Authors: Pan Chen; Ling Zhang; Yuan Feng; Feng-Rong An; Zhaohui Su; Teris Cheung; Ka-In Lok; Gabor S. Ungvari; Todd Jackson; Yu-Tao Xiang; Qinge Zhang · Research
How Does Post-Traumatic Stress Affect Mental Health Workers After Major Health Crises?
Research reveals key patterns of post-traumatic stress among mental health professionals and strategies for prevention and treatment.
Source: Chen, P., Zhang, L., Feng, Y., An, F. R., Su, Z., Cheung, T., ... & Zhang, Q. (2023). Prevalence and network structure of post-traumatic stress symptoms and their association with suicidality among Chinese mental health professionals immediately following the end of China's Dynamic Zero-COVID Policy: a national survey. Translational Psychiatry, 13(1), 395. https://doi.org/10.1038/s41398-023-02680-3
What you need to know
- Around 7% of mental health professionals experience post-traumatic stress symptoms after major health crises
- Being married, experiencing quarantine, and having depression are key risk factors
- Avoiding thoughts and reminders of trauma, along with emotional numbness, are central symptoms that may need targeted treatment
The Hidden Impact of Crisis on Mental Health Workers
When we think about trauma from health crises, we often focus on patients and their families. However, there’s another group silently carrying a heavy burden - the mental health professionals who care for others during these challenging times. Like first responders running toward danger, these professionals face unique stresses that can leave lasting psychological impacts.
A large study of over 10,000 mental health workers reveals important insights about how these helpers cope after major health emergencies. The findings paint a picture of resilience, but also highlight concerning vulnerabilities that need attention.
Understanding the Risk Factors
Several key factors emerge that make mental health professionals more likely to experience post-traumatic stress:
Being married surprisingly increases risk - possibly because these professionals worry more about bringing harm to their families. Those who experienced quarantine also showed higher rates of trauma symptoms, likely due to isolation and disruption of normal support systems.
Financial strain and poor health status also increased vulnerability. This makes intuitive sense - when we’re already struggling with basic needs or health issues, we have fewer resources to cope with additional stress.
Most notably, those experiencing depression were significantly more likely to develop trauma symptoms. This creates a concerning cycle where mental health challenges can compound each other.
The Web of Trauma Symptoms
The researchers used an innovative network analysis approach to understand how different trauma symptoms connect and influence each other. Three key patterns emerged as central:
- Avoiding thoughts about the trauma
- Avoiding reminders of the trauma
- Feeling emotionally numb
Think of these as the hubs in a spider’s web - when these core symptoms are triggered, they tend to activate other symptoms throughout the network. This suggests that targeting these central symptoms in treatment might help reduce overall trauma impact.
The Connection to Suicide Risk
Perhaps most concerningly, certain trauma symptoms showed strong links to suicidal thoughts:
- Negative beliefs about the future
- Being constantly on guard (hypervigilance)
- Irritability and anger outbursts
This highlights how trauma doesn’t just affect quality of life - it can pose serious risks that require proactive intervention.
What This Means for You
If you’re a mental health professional, knowing these risk factors and warning signs can help you monitor your own wellbeing and seek help early if needed. Key protective steps include:
- Maintaining strong social connections despite isolation pressures
- Monitoring emotional numbness or avoidance as key warning signs
- Seeking financial and health support proactively
- Getting professional help if experiencing depression or suicidal thoughts
For those who work with or care about mental health professionals:
- Check in regularly, especially with those who are married or experienced quarantine
- Watch for signs of emotional withdrawal or avoidance
- Help reduce stigma around seeking mental health support
- Advocate for systemic supports like financial assistance and health resources
Conclusions
- Mental health professionals face significant trauma risks that need proactive attention
- Early intervention focusing on avoidance and emotional numbness may be most effective
- Supporting mental health workers’ wellbeing requires both individual and systemic approaches