Psychological Distress Model Among Iranian Pre-Hospital Personnel in Disasters: A Grounded Theory Study

Objective: Pre-hospital personnels (PHPs) who work in disasters under extreme pressure, uncertainty, and complex situations are victims of disasters themselves, and there is a link between experiencing such incidents and mental health problems. Because most studies focus on the injured and less on t...

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Autores principales:	Maryam Azizi, Abbas Ebadi, Abbas Ostadtaghizadeh, Abbasali Dehghani Tafti, Juliet Roudini, Mohammad Barati, Hamid Reza Khankeh, Reza Bidaki
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	paramedical personnel disasters burnout psychological distress Iran Psychology BF1-990
Acceso en línea:	https://doaj.org/article/3aedf9859b5b463ebdffaa564b7d154f
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spelling	oai:doaj.org-article:3aedf9859b5b463ebdffaa564b7d154f2021-11-10T10:11:28ZPsychological Distress Model Among Iranian Pre-Hospital Personnel in Disasters: A Grounded Theory Study1664-107810.3389/fpsyg.2021.689226https://doaj.org/article/3aedf9859b5b463ebdffaa564b7d154f2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpsyg.2021.689226/fullhttps://doaj.org/toc/1664-1078Objective: Pre-hospital personnels (PHPs) who work in disasters under extreme pressure, uncertainty, and complex situations are victims of disasters themselves, and there is a link between experiencing such incidents and mental health problems. Because most studies focus on the injured and less on the psychological issues of PHPs, the present study aimed to develop a model to provide relief for PHPs in disasters from a psychological perspective.Methods: A grounded theory methodology recommended by Corbin and Strauss (2015) was employed. PHPs (n = 24) participated in a semi-structured interview between July 2018 to May 2020.Results: In the analysis of the pre-hospital staff interviews, three main themes were extracted, namely, providing relief with struggle (complexity of incident scenes, command-organizational and occupational challenges), psychological distress (psychological regression and psychological empowerment), and consequences (resilience and job burnout). Seven categories and 22 subcategories were explored from our data via the grounded theory approachConclusions: The PHPs managed psychological distress with two approaches: psychological self-empowerment and regression, which resulted in resilience and burnout, respectively. Due to the lack of enough support, the resilience of the PHPs was short-term, turned into burnout over time, and affected the structural factors again as a cycle.Maryam AziziMaryam AziziAbbas EbadiAbbas EbadiAbbas OstadtaghizadehAbbasali Dehghani TaftiJuliet RoudiniMohammad BaratiHamid Reza KhankehReza BidakiFrontiers Media S.A.articleparamedical personneldisastersburnoutpsychological distressIranPsychologyBF1-990ENFrontiers in Psychology, Vol 12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	paramedical personnel disasters burnout psychological distress Iran Psychology BF1-990
spellingShingle	paramedical personnel disasters burnout psychological distress Iran Psychology BF1-990 Maryam Azizi Maryam Azizi Abbas Ebadi Abbas Ebadi Abbas Ostadtaghizadeh Abbasali Dehghani Tafti Juliet Roudini Mohammad Barati Hamid Reza Khankeh Reza Bidaki Psychological Distress Model Among Iranian Pre-Hospital Personnel in Disasters: A Grounded Theory Study
description	Objective: Pre-hospital personnels (PHPs) who work in disasters under extreme pressure, uncertainty, and complex situations are victims of disasters themselves, and there is a link between experiencing such incidents and mental health problems. Because most studies focus on the injured and less on the psychological issues of PHPs, the present study aimed to develop a model to provide relief for PHPs in disasters from a psychological perspective.Methods: A grounded theory methodology recommended by Corbin and Strauss (2015) was employed. PHPs (n = 24) participated in a semi-structured interview between July 2018 to May 2020.Results: In the analysis of the pre-hospital staff interviews, three main themes were extracted, namely, providing relief with struggle (complexity of incident scenes, command-organizational and occupational challenges), psychological distress (psychological regression and psychological empowerment), and consequences (resilience and job burnout). Seven categories and 22 subcategories were explored from our data via the grounded theory approachConclusions: The PHPs managed psychological distress with two approaches: psychological self-empowerment and regression, which resulted in resilience and burnout, respectively. Due to the lack of enough support, the resilience of the PHPs was short-term, turned into burnout over time, and affected the structural factors again as a cycle.
format	article
author	Maryam Azizi Maryam Azizi Abbas Ebadi Abbas Ebadi Abbas Ostadtaghizadeh Abbasali Dehghani Tafti Juliet Roudini Mohammad Barati Hamid Reza Khankeh Reza Bidaki
author_facet	Maryam Azizi Maryam Azizi Abbas Ebadi Abbas Ebadi Abbas Ostadtaghizadeh Abbasali Dehghani Tafti Juliet Roudini Mohammad Barati Hamid Reza Khankeh Reza Bidaki
author_sort	Maryam Azizi
title	Psychological Distress Model Among Iranian Pre-Hospital Personnel in Disasters: A Grounded Theory Study
title_short	Psychological Distress Model Among Iranian Pre-Hospital Personnel in Disasters: A Grounded Theory Study
title_full	Psychological Distress Model Among Iranian Pre-Hospital Personnel in Disasters: A Grounded Theory Study
title_fullStr	Psychological Distress Model Among Iranian Pre-Hospital Personnel in Disasters: A Grounded Theory Study
title_full_unstemmed	Psychological Distress Model Among Iranian Pre-Hospital Personnel in Disasters: A Grounded Theory Study
title_sort	psychological distress model among iranian pre-hospital personnel in disasters: a grounded theory study
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/3aedf9859b5b463ebdffaa564b7d154f
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Psychological Distress Model Among Iranian Pre-Hospital Personnel in Disasters: A Grounded Theory Study

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