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dc.contributor.authorUddin, Monica
dc.contributor.authorLopes Cardozo, Barbara
dc.contributor.authorGotway Crawford, Carol
dc.contributor.authorEriksson, Cynthia
dc.contributor.authorZhu, Julia
dc.contributor.authorSabin, Miriam
dc.contributor.authorAger, Alastair
dc.contributor.authorFoy, David
dc.contributor.authorSnider, Leslie
dc.contributor.authorScholte, Willem
dc.contributor.authorKaiser, Reinhard
dc.contributor.authorOlff, Miranda
dc.contributor.authorRijnen, Bas
dc.contributor.authorSimon, Winnifred
dc.date.accessioned2018-06-29T22:02:49Z
dc.date.available2018-06-29T22:02:49Z
dc.date.issued2012
dc.identifierER4233
dc.identifier.citationUddin, M., Lopes Cardozo, B., Gotway Crawford, C., Eriksson, C., Zhu, J., Sabin, M., Ager, A., Foy, D., Snider, L., Scholte, W., Kaiser, R., Olff, M., Rijnen, B. & Simon, W. (2012) Psychological Distress, Depression, Anxiety, and Burnout among International Humanitarian Aid Workers: A Longitudinal Study, PLoS ONE, vol. 7, , pp. e44948,
dc.identifier.issn1932-6203
dc.identifier.urihttp://dx.doi.org/10.1371/journal.pone.0044948
dc.identifier.urihttps://eresearch.qmu.ac.uk/handle/20.500.12289/4233
dc.description.abstractBackground 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-_=-_00027); 22 (10.4%) reported depression symptoms, compared to 33 (19.5%) at post-deployment (p-_=-_00117) and 31 (20.1%) at follow-up (p-_=-_.00083). History of mental illness (adjusted odds ratio [AOR] 4.2; 95% confidence interval [CI] 145-1250) 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 11; 95% CI 102-1.20) 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 09; 95% CI 084-095), psychological distress (AOR-_=-_0.9; [CI] 0.85-0.97), burnout lack of personal accomplishment (AOR 095; 95% CI 091-098), 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.
dc.format.extente44948
dc.relation.ispartofPLoS ONE
dc.titlePsychological Distress, Depression, Anxiety, and Burnout among International Humanitarian Aid Workers: A Longitudinal Study
dc.typearticle
dcterms.accessRightspublic
dc.description.facultysch_iih
dc.description.volume7
dc.identifier.doihttp://doi:10.1371/journal.pone.0044948
dc.description.ispublishedpub
dc.description.eprintid4233
rioxxterms.typearticle
qmu.authorAger, Alastair
dc.description.statuspub
dc.description.number9


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