Emergency medical service personnel' post-traumatic stress disorder and psychological detachment: The mediating role of presenteeism

BackgroundEmergency medical service personnel are subjected to various stressors, which makes them more likely to develop post-traumatic stress disorder symptoms. Studies have shown that psychological detachment and presenteeism play a role at the level of post-traumatic stress disorder. There is no...

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Main Authors: Dandan Liao, Yanqiong Long, Tao Yu, Xiaoyan Kang, Shulai Liu, Jin Yan, AiDi Zhang
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-03-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2023.1030456/full
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author Dandan Liao
Yanqiong Long
Tao Yu
Xiaoyan Kang
Shulai Liu
Jin Yan
AiDi Zhang
author_facet Dandan Liao
Yanqiong Long
Tao Yu
Xiaoyan Kang
Shulai Liu
Jin Yan
AiDi Zhang
author_sort Dandan Liao
collection DOAJ
description BackgroundEmergency medical service personnel are subjected to various stressors, which makes them more likely to develop post-traumatic stress disorder symptoms. Studies have shown that psychological detachment and presenteeism play a role at the level of post-traumatic stress disorder. There is no study to examine the relationship between psychological detachment, presenteeism, and post-traumatic stress disorder among emergency medical service personnel.ObjectiveThe main objective of the study is to investigate the effects of presenteeism in explaining the relationship between psychological detachment and post-traumatic stress disorder among emergency medical service personnel.DesignA cross-sectional study was conducted among 836 emergency medical service personnel in 51 counties and cities in Hunan Province, China.MethodsThey were anonymously investigated by using the Impact of Event Scale-Revised (IES-R), the Stanford Presenteeism scale-6 (SPS-6), and the Psychological Detachment Scale. Statistic description, univariate analysis, pearson correlation, and structural equation model were adopted to analyze the data.ResultsThe mean score of IES-R, SPS-6, and the psychological detachment scale were 22.44 ± 16.70, 15.13 ± 4.20, and 11.30 ± 4.24. Post-traumatic stress disorder was positively relevant with presenteeism (r = 0.381, p< 0.01), but negatively correlated with psychological detachment (r = −0.220, p < 0.01). And presenteeism partially mediated the association between psychological detachment and post-traumatic stress disorder.ConclusionsThe results show a high prevalence of post-traumatic stress disorder symptoms in EMS personnel, presenteeism can statistically significantly predict post-traumatic stress disorder symptoms. If hospital management can reduce the presenteeism of emergency medical service personnel, this will help them reduce post-traumatic stress disorder symptoms.
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spelling doaj.art-e894f9ebacbe457291a47588f7c82fcf2023-03-07T05:02:49ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-03-011110.3389/fpubh.2023.10304561030456Emergency medical service personnel' post-traumatic stress disorder and psychological detachment: The mediating role of presenteeismDandan Liao0Yanqiong Long1Tao Yu2Xiaoyan Kang3Shulai Liu4Jin Yan5AiDi Zhang6Xiangya Nursing School, Central South University, Changsha, Hunan, ChinaDepartment of Emergency Center, The Third Xiangya Hospital, Central South University, Changsha, Hunan, ChinaDepartment of Emergency Center, The Third Xiangya Hospital, Central South University, Changsha, Hunan, ChinaDepartment of Emergency Center, The Third Xiangya Hospital, Central South University, Changsha, Hunan, ChinaDepartment of Emergency Center, The Third Xiangya Hospital, Central South University, Changsha, Hunan, ChinaDepartment of Nursing, Third Xiangya Hospital, Central South University, Changsha, Hunan, ChinaDepartment of Critical Care Medicine, The Third Xiangya Hospital, Central South University, Changsha, Hunan, ChinaBackgroundEmergency medical service personnel are subjected to various stressors, which makes them more likely to develop post-traumatic stress disorder symptoms. Studies have shown that psychological detachment and presenteeism play a role at the level of post-traumatic stress disorder. There is no study to examine the relationship between psychological detachment, presenteeism, and post-traumatic stress disorder among emergency medical service personnel.ObjectiveThe main objective of the study is to investigate the effects of presenteeism in explaining the relationship between psychological detachment and post-traumatic stress disorder among emergency medical service personnel.DesignA cross-sectional study was conducted among 836 emergency medical service personnel in 51 counties and cities in Hunan Province, China.MethodsThey were anonymously investigated by using the Impact of Event Scale-Revised (IES-R), the Stanford Presenteeism scale-6 (SPS-6), and the Psychological Detachment Scale. Statistic description, univariate analysis, pearson correlation, and structural equation model were adopted to analyze the data.ResultsThe mean score of IES-R, SPS-6, and the psychological detachment scale were 22.44 ± 16.70, 15.13 ± 4.20, and 11.30 ± 4.24. Post-traumatic stress disorder was positively relevant with presenteeism (r = 0.381, p< 0.01), but negatively correlated with psychological detachment (r = −0.220, p < 0.01). And presenteeism partially mediated the association between psychological detachment and post-traumatic stress disorder.ConclusionsThe results show a high prevalence of post-traumatic stress disorder symptoms in EMS personnel, presenteeism can statistically significantly predict post-traumatic stress disorder symptoms. If hospital management can reduce the presenteeism of emergency medical service personnel, this will help them reduce post-traumatic stress disorder symptoms.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1030456/fullPTSDpresenteeismmediationemergencyChinastructural equation modeling
spellingShingle Dandan Liao
Yanqiong Long
Tao Yu
Xiaoyan Kang
Shulai Liu
Jin Yan
AiDi Zhang
Emergency medical service personnel' post-traumatic stress disorder and psychological detachment: The mediating role of presenteeism
Frontiers in Public Health
PTSD
presenteeism
mediation
emergency
China
structural equation modeling
title Emergency medical service personnel' post-traumatic stress disorder and psychological detachment: The mediating role of presenteeism
title_full Emergency medical service personnel' post-traumatic stress disorder and psychological detachment: The mediating role of presenteeism
title_fullStr Emergency medical service personnel' post-traumatic stress disorder and psychological detachment: The mediating role of presenteeism
title_full_unstemmed Emergency medical service personnel' post-traumatic stress disorder and psychological detachment: The mediating role of presenteeism
title_short Emergency medical service personnel' post-traumatic stress disorder and psychological detachment: The mediating role of presenteeism
title_sort emergency medical service personnel post traumatic stress disorder and psychological detachment the mediating role of presenteeism
topic PTSD
presenteeism
mediation
emergency
China
structural equation modeling
url https://www.frontiersin.org/articles/10.3389/fpubh.2023.1030456/full
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