After two strong earthquakes in the Emilia region in Italy, many HCWs had to deal with the psychological consequences of the aftershocks.
OBJECTIVE:
The aims of this case study were a) to describe the psychosocial condition of the HCWs affected by the earthquake; b) to present an intervention immediately after the earthquake on HCWs in a post-disaster situation using a mixed-method approach.
METHODS:
A mixed-method study was conducted collecting qualitative data (during Group Counselling sessions) and quantitative data (through questionnaires).
RESULTS:
The results suggested that the impact of the earthquake was very strong, as more than 80% perceived at least a severe impact event capable of altering their ability to function; most of the thoughts and feelings were related to death and fear.
CONCLUSIONS:
This study adds knowledge about how to plan interventions aiming to help those workers at both individual and organisational level.
DevillyGJ, CottonP. Psychological debriefing and the workplace: Defining a concept, controversies and guidelines for intervention. Aust Psychol2003;38:144–50.
2.
PasnauRO, FawzyFI. Stress and psychiatry, In: KaplanHI, SadockBJ, editors. Comprehensive Textbook of Psychiatry Baltimore,MD: Williams & Wilkins; 1989. pp. 1231–9.
3.
KaplanZ, IancuI, BodnerE. A review of psychological debriefing after extreme stress. Psychiatric Serv2001;52:824–7.
4.
SolomonZ, BenbenishtyR. The role of proximity, immediacy and expectancy in the treatment of combat stress reaction among Israelis in the Lebanon war. Am J Psychiat1986;143:613–7.
5.
WuS, ZhuX, ZhagY, LiangJ, LuuX, YangY, YangH, MiaoD. A new psychological intervention: “512 psychological intervention Model” used for military rescuers in Wenchuan Eearthquake. Soc Psych Psych Epid2012;47:1111–9.
6.
RegelS. Post-trauma support in the workplace: The current status and practice of critical incident stress management (CISM) and psychological debriefing (PD) within organizations in the UK. Occup Med-C2007;57:411–6.
7.
CoreyM, CoreyG. Groups: Process and Practice. Boston, MA:
Cengage Learning; 2006.
8.
GazdaGM, GinterEJ, HorneAM. Group Counseling and Group Psychotherapy: Theory and Application. Boston MA: Allyn and Bacon; 2001.
9.
MeierS, DavisS. Guida al counselling. Milano, Italy: Franco Angeli1994.
10.
XuJ, WeiY. Social support as a moderator of the relationship between anxiety and depression: An empirical study with adult survivors of Wenchuan earthquake. PloS One2013;8(10):e79045.
11.
BemakF, Ching-Ying ChiungR. Post-disaster social justice group work and group supervision. Journal Special Group Work2011;36:3–21.
12.
ReyesG, ElhaiJD. Psychosocial interventions in the early phases of disasters. Psychotherapy2004;41:399–411.
13.
Te BrakeH, DuckersM, De VriesM, Van DuinD, RoozeM, SpreeuwenbergC. Early psychological intervention after disaster, terrorism, and other shocking events: Guideline development. Nurs Health Sci2009;11-336–343.
FloriniMC, GuglielmiD, BrunettiM, CamelliniL, VignoliM. Dopo il sisma: Come tornare alla normalità? Un progetto di supporto al cambiamento organizzativo nell’Azienda Usl di Modena. Auton Loc Serv Soc2012;3:495–503.
16.
CreswellJW, Plano ClarkWL. Designing and conducting mixed methods research. Thousand Oaks, CA: Sage; 2003.
17.
PietrantonioF, De GennaroL, Di PaoloMC, SolanoL. The impact of event scale. Validation of an Italian version. J Psychosom Res2003;55:389–93.
18.
HorowitzM, WilnerN, AlvarezW. Impact of event scale: A measure of subjective stress. Psychosom Med1979;41:209–18.
19.
ZilbergNJ, WeissDS, HorowitzMJ. Impact of event scale: A cross validation study and some empirical evidencesupporting a conceptual model of stress response syndromes. J Consult Clin Psych1982;50:407–14.
20.
ElklitA, PedersenSS, JindL. The crisis support scale: Psychometric qualities and further validation. Pers Indiv Differ2001;31:1291–302.
21.
PiccinelliM, BisoffiG, BonMG, CunicoL, TansellaM. Validity and test-retest reliability of the Italian version of the 12-item general health questionnaire in general practice: A comparison between three scoring methods. Compr Psychiat1993;34:198–205.
