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Individual and Work-Related Psychological Characteristics Contributing to Subjective Well-Being in Air Rescue Employees

Published:January 18, 2023DOI:https://doi.org/10.1016/j.amj.2022.12.010

      Abstract

      Objective

      Air rescue staff are subject to stressors, including frequent traumatic events, shift work, and unfavorable conditions during rescue missions. We investigated subjective well-being among employees of the Swiss Air-Rescue organization and the potential determining factors, such as sense of coherence, self-esteem, coping, stress, and mental health status.

      Methods

      All employees (N = 142) received a questionnaire battery composed of the Trier Inventory for the Assessment of Chronic Stress, the Salutogenic Subjective Work Analysis, the Stress Coping Questionnaire, the Health and Stress Questionnaire, the Sense of Coherence Scale 13-item scale, the Inventory for the Measurement of Self-Efficacy and Externality, the Brief Symptom Inventory, the 12-item General Health Questionnaire, and the Posttraumatic Stress Diagnostic Scale. A discriminant analysis was conducted (input: subjective well-being, output: potential determining factors). A total of 48 participants provided complete data.

      Results

      The discriminant analysis was significant (χ2 = 40.80, P < .001; correct classification: 89.4%) and revealed that sense of coherence (F1,45 = 40.46) and self-esteem (F1,45 = 36.20) were the most important discriminating factors for subjective well-being.

      Conclusion

      Sense of coherence and self-esteem play an important role in the subjective well-being of emergency and rescue personnel. Fostering these traits should be included in preventive programs.
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      References

        • Berger W
        • Coutinho ES
        • Figueira I
        • et al.
        Rescuers at risk: a systematic review and meta-regression analysis of the worldwide current prevalence and correlates of PTSD in rescue workers.
        Soc Psychiatry Psychiatr Epidemiol. 2012; 47: 1001-1011
        • Donnelly EA
        • Bradford P
        • Davis M
        • Hedges C
        • Klingel M.
        Predictors of posttraumatic stress and preferred sources of social support among Canadian paramedics.
        CJEM. 2016; 18: 205-212
        • Boscarino JA
        • Figley CR
        • Adams RE.
        Compassion fatigue following the September 11 terrorist attacks: a study of secondary trauma among New York City social workers.
        Int J Emerg Ment Health. 2004; 6: 57-66
        • Burbeck R
        • Coomber S
        • Robinson SM
        • Todd C.
        Occupational stress in consultants in accident and emergency medicine: a national survey of levels of stress at work.
        Emerg Med J. 2002; 19: 234-238
        • Dorevitch S
        • Forst L.
        The occupational hazards of emergency physicians.
        Am J Emerg Med. 2000; 18: 300-311
        • Hickman BJ
        • Mehrer R.
        Stress and the effects of air transport on flight crews.
        Air Med J. 2001; 20: 6-9
        • Maeder MB.
        Helicopter rescue and air medical transport.
        in: Auerbach PS Cushing TA Harris NS Auerbach's Wilderness Medicine. Elsevier, Philadelphia, PA2017
        • Kupper T
        • Steffgen J
        • Jansing P.
        Cold exposure during helicopter rescue operations in the Western Alps.
        Ann Occup Hyg. 2003; 47: 7-16
        • Reid BO
        • Haugland H
        • Abrahamsen HB
        • Bjornsen LP
        • Uleberg O
        • Kruger AJ.
        Prehospital stressors: a cross-sectional study of Norwegian helicopter emergency medical physicians.
        Air Med J. 2020; 39: 383-388
        • Soravia LM
        • Schwab S
        • Walther S
        • Muller T.
        Rescuers at risk: posttraumatic stress symptoms among police officers, fire fighters, ambulance personnel, and emergency and psychiatric nurses.
        Front Psychiatry. 2020; 11602064
        • Johnsen BH
        • Eid J
        • Lovstad T
        • Michelsen LT.
        Posttraumatic stress symptoms in nonexposed, victims, and spontaneous rescuers after an avalanche.
        J Trauma Stress. 1997; 10: 133-140
        • Antonovsky A.
        Unraveling the Mystery of Health: How People Manage Stress and Stay Well.
        Jossey-Bass, San Francisco, CA1988
        • Jonsson A
        • Segesten K.
        Daily stress and concept of self in Swedish ambulance personnel.
        Prehosp Disaster Med. 2004; 19: 226-234
        • Dudek B
        • Koniarek J.
        Relationship between sense of coherence and post-traumatic stress disorder symptoms among firefighters.
        Int J Occup Med Environ Health. 2000; 13: 299-305
        • Sommer I
        • Ehlert U.
        Adjustment to trauma exposure: prevalence and predictors of posttraumatic stress disorder symptoms in mountain guides.
        J Psychosom Res. 2004; 57: 329-335
        • Chen CH
        • Kao RH.
        A multilevel study on the relationships between work characteristics, self-efficacy, collective efficacy, and organizational citizenship behavior: the case of Taiwanese police duty-executing organizations.
        J Psychol. 2011; 145: 361-390
        • Andrade ER
        • de Sousa ER
        • Minayo MC.
        [Self-esteem and quality of life: essential for the mental health of police officers].
        Cien Saude Colet. 2009; 14: 275-285
        • Ryff CD
        • Singer BH
        • Love GD.
        Positive health: connecting well-being with biology.
        Philos Trans R Soc Lond B Biol Sci. 2004; 359: 1383-1394
        • Shakespeare-Finch J
        • Rees A
        • Armstrong D.
        Social support, self-efficacy, trauma and well-being in emergency medical dispatchers.
        Soc Indic Res. 2015; 123: 549-565
        • Suss H
        • Ehlert U.
        Psychological resilience during the perimenopause.
        Maturitas. 2020; 131: 48-56
        • Suss H
        • Willi J
        • Grub J
        • Ehlert U.
        Psychosocial factors promoting resilience during the menopausal transition.
        Arch Womens Ment Health. 2021; 24: 231-241
        • Schulz P
        • Schlotz W.
        Trierer Inventar zur Erfassung von chronischem Sre (TICS): Skalenkonstruktion, teststatistische Überprüfung und Validierung der Skala Arbeitsüberlastung [The Trier Inventory for the Assessment of Chronic Stress (TICS). Scale construction, statistical testing, and validation of the scale work overload].
        Diagnistica. 1999; 45: 8-19
        • Rimann MU.I.
        Subjektive arbeitsanalyse: Der Fragebogen SALSA.
        in: Strohm O Ulich E Unternehmen arbeitspsychologisch bewerten Ein Mehr-Ebenen-Ansatz unter besonderer Ein Mehr-Ebenen-Ansatz unter besonderer Berücksichtigung von Mensch, Technik und Organisation. vdf Hochschulverlag, Zürich, Switzerland1997
        • Janke W
        • Erdmann G
        • Kallus KW
        StressverarbeitungsfragebogenStress, Stressverarbeitung und ihre Erfassung Durch ein Mehrdimensionales Testsystem.
        Hogrefe, Göttingen, Germany2018
        • Schneewind KW.
        J. Der Fragebogen “Gesundheit und Stress.” Testmanual.
        Huner, Bern, Switzerland1999
        • Hannöver W
        • Michael A
        • Meyer C
        • Rumpf HJ
        • Hapke U
        • John U.
        Die Sense of coherence scale von Antonovsky und das Vorliegen einer psychiatrischen Diagnose.
        Psychother Psych Med. 2004; 54: 179-186
        • Krampen G
        Fragebogen zu Kompetenz- und Kontrollüberzeugungen (FKK).
        Hogrefe, Göttingen, Germany1991
        • Derogatis LR
        • Melisaratos N.
        The Brief Symptom Inventory: an introductory report.
        Psychol Med. 1983; 13: 595-605
        • Schmitz N
        • Kruse J
        • Tress W.
        Psychometric properties of the General Health Questionnaire (GHQ-12) in a German primary care sample.
        Acta Psychiatr Scand. 1999; 100: 462-468
        • Foa EB CL
        • Jaycox L
        • Perry K
        The validation of a self-report measure of posttraumatic stress disorder: the Posttraumatic Diagnostic Scale.
        Psychol Assess. 1997; 9: 445-451
        • Fahrenberg J
        • Hampel R.
        • Selg H.
        Das Freiburger Persönlichkeitsinventar FPI. Revidierte Fassung FPI-R und Teilweise Geänderte Fassung FPI-A1. Handanweisung.
        Hogrefe, Göttingen, Germany2001
        • Eriksson M
        • Lindstrom B.
        Antonovsky's sense of coherence scale and the relation with health: a systematic review.
        J Epidemiol Community Health. 2006; 60: 376-381
        • Eriksson M
        • Lindstrom B.
        Antonovsky's sense of coherence scale and its relation with quality of life: a systematic review.
        J Epidemiol Community Health. 2007; 61: 938-944
        • Mikutta C
        • Schmid JJ
        • Ehlert U.
        Resilience and post-traumatic stress disorder in the Swiss Alpine Rescue Association.
        Front Psychiatry. 2022; 13780498
        • Behnke A
        • Conrad D
        • Kolassa IT
        • Rojas R.
        Higher sense of coherence is associated with better mental and physical health in emergency medical services: results from investigations on the revised sense of coherence scale (SOC-R) in rescue workers.
        Eur J Psychotraumatol. 2019; 101606628
        • Kaufmann M
        • Gelb M
        • Augsburger M.
        Buffering PTSD in canine search and rescue teams? Associations with resilience, sense of coherence, and societal acknowledgment.
        Int J Environ Res Public Health. 2020; 17: 6184
        • Super S
        • Wagemakers MA
        • Picavet HS
        • Verkooijen KT
        • Koelen MA.
        Strengthening sense of coherence: opportunities for theory building in health promotion.
        Health Promot Int. 2016; 31: 869-878
        • Du H
        • King RB
        • Chi P
        Self-esteem and subjective well-being revisited: the roles of personal, relational, and collective self-esteem.
        PLoS One. 2017; 12e0183958
        • Hart W
        • Richardson K
        • Breeden CJ
        • Kinrade C.
        Self-esteem mediates effects of normal and pathological personality traits on subjective well-being.
        Scand J Psychol. 2021; 62: 735-745
        • Shang Y
        • Xie HD
        • SY Yang
        The relationship between physical exercise and subjective well-being in college students: the mediating effect of body image and self-esteem.
        Front Psychol. 2021; 12658935
        • Wong MC
        • Chung PK
        • Leung KM.
        Examining the exercise and self-esteem model revised with self-compassion among Hong Kong secondary school students using structural equation modeling.
        Int J Environ Res Public Health. 2021; 18: 3661
        • Strobel M
        • Tumasjan A
        • Sporrle M.
        Be yourself, believe in yourself, and be happy: self-efficacy as a mediator between personality factors and subjective well-being.
        Scand J Psychol. 2011; 52: 43-48
        • Chudzicka-Czupala A
        • Zalewska-Lunkiewicz K.
        Subjective well-being, general self-efficacy and coping with stress in former psychiatric patients preparing for the peer support role: an exploratory study.
        Health Qual Life Outcomes. 2020; 18: 98
        • Souza LA
        • Torres AR
        • Barbosa GA
        • Lima TJ
        • Souza LE.
        Self-efficacy as a mediator of the relationship between subjective well-being and general health of military cadets.
        Cad Saude Publica. 2014; 30: 2309-2319
        • Schneider J
        • Talamonti D
        • Gibson B
        • Forshaw M.
        Factors mediating the psychological well-being of healthcare workers responding to global pandemics: a systematic review.
        J Health Psychol. 2022; 27: 1875-1896
        • Foster JH
        • Powell JE
        • Marshall EJ
        • Peters TJ.
        Quality of life in alcohol-dependent subjects–a review.
        Qual Life Res. 1999; 8: 255-261
        • Breese GR
        • Chu K
        • Dayas CV
        • et al.
        Stress enhancement of craving during sobriety: a risk for relapse.
        Alcohol Clin Exp Res. 2005; 29: 185-195
        • Calina D
        • Hartung T
        • Mardare I
        • et al.
        COVID-19 pandemic and alcohol consumption: impacts and interconnections.
        Toxicol Rep. 2021; 8: 529-535
        • Marin MF
        • Lord C
        • Andrews J
        • et al.
        Chronic stress, cognitive functioning and mental health.
        Neurobiol Learn Mem. 2011; 96: 583-595
        • Mariotti A.
        The effects of chronic stress on health: new insights into the molecular mechanisms of brain-body communication.
        Future Sci OA. 2015; 1: FSO23
        • Kuykendall L
        • Tay L.
        Employee subjective well-being and physiological functioning: an integrative model.
        Health Psychol Open. 2015; 22055102915592090
        • Karlsen E
        • Dybdahl R
        • Vitterso J.
        The possible benefits of difficulty: how stress can increase and decrease subjective well-being.
        Scand J Psychol. 2006; 47: 411-417
        • Xiang CC
        • Wang X
        • Xie TT
        • Fu CL.
        Differential effects of work and family support on the relationship between surface acting and wellbeing: a self-determination theory approach.
        Psychol Rep. 2023; 126: 198-219
        • Ryu GW
        • Yang YS
        • Choi M.
        Mediating role of coping style on the relationship between job stress and subjective well-being among Korean police officers.
        BMC Public Health. 2020; 20: 470
        • Setti I
        • Lourel M.
        The role of affective commitment and perceived social support in protecting emergency workers against burnout and vicarious traumatization.
        Traumatology. 2016; 22: 261-270
        • Brooks SK
        • Dunn R
        • Amlot R
        • Rubin GJ
        • Greenberg N.
        A systematic, thematic review of social and occupational factors associated with psychological outcomes in healthcare employees during an infectious disease outbreak.
        J Occup Environ Med. 2018; 60: 248-257
        • Brooks SK
        • Dunn R
        • Amlot R
        • Rubin GJ
        • Greenberg N.
        Protecting the psychological wellbeing of staff exposed to disaster or emergency at work: a qualitative study.
        BMC Psychol. 2019; 7: 78
        • Coomber S
        • Todd C
        • Park G
        • Baxter P
        • Firth-Cozens J
        • Shore S.
        Stress in UK intensive care unit doctors.
        Br J Anaesth. 2002; 89: 873-881
        • Reid BO
        • Naess-Pleym LE
        • Haugland H
        • Dale J
        • Uleberg O
        • Nordstrand AE.
        Posttraumatic stress responses and psychological well-being in Norwegian medical helicopter personnel.
        Air Med J. 2022; 41: 292-297
        • Farnsworth R.
        PTSD: the long journey.
        Air Med J. 2016; 35: 278-279