Attribution of emotions to animals can affect human–animal interactions and dictate animal welfare laws. However, little is known about the factors that influence these attributions. We investigated the effect of belief in animal mind, pet ownership, emotional intelligence, eating orientation, and gender on the attribution of different emotions to a variety of species, from different taxonomic classes, considered as Pet, Use (e.g., used for food, experimentation), or Pest animals. Three hundred and forty-seven participants, aged between 16 and 65 years, completed a questionnaire that measured their belief in the capacity for animals to experience seven primary and secondary emotions. The results showed that attribution of emotions to animals is inconsistent. The ambiguity appears to hinge, in part, upon an animal's functional category and their perceived place in the commonly supposed, though inaccurate, linear hierarchy of species. Nonetheless, the wide range of emotions that were attributed to all species highlights the complex and potentially disorganized thoughts that humans have concerning animals. Belief in animal mind was found to be the strongest and only predictor of emotion attribution to animals in general, but is probably because both are part of the same underlying construct. Ownership of some species—rabbits, horses, rodents and birds—mediated the emotions attributed to that particular species. We conclude that ambiguous attitudes influence the standards of welfare for animals used by humans and that the dichotomous attitudes permit exploitation and welfare violations against animals. Greater understanding of emotion attribution has the potential to improve humane education methods, and suggestions for future research are made.

Objectives: High rates of probable post‐traumatic stress disorder (PTSD) and major depressive disorder (MDD) have been reported for frontline healthcare staff during the COVID‐19 pandemic. However, rates determined by diagnostic assessment are unknown, as are the onset of symptoms and associated index events. Methods: We assessed frontline healthcare staff with the Structured Clinical Interview for DSM‐5. Results: Forty‐four percent met criteria for PTSD and 39% met criteria for MDD. Twenty‐four percent reported COVID‐19 trauma as their index event, with the majority of staff reporting trauma that pre‐dated the pandemic. While PTSD was likely to be pre‐existing, MDD was more likely to develop during pandemic working. Conclusion: These findings indicate the propensity of healthcare staff to experience a range of occupational and personal trauma associated with PTSD and the need to assess index trauma when diagnosing psychopathology in order to best understand the needs of this workforce. Practitioner points: We found high diagnostic rates of PTSD (44%) and major depression (39%) among frontline healthcare staff working during the COVID‐19 pandemic. Although major depression developed during the pandemic, PTSD was more likely to be pre‐existing. When assessing pandemic‐related psychopathology, it is important to assess the onset and index event related to symptoms. Healthcare workers appear to have high rates of PTSD related to occupational and personal trauma, which warrants specific focus in service planning.

Emergency medical service (EMS) ambulance employees play a critical role in emergency healthcare delivery. However, work-related experiences can compromise their mental health and job satisfaction. Despite available supportive services offered by EMS organizations, employee uptake remains low, while mental ill health and suicide rates remain higher than those of the general population. Understanding barriers to and enablers of such support is crucial for addressing factors that connect employees with the services designed to help. This systematic review identified 34 relevant articles and utilized an innovative process of integrating quantitative and qualitative aspects of the primary and gray literature to provide a qualitative synthesis of barriers and facilitators as perceived by EMS employees. Themes of employee (in)ability to ask for help, tailored person-centered support, and education and training about mental health were overarched by organizational culture. Barriers included perceived organizational obligation rather than genuine care, alongside machismo and stigma. Enablers included valuing and acknowledging employee risk by providing time and normalizing support utilization at work. Reframing machismo from dominance, competition, and toughness to respect, perseverance, and courage; promoting adaptive coping; and providing time and training were essential. Future research should aim to understand the factors influencing employee utilization of supportive interventions based on these themes.

Healthcare workers are at increased risk of posttraumatic stress disorder (PTSD), depression and generalised anxiety disorder. Evidence-based interventions tailored to this workforce are limited. We developed and evaluated a telephone-based cognitive therapy coaching intervention targeting PTSD and depression. One hundred three healthcare workers seeking support during the COVID-19 pandemic completed measures at baseline, after three-week symptom monitoring, following six-week coaching, and at three-month follow-up. Sixty-five participants met criteria for probable PTSD (PCL-5 ≥ 32) or probable depression (PHQ-9 ≥ 10), and 38 experienced subthreshold symptoms. For PTSD (PCL-5) and depression (PHQ-9), reliable recovery rates increased substantially from symptom monitoring (PTSD: 14.6%; depression: 15.8%) to intervention (PTSD: 77.1%; depression: 64.3%), with sustained recovery at three months (68.8% and 52.6%, respectively). Overall, rates of reliable improvement increased from 41.1% to 65.8% for PTSD and from 20.0% to 63.1% for depression during intervention, with gains maintained at follow-up (72.2% and 56.0%, respectively). Mean PTSD, depression and anxiety (GAD-7) scores fell below clinical thresholds post-intervention and remained below at follow-up. Intervention-specific effects were observed for sleep, resilience, and wellbeing, with sustained improvements at follow-up. Cognitive therapy coaching is a promising intervention for healthcare workers with PTSD and depression symptoms. A randomised controlled trial is warranted.

Importance: Rates of posttraumatic stress disorder (PTSD) and major depressive disorder (MDD) are high among paramedics. Objective: To evaluate the efficacy of a cognitive resilience training program for reducing the development of PTSD and MDD among early career paramedics compared with psychoeducation and standard practice. Design, Setting, and Participants: This randomized clinical trial of paramedics training at 15 universities across England was conducted between October 2017 to October 2022 with 12-month follow-up. Data were analyzed from December 2023 to July 2025. Intervention: Participants were randomized to receive internet-delivered cognitive training in resilience (iCT-R), psychoeducation, or standard practice. iCT-R, a guided online intervention that utilizes cognitive therapy tools to target predictors of PTSD and MDD identified in prospective research with paramedics, consisted of 6 modules delivered over 6 weeks with 6-monthly top-up sessions delivered by email. Internet-delivered psychoeducation, a supported online psychoeducation intervention, consisted of 6 topics (1 topic per week) with 6-monthly top-up sessions delivered by email. Standard practice was training as usual. Main Outcomes and Measures: The primary outcome was rate of PTSD and MDD at 1-year follow-up, assessed by independent assessors blinded to intervention using the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders ( Fifth Edition ). Secondary outcomes included measures of PTSD and depression symptom severity, resilience, rumination, anxiety, psychological distress, and well-being. Intent-to-treat analyses were conducted, with the primary outcome analyzed using mixed-effects logistic regression. Results: Of 570 student paramedics enrolled (372 female [65.3%]; mean [SD] age, 23.67 [6.88] years), 195 were randomized to iCT-R, 197 to psychoeducation, and 178 to standard practice. For participants randomized to iCT-R, the odds of meeting criteria for PTSD or MDD at 12 months were significantly lower compared with psychoeducation (odds ratio [OR], 0.20; 95% CI, 0.05-0.73) and standard practice (OR, 0.25; 95% CI, 0.07-0.97). Providing iCT-R training to 18 to 24 paramedic trainees (number needed to treat) would prevent 1 case of PTSD or MDD. Conclusions and Relevance: In this randomized clinical trial, participants receiving iCT-R were approximately 5 times less likely to develop PTSD or MDD at 1-year follow-up compared with psychoeducation and 4 times less likely when compared with standard practice. These findings suggest that iCT-R appears to decrease the likelihood of developing PTSD and MDD in early career paramedics. Trial Registration: isrctn.org Identifier: ISRCTN16493616