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PTSD Symptom Trajectories in Disaster Volunteers: The Role of Self-Efficacy, Social Acknowledgement, and Tasks Carried Out

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Abstract

Millions of volunteers respond after disasters, with a 24% to 46% risk of developing posttraumatic stress disorder (PTSD). It is unclear which symptom trajectories develop and how they differ between core (volunteering before the disaster) and noncore volunteers (joining after the disaster) and which factors predict trajectories. Symptoms of PTSD were assessed at 6-, 12-, and 18-months postearthquake in 449 volunteers in Indonesia. Demographics, previous mental health service use, self-efficacy, social acknowledgment, and type of tasks were assessed at 6 months. In both core and noncore volunteers, 2 PTSD symptom trajectories emerged: a resilient trajectory (moderate levels of symptoms with a slow decrease over time; 90.9%) and a chronic trajectory (higher levels of symptoms with an increase over time; 9.1%). In both trajectories, core volunteers had fewer symptoms than noncore volunteers. Core volunteers in the chronic trajectory were characterized by having sought prior mental help, reported lower levels of self-efficacy and social acknowledgment, and were more likely to have provided psychosocial support to beneficiaries (Cramér's V = .17 to .27, partial η(2) = .02 to .06). Aid organizations should identify and follow up chronic PTSD trajectories in volunteers, including the noncore, who may be out of sight to the organization after the acute response phase.

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Pixel-Bot Summary

AI-generated analysis

🎯 Relevance Assessment: After careful analysis, this paper does not meet the primary inclusion criteria for this systematic review on PTSD symptom trajectories.

📋 Exclusion Rationale: The paper may focus on a different aspect of PTSD (e.g., treatment outcomes, risk factors, prevalence) or lacks the longitudinal trajectory analysis required by the review protocol.

🔍 Content Analysis: While the paper may discuss PTSD-related topics, it does not specifically examine symptom trajectories over time using appropriate statistical methods (e.g., growth curve modeling, latent class analysis).

❌ Recommendation: EXCLUDE — This paper does not align with the eligibility criteria. The focus or methodology does not match the systematic review's scope of longitudinal PTSD symptom trajectory analysis.

ℹ️ In the full version, Pixel-Bot generates unique summaries for each paper based on your specific eligibility criteria.

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DEMO: PTSD Symptom Trajectories

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