Dealing with Stress in Disasters: Building Psychological Resilience
Disasters and emergencies are emotionally charged events that occur with little, if any, warning. They can result in severe life-threatening situations, prevent vast segments of the population access to shelter, food, water, and medical care, and interfere with communication and transportation. Those affected often experience feelings of confusion, fear, hopelessness, sleeplessness, anxiety, grief, shock, guilt, and shame. Local public health workers and emergency responders assume the responsibility of ensuring the health and safety of affected people, helping them cope with the devastating situation, and re-establishing normal function. However, this responsibility can take a heavy toll on public health workers and emergency responders as well, particularly in emotionally charged situations with widespread turmoil. Public health workers and emergency responders should be able to identify and cope with stressful situations and build psychological resilience to mitigate the emotional toll that emergencies and disasters take on them.
Summarize the biology and physiology of stress response and the effects on health
Recognize three major types of stress as categorized by severity and chronicity
Identify the types of compassion fatigue, risk factors, and coping strategies
List attributes of psychological resilience and individual coping strategies
Describe other types of resilience (group, family, community, cultural, organizational)
Discuss the goals of Psychological First Aid (PFA) and five components when caring for others
Stress Response and Health Effects
Stress is a normal physiological response to a perceived threat or challenge. When faced with a stressor, the body releases hormones, such as cortisol and adrenaline, which prepare the body to fight or flee. This stress response is essential for survival, but prolonged or excessive stress can have negative effects on both physical and mental health.
Types of Stress
Stress can be categorized by severity and chronicity. Acute stress is a short-term response to a sudden event, such as a natural disaster or a car accident. Chronic stress is long-term stress that can be caused by ongoing problems, such as financial difficulties or a troubled relationship.
Compassion Fatigue
Compassion fatigue is a state of emotional exhaustion that can occur in people who work with traumatized individuals. It is characterized by feelings of burnout, detachment, and cynicism. Risk factors for compassion fatigue include exposure to high levels of trauma, a lack of support, and personal life stressors. Coping strategies for compassion fatigue include self-care, seeking professional help, and setting boundaries.
Psychological Resilience
Psychological resilience is the ability to cope with stress and adversity and bounce back from difficult experiences. There are several attributes of psychological resilience, including:
Individual Coping Strategies
There are many individual coping strategies that can help people deal with stress, such as:
Other Types of Resilience
Resilience can also be found at the group, family, community, cultural, and organizational levels. Group resilience refers to the ability of a group to work together to overcome challenges. Family resilience refers to the ability of a family to support each other through difficult times. Community resilience refers to the ability of a community to come together and help each other after a disaster. Cultural resilience refers to the ability of a culture to adapt to change and maintain its identity. Organizational resilience refers to the ability of an organization to respond to and recover from crises.
Psychological First Aid (PFA)
Psychological First Aid (PFA) is a framework for providing immediate psychological support to people who have been affected by a disaster. The goals of PFA are to:
Five Components of PFA
There are five components of PFA:
By providing PFA, public health workers and emergency responders can help people cope with the emotional impact of disasters and promote healing and recovery.