Distinguishing Firefighters With Subthreshold PTSD From Firefighters With Probable PTSD or Low Symptoms

Chiang, Evelyn S.; Riordan, Kevin M.; Ponder, Joy; Johnson, Chris Plauché; Cox, Keith S.

doi:10.1080/15325024.2020.1728494

Cited by 12 publications

(12 citation statements)

References 14 publications

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“…These findings demonstrate that even subsyndromal PTSD results in detectable changes in mental wellbeing. This corresponds to previous studies that reported an association of subsyndromal PTSD with a lower level of functioning ( 70 – 72 ) as well as impairments in social and work-related matters, resulting in a diminished quality of life ( 30 , 73 ). However, since effect sizes in the present study were small ( r < 0.3) and the two group sizes differed considerably, we focused on predictors of severity of PTSD symptoms rather than on group differences.…”

Section: Discussionsupporting

confidence: 90%

Resilience and Post-traumatic Stress Disorder in the Swiss Alpine Rescue Association

2022

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ObjectiveThe present study aimed to assess the frequency of trauma exposure, the prevalence of possible post-traumatic stress disorder (PTSD), the extent of resilience, and sense of coherence among personnel of the Swiss alpine rescue association (ARS).MethodsUsing a trilingual online survey approach, 465 mountain rescuers of the ARS were surveyed using the Posttraumatic Diagnostic Scale (PDS), the PTSD Checklist 5 (PCL-5), the Resilience Scale 13 and 14 (RS-13/-14), the Perceived Stress Scale 10 (PSS-10), the General Health Questionnaire 12 (GHQ-12), the Pittsburg Sleep Quality Index (PSQI), the Sense of Coherence Scale 13 (SOC-13), and the Berlin Social Support Scales (BSSS).ResultsAlthough the rate of mountain rescuers having witnessed or experienced a traumatic event was high (71%), the prevalence of possible PTSD was low (0.9%). The sample showed high resilience and high sense of coherence. Resilience was positively correlated with work experience. Low perceived stress and high sense of coherence predicted resilience. The severity of PTSD symptoms was mainly predicted by low sense of coherence. Sense of coherence mediated the interaction between resilience and severity of PTSD symptoms.ConclusionThe findings suggest that resilience and sense of coherence are indicative for the low prevalence of possible PTSD among mountain rescuers, and may therefore represent valuable screening and training parameters for mountain rescue personnel.

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Section: Discussionsupporting

confidence: 90%

Resilience and Post-traumatic Stress Disorder in the Swiss Alpine Rescue Association

2022

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“…Each item of PCL-5 has five-point Likert scare (0 = not at all, 1 = a little bit, 2 = moderately, 3 = quite a bit and 4 = extremely). Individual’s score of PCL-5 ranges from 0 to 80, and the cut-off point score for diagnosis PTSD was set as more than or equal to 33, with a higher score indicating more serious PTSD symptoms [ 22 ].…”

Section: Methodsmentioning

confidence: 99%

Prevalence and factors associated with post-traumatic stress disorder in healthcare workers exposed to COVID-19 in Wuhan, China: a cross-sectional survey

Pan

Xia

et al. 2021

BMC Psychiatry

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Background The COVID-19 pandemic has posed significant threats to both the physical and psychological health of healthcare workers working in the front-line combating COVID-19. However, studies regarding the medium to long term impact of COVID-19 on mental health among healthcare workers are limited. Therefore, we conducted this cross-sectional survey to investigate the prevalence, factors and impact of post-traumatic stress disorder (PTSD) in healthcare workers exposed to COVID-19 8 months after the end of the outbreak in Wuhan, China. Methods A web-based questionnaire was delivered as a link via the communication application WeChat to those healthcare workers who worked at several COVID-19 units during the outbreak (from December 2019 to April 2020) in Wuhan, China. The questionnaire included questions on social-demographic data, the post-traumatic stress disorder checklist-5 (PCL-5), the family care index questionnaire (Adaptation, Partnership, Growth, Affection and Resolve, APGAR), and the quality-of-life scale (QOL). The prevalence, risk and protective factors, and impact of PTSD on healthcare workers were subsequently analyzed. Results Among the 659 participants, 90 healthcare workers were still suffering from PTSD 8 months after the end of the outbreak of COVID-19 in Wuhan, in which avoidance and negative impact were the most affected dimensions. Suffering from chronic disease, experiencing social isolation, and job dissatisfaction came up as independent risk factors for PTSD, while obtaining COVID-19 related information at an appropriate frequency, good family function, and working in well-prepared mobile cabin hospitals served as protective factors. The impact of PTSD on COVID-19 exposed healthcare workers was apparent by shortened sleeping time, feeling of loneliness, poorer quality of life and intention to resign. Conclusions Eight months after the end of the COVID-19 outbreak in Wuhan, the level of PTSD in healthcare workers exposed to COVID-19 was still high. Apart from the commonly recognized risk factors, comorbid chronic disease was identified as a new independent risk factor for developing PTSD. For countries where the pandemic is still ongoing or in case of future outbreaks of new communicable diseases, this study may contribute to preventing cases of PTSD in healthcare workers exposed to infectious diseases under such circumstances.

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“…Each item has five-point Likert (0 = not at all, 1 = a little bit, 2 = moderately, 3 = quite a bit and 4 = extremely). Of a total of 20 items, the range of PCL-5 scores is from 0 to 80 with higher scores indicating higher PTSD symptoms (Chiang, Riordan, Ponder, Johnson, & Cox, 2020).…”

Section: Stress Level and Ptsdmentioning

confidence: 99%

Factors associated with the psychological well‐being among front‐line nurses exposed to COVID‐2019 in China: A predictive study

Zhou

2020

J Nurs Manag

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Aims To evaluate psychological well‐being and factors associated with post‐traumatic stress disorder (PTSD) among front‐line nurses during the coronavirus disease‐2019 (COVID‐19) pandemic. Background Coronavirus disease‐2019 is a pandemic that has posed a public health emergency of international concern. Psychological well‐being of front‐line nurses is a big concern during the COVID‐19 pandemic. Methods With a predictive study design, a same survey was sent separately at two time points (i.e. before and after nurses worked at COVID‐19 units) between January and March 2020 among 356 front‐line nurses in First Affiliated Hospital of Bengbu Medical College, Anhui, China. Results Of a total 356 front‐line nurses, stress level and the prevalence of PTSD were significantly increased after they worked at COVID‐19 units. Nurses who had work experience less than 2 years were significantly associated with a high risk of developing PTSD. Nurses who worked in COVID‐19 inpatients wards had significantly higher odds of being PTSD (odds ratio [OR] = 21.9, 95% confidence interval [CI]: 5.08; 94.5) than those who worked in other COVID‐19‐related units. Resilience was negatively associated with PTSD (OR = 0.96, 95% CI: 0.93; 0.99). Conclusion Nurses had significantly increased risk to develop PTSD during COVID‐19 pandemic. Implications for nursing management Clinical and policy strategies to support front‐line nurses’ psychological well‐being, particularly young nurses, in response to COVID‐19 crisis are urgently needed.

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Distinguishing Firefighters With Subthreshold PTSD From Firefighters With Probable PTSD or Low Symptoms

Cited by 12 publications

References 14 publications

Resilience and Post-traumatic Stress Disorder in the Swiss Alpine Rescue Association

Resilience and Post-traumatic Stress Disorder in the Swiss Alpine Rescue Association

Prevalence and factors associated with post-traumatic stress disorder in healthcare workers exposed to COVID-19 in Wuhan, China: a cross-sectional survey

Factors associated with the psychological well‐being among front‐line nurses exposed to COVID‐2019 in China: A predictive study

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