & Ehlers, A. (1999). PTSD symptoms, response to intrusive memories and coping in ambulance workers. The British Journal of Clinical Psychology, 38 (3), 251-263.

Crossley, M. L. (2000). Contemporary ways of making meaning. In Introducing Narrative Psychology: Self, trauma and the construction of meaning. (pp. 159-178). Buckingham: Open University Press.

Everly, G. S. Jr. (1995). Innovations in disaster and trauma psychology: Applications in emergency services and disaster response. Ellicott City: Chevron.

Figley, C. E. (1995). Compassion Fatigue: coping with secondary stress in those who treat the traumatised. New York: Brunner/Mazel, Inc.

Folkman, S. , & Tedlie Moskowitz, J. (2000). Positive affect and the other side of coping. American Psychologist, 55 (6), 647-654.

Genest, M. , Levine, J. , Ramsden, V. , & Swanson, R. (1990). The impact of providing help: Emergency workers and cardiopulmonary resuscitation attempts. Journal of Traumatic Stress, 3 (2), 305-313.

Giller, E. (2000). What is psychological trauma? The Sidran Traumatic Stress Foundation. Retrieved February 23, 2001, from http://www.sidran.org/whatistrauma.html

10.

Goodwin, C. J. (1995). Research in psychology: methods and design. New York: John Wiley & Sons, Inc.

11.

Grevin, F. (1996). Posttraumatic stress disorder, ego defense mechanisms, and empathy among urban paramedics. Psychological Reports, 79, 483-495.

12.

Ickovics, J. , & Park, C. (1998). Paradigm shift: why a focus on health is important. Journal of Social Issues, 54 (2), 237-244.

13.

James, A. (1988). Perceptions of stress in British ambulance personnel. Work and Stress, 2 (4), 319-326.

14.

James, A. , & Wright, P. L. (1991). Occupational stress in the ambulance service. Journal of Managerial Psychology, 6, 13-22.

15.

McCammon, S. , Durham, T. , Jackson Allison, E. , & Williamson, J. (1988). Emergency Workers' cognitive appraisal and coping with traumatic events. Journal of Traumatic Stress, 1 (3), 353-372.

16.

McFarlane, A. C. , & Yehuda, R. (1996). Resilience, vulnerability, and the course of posttraumatic reactions. In B. van der Kolk , A. McFarlane , & L. Weisaeth , (Eds.). Traumatic stress: The effects of overwhelming experience on mind, body, and society. (pp. 155-181). New York: Guilford Press.

17.

McMillan, J. C. (1999). Better for it: How people benefit from adversity. Social work, 44 (5), 455-468.

18.

McMillan, J. C. , & Fisher, R. H. (1998). The perceived benefit scales: Measuring perceived positive life changes after negative events. Social Work Research, 22 (3), 173-187.

19.

Marmar, C. R. , Weiss, D. S. , Metzler, T. J. , & Delucchi, K. (1996). Characteristics of emergency service personnel related to peritraumatic dissociation during critical incident exposure. American Journal of Psychiatry, 153 (7), 94-102.

20.

Neuman, W. L. (1997). Social research methods: Qualitative and quantitative approaches (3rd ed.). Boston: Allyn and Bacon.

21.

O’Leary, V. E. , & Ickoviks, J. R. (1995). Resilience and thriving in response to challenge: an opportunity for a paradigm shift in women’s health. Women’s Health: Research on Gender, Behavior, and Policy, 1, 121-142

22.

Park, C. L. , Cohen, L. H. , & Murch, R. (1996). Assessment and prediction of stress-related growth. Journal of Personality, 64, 71-105.

23.

Park, C. L. , & Folkman, S. (1997). Stability and change in psychosocial resources during caregiving and bereavement in partners of men with AIDS. Journal of Personality, 65,(2), 421-447.

24.

Paton, D. , &. Violanti, J. (1996). Traumatic stress in critical occupations; recognition, consequences and treatment. Illinois: Charles C. Thomas.

25.

Raphael, B. (1986). Psychiatric consultancy in major disaster. Australian and New Zealand Journal of Psychiatry, 18, 303-306.

26.

Robinson, R. (1993). Follow-up study of health and stress in Ambulance Services Victoria, Australia. Melbourne: Victorian Ambulance Crisis Counselling Unit.

27.

Scheier, M. F. , Matthews, K. A. , Owens, J. F. , Schultz, M. W. , Magovern, G. J. , & & Carver, C. S. (2000). Optimism and rehospitalisation after coronary artery bypass graft surgery. Archives of Internal Medicine, 159 (8), 829-843.

28.

Siegel, K. , & Schrimshaw, E. W. (2000). Perceiving benefits in adversity: stress-related growth in women living with HIV/AIDS. Social Science and Medicine, 51 (10), 1543-1554.

29.

Smith, S. G. (2001). Correlates of posttraumatic growth. Unpublished masters thesis, Georgia State University, Atlanta.

30.

Tedeschi, R. G. , & Calhoun, L. G. (1995). Trauma & transformation: Growing in the aftermath of suffering. Thousand Oaks: Sage.

31.

Tedeschi, R. G. , & Calhoun, L. G. (1996). The Posttraumatic Growth Inventory: measuring the positive legacy of trauma. Journal of Traumatic Stress, 9 (3), 455-471.

32.

Tedeschi, R. G. , Park, C. L. , & Calhoun, L. (Eds.). (1998). Posttraumatic Growth: positive changes in the aftermath of crisis. New Jersey: Lawrence Erlbaum Associates.

33.

Violanti, J. M. , Paton, D. , & Dunning, C. (Eds.) (2000). Posttraumatic stress intervention: Challenges, issues and perspectives. Springfield, IL: Charles C. Thomas.

34.

Weiss, D. S. , Marmar, C. R. , Metzler, T. J. , & Ronfeldt, H. M. (1995). Predicting symptomatic distress in emergency services personnel. Journal of Counseling and Clinical Psychology, 63 (3), 361-368.

35.

Wilson, J. , & Raphael, B. , (Eds.). (1993). International handbook of traumatic stress syndromes. New York: Plenum press.