Childhood maltreatment compromises resilience against occupational trauma exposure: A retrospective study among emergency medical service personnel
Childhood maltreatment (CM) compromises resilience against stress and trauma throughout life. Therefore, it could present a major risk factor for the health of frequently trauma-exposed professionals such as emergency medical service (EMS) personnel. We investigated, whether EMS personnel’s history...
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| Veröffentlicht in: | Child abuse & neglect 2020-01, Vol.99, p.104248-104248, Article 104248 |
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| creator | Behnke, Alexander Rojas, Roberto Karabatsiakis, Alexander Kolassa, Iris-Tatjana |
| description | Childhood maltreatment (CM) compromises resilience against stress and trauma throughout life. Therefore, it could present a major risk factor for the health of frequently trauma-exposed professionals such as emergency medical service (EMS) personnel.
We investigated, whether EMS personnel’s history of CM increased their risk for mental and physical stress symptoms after occupational trauma exposure.
Data from 103 German EMS personnel (age: Mdn±QD = 26.00 ± 8.50 years) were collected as part of a cross-sectional survey distributed among employees of the regional German Red Cross EMS division (response rate 46.6%). The sample corresponded well to the division’s entire staff in terms of socio-anagraphic characteristics.
CM and occupational trauma exposure as well as posttraumatic, depressive, and somatic symptoms were assessed with self-report questionnaires.
Moderation analyses indicated stronger positive associations between occupational trauma exposure and the severity of posttraumatic (β = .30, p < .001), depressive (β = .20, p = .026), and somatic symptoms (β = .18, p = .059) among EMS personnel who reported a higher exposure to CM.
Our study provides initial evidence that CM could increase the EMS personnel’s vulnerability to the detrimental consequences of critical incidents on duty. Future research is needed (i) to replicate and generalize our observation on various trauma-exposed professions as well as (ii) to develop preventive measures for targeting the mediating and protective factors which influence the relationship between CM and the negative consequences of occupational trauma exposure. |
| doi_str_mv | 10.1016/j.chiabu.2019.104248 |
| format | Article |
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We investigated, whether EMS personnel’s history of CM increased their risk for mental and physical stress symptoms after occupational trauma exposure.
Data from 103 German EMS personnel (age: Mdn±QD = 26.00 ± 8.50 years) were collected as part of a cross-sectional survey distributed among employees of the regional German Red Cross EMS division (response rate 46.6%). The sample corresponded well to the division’s entire staff in terms of socio-anagraphic characteristics.
CM and occupational trauma exposure as well as posttraumatic, depressive, and somatic symptoms were assessed with self-report questionnaires.
Moderation analyses indicated stronger positive associations between occupational trauma exposure and the severity of posttraumatic (β = .30, p < .001), depressive (β = .20, p = .026), and somatic symptoms (β = .18, p = .059) among EMS personnel who reported a higher exposure to CM.
Our study provides initial evidence that CM could increase the EMS personnel’s vulnerability to the detrimental consequences of critical incidents on duty. Future research is needed (i) to replicate and generalize our observation on various trauma-exposed professions as well as (ii) to develop preventive measures for targeting the mediating and protective factors which influence the relationship between CM and the negative consequences of occupational trauma exposure.</description><identifier>ISSN: 0145-2134</identifier><identifier>EISSN: 1873-7757</identifier><identifier>DOI: 10.1016/j.chiabu.2019.104248</identifier><identifier>PMID: 31731138</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Adult ; Adult Survivors of Child Abuse ; Child abuse & neglect ; Childhood ; Childhood maltreatment ; Compromises ; Critical incidents ; Cross-Sectional Studies ; Emergency Medical Services ; Emergency Medical Technicians - psychology ; Emergency Medical Technicians - statistics & numerical data ; Emergency services ; Employees ; Female ; First responder ; Germany ; Health services ; Humans ; Life stress ; Lifetime vulnerability ; Male ; Medical Services ; Medicine ; Mental depression ; Middle Aged ; Moderation ; Occupational stress ; Occupational trauma ; Paramedics ; Physical symptoms ; Prevention programs ; Protective factors ; Questionnaires ; Resilience ; Resilience, Psychological ; Response rates ; Retrospective Studies ; Risk Factors ; Self Report ; Somatic symptoms ; Stress sensitization ; Surveys and Questionnaires ; Symptoms ; Trauma ; Traumatic life events ; Vulnerability ; Young Adult</subject><ispartof>Child abuse & neglect, 2020-01, Vol.99, p.104248-104248, Article 104248</ispartof><rights>2019 Elsevier Ltd</rights><rights>Copyright © 2019 Elsevier Ltd. All rights reserved.</rights><rights>Copyright Pergamon Press Inc. Jan 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c390t-4d34cb7c49a8d0a37bc699f88b2a64b80784a926b8bf8a5f50d41d49248e981e3</citedby><cites>FETCH-LOGICAL-c390t-4d34cb7c49a8d0a37bc699f88b2a64b80784a926b8bf8a5f50d41d49248e981e3</cites><orcidid>0000-0002-4128-9627</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.chiabu.2019.104248$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3549,27923,27924,30998,33773,45994</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31731138$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Behnke, Alexander</creatorcontrib><creatorcontrib>Rojas, Roberto</creatorcontrib><creatorcontrib>Karabatsiakis, Alexander</creatorcontrib><creatorcontrib>Kolassa, Iris-Tatjana</creatorcontrib><title>Childhood maltreatment compromises resilience against occupational trauma exposure: A retrospective study among emergency medical service personnel</title><title>Child abuse & neglect</title><addtitle>Child Abuse Negl</addtitle><description>Childhood maltreatment (CM) compromises resilience against stress and trauma throughout life. Therefore, it could present a major risk factor for the health of frequently trauma-exposed professionals such as emergency medical service (EMS) personnel.
We investigated, whether EMS personnel’s history of CM increased their risk for mental and physical stress symptoms after occupational trauma exposure.
Data from 103 German EMS personnel (age: Mdn±QD = 26.00 ± 8.50 years) were collected as part of a cross-sectional survey distributed among employees of the regional German Red Cross EMS division (response rate 46.6%). The sample corresponded well to the division’s entire staff in terms of socio-anagraphic characteristics.
CM and occupational trauma exposure as well as posttraumatic, depressive, and somatic symptoms were assessed with self-report questionnaires.
Moderation analyses indicated stronger positive associations between occupational trauma exposure and the severity of posttraumatic (β = .30, p < .001), depressive (β = .20, p = .026), and somatic symptoms (β = .18, p = .059) among EMS personnel who reported a higher exposure to CM.
Our study provides initial evidence that CM could increase the EMS personnel’s vulnerability to the detrimental consequences of critical incidents on duty. Future research is needed (i) to replicate and generalize our observation on various trauma-exposed professions as well as (ii) to develop preventive measures for targeting the mediating and protective factors which influence the relationship between CM and the negative consequences of occupational trauma exposure.</description><subject>Adult</subject><subject>Adult Survivors of Child Abuse</subject><subject>Child abuse & neglect</subject><subject>Childhood</subject><subject>Childhood maltreatment</subject><subject>Compromises</subject><subject>Critical incidents</subject><subject>Cross-Sectional Studies</subject><subject>Emergency Medical Services</subject><subject>Emergency Medical Technicians - psychology</subject><subject>Emergency Medical Technicians - statistics & numerical data</subject><subject>Emergency services</subject><subject>Employees</subject><subject>Female</subject><subject>First responder</subject><subject>Germany</subject><subject>Health services</subject><subject>Humans</subject><subject>Life stress</subject><subject>Lifetime vulnerability</subject><subject>Male</subject><subject>Medical Services</subject><subject>Medicine</subject><subject>Mental depression</subject><subject>Middle Aged</subject><subject>Moderation</subject><subject>Occupational stress</subject><subject>Occupational trauma</subject><subject>Paramedics</subject><subject>Physical symptoms</subject><subject>Prevention programs</subject><subject>Protective factors</subject><subject>Questionnaires</subject><subject>Resilience</subject><subject>Resilience, Psychological</subject><subject>Response rates</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Self Report</subject><subject>Somatic symptoms</subject><subject>Stress sensitization</subject><subject>Surveys and Questionnaires</subject><subject>Symptoms</subject><subject>Trauma</subject><subject>Traumatic life events</subject><subject>Vulnerability</subject><subject>Young Adult</subject><issn>0145-2134</issn><issn>1873-7757</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>BHHNA</sourceid><recordid>eNp9kUGP1CAcxYnRuLOr38AYEi9eOkKBQj2YbCaummziRc-Ewr8zTNpSgU52PodfWMauHjzIhYT83iPvPYReUbKlhDbvjlt78KZbtjWhbXniNVdP0IYqySophXyKNoRyUdWU8St0ndKRlCOkeI6uGJWMUqY26Ofu4Ad3CMHh0Qw5gskjTBnbMM4xjD5BwhGSHzxMFrDZGz-ljIO1y2yyD5MZcI5mGQ2GhzmkJcJ7fFskOYY0g83-BDjlxZ2xGcO0xzBC3BevMx7BeVvkCeLJF-8ZYgrTBMML9Kw3Q4KXj_cN-n738dvuc3X_9dOX3e19ZVlLcsUd47aTlrdGOWKY7GzTtr1SXW0a3ikiFTdt3XSq65URvSCOU8fb0hO0igK7QW9X35L0xwIp65LXwjCYCcKSdM2ouFTd8IK--Qc9hiWW8BeKC1HXTDSF4itlS_gUoddz9KOJZ02Jvjjpo15H05fR9Dpakb1-NF-6Uspf0Z-VCvBhBaC0cfIQdbK_93A-loq1C_7_P_wCm8WtcA</recordid><startdate>202001</startdate><enddate>202001</enddate><creator>Behnke, Alexander</creator><creator>Rojas, Roberto</creator><creator>Karabatsiakis, Alexander</creator><creator>Kolassa, Iris-Tatjana</creator><general>Elsevier Ltd</general><general>Elsevier Science Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7U3</scope><scope>7U4</scope><scope>BHHNA</scope><scope>DWI</scope><scope>K7.</scope><scope>K9.</scope><scope>WZK</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4128-9627</orcidid></search><sort><creationdate>202001</creationdate><title>Childhood maltreatment compromises resilience against occupational trauma exposure: A retrospective study among emergency medical service personnel</title><author>Behnke, Alexander ; Rojas, Roberto ; Karabatsiakis, Alexander ; Kolassa, Iris-Tatjana</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c390t-4d34cb7c49a8d0a37bc699f88b2a64b80784a926b8bf8a5f50d41d49248e981e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Adult Survivors of Child Abuse</topic><topic>Child abuse & neglect</topic><topic>Childhood</topic><topic>Childhood maltreatment</topic><topic>Compromises</topic><topic>Critical incidents</topic><topic>Cross-Sectional Studies</topic><topic>Emergency Medical Services</topic><topic>Emergency Medical Technicians - psychology</topic><topic>Emergency Medical Technicians - statistics & numerical data</topic><topic>Emergency services</topic><topic>Employees</topic><topic>Female</topic><topic>First responder</topic><topic>Germany</topic><topic>Health services</topic><topic>Humans</topic><topic>Life stress</topic><topic>Lifetime vulnerability</topic><topic>Male</topic><topic>Medical Services</topic><topic>Medicine</topic><topic>Mental depression</topic><topic>Middle Aged</topic><topic>Moderation</topic><topic>Occupational stress</topic><topic>Occupational trauma</topic><topic>Paramedics</topic><topic>Physical symptoms</topic><topic>Prevention programs</topic><topic>Protective factors</topic><topic>Questionnaires</topic><topic>Resilience</topic><topic>Resilience, Psychological</topic><topic>Response rates</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Self Report</topic><topic>Somatic symptoms</topic><topic>Stress sensitization</topic><topic>Surveys and Questionnaires</topic><topic>Symptoms</topic><topic>Trauma</topic><topic>Traumatic life events</topic><topic>Vulnerability</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Behnke, Alexander</creatorcontrib><creatorcontrib>Rojas, Roberto</creatorcontrib><creatorcontrib>Karabatsiakis, Alexander</creatorcontrib><creatorcontrib>Kolassa, Iris-Tatjana</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts</collection><collection>ProQuest Criminal Justice (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Sociological Abstracts (Ovid)</collection><collection>MEDLINE - Academic</collection><jtitle>Child abuse & neglect</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Behnke, Alexander</au><au>Rojas, Roberto</au><au>Karabatsiakis, Alexander</au><au>Kolassa, Iris-Tatjana</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Childhood maltreatment compromises resilience against occupational trauma exposure: A retrospective study among emergency medical service personnel</atitle><jtitle>Child abuse & neglect</jtitle><addtitle>Child Abuse Negl</addtitle><date>2020-01</date><risdate>2020</risdate><volume>99</volume><spage>104248</spage><epage>104248</epage><pages>104248-104248</pages><artnum>104248</artnum><issn>0145-2134</issn><eissn>1873-7757</eissn><abstract>Childhood maltreatment (CM) compromises resilience against stress and trauma throughout life. Therefore, it could present a major risk factor for the health of frequently trauma-exposed professionals such as emergency medical service (EMS) personnel.
We investigated, whether EMS personnel’s history of CM increased their risk for mental and physical stress symptoms after occupational trauma exposure.
Data from 103 German EMS personnel (age: Mdn±QD = 26.00 ± 8.50 years) were collected as part of a cross-sectional survey distributed among employees of the regional German Red Cross EMS division (response rate 46.6%). The sample corresponded well to the division’s entire staff in terms of socio-anagraphic characteristics.
CM and occupational trauma exposure as well as posttraumatic, depressive, and somatic symptoms were assessed with self-report questionnaires.
Moderation analyses indicated stronger positive associations between occupational trauma exposure and the severity of posttraumatic (β = .30, p < .001), depressive (β = .20, p = .026), and somatic symptoms (β = .18, p = .059) among EMS personnel who reported a higher exposure to CM.
Our study provides initial evidence that CM could increase the EMS personnel’s vulnerability to the detrimental consequences of critical incidents on duty. Future research is needed (i) to replicate and generalize our observation on various trauma-exposed professions as well as (ii) to develop preventive measures for targeting the mediating and protective factors which influence the relationship between CM and the negative consequences of occupational trauma exposure.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>31731138</pmid><doi>10.1016/j.chiabu.2019.104248</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-4128-9627</orcidid></addata></record> |
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| source | MEDLINE; Sociological Abstracts; Applied Social Sciences Index & Abstracts (ASSIA); ScienceDirect Journals (5 years ago - present) |
| subjects | Adult Adult Survivors of Child Abuse Child abuse & neglect Childhood Childhood maltreatment Compromises Critical incidents Cross-Sectional Studies Emergency Medical Services Emergency Medical Technicians - psychology Emergency Medical Technicians - statistics & numerical data Emergency services Employees Female First responder Germany Health services Humans Life stress Lifetime vulnerability Male Medical Services Medicine Mental depression Middle Aged Moderation Occupational stress Occupational trauma Paramedics Physical symptoms Prevention programs Protective factors Questionnaires Resilience Resilience, Psychological Response rates Retrospective Studies Risk Factors Self Report Somatic symptoms Stress sensitization Surveys and Questionnaires Symptoms Trauma Traumatic life events Vulnerability Young Adult |
| title | Childhood maltreatment compromises resilience against occupational trauma exposure: A retrospective study among emergency medical service personnel |
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