American Journal of Industrial Medicine,
Journal Year:
2021,
Volume and Issue:
64(7), P. 593 - 601
Published: May 4, 2021
Abstract
Introduction
Little
is
known
about
the
effectiveness
of
ongoing
mental
health
support
in
reducing
impacts
a
traumatic
deployment.
Methods
A
cohort
firefighters
was
established
among
those
deployed
to
devastating
wildfire
Alberta,
Canada
May
2016.
Firefighters
completed
three
questionnaires:
at
recruitment
giving
details
exposures,
first
follow‐up
reporting
supports
before,
during,
and
after
fire
second
follow‐up,
least
30
months
fire,
with
screening
questionnaires
for
anxiety,
depression,
posttraumatic
stress
disorder
(PTSD).
Fire
chiefs
were
interviewed
provisions.
The
impact
on
ill
estimated,
adjusting
clustering
within
service
potential
confounders.
Results
Of
1234
cohort,
840
questionnaire
supports.
In
total,
78
82
interviewed.
Analysis
included
745
from
67
services.
Only
45.8%
reports
peer
concordant
between
chiefs.
After
confounding,
odds
ratios
(OR)
reported
by
both
chief
firefighter
depressive
disorder:
OR
=
0.22,
95%
confidence
interval
(CI),
0.08–0.61;
anxiety
0.45,
CI,
0.24–0.82;
PTSD:
0.62,
0.37–1.02.
Symptoms
depression
but
not
PTSD
reduced
resiliency
training
before
offered
48
h
return
Conclusion
results
suggest
protective
its
availability
poorly
recognized.
somewhat
less
responsive,
perhaps
reflecting
cumulative
effects
previous
exposures.
Journal of Workplace Behavioral Health,
Journal Year:
2022,
Volume and Issue:
37(2), P. 87 - 105
Published: March 26, 2022
First
responders
are
frequently
exposed
to
dangerous,
high-stress,
and
traumatic
situations,
leaving
them
susceptible
both
physical
mental
health
consequences.
The
current
study
explored
factors
that
relate
well-being
in
391
first
(255
males
136
females),
aged
18–64
years.
study's
aim
was
explore
the
role
of
psychological
capital
(PsyCap),
self-compassion,
social
support,
relationship
satisfaction,
activity
responders.
Data
collected
using
an
online
survey
which
distributed
responders,
including
firefighters,
police
officers,
emergency
medical
personnel,
state
Massachusetts,
USA.
Descriptive
correlational
statistics
were
performed,
followed
by
hierarchical
multiple
regression
analysis
path
analysis,
revealing
PsyCap,
as
well
key
mediating
impacting
Findings
pose
a
foundation
stepping-stone
improve
responders'
well-being.
In
particular,
multifaceted
approach
intervention
drawing
on
combined
variables
identified
model
is
indicated.
Journal of Interpersonal Violence,
Journal Year:
2018,
Volume and Issue:
36(5-6), P. NP2725 - NP2748
Published: April 12, 2018
Police
officers
are
frequently
exposed
to
two
different
types
of
potentially
traumatic
events:
one
dealing
with
physical
threats
self
and
the
other
involving
witnessing
harm
others.
These
experiences
thought
produce
various
posttraumatic
reactions.
Furthermore,
sleep
problems
also
reported
as
a
hallmark
stress
disorder.
There
is
evidence,
however,
that
may
mediate
relationship
between
disorder
symptoms
health
outcomes,
especially
depression.
Previous
research
has
shown
this
be
case
among
from
large
urban
agencies.
The
purpose
present
study
was
test
model
pathway
trauma
type
depression
mediated
by
quality
in
(
N
=
193)
using
data
small-
mid-size
police
Results
revealed
served
mediator
hyperarousal
avoidance
related
symptoms,
complicated
relationships
exist
variables.
In
addition,
results
indicated
approximately
25%
our
sample
displayed
probable
partial
or
full
disorder,
causing
substantial
functional
impairment.
Suggestions
for
improving
officer
performance
field
provided.
Specifically,
it
appears
interventions
designed
address
personal
life
threat
human
suffering
maximize
ultimately
overall
wellness.
particular,
mindfulness-based
well
suited
addressing
these
symptom
clusters.
BMC Psychiatry,
Journal Year:
2020,
Volume and Issue:
20(1)
Published: June 25, 2020
Hospitals,
police
stations,
and
fire
departments
are
highly
demanding
workplaces.
Staff
members
regularly
exposed
to
various
stressors
including
traumatic
events.
Correspondingly,
several
studies
report
high
rates
of
mental
health
issues
among
these
occupations.
Nevertheless,
despite
challenging
circumstances,
some
staff
manage
sustain
their
health.
The
current
study
is
the
first
investigate
three
health-promoting
factors
simultaneously
different,
occupations.The
present
cross-sectional
survey
investigated
(sense
coherence
-
SOC,
trait-resilience,
locus
control
LOC)
outcomes
(general
psychopathological
symptom
burden,
posttraumatic
stress,
burnout)
in
medical
(n
=
223),
officers
257),
firefighters
100).Among
all
occupations,
an
internal
LOC
were
negatively
associated
with
general
symptoms,
burnout
symptoms.
By
contrast,
outcome
measures
positively
correlated
external
LOC.
Multiple
regression
models
explained
56%
variance
symptoms
27%
stress
Among
SOC
was
strongest
predictor
both
burden
Multigroup
path
analyses
revealed
minor
differences
across
mainly
driven
by
a
stronger
influence
officers.Across
identified
as
most
important
factor.
Future
longitudinal
should
further
examine
causal
link
between
distress
different
Such
will
also
allow
for
development
evaluation
resilience
promoting
programs.
Journal of Anxiety Disorders,
Journal Year:
2024,
Volume and Issue:
103, P. 102855 - 102855
Published: March 8, 2024
Excessive
fear
generalization
has
been
associated
with
pathological
anxiety,
including
posttraumatic
stress
disorder
(PTSD).
However,
studies
investigating
the
longitudinal
relationship
between
and
development
of
anxiety
symptomatology
are
scarce.
This
study
aims
to
test
predictive
value
for
PTSD
symptoms
in
a
high-risk
profession
sample
explore
neuroticism,
which
both
linked
PTSD.
Longitudinal
data
from
multi-wave
529
Dutch
fire-fighters
were
used.
Fear
generalization,
neuroticism
assessed
at
baseline.
reevaluated
six,
12,
18,
24
months.
Generalization
was
differential
conditioning
paradigm
by
measuring
expectancies
an
aversive
outcome
when
presented
stimuli
similar
previously
conditioned
stimuli.
Higher
expectancy
ratings
towards
most
safety
signals
predicted
follow-up
after
controlling
baseline
symptoms,
whereas
higher
danger
neuroticism.
Neuroticism
weakened
power
considered
simultaneously.
These
findings
suggest
that
heightened
is
trauma-related
symptoms.
Targeting
problematic
may
be
promising
intervention
approach.
Journal of Traumatic Stress,
Journal Year:
2022,
Volume and Issue:
35(3), P. 778 - 790
Published: Jan. 22, 2022
Abstract
First
responders
are
exposed
to
repetitive
work‐related
trauma
and,
thus,
at
risk
of
developing
posttraumatic
stress
disorder
(PTSD).
Eye‐movement
desensitization
and
reprocessing
(EMDR)
is
a
psychotherapy
intervention
designed
treat
symptoms
stress.
We
conducted
systematic
review
examine
the
viability
EMDR
among
first
responders.
The
primary
aim
this
was
identify
studies
that
have
trialed
evaluate
its
effectiveness
in
reducing
trauma‐related
symptoms;
secondary
whether
has
been
used
as
an
early
for
cohort
determine
such.
Four
databases
were
searched.
Studies
included
if
they
evaluated
extent
which
effective
alleviating
stemming
from
exposure
findings
each
study
reported
descriptively,
eight
efficacy
population
included.
There
substantial
variation
how
implemented,
particularly
type,
duration,
frequency,
timing.
suggest
can
alleviate
responders;
however,
regarding
inconclusive,
methodological
quality
assessment
revealed
all
classified
being
either
weak
or
medium
quality.
Although
provides
preliminary
insights
into
responders,
conclusions
be
drawn
literature
limited,
highlight
several
gaps
literature.
Frontiers in Psychiatry,
Journal Year:
2022,
Volume and Issue:
13
Published: March 23, 2022
The
present
study
aimed
to
assess
the
frequency
of
trauma
exposure,
prevalence
possible
post-traumatic
stress
disorder
(PTSD),
extent
resilience,
and
sense
coherence
among
personnel
Swiss
alpine
rescue
association
(ARS).Using
a
trilingual
online
survey
approach,
465
mountain
rescuers
ARS
were
surveyed
using
Posttraumatic
Diagnostic
Scale
(PDS),
PTSD
Checklist
5
(PCL-5),
Resilience
13
14
(RS-13/-14),
Perceived
Stress
10
(PSS-10),
General
Health
Questionnaire
12
(GHQ-12),
Pittsburg
Sleep
Quality
Index
(PSQI),
Sense
Coherence
(SOC-13),
Berlin
Social
Support
Scales
(BSSS).Although
rate
having
witnessed
or
experienced
traumatic
event
was
high
(71%),
low
(0.9%).
sample
showed
resilience
coherence.
positively
correlated
with
work
experience.
Low
perceived
predicted
resilience.
severity
symptoms
mainly
by
mediated
interaction
between
symptoms.The
findings
suggest
that
are
indicative
for
rescuers,
may
therefore
represent
valuable
screening
training
parameters
personnel.
Journal of Trauma and Acute Care Surgery,
Journal Year:
2020,
Volume and Issue:
89(1), P. 132 - 139
Published: March 16, 2020
Emergency
responders
face
a
crisis
of
rising
suicide
rates,
and
many
resist
seeking
help
due
to
the
stigma
surrounding
mental
health.
We
sought
evaluate
feasibility
an
urban
trauma
center
screen
for
posttraumatic
stress
(PTS)
among
emergency
provide
health
services.Paramedics,
firefighters,
law
enforcement,
corrections
officers
involved
with
patients
in
unit
were
asked
complete
Post-Traumatic
Growth
Inventory
(PTGI)
Checklist
Diagnostic
Statistical
Manual-5
(PCL-5).
Additional
factors
known
affect
PTS
correlated:
occupation,
age,
sex,
years
service,
marital
status,
children,
pets.
Willingness
barriers
interventions
evaluated.A
total
258
responded:
36.7%
paramedics,
40.2%
enforcement
officers,
18.4%
0.8%
3.5%
multiple
positions.
Responders
had
mean
14.5
service
(SD,
9.9
years).
Mean
PTGI
PCL-5
scores
52.1
25.1)
17.2
16.5),
respectively.
Overall,
24.7%
diagnostic
disorder
no
difference
seen
rates
between
professions.
Of
these,
80.7%
not
care.
Barriers
included
that
they
concerned
(46%),
did
recognize
symptoms
(24%),
worried
about
consequences
(20%).
Concern
over
career
advancement
or
losing
one's
job
was
greatest
barrier
cited
Among
47.7%
would
lose
their
ability
carry
firearm
if
care
PTS.
The
score,
divorce,
46
50
only
examined
correlated
increased
score.
There
82.5%
felt
right
place
intervene
upon
PTS.Trauma
centers
are
ideal
safe
both
offer
assistance.
Comprehensive
trauma-informed
by
hospital-based
intervention
programs
must
expand
include
responders.Epidemiological
study
type,
Level
II.