Responses and Coping of Foreign Peace Keepers Working in Liberia to Threat of Ebola during the 2014 Outbreak


The Ebola virus poses two inter-linked threats—the disease itself and fear of the disease. In Liberia, where over 4500 people have died from Ebola, a UN peacekeeping mission is currently operational (UNMIL). The study was conducted among 240 UN peace keepers of 9 different countries working in Liberia. The study period was from July 2014 to December 2014. The level of anxiety of the subjects were assessed in Hospital Anxiety and Depression Scale (HADS). Reactions towards Ebola were mixed. There was a degree of fear but the level of anxiety was not so predominant. The reasons for panic were—no known cure, a perceived fear of discrimination and stigmatization, a fear that upon death one’s body will not be taken back home, there may not be proper burial or even cremation, contrary to custom. Among the study population, 55% think of themselves as being at greater risk than their colleagues, 19% wants to leave the UN mission area. The mean level of Anxiety was 10.87 ± 6.93 in HAD scale where as mean level of Depression was 3.98 ± 4.14. Psychological support is a key priority in the response to this relatively unknown and poorly understood yet lethal disease.

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Das, K. and Gardezi, A. (2015) Responses and Coping of Foreign Peace Keepers Working in Liberia to Threat of Ebola during the 2014 Outbreak. Psychology, 6, 1305-1310. doi: 10.4236/psych.2015.610127.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] (2015). Ebola and Psychological Support during an Outbreak of Ebola Virus Disease.
[2] (2015). Ebola in Graphics.
[3] Andrew, M. (2001). Mass Hysteria Is Seen as Main Threat from Bioweapons. BMJ, 323, 1023.
[4] Anthony, K. M., Joseph, F. W., Miriam, N., Alex, O., Issa, M., & Jane, R. A. (2014). Ebola Viral Hemorrhagic Disease Outbreak in West Africa-Lesson from Uganda. African Health Science, 14, 495-501.
[5] CDC (2014). About Ebola Viral Disease Update: Ebola Virus Disease Epidemic—West Africa.
[6] David, P. D., & Elizabeth, A. C. (2012). Incorporation of Individual Health Protective Decision into Disease Transmission Model: A Mathematical Framework. Journal of the Royal Society Interface, 9, 562-570.
[7] Demobly, K. (2011). View Point: Episodes of Mass Hysteria in Africal School: A Study of Literature. Malawi Medical Journal, 23, 74-77.
[8] Devanand, A., Wendy, M., Stephen, O., & Lachlan, F. (2008). Influenza Pandemic—Physicians and Their Obligations. Critical Care, 12, 217.
[9] Erica, W. (2005). Mass Psychogenic Illness. JAMC, 4, 172.
[10] Heinz, F., & Thomas, W. G. (2011). Ebola Haemorrhagic Fever. Lancet, 377, 849-862.
[11] James, A. K., Theodore, I. F., & Julie, S. (1965). Epidemic Hysteria: A Field Study. American Journal of Public Health, 55, 858-865.
[12] Jesus, E. R., Jaime, E. V., Maurlio, M. G., Cuauhtemoc, M. J., Anaid, E. C., Melanie, T., & Kingsley, A. (2010). Psychological Response of Family Members of Patients Hospitalized for Influenza A/H1N1 in Oaxaca, Mexico. BMC Psychiatry, 10, 104.
[13] Kinsman, J. (2012). “A Time of Fear”: Local, National, and International Responses to a Large Ebola Outbreak in Uganda. Global Health, 8, 15.
[14] Lei, Z., & Hao, W. (2014). Forty Years of War Against Ebola. Journal of Zhejiang University Science B-Biomedicine & Biotechnology, 15, 761-765.
[15] Li, X. M., Huang, J. S., & Zhang, H. (2008). An Analysis of Hospital Preparedness Capacity for Public Health Emergency in Four Regions of China: Beijing, Shandong, Guangxi and Hainan. BMC Public Health, 8, 319.
[16] Michael, M., Sara, M., & Kasisomayajula, V. (2013). The H1N1 Pandemic: Media Frames, Stigmatization and Coping. BMC Public Health, 13, 1116.
[17] Mona, R. L., Tamara, W., Tim, R., Barbara, M., Keith, R., Sue, K. et al. (2014). Hospital Preparedness and SARS. Emerging Infectious Diseases, 10.
[18] Rober, M., Jonathan, H., Leslie, V., Jocelyn, B., Nathalie, P., Molyn, L. et al. (2003). The Immediate Psychological and Occupational Impact of the 2003 SARS Outbreak in a Teaching Hospital. Canadian Medical Association Journal, 168, 1245-1251.
[19] Sarathi, K., Dhanashree, K., Sagar, C. G., Thomas, J. P., Stanislaw, P. S., Bonnie, A., & Jeffrey, A. J. (2014). The Emergence of Ebola as a Global Health Security Threat: From “Lessons Learned” to Coordinated Multilateral Containment Efforts. Journal of Global Infectious Diseases, 6, 164-177.
[20] Stephen, K. G., Augustine, G., Kristian, G. A., Rachel, S. G. S., Daniel, J. P., Lansana, K. et al. (2014). Genomic Surveillance Elucidates Ebola Virus Origin and Transmission during the 2014 Outbreak. Science, 345, 1369-1372.
[21] UNMIL (2014). UNMIL Facts Sheet.
[22] WHO (2014). Ebola Situation Report.
[23] WHO (2014). Ebola Virus Disease.
[24] WHO Ebola Response Team, Agua-Agum, J., Ariyarajah, A., Aylward, B., Blake, I. M., Brennan, R., Cori, A. et al. (2015). West African Ebola Epidemic after One Year—Slowing but Not Yet under Control. New England Journal of Medicine, 372, 584-587.
[25] Wu, P., Fang, V. J., Liao, Q. Y., Ng, D. M. W., Wu, J. T., Leung, G. M., Fielding, R., & Cowling, B. J. (2014). Response to Threat of influenza A (H7N9) and Support Poultry Markets, Hong Kong, 2013. Emerging Infectious Disease, 20.

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