Ontology highlight
ABSTRACT: Background
International humanitarian aid workers providing care in emergencies are subjected to numerous chronic and traumatic stressors.Objectives
To examine consequences of such experiences on aid workers' mental health and how the impact is influenced by moderating variables.Methodology
We conducted a longitudinal study in a sample of international non-governmental organizations. Study outcomes included anxiety, depression, burnout, and life and job satisfaction. We performed bivariate regression analyses at three time points. We fitted generalized estimating equation multivariable regression models for the longitudinal analyses.Results
Study participants from 19 NGOs were assessed at three time points: 212 participated at pre-deployment; 169 (80%) post-deployment; and 154 (73%) within 3-6 months after deployment. Prior to deployment, 12 (3.8%) participants reported anxiety symptoms, compared to 20 (11.8%) at post-deployment (p = 0.0027); 22 (10.4%) reported depression symptoms, compared to 33 (19.5%) at post-deployment (p = 0.0117) and 31 (20.1%) at follow-up (p = .00083). History of mental illness (adjusted odds ratio [AOR] 4.2; 95% confidence interval [CI] 1.45-12.50) contributed to an increased risk for anxiety. The experience of extraordinary stress was a contributor to increased risk for burnout depersonalization (AOR 1.5; 95% CI 1.17-1.83). Higher levels of chronic stress exposure during deployment were contributors to an increased risk for depression (AOR 1.1; 95% CI 1.02-1.20) comparing post- versus pre-deployment, and increased risk for burnout emotional exhaustion (AOR 1.1; 95% CI 1.04-1.19). Social support was associated with lower levels of depression (AOR 0.9; 95% CI 0.84-0.95), psychological distress (AOR = 0.9; [CI] 0.85-0.97), burnout lack of personal accomplishment (AOR 0.95; 95% CI 0.91-0.98), and greater life satisfaction (p = 0.0213).Conclusions
When recruiting and preparing aid workers for deployment, organizations should consider history of mental illness and take steps to decrease chronic stressors, and strengthen social support networks.
SUBMITTER: Lopes Cardozo B
PROVIDER: S-EPMC3440316 | biostudies-literature | 2012
REPOSITORIES: biostudies-literature
Lopes Cardozo Barbara B Gotway Crawford Carol C Eriksson Cynthia C Zhu Julia J Sabin Miriam M Ager Alastair A Foy David D Snider Leslie L Scholte Willem W Kaiser Reinhard R Olff Miranda M Rijnen Bas B Simon Winnifred W
PloS one 20120912 9
<h4>Background</h4>International humanitarian aid workers providing care in emergencies are subjected to numerous chronic and traumatic stressors.<h4>Objectives</h4>To examine consequences of such experiences on aid workers' mental health and how the impact is influenced by moderating variables.<h4>Methodology</h4>We conducted a longitudinal study in a sample of international non-governmental organizations. Study outcomes included anxiety, depression, burnout, and life and job satisfaction. We p ...[more]