High Adversity Resilience Training (HART): Development for emergency responders and defence

Rossouw, Jurie G.; Herlofson, Jörgen; Geldenhuys, Dirk J.; Erieau, Chelsea L.

doi:10.4102/jan.v3i1.8

Research Article (Vol. 3(1)) 2024

High Adversity Resilience Training (HART): Development for emergency responders and defence

Journal of Applied Neurosciences

6 Cited by 92 References Full access PDF

Abstract

Orientation: High adversity occupations (HAOs) such as first responders, healthcare workers, and military personnel are subject to extreme exposure to potentially traumatic events (PTEs), thus increasing their risk of mental illness and post-traumatic stress disorder (PTSD). There is a recognised gap in providing comprehensive, proactive resilience training to mitigate these risks effectively. Research purpose: This study aimed to introduce the High Adversity Resilience Training (HART) programme, designed to equip HAOs with resilience tools through a holistic, preventive approach based on the Predictive 6-Factor Resilience (PR6) model. Motivation for the study: Existing programmes for HAOs often lack comprehensive and proactive approaches. The HART programme aims to fill this gap, offering a systemic and evidence-based resilience training framework. Research approach/design and method: The study employs a literature review to identify HAO challenges and the need for preventative resilience programmes, leading to the development of the HART programme. Main findings: The HART programme provides a comprehensive approach for resilience training that addresses both individual skills and supportive organisational environments, crucial for mitigating adversity in HAOs. Implications for practice: The findings were incorporated into the HART programme, which includes a comprehensive awareness protocol involving leadership, management, workers, family members, and internal champions. This helps to overcome previous shortcomings and reduce risk for HAO workers. Contribution/value-add: By integrating neurobiological insights with resilience training, the HART programme presents a novel approach to enhancing resilience in HAOs. This expands on existing theories of occupational stress and resilience, providing a comprehensive model adaptable across various high-adversity settings.

Keywords: resilience; post-traumatic growth; first responders; care providers; mental wellness; emergency responders; strength-based

Metadata Record

Record

Title

High Adversity Resilience Training (HART): Development for emergency responders and defence

Namespace

Journal of Applied Neurosciences

Namespace Persistent ID

121:jap

Namespace Status

Active

Content Type

Research Article

Resource Type (DataCite)

JournalArticle

SEIPID

121:jap:2024n2

Language

English

Publication Date

22 Mar 2024

Record Entered On

10 Nov 2026

Last Updated

10 Nov 2026

Status

Active

Metadata Source

Registrant

Publication

Published in

Journal of Applied Neurosciences

Publisher

African Online Scientific Information Systems (Pty) Ltd

ISSN

2959-5118

eISSN

2958-0951

Volume / Issue

3 (1)

Article No.

a8

Peer Reviewed

Yes

Contributors

Author

Corresponding

Dates

Submitted

7 Jun 2023

Accepted

14 Feb 2024

Copyright Year

2024

Subjects

Life Sciences

Neuroscience

Rights & Access

Access

Open access

Licence

CC BY 4.0

Copyright

Funding

Hello Driven Pty Ltd Australia

Declarations

Data Availability

Not applicable (no new data were created or analysed)

Ethics

Not required (no human or animal participants)

Competing Interests

Competing interests declared

Identifiers

DOI

10.4102/jan.v3i1.8

Links

Target URL

https://journalofappliedneurosciences.org/index.php/jan/article/view/8

References 92

Aiken, L.H., Sloane, D.M., Bruyneel, L., Van den Heede, K., Sermeus, W., & Consortium, R.c. (2013). Nurses’ reports of working conditions and hospital quality of care in 12 countries in Europe. International Journal of Nursing Studies, 50(2), 143–153. https://doi.org/10.1016/j.ijnurstu.2012.11.009
Al Jowf, G.I., Ahmed, Z.T., An, N., Reijnders, R.A., Ambrosino, E., Rutten, B.P., De Nijs, L., & Eijssen, L.M. (2022). A public health perspective of post-traumatic stress disorder. International Journal of Environmental Research and Public Health, 19(11), 6474. https://doi.org/10.3390/ijerph19116474
Al Jowf, G.I., Ahmed, Z.T., Reijnders, R.A., De Nijs, L., & Eijssen, L.M. (2023). To predict, prevent, and manage Post-Traumatic Stress Disorder (PTSD): A review of pathophysiology, treatment, and biomarkers. International Journal of Molecular Sciences, 24(6), 5238. https://doi.org/10.3390/ijms24065238
Baird, K., & Kracen, A.C. (2006). Vicarious traumatization and secondary traumatic stress: A research synthesis. Counselling Psychology Quarterly, 19(2), 181–188. https://doi.org/10.1080/09515070600811899
Beyondblue, & PWC. (2014). Creating a mentally healthy workplace: Return on investment analysis [Industry report]. Retrieved from https://www.headsup.org.au/docs/default-source/resources/beyondblue_workplaceroi_finalreport_may-2014.pdf
Bloom, D. E., Cafiero, E., Jané-Llopis, E., Abrahams-Gessel, S., Bloom, L. R., Fathima, S., … & Weiss, J. (2012). The global economic burden of noncommunicable diseases (No. 8712). Program on the Global Demography of Aging.
Blue, B. (2016). Good practice framework for mental health and wellbeing in first responder organisations. Beyond Blue.
Bonanno, G.A. (2004). Loss, trauma, and human resilience: Have we underestimated the human capacity to thrive after extremely aversive events?. American Psychologist, 59(1), 20. https://doi.org/10.1037/0003-066X.59.1.20
Boscarino, J.A., Figley, C.R., & Adams, R.E. (2004). Compassion fatigue following the September 11 terrorist attacks: A study of secondary trauma among New York City social workers. International Journal of Emergency Mental Health, 6(2), 57.
Brassington, K., & Lomas, T. (2020). Can resilience training improve well-being for people in high-risk occupations? A systematic review through a multidimensional lens. The Journal of Positive Psychology, 16(5), 1–20. https://doi.org/10.1080/17439760.2020.1752783
Bremner, J.D. (2006). Traumatic stress: Effects on the brain. Dialogues in Clinical Neuroscience, 8(4), 445–461.
Bryant, R.A., & Guthrie, R.M. (2007). Maladaptive self-appraisals before trauma exposure predict posttraumatic stress disorder. Journal of Consulting and Clinical Psychology, 75(5), 812. https://doi.org/10.1037/0022-006X.75.5.812
Cacioppo, S., & Cacioppo, J.T. (2012). Decoding the invisible forces of social connections. Frontiers in Integrative Neuroscience, 6, 51. https://doi.org/10.3389/fnint.2012.00051
Cai, W.-p., Pan, Y., Zhang, S.-m., Wei, C., Dong, W., & Deng, G.-h. (2017). Relationship between cognitive emotion regulation, social support, resilience and acute stress responses in Chinese soldiers: Exploring multiple mediation model. Psychiatry Research, 256, 71–78. https://doi.org/10.1016/j.psychres.2017.06.018
Carver, C.S. (1998). Resilience and thriving: Issues, models, and linkages. Journal of Social Issues, 54(2), 245–266. https://doi.org/10.1111/j.1540-4560.1998.tb01217.x
Chamberlin, M.J., & Green, H.J. (2010). Stress and coping strategies among firefighters and recruits. Journal of Loss and Trauma, 15(6), 548–560. https://doi.org/10.1080/15325024.2010.519275
Collins, D.A., Shamblen, S.R., Atwood, K.A., Rychener, D.L., Scarbrough, W.H., Abadi, M.H., & Simmons, L.A. (2015). Evaluation of a health coaching course for providers and staff in veterans health affairs medical facilities. Journal of Primary Care & Community Health, 6(4), 250–255. https://doi.org/10.1177/2150131915591154
Crane, M.F., Falon, S.L., Kho, M., Moss, A., & Adler, A.B. (2021). Developing resilience in first responders: Strategies for enhancing psychoeducational service delivery. Psychological Services, 19(suppl 2), 17–27. https://doi.org/10.1037/ser0000439
Crastnopol, M. (2015). Micro-trauma: A psychoanalytic understanding of cumulative psychic injury (Vol. 25). Routledge.
Deldar, K., Froutan, R., Dalvand, S., Gheshlagh, R.G., & Mazloum, S.R. (2018). The relationship between resilience and burnout in Iranian nurses: A systematic review and meta-analysis. Open access Macedonian Journal of Medical Sciences, 6(11), 2250. https://doi.org/10.3889/oamjms.2018.428
Dell, L., Madden, K., & Jones, K. (2022). Wellness action through checking health: WATCH project report. Report prepared for Department of Defence. Phoenix Australia – Centre for Posttraumatic Mental Health.
Deppa, K.F. (2015). Resilience training for firefighters: A proposed approach. Dissertations & Theses, University of Pennsylvania, United States.
DSPO, D.o.D.S.P.O. (2020). Department of Defense (DoD) Quarterly Suicide Report (QSR) 4th Quarter. Retrieved from https://www.dspo.mil/qsr/
Ehring, T., Szeimies, A.-K., & Schaffrick, C. (2009). An experimental analogue study into the role of abstract thinking in trauma-related rumination. Behaviour Research and Therapy, 47(4), 285–293. https://doi.org/10.1016/j.brat.2008.12.011
Eidelson, R., & Soldz, S. (2012). Does comprehensive soldier fitness work: CSF research fails the test. Coalition for an Ethical Psychology, 1(5), 1–12.
Eisenberg, D., Downs, M.F., Golberstein, E., & Zivin, K. (2009). Stigma and help seeking for mental health among college students. Medical Care Research and Review, 66(5), 522–541. https://doi.org/10.1177/1077558709335173
Etkin, A., Egner, T., & Kalisch, R. (2011). Emotional processing in anterior cingulate and medial prefrontal cortex. Trends in Cognitive Sciences, 15(2), 85–93. https://doi.org/10.1016/j.tics.2010.11.004
Elisei, S., Sciarma, T., Verdolini, N., & Anastasi, S. (2013). Resilience and depressive disorders. Psychiatria Danubina, 25(suppl 2), S263–S267.
Figley, C.R. (1995). Compassion fatigue: Toward a new understanding of the costs of caring. Routledge
Fisher, P.M., & Abrahamson, K. (2002). When working hurts: Stress, burnout & trauma in human, emergency, and health services. Spectrum Press.
Fredrickson, B.L. (2001). The role of positive emotions in positive psychology: The broaden-and-build theory of positive emotions. American Psychologist, 56(3), 218. https://doi.org/10.1037/0003-066X.56.3.218
Fredrickson, B.L. (2003). The value of positive emotions: The emerging science of positive psychology is coming to understand why it’s good to feel good. American Scientist, 91(4), 330–335. https://doi.org/10.1511/2003.26.330
Furber, G., Segal, L., Leach, M., Turnbull, C., Procter, N., Diamond, M., Miller, S., & McGorry, P. (2015). Preventing mental illness: Closing the evidence-practice gap through workforce and services planning. BMC Health Services Research, 15(1), 1–14. https://doi.org/10.1186/s12913-015-0954-5
Guidi, J., Lucente, M., Sonino, N., & Fava, G.A. (2021). Allostatic load and its impact on health: A systematic review. Psychotherapy and Psychosomatics, 90(1), 11–27. https://doi.org/10.1159/000510696
Gyurak, A., Gross, J.J., & Etkin, A. (2011). Explicit and implicit emotion regulation: A dual-process framework. Cognition and Emotion, 25(3), 400–412. https://doi.org/10.1080/02699931.2010.544160
Hamling, K. (2018). Wellbeing across occupations and in the emergency services: A mixed methods study. Auckland University of Technology.
Henckens, M.J., Van Wingen, G.A., Joëls, M., & Fernández, G. (2010). Time-dependent effects of corticosteroids on human amygdala processing. Journal of Neuroscience, 30(38), 12725–12732. https://doi.org/10.1523/JNEUROSCI.3112-10.2010
Henderson, S.N., Van Hasselt, V.B., LeDuc, T.J., & Couwels, J. (2016). Firefighter suicide: Understanding cultural challenges for mental health professionals. Professional Psychology: Research and Practice, 47(3), 224. https://doi.org/10.1037/pro0000072
Hirsch, D., & Zukowska, Z. (2012). NPY and stress 30 years later: The peripheral view. Cellular and Molecular Neurobiology, 32(5), 645–659. https://doi.org/10.1007/s10571-011-9793-z
Hoopsick, R.A., Homish, D.L., Collins, R.L., Nochajski, T.H., Read, J.P., Bartone, P.T., & Homish, G.G. (2021). Resilience to mental health problems and the role of deployment status among US Army Reserve and National Guard Soldiers. Social Psychiatry and Psychiatric Epidemiology, 56(7), 1299–1310. https://doi.org/10.1007/s00127-020-01899-5
Horn, S.R., & Feder, A. (2018). Understanding resilience and preventing and treating PTSD. Harvard Review of Psychiatry, 26(3), 158–174. https://doi.org/10.1097/HRP.0000000000000194
Ivbijaro, G., Kolkiewicz, L., Goldberg, D., Riba, M.B., N’jie, I.N., Geller, J., Kallivayalil, R., Javed, A., Švab, I., Summergrad, P., Laher, S., Enum, Y. (2019). Preventing suicide, promoting resilience: Is this achievable from a global perspective?. Asia-Pacific Psychiatry, 11(4), e12371. https://doi.org/10.1111/appy.12371
Jackson, D., Firtko, A., & Edenborough, M. (2007). Personal resilience as a strategy for surviving and thriving in the face of workplace adversity: A literature review. Journal of Advanced Nursing, 60(1), 1–9. https://doi.org/10.1111/j.1365-2648.2007.04412.x
Jakel, P., Kenney, J., Ludan, N., Miller, P.S., McNair, N., & Matesic, E. (2016). Effects of the use of the provider resilience mobile application in reducing compassion fatigue in oncology nursing. Clinical Journal of Oncology Nursing, 20(6), 611–616. https://doi.org/10.1188/16.CJON.611-616
Joyce, S., Shand, F., Lal, T.J., Mott, B., Bryant, R.A., & Harvey, S.B. (2019). Resilience@ work mindfulness program: Results from a cluster randomized controlled trial with first responders. Journal of Medical Internet Research, 21(2), e12894. https://doi.org/10.2196/12894
Joyce, S., Shand, F., Tighe, J., Laurent, S.J., Bryant, R.A., & Harvey, S.B. (2018). Road to resilience: A systematic review and meta-analysis of resilience training programs and interventions. BMJ Open, 8(6), e017858. https://doi.org/10.1136/bmjopen-2017-017858
Kearney, L.K., Smith, C.A., & Miller, M.A. (2020). Critical foundations for implementing the VA’s public health approach to suicide prevention. Psychiatric Services, 71(12), 1306–1307. https://doi.org/10.1176/appi.ps.202000190
Keynan, J.N., Cohen, A., Jackont, G., Green, N., Goldway, N., Davidov, A., Meir-Hasson, Y., Raz, G., Intrator, N., Fruchter, E., Ginat, K., Laska, E., Cavazza, M., & Hendler, T. (2019). Electrical fingerprint of the amygdala guides neurofeedback training for stress resilience. Nature Human Behaviour, 3(1), 63–73. https://doi.org/10.1038/s41562-018-0484-3
Kleftaras, G., & Psarra, E. (2012). Meaning in life, psychological well-being and depressive symptomatology: A comparative study. Psychology, 3(04), 337. https://doi.org/10.4236/psych.2012.34048
Knapp, M., McDaid, D., & Parsonage, M. (2011). Mental health promotion and mental illness prevention: The economic case. Department of Health. Retrieved from https://eprints.lse.ac.uk/29953/1/Mental_health_promotion_and_mental_illness_prevention%28author%29.pdf
Knutsson, A. (2003). Health disorders of shift workers. Occupational Medicine, 53(2), 103–108. https://doi.org/10.1093/occmed/kqg048
Madden, M. (2015). Evaluating the impact of preventative health services on improving general well-being. Yale University.
Maitlis, S. (2020). Posttraumatic growth at work. Annual Review of Organizational Psychology and Organizational Behavior, 7, 395–419. https://doi.org/10.1146/annurev-orgpsych-012119-044932
McAlearney, A.S., Gaughan, A.A., MacEwan, S.R., Gregory, M.E., Rush, L.J., Volney, J., & Panchal, A.R. (2022). Pandemic experience of first responders: Fear, frustration, and stress. International Journal of Environmental Research and Public Health, 19(8), 4693. https://doi.org/10.3390/ijerph19084693
McCammon, S., Durham, T.W., Jackson Allison, Jr, E., & Williamson, J.E. (1988). Emergency workers’ cognitive appraisal and coping with traumatic events. Journal of Traumatic Stress, 1(3), 353–372. https://doi.org/10.1002/jts.2490010307
McCreary, D. (2019). Veteran and first responder mental ill health and suicide prevention: A scoping review of prevention and early intervention programs used in Canada, Australia, New Zealand, Ireland, and the United Kingdom. Donald McCreary Scientific Consulting.
McDaid, D., Park, A.-L., Knapp, M., Wilson, E., Rosen, B., & Beecham, J. (2017). Commissioning cost-effective services for promotion of mental health and wellbeing and prevention of mental ill-health. Public Health England. Retrieved from https://eprints.lse.ac.uk/85944/1/McDaid_Commissioning%20cost-effectgive%20services_2017.pdf
McDaid, D., Park, A.-L., & Wahlbeck, K. (2019). The economic case for the prevention of mental illness. Annual Review of Public Health, 40, 373–389. https://doi.org/10.1146/annurev-publhealth-040617-013629
Mealer, M., Jones, J., & Moss, M. (2012). A qualitative study of resilience and posttraumatic stress disorder in United States ICU nurses. Intensive Care Medicine, 38(9), 1445–1451. https://doi.org/10.1007/s00134-012-2600-6
Money, K., Hillenbrand, C., & Da Camara, N. (2009). Putting positive psychology to work in organisations. Journal of General Management, 34(3), 31–36. https://doi.org/10.1177/030630700903400302
Monteiro, B.C., Monteiro, S., Candida, M., Adler, N., Paes, F., Rocha, N., Nardi, A.E., Murillo-Rodriguez, E., & Machado, S. (2017). Relationship between brain-derived neurotrofic factor (Bdnf) and sleep on depression: A critical review. Clinical Practice and Epidemiology in Mental Health: CP & EMH, 13, 213. https://doi.org/10.2174/1745017901713010213
Morey, R.A., Gold, A.L., LaBar, K.S., Beall, S.K., Brown, V.M., Haswell, C.C., Nasser, J., Wagner, H.R., & McCarthy, G. (2012). Amygdala volume changes in posttraumatic stress disorder in a large case-controlled veterans group. Archives of General Psychiatry, 69(11), 1169–1178. https://doi.org/10.1001/archgenpsychiatry.2012.50
Morgan III, C.A., Rasmusson, A.M., Wang, S., Hoyt, G., Hauger, R.L., & Hazlett, G. (2002). Neuropeptide-Y, cortisol, and subjective distress in humans exposed to acute stress: Replication and extension of previous report. Biological Psychiatry, 52(2), 136–142. https://doi.org/10.1016/S0006-3223(02)01319-7
Ponder, W.N., Walters, K., Simons, J.S., Simons, R.M., Jetelina, K.K., & Carbajal, J. (2023). Network analysis of distress, suicidality, and resilience in a treatment seeking sample of first responders. Journal of Affective Disorders, 320, 742–750. https://doi.org/10.1016/j.jad.2022.09.097
Prati, G., & Pietrantoni, L. (2010). The relation of perceived and received social support to mental health among first responders: A meta-analytic review. Journal of Community Psychology, 38(3), 403–417.
Regehr, C., Hill, J., Knott, T., & Sault, B. (2003). Social support, self-efficacy and trauma in new recruits and experienced firefighters. Stress and Health, 19(4), 189–193. https://doi.org/10.1002/smi.974
Reivich, K.J., Seligman, M.E., & McBride, S. (2011). Master resilience training in the US Army. American Psychologist, 66(1), 25.
Ringer, F.B., Soberay, K.A., Rogers, M.L., Hagan, C.R., Chu, C., Schneider, M., Podlogar, M.C., Witte, T., Holm-Denoma, J., Plant, E.A., Gutierrez, P.M., & Joiner, T.E. (2018). Initial validation of brief measures of suicide risk factors: Common data elements used by the military suicide research consortium. Psychological Assessment, 30(6), 767–778. https://doi.org/10.1037/pas0000519
Rippstein-Leuenberger, K., Mauthner, O., Sexton, J.B., & Schwendimann, R. (2017). A qualitative analysis of the three good things intervention in healthcare workers. BMJ Open, 7(5), e015826. https://doi.org/10.1136/bmjopen-2017-015826
Rossouw, J.G., Erieau, C.L., & Beeson, E.T. (2019). Building resilience through a virtual coach called Driven: Longitudinal pilot study and the neuroscience of small, frequent learning tasks. International Journal of Neuropsychotherapy, 7(2), 23–41. https://doi.org/10.12744/ijnpt.2019.023-041
Rossouw, J.G., Rossouw, P.J., Paynter, C., Ward, A., & Khnana, P. (2017). Predictive 6 factor resilience scale–domains of resilience and their role as enablers of job satisfaction. International Journal of Neuropsychotherapy, 2(1), 24–40. https://doi.org/10.12744/ijnpt.2017.1.0025-0040
Rossouw, P.J., & Rossouw, J.G. (2016). The predictive 6-factor resilience scale: Neurobiological fundamentals and organizational application. International Journal of Neuropsychotherapy, 4(1), 31–45.
Shepherd, L., & Wild, J. (2014). Cognitive appraisals, objectivity and coping in ambulance workers: A pilot study. Emergency Medicine Journal, 31(1), 41–44. https://doi.org/10.1136/emermed-2011-200511
Sher, L. (2019). Resilience as a focus of suicide research and prevention. Acta Psychiatrica Scandinavica, 140(2), 169–180. https://doi.org/10.1111/acps.13059
Skeffington, P.M., Rees, C.S., Mazzucchelli, T.G., & Kane, R.T. (2016). The primary prevention of PTSD in firefighters: Preliminary results of an RCT with 12-month follow-up. PLoS One, 11(7), e0155873. https://doi.org/10.1371/journal.pone.0155873
Sonnentag, S., Kuttler, I., & Fritz, C. (2010). Job stressors, emotional exhaustion, and need for recovery: A multi-source study on the benefits of psychological detachment. Journal of Vocational Behavior, 76(3), 355–365. https://doi.org/10.1016/j.jvb.2009.06.005
Stephens, J.P., Heaphy, E., & Dutton, J.E. (2012). High-quality connections. In K.S. Cameron & G.M. Spreitzer (eds.), The Oxford handbook of positive organizational scholarship (pp. 385–399). Oxford University Press.
Stevelink, S., Pernet, D., Dregan, A., Davis, K., Walker-Bone, K., Fear, N., & Hotopf, M. (2020). The mental health of emergency services personnel in the UK Biobank: A comparison with the working population. European Journal of Psychotraumatology, 11(1), 1799477. https://doi.org/10.1080/20008198.2020.1799477
Stroebe, M., & Schut, H. (1999). The dual process model of coping with bereavement: Rationale and description. Death studies, 23(3), 197–224. https://doi.org/10.1080/074811899201046
Tabibnia, G. (2020). An affective neuroscience model of boosting resilience in adults. Neuroscience & Biobehavioral Reviews, 115, 321–350. https://doi.org/10.1016/j.neubiorev.2020.05.005
Tanno, K., Sakata, K., Ohsawa, M., Onoda, T., Itai, K., Yaegashi, Y., Tamakoshi, A., & Group, J.S. (2009). Associations of ikigai as a positive psychological factor with all-cause mortality and cause-specific mortality among middle-aged and elderly Japanese people: Findings from the Japan Collaborative Cohort Study. Journal of Psychosomatic Research, 67(1), 67–75. https://doi.org/10.1016/j.jpsychores.2008.10.018
Tedeschi, R.G., Shakespeare-Finch, J., Taku, K., & Calhoun, L.G. (2018). Posttraumatic growth: Theory, research, and applications. Routledge.
Thompson, S.R., & Dobbins, S. (2018). The applicability of resilience training to the mitigation of trauma-related mental illness in military personnel. Journal of the American Psychiatric Nurses Association, 24(1), 23–34. https://doi.org/10.1177/1078390317739957
Trachik, B., Oakey-Frost, N., Ganulin, M.L., Adler, A.B., Dretsch, M.N., Cabrera, O.A., & Tucker, R.P. (2021). Military suicide prevention: The importance of leadership behaviors as an upstream suicide prevention target. Suicide & Life-Threatening Behavior, 51(2), 316–324. https://doi.org/10.1111/sltb.12707
Trout, D.L. (1980). The role of social isolation in suicide. Suicide and Life-Threatening Behavior, 10(1), 10–23. https://doi.org/10.1111/j.1943-278X.1980.tb00693.x
Tugade, M.M., & Fredrickson, B.L. (2007). Regulation of positive emotions: Emotion regulation strategies that promote resilience. Journal of Happiness Studies, 8(3), 311–333. https://doi.org/10.1007/s10902-006-9015-4
Tugade, M.M., Fredrickson, B.L., & Feldman Barrett, L. (2004). Psychological resilience and positive emotional granularity: Examining the benefits of positive emotions on coping and health. Journal of Personality, 72(6), 1161–1190. https://doi.org/10.1111/j.1467-6494.2004.00294.x
Tural, Ü., Aker, A.T., Önder, E., Sodan, H.T., Ünver, H., & Akansel, G. (2018). Neurotrophic factors and hippocampal activity in PTSD. PLoS One, 13(5), e0197889.
Webb, T.L., Miles, E., & Sheeran, P. (2012). Dealing with feeling: A meta-analysis of the effectiveness of strategies derived from the process model of emotion regulation. Psychological Bulletin, 138(4), 775. https://doi.org/10.1037/a0027600
White, R., & Wild, J. (2016). ‘Why’ or ‘how’: The effect of concrete versus abstract processing on intrusive memories following analogue trauma. Behavior Therapy, 47(3), 404–415. https://doi.org/10.1016/j.beth.2016.02.004
Wild, J., Greenberg, N., Moulds, M.L., Sharp, M.-L., Fear, N., Harvey, S., Wessely, S., & Bryant, R.A. (2020). Pre-incident training to build resilience in first responders: Recommendations on what to and what not to do. Psychiatry, 83(2), 128–142. https://doi.org/10.1080/00332747.2020.1750215
Zhou, Z., Zhu, G., Hariri, A.R., Enoch, M.-A., Scott, D., Sinha, R., Virkkunen, M., Mash, D.C., Lipsky, R.H., Hu, X.-Z., Hodgkinson, C.A., Xu, K., Buzas, B., Yuan, Q., Shen, P.H., Ferrell, R.E., Manuck, S.B., Brown, S.M., Hauger, R.L., Stohler, C.S., Zubieta, J.-K., & Goldman, D. (2008). Genetic variation in human NPY expression affects stress response and emotion. Nature, 452(7190), 997–1001. https://doi.org/10.1038/nature06858

[1] Aiken, L.H., Sloane, D.M., Bruyneel, L., Van den Heede, K., Sermeus, W., & Consortium, R.c. (2013). Nurses’ reports of working conditions and hospital quality of care in 12 countries in Europe. International Journal of Nursing Studies, 50(2), 143–153. https://doi.org/10.1016/j.ijnurstu.2012.11.009

[2] Al Jowf, G.I., Ahmed, Z.T., An, N., Reijnders, R.A., Ambrosino, E., Rutten, B.P., De Nijs, L., & Eijssen, L.M. (2022). A public health perspective of post-traumatic stress disorder. International Journal of Environmental Research and Public Health, 19(11), 6474. https://doi.org/10.3390/ijerph19116474

[3] Al Jowf, G.I., Ahmed, Z.T., Reijnders, R.A., De Nijs, L., & Eijssen, L.M. (2023). To predict, prevent, and manage Post-Traumatic Stress Disorder (PTSD): A review of pathophysiology, treatment, and biomarkers. International Journal of Molecular Sciences, 24(6), 5238. https://doi.org/10.3390/ijms24065238

[4] Baird, K., & Kracen, A.C. (2006). Vicarious traumatization and secondary traumatic stress: A research synthesis. Counselling Psychology Quarterly, 19(2), 181–188. https://doi.org/10.1080/09515070600811899

[5] Beyondblue, & PWC. (2014). Creating a mentally healthy workplace: Return on investment analysis [Industry report]. Retrieved from https://www.headsup.org.au/docs/default-source/resources/beyondblue_workplaceroi_finalreport_may-2014.pdf

[6] Bloom, D. E., Cafiero, E., Jané-Llopis, E., Abrahams-Gessel, S., Bloom, L. R., Fathima, S., … & Weiss, J. (2012). The global economic burden of noncommunicable diseases (No. 8712). Program on the Global Demography of Aging.

[7] Blue, B. (2016). Good practice framework for mental health and wellbeing in first responder organisations. Beyond Blue.

[8] Bonanno, G.A. (2004). Loss, trauma, and human resilience: Have we underestimated the human capacity to thrive after extremely aversive events?. American Psychologist, 59(1), 20. https://doi.org/10.1037/0003-066X.59.1.20

[9] Boscarino, J.A., Figley, C.R., & Adams, R.E. (2004). Compassion fatigue following the September 11 terrorist attacks: A study of secondary trauma among New York City social workers. International Journal of Emergency Mental Health, 6(2), 57.

[10] Brassington, K., & Lomas, T. (2020). Can resilience training improve well-being for people in high-risk occupations? A systematic review through a multidimensional lens. The Journal of Positive Psychology, 16(5), 1–20. https://doi.org/10.1080/17439760.2020.1752783

[11] Bremner, J.D. (2006). Traumatic stress: Effects on the brain. Dialogues in Clinical Neuroscience, 8(4), 445–461.

[12] Bryant, R.A., & Guthrie, R.M. (2007). Maladaptive self-appraisals before trauma exposure predict posttraumatic stress disorder. Journal of Consulting and Clinical Psychology, 75(5), 812. https://doi.org/10.1037/0022-006X.75.5.812

[13] Cacioppo, S., & Cacioppo, J.T. (2012). Decoding the invisible forces of social connections. Frontiers in Integrative Neuroscience, 6, 51. https://doi.org/10.3389/fnint.2012.00051

[14] Cai, W.-p., Pan, Y., Zhang, S.-m., Wei, C., Dong, W., & Deng, G.-h. (2017). Relationship between cognitive emotion regulation, social support, resilience and acute stress responses in Chinese soldiers: Exploring multiple mediation model. Psychiatry Research, 256, 71–78. https://doi.org/10.1016/j.psychres.2017.06.018

[15] Carver, C.S. (1998). Resilience and thriving: Issues, models, and linkages. Journal of Social Issues, 54(2), 245–266. https://doi.org/10.1111/j.1540-4560.1998.tb01217.x

[16] Chamberlin, M.J., & Green, H.J. (2010). Stress and coping strategies among firefighters and recruits. Journal of Loss and Trauma, 15(6), 548–560. https://doi.org/10.1080/15325024.2010.519275

[17] Collins, D.A., Shamblen, S.R., Atwood, K.A., Rychener, D.L., Scarbrough, W.H., Abadi, M.H., & Simmons, L.A. (2015). Evaluation of a health coaching course for providers and staff in veterans health affairs medical facilities. Journal of Primary Care & Community Health, 6(4), 250–255. https://doi.org/10.1177/2150131915591154

[18] Crane, M.F., Falon, S.L., Kho, M., Moss, A., & Adler, A.B. (2021). Developing resilience in first responders: Strategies for enhancing psychoeducational service delivery. Psychological Services, 19(suppl 2), 17–27. https://doi.org/10.1037/ser0000439

[19] Crastnopol, M. (2015). Micro-trauma: A psychoanalytic understanding of cumulative psychic injury (Vol. 25). Routledge.

[20] Deldar, K., Froutan, R., Dalvand, S., Gheshlagh, R.G., & Mazloum, S.R. (2018). The relationship between resilience and burnout in Iranian nurses: A systematic review and meta-analysis. Open access Macedonian Journal of Medical Sciences, 6(11), 2250. https://doi.org/10.3889/oamjms.2018.428

[21] Dell, L., Madden, K., & Jones, K. (2022). Wellness action through checking health: WATCH project report. Report prepared for Department of Defence. Phoenix Australia – Centre for Posttraumatic Mental Health.

[22] Deppa, K.F. (2015). Resilience training for firefighters: A proposed approach. Dissertations & Theses, University of Pennsylvania, United States.

[23] DSPO, D.o.D.S.P.O. (2020). Department of Defense (DoD) Quarterly Suicide Report (QSR) 4th Quarter. Retrieved from https://www.dspo.mil/qsr/

[24] Ehring, T., Szeimies, A.-K., & Schaffrick, C. (2009). An experimental analogue study into the role of abstract thinking in trauma-related rumination. Behaviour Research and Therapy, 47(4), 285–293. https://doi.org/10.1016/j.brat.2008.12.011

[25] Eidelson, R., & Soldz, S. (2012). Does comprehensive soldier fitness work: CSF research fails the test. Coalition for an Ethical Psychology, 1(5), 1–12.

[26] Eisenberg, D., Downs, M.F., Golberstein, E., & Zivin, K. (2009). Stigma and help seeking for mental health among college students. Medical Care Research and Review, 66(5), 522–541. https://doi.org/10.1177/1077558709335173

[27] Etkin, A., Egner, T., & Kalisch, R. (2011). Emotional processing in anterior cingulate and medial prefrontal cortex. Trends in Cognitive Sciences, 15(2), 85–93. https://doi.org/10.1016/j.tics.2010.11.004

[28] Elisei, S., Sciarma, T., Verdolini, N., & Anastasi, S. (2013). Resilience and depressive disorders. Psychiatria Danubina, 25(suppl 2), S263–S267.

[29] Figley, C.R. (1995). Compassion fatigue: Toward a new understanding of the costs of caring. Routledge

[30] Fisher, P.M., & Abrahamson, K. (2002). When working hurts: Stress, burnout & trauma in human, emergency, and health services. Spectrum Press.

[31] Fredrickson, B.L. (2001). The role of positive emotions in positive psychology: The broaden-and-build theory of positive emotions. American Psychologist, 56(3), 218. https://doi.org/10.1037/0003-066X.56.3.218

[32] Fredrickson, B.L. (2003). The value of positive emotions: The emerging science of positive psychology is coming to understand why it’s good to feel good. American Scientist, 91(4), 330–335. https://doi.org/10.1511/2003.26.330

[33] Furber, G., Segal, L., Leach, M., Turnbull, C., Procter, N., Diamond, M., Miller, S., & McGorry, P. (2015). Preventing mental illness: Closing the evidence-practice gap through workforce and services planning. BMC Health Services Research, 15(1), 1–14. https://doi.org/10.1186/s12913-015-0954-5

[34] Guidi, J., Lucente, M., Sonino, N., & Fava, G.A. (2021). Allostatic load and its impact on health: A systematic review. Psychotherapy and Psychosomatics, 90(1), 11–27. https://doi.org/10.1159/000510696

[35] Gyurak, A., Gross, J.J., & Etkin, A. (2011). Explicit and implicit emotion regulation: A dual-process framework. Cognition and Emotion, 25(3), 400–412. https://doi.org/10.1080/02699931.2010.544160

[36] Hamling, K. (2018). Wellbeing across occupations and in the emergency services: A mixed methods study. Auckland University of Technology.

[37] Henckens, M.J., Van Wingen, G.A., Joëls, M., & Fernández, G. (2010). Time-dependent effects of corticosteroids on human amygdala processing. Journal of Neuroscience, 30(38), 12725–12732. https://doi.org/10.1523/JNEUROSCI.3112-10.2010

[38] Henderson, S.N., Van Hasselt, V.B., LeDuc, T.J., & Couwels, J. (2016). Firefighter suicide: Understanding cultural challenges for mental health professionals. Professional Psychology: Research and Practice, 47(3), 224. https://doi.org/10.1037/pro0000072

[39] Hirsch, D., & Zukowska, Z. (2012). NPY and stress 30 years later: The peripheral view. Cellular and Molecular Neurobiology, 32(5), 645–659. https://doi.org/10.1007/s10571-011-9793-z

[40] Hoopsick, R.A., Homish, D.L., Collins, R.L., Nochajski, T.H., Read, J.P., Bartone, P.T., & Homish, G.G. (2021). Resilience to mental health problems and the role of deployment status among US Army Reserve and National Guard Soldiers. Social Psychiatry and Psychiatric Epidemiology, 56(7), 1299–1310. https://doi.org/10.1007/s00127-020-01899-5

[41] Horn, S.R., & Feder, A. (2018). Understanding resilience and preventing and treating PTSD. Harvard Review of Psychiatry, 26(3), 158–174. https://doi.org/10.1097/HRP.0000000000000194

[42] Ivbijaro, G., Kolkiewicz, L., Goldberg, D., Riba, M.B., N’jie, I.N., Geller, J., Kallivayalil, R., Javed, A., Švab, I., Summergrad, P., Laher, S., Enum, Y. (2019). Preventing suicide, promoting resilience: Is this achievable from a global perspective?. Asia-Pacific Psychiatry, 11(4), e12371. https://doi.org/10.1111/appy.12371

[43] Jackson, D., Firtko, A., & Edenborough, M. (2007). Personal resilience as a strategy for surviving and thriving in the face of workplace adversity: A literature review. Journal of Advanced Nursing, 60(1), 1–9. https://doi.org/10.1111/j.1365-2648.2007.04412.x

[44] Jakel, P., Kenney, J., Ludan, N., Miller, P.S., McNair, N., & Matesic, E. (2016). Effects of the use of the provider resilience mobile application in reducing compassion fatigue in oncology nursing. Clinical Journal of Oncology Nursing, 20(6), 611–616. https://doi.org/10.1188/16.CJON.611-616

[45] Joyce, S., Shand, F., Lal, T.J., Mott, B., Bryant, R.A., & Harvey, S.B. (2019). Resilience@ work mindfulness program: Results from a cluster randomized controlled trial with first responders. Journal of Medical Internet Research, 21(2), e12894. https://doi.org/10.2196/12894

[46] Joyce, S., Shand, F., Tighe, J., Laurent, S.J., Bryant, R.A., & Harvey, S.B. (2018). Road to resilience: A systematic review and meta-analysis of resilience training programs and interventions. BMJ Open, 8(6), e017858. https://doi.org/10.1136/bmjopen-2017-017858

[47] Kearney, L.K., Smith, C.A., & Miller, M.A. (2020). Critical foundations for implementing the VA’s public health approach to suicide prevention. Psychiatric Services, 71(12), 1306–1307. https://doi.org/10.1176/appi.ps.202000190

[48] Keynan, J.N., Cohen, A., Jackont, G., Green, N., Goldway, N., Davidov, A., Meir-Hasson, Y., Raz, G., Intrator, N., Fruchter, E., Ginat, K., Laska, E., Cavazza, M., & Hendler, T. (2019). Electrical fingerprint of the amygdala guides neurofeedback training for stress resilience. Nature Human Behaviour, 3(1), 63–73. https://doi.org/10.1038/s41562-018-0484-3

[49] Kleftaras, G., & Psarra, E. (2012). Meaning in life, psychological well-being and depressive symptomatology: A comparative study. Psychology, 3(04), 337. https://doi.org/10.4236/psych.2012.34048

[50] Knapp, M., McDaid, D., & Parsonage, M. (2011). Mental health promotion and mental illness prevention: The economic case. Department of Health. Retrieved from https://eprints.lse.ac.uk/29953/1/Mental_health_promotion_and_mental_illness_prevention%28author%29.pdf

[51] Knutsson, A. (2003). Health disorders of shift workers. Occupational Medicine, 53(2), 103–108. https://doi.org/10.1093/occmed/kqg048

[52] Madden, M. (2015). Evaluating the impact of preventative health services on improving general well-being. Yale University.

[53] Maitlis, S. (2020). Posttraumatic growth at work. Annual Review of Organizational Psychology and Organizational Behavior, 7, 395–419. https://doi.org/10.1146/annurev-orgpsych-012119-044932

[54] McAlearney, A.S., Gaughan, A.A., MacEwan, S.R., Gregory, M.E., Rush, L.J., Volney, J., & Panchal, A.R. (2022). Pandemic experience of first responders: Fear, frustration, and stress. International Journal of Environmental Research and Public Health, 19(8), 4693. https://doi.org/10.3390/ijerph19084693

[55] McCammon, S., Durham, T.W., Jackson Allison, Jr, E., & Williamson, J.E. (1988). Emergency workers’ cognitive appraisal and coping with traumatic events. Journal of Traumatic Stress, 1(3), 353–372. https://doi.org/10.1002/jts.2490010307

[56] McCreary, D. (2019). Veteran and first responder mental ill health and suicide prevention: A scoping review of prevention and early intervention programs used in Canada, Australia, New Zealand, Ireland, and the United Kingdom. Donald McCreary Scientific Consulting.

[57] McDaid, D., Park, A.-L., Knapp, M., Wilson, E., Rosen, B., & Beecham, J. (2017). Commissioning cost-effective services for promotion of mental health and wellbeing and prevention of mental ill-health. Public Health England. Retrieved from https://eprints.lse.ac.uk/85944/1/McDaid_Commissioning%20cost-effectgive%20services_2017.pdf

[58] McDaid, D., Park, A.-L., & Wahlbeck, K. (2019). The economic case for the prevention of mental illness. Annual Review of Public Health, 40, 373–389. https://doi.org/10.1146/annurev-publhealth-040617-013629

[59] Mealer, M., Jones, J., & Moss, M. (2012). A qualitative study of resilience and posttraumatic stress disorder in United States ICU nurses. Intensive Care Medicine, 38(9), 1445–1451. https://doi.org/10.1007/s00134-012-2600-6

[60] Money, K., Hillenbrand, C., & Da Camara, N. (2009). Putting positive psychology to work in organisations. Journal of General Management, 34(3), 31–36. https://doi.org/10.1177/030630700903400302

[61] Monteiro, B.C., Monteiro, S., Candida, M., Adler, N., Paes, F., Rocha, N., Nardi, A.E., Murillo-Rodriguez, E., & Machado, S. (2017). Relationship between brain-derived neurotrofic factor (Bdnf) and sleep on depression: A critical review. Clinical Practice and Epidemiology in Mental Health: CP & EMH, 13, 213. https://doi.org/10.2174/1745017901713010213

[62] Morey, R.A., Gold, A.L., LaBar, K.S., Beall, S.K., Brown, V.M., Haswell, C.C., Nasser, J., Wagner, H.R., & McCarthy, G. (2012). Amygdala volume changes in posttraumatic stress disorder in a large case-controlled veterans group. Archives of General Psychiatry, 69(11), 1169–1178. https://doi.org/10.1001/archgenpsychiatry.2012.50

[63] Morgan III, C.A., Rasmusson, A.M., Wang, S., Hoyt, G., Hauger, R.L., & Hazlett, G. (2002). Neuropeptide-Y, cortisol, and subjective distress in humans exposed to acute stress: Replication and extension of previous report. Biological Psychiatry, 52(2), 136–142. https://doi.org/10.1016/S0006-3223(02)01319-7

[64] Ponder, W.N., Walters, K., Simons, J.S., Simons, R.M., Jetelina, K.K., & Carbajal, J. (2023). Network analysis of distress, suicidality, and resilience in a treatment seeking sample of first responders. Journal of Affective Disorders, 320, 742–750. https://doi.org/10.1016/j.jad.2022.09.097

[65] Prati, G., & Pietrantoni, L. (2010). The relation of perceived and received social support to mental health among first responders: A meta-analytic review. Journal of Community Psychology, 38(3), 403–417.

[66] Regehr, C., Hill, J., Knott, T., & Sault, B. (2003). Social support, self-efficacy and trauma in new recruits and experienced firefighters. Stress and Health, 19(4), 189–193. https://doi.org/10.1002/smi.974

[67] Reivich, K.J., Seligman, M.E., & McBride, S. (2011). Master resilience training in the US Army. American Psychologist, 66(1), 25.

[68] Ringer, F.B., Soberay, K.A., Rogers, M.L., Hagan, C.R., Chu, C., Schneider, M., Podlogar, M.C., Witte, T., Holm-Denoma, J., Plant, E.A., Gutierrez, P.M., & Joiner, T.E. (2018). Initial validation of brief measures of suicide risk factors: Common data elements used by the military suicide research consortium. Psychological Assessment, 30(6), 767–778. https://doi.org/10.1037/pas0000519

[69] Rippstein-Leuenberger, K., Mauthner, O., Sexton, J.B., & Schwendimann, R. (2017). A qualitative analysis of the three good things intervention in healthcare workers. BMJ Open, 7(5), e015826. https://doi.org/10.1136/bmjopen-2017-015826

[70] Rossouw, J.G., Erieau, C.L., & Beeson, E.T. (2019). Building resilience through a virtual coach called Driven: Longitudinal pilot study and the neuroscience of small, frequent learning tasks. International Journal of Neuropsychotherapy, 7(2), 23–41. https://doi.org/10.12744/ijnpt.2019.023-041

[71] Rossouw, J.G., Rossouw, P.J., Paynter, C., Ward, A., & Khnana, P. (2017). Predictive 6 factor resilience scale–domains of resilience and their role as enablers of job satisfaction. International Journal of Neuropsychotherapy, 2(1), 24–40. https://doi.org/10.12744/ijnpt.2017.1.0025-0040

[72] Rossouw, P.J., & Rossouw, J.G. (2016). The predictive 6-factor resilience scale: Neurobiological fundamentals and organizational application. International Journal of Neuropsychotherapy, 4(1), 31–45.

[73] Shepherd, L., & Wild, J. (2014). Cognitive appraisals, objectivity and coping in ambulance workers: A pilot study. Emergency Medicine Journal, 31(1), 41–44. https://doi.org/10.1136/emermed-2011-200511

[74] Sher, L. (2019). Resilience as a focus of suicide research and prevention. Acta Psychiatrica Scandinavica, 140(2), 169–180. https://doi.org/10.1111/acps.13059

[75] Skeffington, P.M., Rees, C.S., Mazzucchelli, T.G., & Kane, R.T. (2016). The primary prevention of PTSD in firefighters: Preliminary results of an RCT with 12-month follow-up. PLoS One, 11(7), e0155873. https://doi.org/10.1371/journal.pone.0155873

[76] Sonnentag, S., Kuttler, I., & Fritz, C. (2010). Job stressors, emotional exhaustion, and need for recovery: A multi-source study on the benefits of psychological detachment. Journal of Vocational Behavior, 76(3), 355–365. https://doi.org/10.1016/j.jvb.2009.06.005

[77] Stephens, J.P., Heaphy, E., & Dutton, J.E. (2012). High-quality connections. In K.S. Cameron & G.M. Spreitzer (eds.), The Oxford handbook of positive organizational scholarship (pp. 385–399). Oxford University Press.

[78] Stevelink, S., Pernet, D., Dregan, A., Davis, K., Walker-Bone, K., Fear, N., & Hotopf, M. (2020). The mental health of emergency services personnel in the UK Biobank: A comparison with the working population. European Journal of Psychotraumatology, 11(1), 1799477. https://doi.org/10.1080/20008198.2020.1799477

[79] Stroebe, M., & Schut, H. (1999). The dual process model of coping with bereavement: Rationale and description. Death studies, 23(3), 197–224. https://doi.org/10.1080/074811899201046

[80] Tabibnia, G. (2020). An affective neuroscience model of boosting resilience in adults. Neuroscience & Biobehavioral Reviews, 115, 321–350. https://doi.org/10.1016/j.neubiorev.2020.05.005

[81] Tanno, K., Sakata, K., Ohsawa, M., Onoda, T., Itai, K., Yaegashi, Y., Tamakoshi, A., & Group, J.S. (2009). Associations of ikigai as a positive psychological factor with all-cause mortality and cause-specific mortality among middle-aged and elderly Japanese people: Findings from the Japan Collaborative Cohort Study. Journal of Psychosomatic Research, 67(1), 67–75. https://doi.org/10.1016/j.jpsychores.2008.10.018

[82] Tedeschi, R.G., Shakespeare-Finch, J., Taku, K., & Calhoun, L.G. (2018). Posttraumatic growth: Theory, research, and applications. Routledge.

[83] Thompson, S.R., & Dobbins, S. (2018). The applicability of resilience training to the mitigation of trauma-related mental illness in military personnel. Journal of the American Psychiatric Nurses Association, 24(1), 23–34. https://doi.org/10.1177/1078390317739957

[84] Trachik, B., Oakey-Frost, N., Ganulin, M.L., Adler, A.B., Dretsch, M.N., Cabrera, O.A., & Tucker, R.P. (2021). Military suicide prevention: The importance of leadership behaviors as an upstream suicide prevention target. Suicide & Life-Threatening Behavior, 51(2), 316–324. https://doi.org/10.1111/sltb.12707

[85] Trout, D.L. (1980). The role of social isolation in suicide. Suicide and Life-Threatening Behavior, 10(1), 10–23. https://doi.org/10.1111/j.1943-278X.1980.tb00693.x

[86] Tugade, M.M., & Fredrickson, B.L. (2007). Regulation of positive emotions: Emotion regulation strategies that promote resilience. Journal of Happiness Studies, 8(3), 311–333. https://doi.org/10.1007/s10902-006-9015-4

[87] Tugade, M.M., Fredrickson, B.L., & Feldman Barrett, L. (2004). Psychological resilience and positive emotional granularity: Examining the benefits of positive emotions on coping and health. Journal of Personality, 72(6), 1161–1190. https://doi.org/10.1111/j.1467-6494.2004.00294.x

[88] Tural, Ü., Aker, A.T., Önder, E., Sodan, H.T., Ünver, H., & Akansel, G. (2018). Neurotrophic factors and hippocampal activity in PTSD. PLoS One, 13(5), e0197889.

[89] Webb, T.L., Miles, E., & Sheeran, P. (2012). Dealing with feeling: A meta-analysis of the effectiveness of strategies derived from the process model of emotion regulation. Psychological Bulletin, 138(4), 775. https://doi.org/10.1037/a0027600

[90] White, R., & Wild, J. (2016). ‘Why’ or ‘how’: The effect of concrete versus abstract processing on intrusive memories following analogue trauma. Behavior Therapy, 47(3), 404–415. https://doi.org/10.1016/j.beth.2016.02.004

[91] Wild, J., Greenberg, N., Moulds, M.L., Sharp, M.-L., Fear, N., Harvey, S., Wessely, S., & Bryant, R.A. (2020). Pre-incident training to build resilience in first responders: Recommendations on what to and what not to do. Psychiatry, 83(2), 128–142. https://doi.org/10.1080/00332747.2020.1750215

[92] Zhou, Z., Zhu, G., Hariri, A.R., Enoch, M.-A., Scott, D., Sinha, R., Virkkunen, M., Mash, D.C., Lipsky, R.H., Hu, X.-Z., Hodgkinson, C.A., Xu, K., Buzas, B., Yuan, Q., Shen, P.H., Ferrell, R.E., Manuck, S.B., Brown, S.M., Hauger, R.L., Stohler, C.S., Zubieta, J.-K., & Goldman, D. (2008). Genetic variation in human NPY expression affects stress response and emotion. Nature, 452(7190), 997–1001. https://doi.org/10.1038/nature06858

High Adversity Resilience Training (HART): Development for emergency responders and defence

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