title: Post-Traumatic Stress Symptoms in United States Air Force Aeromedical Evacuation Nurses and Technicians.
abstract: Critical Care Air Transport Teams (CCATT) are specialized military medical personnel who provide high-acuity care in an aeromedical environment. The rate of post-traumatic stress disorder (PTSD) symptoms was assessed in CCATT personnel and their rates were compared to general aeromedical evacuation (AE) personnel. As part of a computer-based occupational stress survey, 188 crew members (138 AE nurses and technicians, 50 CCATT nurses and respiratory therapists) completed the PTSD Checklist - Military Version. A categorical MEET/DOES NOT MEET CRITERIA variable was created, and a Fisher's exact test was computed to identify differences between groups. Contingency table analyses were used to assess associations between demographic and occupational variables with meeting criteria. χ2or Fisher's exact test results, relative risks, and 95% confidence intervals were obtained, with 4.35% of AE and 14.00% of CCATT crew members meeting PTSD symptom criteria. The CCATT crew members were 3.22 times (95% confidence interval = 1.14-9.12) more likely to meet symptom criteria than AE, and for CCATT meeting criteria, the most commonly endorsed symptoms were arousal and avoidance. The demographic and occupational factors assessed in this study were not associated with meeting PTSD symptom criteria. Current findings are discussed in relation to current research on post-traumatic stress in ground-based critical care personnel.
authors.affiliation: NeuroStat Analytical Solutions, LLC, 17806 W Ih 10 Suite 300, San Antonio, TX 78257-8222.
authors.forename: Julie M
authors.initials: JM
authors.lastname: Swearingen
authors.affiliation: NeuroStat Analytical Solutions, LLC, 17806 W Ih 10 Suite 300, San Antonio, TX 78257-8222.
authors.forename: Tanya M
authors.initials: TM
authors.lastname: Goodman
authors.affiliation: U.S. Air Force School of Aerospace Medicine, Aeromedical Research Department, 2510 5th Street, Building 840, Wright-Patterson AFB, OH 45433-7913.
authors.forename: Wayne L
authors.initials: WL
authors.lastname: Chappelle
authors.affiliation: NeuroStat Analytical Solutions, LLC, 17806 W Ih 10 Suite 300, San Antonio, TX 78257-8222.
authors.forename: William T
authors.initials: WT
authors.lastname: Thompson
mesh_terms: D000293:Adolescent; D000328:Adult; D017732:Air Ambulances / Q000706:statistics & numerical data; D001359:Aviation; D003422:Critical Care / Q000523:psychology; D004634:Emergency Medical Technicians / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008887:Military Medicine / Q000379:methods; D008889:Military Personnel / Q000523:psychology*; D009726:Nurses / Q000523:psychology; D016273:Occupational Exposure / Q000706:statistics & numerical data; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology*; D011795:Surveys and Questionnaires; D014481:United States / Q000453:epidemiology; D000078329:Workforce