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Explanatory factors of post-traumatic distress and burnout among hospital staff 6 months after Hurricane Irma in Saint-Martin and Saint-Barthelemy

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  • Damien Metregiste
  • Denis Boucaud-Maitre
  • Lyderic Aubert
  • Lazare Noubou
  • Louis Jehel

Abstract

Background: In September 2017, the Hurricane Irma devastated the islands of Saint-Martin and Saint-Barthelemy (French West Indies). This was a particularly distressing time for the local healthcare staff in charge of rescuing the population. The aim of this study was to identify the explanatory factors of post-traumatic distress and burnout in hospital staff. Methods: An anonymous questionnaire was sent to all 509 hospital workers of Saint-Martin and Saint-Barthelemy. Post-traumatic distress and burnout was assessed using the Post-Traumatic Stress Disorder Checklist (PCL-S) and Copenhagen Burnout Inventory (CBI) scales. Bivariate and multivariate analyses were used to determine the explanatory variables for these two psychological disorders. Results: Two hundred and sixty-two questionnaires were completed (response rate of 51.7%). The explanatory factors of post-traumatic distress were female gender (OR = 12.93, 95% CI: 2.70–232.10), electricity shortages (OR = 2.92, 95% CI: 1.13–8.19) and home damage (OR = 1.16, 95% CI [1.02–1.33]). In parallel, the explanatory factors of burnout were post-traumatic distress (OR: 10.42, 95% CI: 4.72–25.58), female gender (OR = 2,41, 95% CI: 1.24–5.02) and paramedical staff (OR = 2,53, 95% CI: 1.15–6.21). In the multivariate analysis, only burnout was significantly associated with post-traumatic distress (OR = 9.26, 95% CI: 4.11–23.14). Conclusions: Six months after Irma, post-traumatic distress among hospital staff was strongly linked to burnout. This study revealed the lack of electricity as a new factor related to post-traumatic distress. It also suggested that psychological intervention should be strengthened.

Suggested Citation

  • Damien Metregiste & Denis Boucaud-Maitre & Lyderic Aubert & Lazare Noubou & Louis Jehel, 2020. "Explanatory factors of post-traumatic distress and burnout among hospital staff 6 months after Hurricane Irma in Saint-Martin and Saint-Barthelemy," PLOS ONE, Public Library of Science, vol. 15(3), pages 1-14, March.
    • Handle: RePEc:plo:pone00:0229246
    DOI: 10.1371/journal.pone.0229246
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    1. Christian S Chan & Jean E Rhodes, 2014. "Measuring Exposure in Hurricane Katrina: A Meta-Analysis and an Integrative Data Analysis," PLOS ONE, Public Library of Science, vol. 9(4), pages 1-15, April.
    2. Donald Edmondson & Safiya Richardson & Louise Falzon & Karina W Davidson & Mary Alice Mills & Yuval Neria, 2012. "Posttraumatic Stress Disorder Prevalence and Risk of Recurrence in Acute Coronary Syndrome Patients: A Meta-analytic Review," PLOS ONE, Public Library of Science, vol. 7(6), pages 1-10, June.
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