Psychodynamics and coping in rapid response healthcare personnel: an observational cross-sectional study with analytical components
DOI:
https://doi.org/10.14739/2310-1210.2025.4.335126Keywords:
mental health, occupational stress, coping behavior, emergency responders, stresscross-sectional studiesAbstract
Currently, the training of Rapid Response Teams (RRTs) primarily focuses on mastering professional action protocols. However, the ability to effectively implement these protocols in high-stress professional situations remains a challenge that specialists frequently address without adequate support.
The aim of this study was to assess the psychological status of RRT personnel to identify their coping strategies and rate of adaptation to stressful conditions.
Materials and methods. The study involved 381 participants (284 women and 97 men). An observational cross-sectional study with analytical components was conducted. RRT personnel were examined before 1 PM on a non-working day. The assessment was performed using the automated system, “Psychological Safety of the Individual”. The frequency of COPE strategy use was quantified.
Results. Three distinct temperament profiles were identified among RRT personnel: individuals with a low level of activity (Group 1), those with heightened emotional-volitional involvement (Group 3), and those with average profiles (Groups 2 and 4). Group 1 individuals exhibited high self-control but lower openness to emotional support. Group 3 demonstrated higher levels of emotionality, flexibility, and the ability to utilize external resources. Groups 2 and 4 showed limited capacity for active stress coping, particularly regarding situation acceptance and the use of social support. Statistically significant differences in coping strategies highlight the necessity of an individualized approach in the psychological training of personnel.
Conclusions. The psychological effectiveness of RRT personnel is influenced by the interplay between temperament types and coping behaviors. The highest stress resilience was found among individuals with active problem-oriented strategies and the ability to engage external resources. The least adaptive group demonstrated low self-acceptance and confidence. These findings underscore the importance of considering these factors during professional selection and training.
References
Nazari S, Sharififar S, Ahmadi Marzaleh M, Zargar S, Azarmi S, Akbari Shahrestanaki Y. Structural elements and requirements in forming prehospital health response teams in response to chemical, biological, radiation, and nuclear incidents (CBRN), a comparative review study. Disaster Med Public Health Prep. 2023;17:E300. doi: https://doi.org/10.1017/dmp.2022.259
Ashley G, Tasha S-A, Adela H. Guidance for U.S. Centers for Disease Control and Prevention staff for the establishment and management of public health rapid response teams for disease outbreaks [Internet]. 2020 [cited 2025 Jun 16]. Available from: https://stacks.cdc.gov/view/cdc/125227
Hrynzovskyi AM, Kalashchenko SI, Prykhodko II, Lutsak OO, Bielai SV. The role of psychological selection of applicants for higher education in dangerous professions. Klinichna ta profilaktychna medytsyna. 2023;(7):81-6. doi: https://doi.org/10.31612/2616-4868.7.2023.11
Yang Y, Liao K, DiRe E. Thoughts on personnel management of disease control departments after public health emergencies based on the perspective of human resource management. Open Access Libr J. 2021;8:1-7. doi: https://doi.org/10.4236/oalib.1107763
CDC. The Next Generation Sequencing Quality Initiative [Internet]. Laboratory Quality. 2024 [cited 2025 Jun 16]. Available from: https://www.cdc.gov/lab-quality/php/ngs-quality-initiative/index.html
Sunjaya DK, Herawati DM, Siregar AY. Depressive, anxiety, and burnout symptoms on health care personnel at a month after COVID-19 outbreak in Indonesia. BMC Public Health. 2021;21(1):227. doi: https://doi.org/10.1186/s12889-021-10299-6
Regional Response Teams (RRTs). The U.S. National Response Team [Internet]. 2023 [cited 2025 Jun 16]. Available from: https://www.nrt.org/Site/Regionmap.aspx
European Commission. Health Emergency Preparedness and Response (HERA) [Internet]. 2023 [cited 2025 Jun 16]. Available from: https://health.ec.europa.eu/health-emergency-preparedness-and-response-hera_en
Díaz-Tamayo AM, Escobar-Morantes JR, García-Perdomo HA. Coping Strategies for Exposure to Trauma Situations in First Responders: A Systematic Review. Prehosp Disaster Med. 2022;37(6):810-8. doi: https://doi.org/10.1017/S1049023X22001479
Parvaresh-Masoud M, Abdollahyar A, Molavi-Taleghani Y, Salahi S, Farahmandnia H. Exploring coping strategies of emergency medical technicians against COVID-19 stress: a qualitative study. Front Psychiatry. 2023;14:1212769. doi: https://doi.org/10.3389/fpsyt.2023.1212769
Labrague LJ. Psychological resilience, coping behaviours and social support among health care workers during the COVID-19 pandemic: a systematic review of quantitative studies. J Nurs Manag. 2021;29(7):1893-905. doi: https://doi.org/10.1111/jonm.13336
Sehularo LA, Molato BJ, Mokgaola IO, Gause G. Coping strategies used by nurses during the COVID-19 pandemic: A narrative literature review. Health SA. 2021;26:1652. doi: https://doi.org/10.4102/hsag.v26i0.1652
Prykhodko II, editor. Avtomatyzovanyi psykhodiahnostychnyi kompleks vyznachennia profesiinoi prydatnosti kandydativ na viiskovu sluzhbu u vnutrishni viiska MVS Ukrainy i navchannia u vyshchykh viiskovykh navchalnykh zakladakh MVS Ukrainy [Automated psychodiagnostic complex for determining the professional suitability of candidates for military service in the internal troops of the Ministry of Internal Affairs of Ukraine and training in higher military educational institutions of the Ministry of Internal Affairs of Ukraine]. Kharkiv: NA NHU; 2016. Ukrainian. Available from: http://repositsc.nuczu.edu.ua/handle/123456789/4003
Maykrantz SA, Nobiling BD, Oxarart RA, Langlinais LA, Houghton JD. Coping with the crisis: the effects of psychological capital and coping behaviors on perceived stress. Int J Workplace Health Manag. 2021;14(6):650-65. doi: https://doi.org/10.1108/IJWHM-04-2021-0085
Bertolucci I. Cyclothymic Disorder: A Cognitive Behavioral Case Formulation. J Psychol Psychother Res. 2024;11:21-33. doi: https://doi.org/10.12974/2313-1047.2024.11.03
Kalashchenko SI, Hrynzovskyi AM. [Peculiarities of coping strategies of NANGU’S students with different types of socio-psychological adaptation]. Ukrainian Journal of Military Medicine. 2022;3(2):19-24. Ukrainian. doi: https://doi.org/10.46847/ujmm.2022.2(3)-019
Li J, Ye J, Yang X, Sun H, Yan H, et al. Influence of social support and coping strategies on psychological stress among frontline medical personnel during the Yangbi Earthquake: a cross-sectional analysis. Front Psychiatry. 2024;15:1473005. doi: https://doi.org/10.3389/fpsyt.2024.1473005
Kalashchenko SI. Peculiarities of changes of psychophysiological functions, state of human adaptive capacity and stress resistance of students of higher medical institutions. Medicni perspektivi. 2021;26(4):98-103. doi: https://doi.org/10.26641/2307-0404.2021.4.248240
Bondarchuk O, Balakhtar V, Pinchuk N, Pustovalov I, Pavlenok K. Adaptation of coping strategies to reduce the impact of stress and loneliness on the psychological well-being of adults. J Law Sustain Dev. 2023;11(10):e1852. doi: https://doi.org/10.55908/sdgs.v11i10.1852
World Health Organization. Mental health in emergencies [Internet]. 2024 [cited 2025 Jun 16]. Available from: https://www.who.int/news-room/fact-sheets/detail/mental-health-in-emergenciesen.wikipedia.org
Vaghri E, Sotodehasl N, Mehrafzoon D, Afrakhteh S. The Relationship between Self-Efficacy and Resilience with Psychological Preparation and Mediating Role of Stress Coping Styles in RCS Rapid Response Teams in Iran. Journal of Rescue and Relief. 2024;16(3):140-7. doi: https://doi.org/10.61186/jorar.16.3.140
Khalil H, Marcucci J, Liu C. Leveraging new methodologies for public health crisis management. Front Public Health. 2024;12:1508417. doi: https://doi.org/10.3389/fpubh.2024.1508417
Alahmari A, Tabche C, Adawi A, Alanazi S, Alfallaj L, Aljumah M, et al. Adapting WHO Rapid Response Teams Advanced Training Program to Saudi Arabia's Public Health Needs: A Systematic Process. Disaster Med Public Health Prep. 2025;19:e36. doi: https://doi.org/10.1017/dmp.2025.27
Rott C, Segers M, Van den Bossche P. Expected to be calm in any storm: An exploration of the stress experiences of crisis team leaders. Int J Disaster Risk Reduct. 2025;123:105445. doi: https://doi.org/10.1016/j.ijdrr.2025.105445
Cortez PA, da Silva Veiga HM, Stelko-Pereira AC, Lessa JP, Martins JZ, Fernandes SCS, et al. Brief Assessment of Adaptive and Maladaptive Coping Strategies During Pandemic. Trends Psychol. 2023:1-15. doi: https://doi.org/10.1007/s43076-023-00274-y
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