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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 andmental 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 theorymethodology 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 approach
Conclusions: 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.

Identiferoai:union.ndltd.org:DRESDEN/oai:qucosa:de:qucosa:84465
Date31 March 2023
CreatorsAzizi, Maryam, Ebadi, Abbas, Ostadtaghizadeh, Abbas, Tafti, Abbasali Dehghani, Roudini, Juliet, Barati, Mohammad, Khankeh, Hamid Reza, Bidaki, Reza
PublisherFrontiers Research Foundation
Source SetsHochschulschriftenserver (HSSS) der SLUB Dresden
LanguageEnglish
Detected LanguageEnglish
Typeinfo:eu-repo/semantics/publishedVersion, doc-type:article, info:eu-repo/semantics/article, doc-type:Text
Rightsinfo:eu-repo/semantics/openAccess
Relation1664-1078, 689226

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