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Post—traumatic stress disorder among paramedic and hospital emergency personnel in south—east Iran.doc

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Post—traumatic stress disorder among paramedic and hospital emergency personnel in south—east Iran

Post—traumatic stress disorder among paramedic and hospital emergency personnel in south—east Iran BACKGROUND： Paramedic and emergency personnel may encounter directly many events that threat their own wellbeing during their daily work. This study was conducted to examine the prevalence rate of post-traumatic stress disorder （PTSD） among two groups of paramedic and emergency personnel in south-east Iran. METHODS： The study employed a descriptive design and was conducted in four hospital emergency wards and a pre-hospital emergency base supervised by Kerman Medical University. Using Mississippi PTSD， we assessed the prevalence rate in paramedics （n=150） and emergency personnel （n=250）. RESULTS： The two groups had different levels of education， marital status， experience of traumatic events， work hours per month， and gender. Most （94%） of paramedic and hospital emergency personnel reported moderate PTSD. The two groups had significant different levels of PTSD in all subscale. CONCLUSION： The study suggests that health care managers should organize systematic and dynamic policies and procedures in dealing with PTSD to assist both groups of personnel. KEY WORDS： Post-traumatic stress disorder； Paramedic personnel； Emergency personnel World J Emerg Med 2013；4（1）：26–31 DOI： 10.5847/ wjem.j.1920–8642.2013.01.005 INTRODUCTION Post-traumatic stress disorder （PTSD） is an anxiety disorder characterized by an acute emotional response to a traumatic event or situation involving severe environmental stress.[1] According to the report of the National Institute of Mental Health （NIMH）， 7.7 million adults or 3.5 % of adult people suffer from PTSD.[2] Nayback[3] stated that PTSD may cause a wide spectrum of symptoms including flashbacks and nightmares of the event， anger， anxiety， depression， irritability， and impaired concentration. He continued that it also causes difficulty in sleeping， panic attacks， hyper vigilance and an exaggerated startle response. H