The role of organizational supports in mitigating mental ill health in firefighters: A cohort study in Alberta, Canada DOI
Nicola Cherry, Jean‐Michel Galarneau,

Whitney Haynes

et al.

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.

Language: Английский

Associations between exposure to potentially psychologically traumatic events and mental ill health among New Zealand firefighters: A cross-sectional study DOI Creative Commons
Lisa Mackay, Jessica L. Campbell, Jonathan Darby

et al.

Comprehensive Psychiatry, Journal Year: 2025, Volume and Issue: unknown, P. 152595 - 152595

Published: March 1, 2025

Language: Английский

Citations

0

Adapting the group traumatic episode protocol approach as a paraprofessional-led early intervention for law enforcement personnel DOI Creative Commons

Monika Ozga,

M. Kate Hart,

Theo Niyonsenga

et al.

Comprehensive Psychiatry, Journal Year: 2025, Volume and Issue: unknown, P. 152596 - 152596

Published: April 1, 2025

Language: Английский

Citations

0

Health and well-being of first responders: The role of psychological capital, self-compassion, social support, relationship satisfaction, and physical activity DOI Creative Commons

Alexandra Lowery,

Tony Cassidy

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.

Language: Английский

Citations

15

Trauma-Related Sleep Problems and Associated Health Outcomes in Police Officers: A Path Analysis DOI
Brian A. Chopko, Patrick A. Palmieri, Richard E. Adams

et al.

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.

Language: Английский

Citations

24

Correlates of mental health in occupations at risk for traumatization: a cross-sectional study DOI Creative Commons
Sarah K. Schäfer, M. Roxanne Sopp, Marlene Staginnus

et al.

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.

Language: Английский

Citations

22

Exploring trauma and wellbeing of people who use drugs after witnessing overdose: A qualitative study DOI
Minna Song, Isha Desai, Avery M Meyer

et al.

International Journal of Drug Policy, Journal Year: 2023, Volume and Issue: 122, P. 104239 - 104239

Published: Oct. 25, 2023

Language: Английский

Citations

7

Fear generalization predicts post-traumatic stress symptoms: A two-year follow-up study in Dutch fire fighters DOI Creative Commons
Miriam J.J. Lommen, Steven J. Hoekstra, Rob H.S. van den Brink

et al.

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.

Language: Английский

Citations

2

Eye movement desensitization and reprocessing for the treatment and early intervention of trauma among first responders: A systematic review DOI
Heather Morris, Kostas Hatzikiriakidis, Melissa Savaglio

et al.

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.

Language: Английский

Citations

10

Resilience and Post-traumatic Stress Disorder in the Swiss Alpine Rescue Association DOI Creative Commons
Christian Mikutta, Julia Jeannine Schmid, Ulrike Ehlert

et al.

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.

Language: Английский

Citations

10

Heroes in crisis: Trauma centers should be screening for and intervening on posttraumatic stress in our emergency responders DOI
Leah C. Tatebe,

Nandini Rajaram Siva,

Sydney Pekarek

et al.

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.

Language: Английский

Citations

15