Summary

Disaster response invariably places individuals under intense psychological strain, with both survivors and responders at risk of adverse mental health outcomes. Acute reactions may include shock, heightened anxiety and acute stress symptoms, which for some evolve into conditions such as post-traumatic stress disorder (PTSD), chronic anxiety or depression. First responders often face repeated exposure to traumatic scenes and extended working hours, compounding their vulnerability to burnout and moral injury. Social determinants, including access to psychological support, workplace communication and community cohesion, shape recovery trajectories. Effective interventions span rapid outreach, resilience building and sustained psychosocial care, underscoring the need for integrated planning that addresses pre-, peri- and post-disaster phases. Global lessons highlight the value of preparedness training, early detection of high-risk individuals and strengthening of social networks to mitigate long-term mental health burdens.

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Mental Health Impacts of Disaster Response publication trend

The graph below shows the total number of articles in mental health impacts of disaster response across all publications each year (not limited to Nature Index journals).

Technical terms

Post-traumatic stress disorder: A psychiatric condition characterised by intrusive recollections, avoidance behaviours, negative mood alterations and heightened arousal following exposure to a traumatic event.

Peritraumatic distress: Emotional and physiological reactions occurring during or immediately after a traumatic incident, predictive of longer-term stress disorders.

Social support: Perceived or actual assistance from social networks, which can buffer stress and foster psychological resilience.

Resilience: The capacity to maintain or regain psychological well-being in the face of adversity, shaped by individual traits and external resources.

References

  1. Post-traumatic stress disorder among civilians 6 and 18 months after the January 2015 terrorist attacks in the Paris region. Psychiatry Research (2023).
  2. Evolution of Anxiety Disorder Prevalence and Associated Factors in First Responders in Both the Medium and Long Terms after the January 2015 Terrorist Attacks in France. Depression and Anxiety (2023).
  3. The psychosocial aid response after the 22/03/2016 attacks in Belgium: a community case study. Frontiers in Public Health (2024).
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