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Assessing Postdisaster Psychological Stress in Hazardous Waste Operations and Emergency Response (HAZWOPER) Workers

Published online by Cambridge University Press:  04 July 2013

Joshua C. Calcote ,
Arch I. Carson ,
Melissa F. Peskin  and
Robert J. Emery
Joshua C. Calcote*
Affiliation:
The University of Texas Health Science Center at Houston School of Public Health, Houston, Texas
Arch I. Carson
Affiliation:
The University of Texas Health Science Center at Houston School of Public Health, Houston, Texas
Melissa F. Peskin
Affiliation:
The University of Texas Health Science Center at Houston School of Public Health, Houston, Texas
Robert J. Emery
Affiliation:
The University of Texas Health Science Center at Houston School of Public Health, Houston, Texas
*
Address correspondence and reprint requests to Joshua Calcote, DrPH, in care of Robert J. Emery, DrPH, The University of Texas Health Science Center at Houston School of Public Health, 1200 Herman Pressler RAS W-1022, Houston, Texas 77030 (e-mail: [email protected]).
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Abstract

Objective

To assess the prevalence of traumatic stress experienced by secondary responders to disaster events to determine if mental health education should be included in HAZWOPER training.

Methods

Preexisting survey tools for assessing posttraumatic stress disorder (PTSD), resiliency, and mental distress were combined to form a web-based survey tool that was distributed to individuals functioning in secondary response roles. Data were analyzed using the Fisher exact test, 1-way ANOVA, and 1-sample t tests.

Results

Respondents reported elevated PTSD levels (32.9%) as compared to the general population. HAZWOPER-trained responders with disaster work experience were more likely to be classified as PTSD positive as compared to untrained, inexperienced responders and those possessing only training or experience. A majority (68.75%) scored below the mean resiliency level of 80.4 on the Connor-Davidson Resilience Scale. Respondents with only training or both training and experience were more likely to exhibit lower resiliency scores than those with no training or experience. PTSD positivity correlated with disaster experience. Among respondents, 91% indicated support for mental health education.

Conclusions

Given the results of the survey, consideration should be given to the inclusion of pre- and postdeployment mental health education in the HAZWOPER training regimen. (Disaster Med Public Health Preparedness. 2013;0:1-9)

Keywords

HAZWOPERPTSDhazardous wasteemergency preparednesstraumatic stress
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 7 , Issue 5 , October 2013 , pp. 452 - 460
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2013 

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References

1.McFarlane, AC, Williamson, P, Barton, CA. The impact of traumatic stressors in civilian occupational settings. J Pub Health Policy. 2009;30(3):311-327.CrossRefGoogle ScholarPubMed
2.Occupational Safety and Health Administration. Intro to 29 CFR Part 1910, Hazardous waste operations and emergency response. Washington, DC: US Department of Labor; 1989. https://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=PREAMBLES&p_id=1084. Accessed January 22, 2012.Google Scholar
3.Occupational Safety and Health Administration. Frequently asked questions: HAZWOPER. Washington, DC: US Department of Labor; 2011. http://www.osha.gov/html/faq-hazwoper.html. Accessed March 11, 2011.Google Scholar
4.Occupational Safety and Health Administration. Hazardous waste operations and emergency response standard (29 CFR 1910.120). Washington, DC: US Department of Labor; 2012. http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=standards&p_id=9765. Accessed January 25, 2012.Google Scholar
5.Occupational Safety and Health Administration (OSHA). (2011). Critical incident stress. Washington, DC: US Department of Labor; 2011. http://www.osha.gov/SLTC/emergencypreparedness/guides/critical.html. Accessed April 29, 2011.Google Scholar
6.Bills, CB, Levy, NAS, Sharma, V, etal. Mental health of workers and volunteers responding to events of 9/11: review of the literature. Mt Sinai J Med. 2008;75:115-127.Google Scholar
7.Russell, L. Posttraumatic stress disorder DSM-IV diagnosis and criteria. Mental Health Today website; 2011. http://www.mental-health-today.com/ptsd/dsm.htm. Accessed March 11, 2011.Google Scholar
8.Berninger, A, Webber, MP, Cohen, HW, etal. Trends of elevated PTSD risk in firefighters exposed to the World Trade Center disaster: 2001-2005. Pub Health Rep. 2010;125:556-566.Google Scholar
9.Whealin, JM, Ruzek, JI, Southwick, S. Cognitive-behavioral theory and preparation for professionals at risk for trauma exposure. Trauma Violence Abuse. 2008;9(2):100-113.Google Scholar
10.Perrin, MA, DiGrande, L, Wheeler, K, Thorpe, L, Farfel, M, Brackbill, R. Differences in PTSD prevalence and associated risk factors among World Trade Center disaster rescue and recovery workers. Am J Psychiatry. 2007;164(9):1385-1394.CrossRefGoogle ScholarPubMed
11.Southwick, SM, Vythilingam, M, Charney, DS. The psychobiology of depression and resilience to stress: implications for prevention and treatment. Ann Rev Clin Psychol. 2005;1:255-291.Google Scholar
12.Inzana, CM, Driskell, JE, Salas, E, Johnston, JH. Effects of preparatory information on enhancing performance under stress. J Applied Psych. 1996;81(4):429-435.CrossRefGoogle ScholarPubMed
13. National Institute of Environmental Health Sciences. HazMat Safety and Training: Worker Education and Training Program. Washington, DC: US Department of Health and Human Services; 2011. http://www.niehs.nih.gov/careers/hazmat/index.cfm. Accessed April 1, 2011.Google Scholar
14.US Food and Drug Administration. Code of Federal Regulations: 21 CFR 56.109. US Food and Drug Administration website; 2012. http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/CFRSearch.cfm?fr=56.109. Accessed January 25, 2012.Google Scholar
15.Blanchard, EB, Jones-Alexander, J, Buckley, RC, Forneris, CA. Psychometric properties of the PTSD Checklist (PCL). Behav Res Ther. 1996;34:669-673.CrossRefGoogle ScholarPubMed
16.Ruggiero, KJ, Del Ben, K, Scotti, JR, etal. Psychometric properties of the PTSD Checklist—Civilian Version. J Trauma Stress. 2003;16:495-502. Obtained March 30, 2011 from the United States Department of Veterans Affairs.Google Scholar
17.Connor, KM, Davidson, JR. Development of a new resilience scale: the Connor–Davidson Resilience Scale (CD-RISC). Depress Anxiety. 2003;18:76-82. Obtained March 30, 2011 from the United States Department of Veterans Affairs.Google Scholar
18.US Department of Health and Human Services. Code of Federal Regulations: 45 CFR 46.101. US Department of Health and Human Services website; 2012. http://www.hhs.gov/ohrp/humansubjects/guidance/45cfr46.html#46.101. Accessed January 25, 2012.Google Scholar
19.Bliese, PD, Wright, KM, Adler, AB, Cabrera, O, Castro, CA, Hoge, CW. Validating the primary care posttraumatic stress disorder screen and the posttraumatic stress disorder checklist with soldiers returning from combat. J Consult Clin Psychol. 2008;76(2):272-281.Google Scholar
20.Fullerton, CS, Ursano, RJ, Reeves, J, etal. Perceived safety in disaster workers following 9/11. J Nerv Ment Dis. 2006;194(1):61-63.Google Scholar
21.Boscarino, JA, Adams, RE. PTSD onset and course following the World Trade Center disaster: findings and implications for future research. Soc Psychiatry Psychiatr Epidemiol. 2009;44(10):887-898.CrossRefGoogle ScholarPubMed
22.McFarlane, AC, Bookless, C. The effect of PTSD on interpersonal relationships: issues for emergency service workers. Sexual Relation Ther. 2001;16(3):261-267.Google Scholar
23.Pietrzak, RH, Johnson, DC, Goldstein, MB, Malley, JC, Southwick, SM. Psychological resilience and postdeployment social support protect against traumatic stress and depressive symptoms in soldiers returning from Operations Enduring Freedom and Iraqi Freedom. J Spec Oper Med. 2009;9(3):67-73.CrossRefGoogle ScholarPubMed
24.Pietrzak, RH, Johnson, DC, Goldstein, MB, etal. Psychosocial buffers of traumatic stress, depressive symptoms, and psychosocial difficulties in veterans of Operations Enduring Freedom and Iraqi Freedom: the role of resilience, unit support, and postdeployment social support. J Spec Oper Med. 2009;9(3):74-78.Google Scholar
25.US Department of Veterans Affairs. The New Warrior: Combat Stress and Wellness for Veterans and Family [video]. US Department of Veterans Affairs website; 2007. http://www.ptsd.va.gov/public/videos/list-videos.asp. Accessed March 17, 2011.Google Scholar
26.Murphy, SA, Beaton, RD, Pike, KC, Johnson, LC. Occupational stressors, stress responses, and alcohol consumption among professional firefighters: a prospective, longitudinal analysis. Int J Stress Manage. 1999;6(3):179-196.Google Scholar
27.Bryant, RA, Guthrie, RM. Maladaptive appraisals as a risk factor for posttraumatic stress: a study of trainee firefighters. Psychol Sci. 2005;16(10):749-752.Google Scholar