Psychological resilience and post-traumatic growth in disaster-exposed organisations: overview of the literature

BMJ Mil Health. 2020 Feb;166(1):52-56. doi: 10.1136/jramc-2017-000876. Epub 2018 Feb 2.

Abstract

As disasters become increasingly prevalent, and reported on, a wealth of literature on post-disaster mental health has been published. Most published evidence focuses on symptoms of mental health problems (such as post-traumatic stress disorder, depression and anxiety) and psychosocial factors increasing the risk of such symptoms. However, a recent shift in the literature has moved to exploring resilience and the absence of adverse lasting mental health effects following a disaster. This paper undertakes a qualitative review of the literature to explore factors affecting psychological resilience, as well as the potential positive impact of experiencing a disaster (post-traumatic growth) by examining the literature on employees in disaster-exposed organisations. We identify several protective factors: training, experience, and perceived (personal) competence; social support; and effective coping strategies. Post-traumatic growth frequently appeared to occur at both personal and professional levels for those rescue staff after a disaster, giving employees a greater appreciation of life and their relationships, enhancing their self-esteem and providing a sense of accomplishment and better understanding of their work. Implications, in terms of how to build a resilient workforce, are discussed.

Keywords: disasters; mental health; post-traumatic growth; resilience.

Publication types

  • Review

MeSH terms

  • Adaptation, Psychological
  • Disasters*
  • Health Personnel / psychology
  • Humans
  • Occupational Exposure*
  • Posttraumatic Growth, Psychological*
  • Protective Factors
  • Relief Work
  • Rescue Work*
  • Resilience, Psychological*
  • Self Efficacy
  • Social Support