The Characteristics of Psychological Strain among Civilian, Military and Law Enforcement Healthcare Provider

  • Péter Kiss
doi: 10.32563/hsz.2026.2.10

Abstract

The psychological exposure of healthcare professionals is extremely high compared to individuals employed in other occupational fields. The COVID-19 pandemic further intensified this burden, highlighted several systemic shortcomings, and became one of the contributing factors to workforce attrition. The present study aims to describe the specific characteristics of mental strain among civilian, military, and law enforcement healthcare providers, with a separate focus on the unique circumstances of military and law enforcement personnel. The analysis is based on a review of the scientific literature and the synthesis of international studies and research data. Psychological conditions such as burnout, post-traumatic stress, and anxiety are highly prevalent among healthcare workers. Moral injury occurs frequently among professionals working in military and law enforcement healthcare settings. Preventing the development of these conditions requires multidisciplinary expertise, including opportunities for mental regeneration and a supportive organizational culture.

Keywords:

psychological exposure burnout post-traumatic stress moral injury healthcare workers military medicine law enforcement

References

ADLER, Amy B. et al. (2017): Professional Stress and Burnout in U.S. Military Medical Personnel Deployed to Afghanistan. Military Medicine, 182(3–4), e1669–e1676. Online: https://doi.org/10.7205/MILMED-D-16-00154

American Psychiatric Association (2013): Diagnostic and Statistical Manual of Mental Disorders. 5. kiadás. Arlington: American Psychiatric Publishing. Online: https://doi.org/10.1176/appi.books.9780890425596

BEECH, Elizabeth H. et al. (2024): Moral Injury and Mental Health Among US Military Service Members and Veterans: A Systematic Review and Evidence Overview. Washington DC: U.S. Department of Veterans Affairs.

BOUCHER, Vincent Gosselin et al. (2025): An Umbrella Review and Meta-Analysis of 87 Meta-Analyses Examining Healthcare Workers’ Mental Health During the COVID-19 Pandemic. Journal of Affective Disorders, 375, 423–436. Online: https://doi.org/10.1016/j.jad.2025.01.109

CHEN, Xue et al. (2015): A Meta-Analysis of Risk Factors for Combat-Related PTSD Among Military Personnel and Veterans. PLOS ONE, 10(3), e0120270. Online: https://doi.org/10.1371/journal.pone.0120270

COLE, Rebekah – BRONSTEIN, Michael V. (2023): Stress and Resilience Among Military Medical Students Completing a High-Fidelity Military Medical Simulation. Journal of the Health Sciences, 5(2), 1–9. Online: https://doi.org/10.54531/bhtx8590

COZZA, Stephen J. et al. (2019): Mental Health Conditions in Bereaved Military Service Widows: A Prospective, Case-Controlled, and Longitudinal Study. Depression and Anxiety. Online: https://doi.org/10.1002/da.22971

DETRÉNÉ URBÁN Nóra (2015): A stressz-rezisztencia és a pszichológiai reziliencia fejlesztésének és fenntartásának szükségessége a védelmi szektorban. PhD-disszertáció. Budapest: Nemzeti Közszolgálati Egyetem Hadtudományi Doktori Iskola. Online: https://doi.org/10.17625/NKE.2016.10

DI MUZIO, Marco et al. (2020): Nurses and Night Shifts: Poor Sleep Quality Exacerbates Psychomotor Performance. Frontiers in Neuroscience, 14, 579938. Online: https://doi.org/10.3389/fnins.2020.579938

GHAHRAMANI, Sulmaz et al. (2023): Health Care Workers’ Mental Health in the Face of COVID-19: A Systematic Review and Meta-analysis. International Journal of Psychiatry in Clinical Practice, 27(2), 208–217. Online: https://doi.org/10.1080/13651501.2022.2101927

HEGEDŰS, Katalin (2012): Health Protection of Health Care Personnel Working With Seriously Ill Patients. Mentálhigiéné és Pszichoszomatika, 13(2), 243–252. Online: https://doi.org/10.1556/Mental.13.2012.2.8

HUANG, Jia et al. (2024): Mental Health Status and Related Factors Influencing Healthcare Workers During the COVID-19 Pandemic. PLOS ONE, 19(1), e0289454. Online: https://doi.org/10.1371/journal.pone.0289454

KUHLMANN, Ellen (2025): The Health Workforce Crisis in the European Union. Policy Options for Improving the Sustainability of Healthcare Systems and Employment and Working Conditions in the Healthcare Sector. European Parliament. Online: https://www.europarl.europa.eu/RegData/etudes/BRIE/2025/772481/ECTI_BRI(2025)772481_EN.pdf

LEE, Mark C. et al. (2009): Familial Bilateral Osteochondritis Dissecans of the Femoral Head. The Journal of Bone & Joint Surgery, 91(11), 2700–2707. Online: https://doi.org/10.2106/JBJS.H.00924

MARKOVICS, Milán Mór (2024): Morális reziliencia mint a katona harcértékét meghatározó elem. Hadtudományi Szemle, 17(3), 99–112. Online: https://doi.org/10.35926/HSZ.2024.3.8

MILLER, Laurence (2007): Line-Of-Duty Death: Psychological Treatment of Traumatic Bereavement in Law Enforcement. International Journal of Emergency Mental Health, 9(1), 13–23. Online: https://ovc.ojp.gov/sites/g/files/xyckuh226/files/media/document/imp_line_of_duty_death-508.pdf

PÁLFINÉ KEGYE Adrienne (2021): Súlyos betegekkel foglalkozó egészségügyi dolgozók testi és lelki állapota: A hazai hospice-palliatív ellátásban dolgozók jóllétének vizsgálata, különös tekintettel az elégedettségre. Doktori disszertáció. Budapest: Semmelweis Egyetem. Online: https://doi.org/10.14753/SE.2021.2489

PAPAZOGLOU, Konstantinos et al. (2019): Exploring the Roles of Moral Injury and Personality in Police Traumatization. Crisis, Stress, and Human Resilience, 1(1), 32–56.

PETERSON, Alan L. et al. (2019): Deployed Military Medical Personnel: Impact of Combat and Healthcare Trauma Exposure. Military Medicine, 184(1–2), e133–e142. Online: https://doi.org/10.1093/milmed/usy147

SCHRØDER, Katja – ASSING HVIDT, Elisabeth (2023): Emotional Responses and Support Needs of Healthcare Professionals After Adverse or Traumatic Experiences in Healthcare — Evidence From Seminars on Peer Support. International Journal of Environmental Research and Public Health, 20(9), 5749. Online: https://doi.org/10.3390/ijerph20095749

SHANAFELT, Tait D. – NOSEWORTHY, John H. (2017): Executive Leadership and Physician Well-Being. Nine Organizational Strategies to Promote Engagement and Reduce Burnout. Mayo Clinic Proceedings, 92(1), 129–146. Online: https://doi.org/10.1016/j.mayocp.2016.10.004

World Health Organization (2019): International Classification of Diseases for Mortality and Morbidity Statistics. 11. rev. (ICD-11). Geneva: World Health Organization. Online: https://www.who.int/standards/classifications/classification-of-diseases

ZACHARIAS, Betsy Sara – UPENDRA, Sheela (2024): Healing the Healers: A Systematic Review on the Burden of Secondary Traumatic Stress Among Healthcare Providers. Journal of Education and Health Promotion, 13(1), 466. Online: https://doi.org/10.4103/jehp.jehp_218_24

ZELENA András (2022): Gyász- és veszteségfeldolgozás a rendvédelmi szervek kötelékében. Belügyi Szemle, 72(12), 2365–2373. Online: https://doi.org/10.38146/bsz-ajia.2024.v72.i12.pp2365-2373

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