Journal of Forensic and Legal Medicine
Volume 15, Issue 2 , Pages 78-88 , February 2008

Mechanism and strategies for preventing post-traumatic stress disorder in forensic workers responding to mass fatality incidents

  • Elizabeth Brondolo, PhD

      Affiliations

    • St. John’s University, Department of Psychology, 8000 Utopia Parkway, Jamaica, NY 11439, United States
    • Corresponding Author InformationCorresponding author. Tel.: +1 718 990 6496/6497; fax: +1 718 990 6705.
  • ,
  • Robin Wellington, PhD

      Affiliations

    • St. John’s University, Department of Psychology, 8000 Utopia Parkway, Jamaica, NY 11439, United States
  • ,
  • Nisha Brady, BA

      Affiliations

    • St. John’s University, Department of Psychology, 8000 Utopia Parkway, Jamaica, NY 11439, United States
  • ,
  • Daniel Libby, BA

      Affiliations

    • St. John’s University, Department of Psychology, 8000 Utopia Parkway, Jamaica, NY 11439, United States
  • ,
  • Thomas J. Brondolo

      Affiliations

    • Brondolo Associates, LLC, New York, NY, United States

Received 25 August 2006 ,Accepted 26 April 2007.

References 

  1. Sheehan DC, Everly GS, Langlieb A. Coping with Major Critical Incidents. FBI Law Enforce Bull. 2004;73:1–13
  2. Parker CL, Barnett DJ, Everly GS, Links JM. Establishing evidence-informed core intervention competencies in psychological first aid for public health personnel. Int J Emerg Mental Health. 2006;8:83–92
  3. Lazarus R, Folkman S. Stress, appraisal, and coping. New York: Springer; 1984;
  4. Foa EB, Zinbarg R, Rothbaum BO. Uncontrollability and unpredictability in post-traumatic stress disorder: An animal model. Psychol Bull. 1992;112:218–238
  5. Bryant RA. Predicting posttraumatic stress disorder from acute reactions. J Trauma Dissociat. 2005;6:5–15
  6. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington, DC: Author, 1994.
  7. Bryant RA, Harvey AG. Delayed-onset posttraumatic stress disorder: a prospective evaluation. Aust New Zealand J Psychiatr. 2002;36:205–209
  8. Breslau N, Lucia VC, Davis GC. Partial PTSD versus full PTSD: an empirical examination of associated impairment. Psychol Med. 2004;34:1205–1214
  9. Kangas M, Henry JL, Bryant RA. The Relationship between acute stress disorder and posttraumatic stress disorder following cancer. J Consulting Clin Psychol. 2005;73:360–364
  10. Bremner JD, Brett E. Trauma-related dissociative states and long-term psychopathology in posttraumatic stress disorder. J Trauma Stress. 1997;10:37–49
  11. Holen A. The Borth Sea oil rig disaster. In:  Wilson JP,  Raphael B editor. International handbook of traumatic stress syndromes. New York: Plenum; 1993;p. 471–478
  12. Koopman C, Classen C, Spiegel D. The psychological impact of the Gulf War: a study of acute stress in Israeli evacuees. Arch General Psychiatr. 1994;50:320–321
  13. Marmar CR, Weiss DS, Schlenger WE, Fairbank JA, Jordan K, Kulka RA, et al. Peritraumatic dissociation and posttraumatic stress in male Vietnam theater veterans. Am J Psychiatr. 1994;902–907
  14. McFarlane AC. Posttraumatic morbidity of a disaster. J Nerv Mental Dis. 1986;174:4–14
  15. Shalev AY, Orr SP, Pitman RK. Psychophysiologic assessment of traumatic imagery in Israeli civilian patients with posttrauamatic stress disorder. Am J Psychiatr. 1993;150:620–624
  16. Shalev AY, Peri T, Canetti L, Schreiber S. Predictors of PTSD in injured trauma survivors: A prospective study. Am J Psychiatr. 1996;153:219–225
  17. Solomon Z, Mikulincer M. Aftermaths of combat stress reactions: A three-year study. Br J Clin Psychol. 1992;31:21–32
  18. Solomon Z, Mikulincer M, Benbenishty R. Locus of control and combat-related post-traumatic stress disorder: The intervening role of battle intensity, threat appraisal and coping. Br J Clin Psychol. 1989;28:131–144
  19. Speigel D, Koopman C, Cardena E, Classen C. Dissociative symptoms in the diagnosis of acute stress disorder. In:  Michelson LK,  Ray WJ editor. Handbook of dissociation: theoretical empirical, and clinical perspectives. New York: Plenum Press; 1996;p. 367–380
  20. Bryant RA. Early predictors of posttraumatic stress disorder. Biol Psychiatr. 2003;53:789–795
  21. Marmar CR, Metzler T, Chemtob C, Delucchi K, Liberman A, Fagan J, et al. Impact of the World Trade Center Attacks on the New York City Police Department: A Prospective Study. Paper presented at the New York Academy of Sciences Conference Psychobiology of Post-Traumatic Stress Disorder: A Decade of Progress, New York, NY, 2005.
  22. Smith RP, Katz CL, Holmes A, Herbert R, Levin S, Moline J, et al. Mental health status of World Trade Center rescue and recovery workers and volunteers—New York City, July 2002–August 2004. J Am Med Assoc. 2005;293:30–31
  23. Fullerton CS, Ursano RJ, Wang L. Acute stress disorder, posttraumatic stress disorder, and depression in disaster or rescue workers. Am J Psychiatr. 2004;161:1370–1376
  24. Keller RT, Bobo WV. Handling human remains: Exposure may result in severe psychological responses among rescue workers. Psychiatr Ann. 2004;34:635–640
  25. Palm KM, Polusny MA, Follette VM. Vicarious traumatization: Potential hazards and interventions for disaster and trauma workers. Prehosp Disaster Med. 2004;19:73–78
  26. Tucker P, Pfeffrbaum B, Doughty DE. Body handlers after terrorism in Oklahoma City: Predictors of posttraumatic stress and other symptoms. Am J Orthopsychiatr. 2002;72:469–475
  27. Follette VM, Polusny MM, Milbeck K. Mental health and law enforcement professionals: trauma history, psychological symptoms, and impact of providing services to child sexual abuse survivors. Professional Psychol: Res Practice. 1994;25:275–282
  28. Brondolo T. Resource requirements for medical examiner response to mass fatality incidents. Medico-Legal J Ireland. 2004;10:91–102
  29. Epstein RS, Fullerto CS, Ursano RJ. Posttraumatic stress disorder following air disaster: A prospective study. Am J Psychiatr. 1998;155:934–939
  30. Yehuda R, Kahana B, Schmeidler J. Impact of cumulative lifetime trauma and recent stress on current posttraumatic stress disorder symptoms in Holocaust survivors. Am J Psychiatr. 1995;152:1815–1818
  31. Zvolensky MJ, Schmidt NB, Bernstein A, Keough ME. Risk-factor research and prevention programs for anxiety disorders: A translational research framework. Behav Res Ther. 2006;44:1219–1239
  32. Bremner J. Neuroimaging of posttraumatic stress disorder. Psychiatr Ann. 1998;28:445–450
  33. McCleery JM, Harvery AG. Integration of psychological and biological approaches to trauma memory: Implications for pharmacological prevention of PTSD. J Trauma Stress. 2004;17:485–496
  34. Nemeroff CB, Bremner J, Foa EB, Mayberg HS, North CS, Stein MB. Posttraumatic stress disorder: A state-of-the-science review. J Psychiatr Res. 2006;40:1–21
  35. Olff M, Langeland W, Gersons BPR. The psychobiology of PTSD: coping with trauma. Psychoneuroendocrinology. 2005;30:974–982
  36. Lazarus RS. Emotion and Adaptation. New York: Oxford University Press; 1991;
  37. McQueen DV, Siegrist J. Social factors in the etiology of chronic disease: an overview. Social Sci Med. 1982;16:353–367
  38. Pearlin LI. The sociological study of stress. J Health Social Behav. 1989;30:241–256
  39. Brondolo E, Masheb R, Stores J, Stockhammer T, Tunick W, Melhado E, et al. Anger-related traits and response to interpersonal conflict among New York City traffic agents. J Appl Social Psychol. 1998;28:2089–2118
  40. Brondolo E, Karlin W, Alexander K, Bobrow A, Schwartz J. Workday communication and ambulatory blood pressure: Implications for the reactivity hypothesis. Psychophysiology. 1999;36:86–94
  41. Brondolo E, Jelliffe T, Quinn C. Correlates of risk for conflict among New York City traffic agents. In:  Bulatao EQ,  VandenBos GR editor. Violence on the job: Identifying risks and developing solutions. Washington, DC, US: American Psychological Association; 1996;p. 217–228
  42. Karlin WA, Brondolo E, Schwartz J. Workplace social support and ambulatory cardiovascular activity in New York City Traffic Agents. Psychosom Med. 2003;65:167–176
  43. Brosschot JF, Thayer JF. Worry, perserverative thinking and health. In:  Temoshok LR editors. Biobehavioral perspectives on health and disease. Vol. 6:New York: Hardwood Academic; 2004;
  44. Frazier P. Perceived control and distress following sexual assault: a longitudinal test of a new model. J Personality Social Psychol. 2003;84:1257–1269
  45. Frazier P, Berman M, Steward J. Perceived control and posttraumatic stress: a temporal model. Appl Preventive Psychol. 2002;10:207–223
  46. Frazier P, Steward J, Mortensen H. Perceived control and adjustment to trauma: a comparison across events. J Social Clin Psychol. 2004;23:303–324
  47. Brondolo E, Eichler BF, Taravella JR. A tailored cognitive-behavioral anger management program is associated with reduced rates of civilian complaints against traffic agents. J Police Criminal Psychol. 2003;18:1–11
  48. Grey N. Peritraumatic emotional ‘hot spots’ in memory. Behav Cognitive Psychother. 2001;29:367–372
  49. NSW Health. Disaster mental health response handbook. Retrieved January 29, 2006, from http://www.nswiop.nsw.edu.au/Resources/Disaster_Handbook.pdf. 2000.
  50. National Center for Post-traumatic Stress Disorder. Effects of traumatic stress in a disaster situation: a national center for PTSD fact sheet. Retrieved January 29, 2006, from http://www.ncptsd.va.gov/facts/disasters/fs_effects_disaster.html, 2005.
  51. Foa EB, Cahill SP, Boscarino JA, Hobfoil SE, Lahad M, McNally RJ, et al. Social, psychological, and psychiatric interventions following a terrorist attack: Recommendations for practice and research. Neuropsychopharmacology. 2005;30:1806–1817
  52. Cloitre M, Miranda R, Stovall-McCLough K, Chase HH. Beyond PTSD: emotion regulation and interpersonal problems as predictors of functional impairment in survivors of childhood abuse. Behav Ther. 2005;36:119–124
  53. Linehan MM. Cognitive behavioral treatment of borderline personality disorder. New York: Guilford Press; 1993;
  54. Young BH, Ford JD, Watson PJ. Disaster rescue and response workers: a National Center for PTSD fact sheet. Retrieved November 1, 2005, from http://www.ncptsd.va.gov/facts/disasters/fs_rescue_workers.html, 2005.
  55. Solomon Z, Laor N, Weiler D. The psychological impact of the Gulf War: A study of acute stress in Israeli evacuees. Arch General Psychiatr. 1993;50:320–321
  56. Ozer EJ, Best SR, Lipsey TL, Weiss DS. Predictors of posttraumatic stress disorder and symptoms in adults: A meta-analysis. Psychol Bull. 2003;129:52–73
  57. Dougall AL, Ursano RJ, Poluszny DM, Fullerton CS, Baum A. Predictors of posttraumatic stress among victims of motor vehicle accidents. Psychosom Med. 2001;63:402–411
  58. Abercrombie HC, Speck NS, Monticelli RM. Endogenous cortisol elevations are related to memory facilitation only in individuals who are emotionally aroused. Psychoneuroendocrinology. 2006;31:187–196
  59. Foa EB, Hearst- Ikeda D. Emotional Dissociation in response to trauma: an information-processing approach. In:  Michelson LK,  Ray WJ editor. Handbook of dissociation: Theoretical and clinical perspectives. New York: Plenum; 1996;p. 207–222
  60. Koopman C, Classen C, Cardena E, Spiegel D. When disaster strikes, acute stress disorder may follow. J Trauma Stress. 1995;8:29–46
  61. Cardena E, Spiegel D. Dissociative reactions to the San Francisco Bay Area earthquake of 1989. Am J Psychiatr. 1993;150:474–478
  62. Foa EB, Hearst-Ikeda D, Perry KJ. Evaluation of a brief cognitive-behavioral program for the prevention of chronic PTSD in recent assault victims. J Consult Clin Psychol. 1996;63:948–955
  63. Brewin CR. A cognitive neuroscience account of posttraumatic stress disorder and its treatment. Behav Res Ther. 2001;39:373–393
  64. Lang PJ, Davis M, Ohman A. Fear and anxiety: animal models and human cognitive psychophysiology. J Affective Disorders. 2000;61:137–159
  65. Pitman RK. Post-traumatic stress disorder, hormones, and memory. Biol Psychiatr. 1989;26:221–223
  66. Brown R, Kulik J. Flashbulb memories. Cognition. 1977;5:73–99
  67. McCloskey M, Wible CG, Cohen NJ. Is there a special flashbulb-memory mechanism?. J Exp Psychol. 1988;117:171–181
  68. Talarico JM, Rubin DC. Confidence, not consistency, characterizes flashbulb memories. Psychol Sci. 2003;14:455–462
  69. Cannon WB. Emergency function of the adrenal medulla in pain and the major emotions. Am J Physiol. 1914;3:356–372
  70. Blanchard EB, Hickling EJ, Buckley TC, Taylor AE, Vollmer A, Loos WR. Psychophysiology of posttraumatic stress disorder related to motor vehicle accidents: replication and extension. J Consult Clin Psychol. 1996;64:742–751
  71. Orr SP, Lasko NB, Metzger LJ, Pitman RK. Physiologic response to non-startling tones in Vietnam veterans with Posttraumatic Stress Disorder. Psychiatr Resi. 1997;73:103–107
  72. Pitman RK, Orr SP, Forgue DF, Altman B, De Jong JB, Herz LR. Psychophysiologic responses to combat imagery of Vietnam veterans with Posttraumatic Stress Disorder versus other anxiety disorders. J Abnormal Psychol. 1990;99:49–54
  73. Resnick HS, Yehuda R, Pitman RK, Foy DW. Effect of previous trauma on acute plasma cortisol level following rape. Am J Psychiatr. 1995;152:1675–1677
  74. Rauch SL, Shin LM, Whalen PJ, Pitman RK. Neuroimaging and the neuroanatomy of PTSD. CNS Spectr. 1998;3:30–41
  75. Delahanty DL, Raimonde AJ, Spoonster E, Cullado M. Injury severity, prior trauma history, urinary cortisol levels, and acute Posttraumatic Stress Disorder in motor vehicle accident victims. J Anxiety Disorders. 2003;17:149–164
  76. Lupien SJ, Fiocco A, Wan N, Maheu F, Lord C, Schramek T, et al. Stress hormones and human memory function across the lifespan. Psychoneuroendocrinology. 2005;30:225–242
  77. McEwen BS, Magarinos AM. Stress effects on the morphology and function of the hippocampus. Ann New York Acad Sci. 1997;821:271–284
  78. Buckley TC, Blanchard EB, Neill WT. Information processing and PTSD: A review of the empirical literature. Clin Psychol Rev. 2000;28:1041–1065
  79. Mollica RF, Cardozo BL, Osofsky HJ, Raphael B, Ager A, Salamer P. Mental health in complex emergencies. Lancet. 2004;364:2058–2067
  80. Goldberg RJ, Steury S. Depression in the workplace: Costs and barriers to treatment. Psychiatr Serv. 2001;52:1639–1643
  81. Mitchell JT. When disaster strikes… The critical incident stress debriefing process. J Emergency Med Serv. 1983;8:36–39
  82. McEvoy M. Psychological first aid: replacement for critical incident stress debriefing. Fire Eng. 2005;63–66
  83. Regehr C. Crisis debriefing groups for emergency responders: reviewing the evidence. Brief Treat Crisis Interv. 2001;1:87–100
  84. Sijbrandij M, Olff M, Reitsma JB, Carlier IVE, Gersons BPR. Emotional or educational debriefing after psychological trauma. Br J Psychiatr. 2006;189:150–155
  85. Everly G, Flynn B. Principles and practical procedures for acute psychological first aid training for personnel without mental helth experience. Int J Emergency Mental Health. 2006;8:93–100
  86. Wagner S. Emergency response service personnel and the critical incident stress debriefing debate. Int J Emerg Mental Health. 2005;7:33–41
  87. Boscarino JA. Diseases among men 20 years after exposure to severe stress: implications for clinical research and medical care. Psychosom Med. 1997;59:605–614
  88. Cohen H, Kotler M, Matar MA, Kaplan Z, Miodownik J, Cassuto Y. Power spectral analysis of heart rate variability in posttraumatic stress disorder patients. Biol Psychiatr. 1997;41:627–629
  89. Schnurr PP, Spiro A, Paris A. Physician-diagnosed medical disorders in relation to PTSD symptoms in older male military veterans. Health Psychol. 2000;19:91–97
  90. Boscarino J. Posttraumatic stress disorder and physical illness. Ann New York Acad Sci. 2004;1032:141–153
  91. Boscarino JA, Chang J. Higher abnormal and leukocyte and lymphocyte counts 20 years after exposure to severe stress: research and clinical implications. Psychosom Med. 1999;61:378–386
  92. Boscarino JA, Chang J. Electrocardiogram abnormalities among men with stress-related psychiatric disorders: implication for coronary heart disease and clinical research. Ann Behav Med. 1999;21:227–234
  93. Ferrada-Noli M, Asberg M, Ormstad K, Lundin T, Sundbom E. Suicidal behavior after severe trauma. Part 1: PTSD diagnoses, psychiatric comorbidity and assessments of suicidal behavior. J Trauma Stress. 1998;11:103–112
  94. Kessler RC, Sonnega A, Bromet E, Hughes M, Nelson CB. Posttraumatic stress disorder in the National Comorbidity Survey. Arch Gen Psychiatr. 1995;52:1048–1060
  95. Kotler M, Iancu I, Efroni R, Amir M. Anger, impulsivity, social support and suicide risk in patients with posttraumatic stress disorder. J Nerv Ment Dis. 2001;189:162–167
  96. Sareen J, Houlahan T, Cox BJ, Asmundson GJ. Anxiety disorders associated with suicidal ideation and suicide attempts in the National Comorbidity Survey. J Nerv Mental Dis. 2005;193:450–454

PII: S1752-928X(07)00066-2

doi: 10.1016/j.jflm.2007.04.007

Journal of Forensic and Legal Medicine
Volume 15, Issue 2 , Pages 78-88 , February 2008