Witnessing Acute Stress Reaction in Team Members: The Moderating Effect of Peer-Based Training

Vlad Svetlitzky, Moshe Farchi, Ariel Ben Yehuda, Amy B. Adler

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


Individuals who witness team members exhibiting symptoms of an acute stress reaction (ASR) in the middle of a high-stress operational event may be negatively affected; ASR-related training may moderate this impact. In the present study, 560 Israeli soldiers were surveyed about ASR exposure, posttraumatic stress disorder (PTSD) symptoms, public stigma, and whether they had received ASR-related training. This training, called YaHaLOM, is a Hebrew acronym that outlines steps for managing ASR in team members. Controlling for combat exposure, greater exposure to ASR symptoms was associated with more overall PTSD symptoms, PTSD cluster symptoms, and public stigma. YaHaLOM training buffered these relationships for PTSD, intrusion and avoidance symptoms, and public stigma. The findings suggest that such training may help teams in high-risk occupations better manage ASR exposure.

Original languageEnglish
Pages (from-to)803-809
Number of pages7
JournalJournal of Nervous and Mental Disease
Issue number10
StatePublished - 1 Oct 2020
Externally publishedYes

Bibliographical note

Publisher Copyright:
© Wolters Kluwer Health, Inc. All rights reserved.


  • Acute stress reaction
  • peer-based intervention
  • posttraumatic stress disorder
  • public stigma
  • witnessing trauma


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