Mapping PTSD, depression, and anxiety: A network analysis of co-occurring symptoms in treatment-seeking first responders

Baker, Lucas D.; Ponder, Warren N.; Carbajal, Jose; Galusha, Jeanine M.; Hidalgo, Johanna E.; Price, Matthew

doi:10.1016/j.jpsychires.2023.10.038

Cited by 3 publications

(2 citation statements)

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“…First, while this study did not use measures of PTSD, depression, and generalized anxiety it is still important to understand and conceptualize the relationship between these maladaptive outcomes and resilience. A recent study of treatment-seeking first responders used a community detection algorithm to examine the interrelatedness of these three constructs (Baker et al, 2023) and their results align with the tripartite model underpinned by negative affect (Clark & Watson, 1991). A recent intervention that directly targets negative affect found increases in resilience (Horne & Ponder, 2023).…”

Section: Discussionmentioning

confidence: 99%

First responder resilience: A cross-sectional network analysis.

Ponder,

Beattie,

Yockey

et al. 2024

Traumatology

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Section: Discussionmentioning

confidence: 99%

First responder resilience: A cross-sectional network analysis.

Ponder,

Beattie,

Yockey

et al. 2024

Traumatology

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“…By virtue of their duty, FRs are frequently exposed to unpredictable emergency zones as well as multiple and continuous traumatic events that include personal threats (Hoell et al, 2023 ; Komarovskaya et al, 2011 ; Robinson et al, 1997 ). These circumstances can lead to significant physical and psychological impacts, including PTSD and depression (Baker et al, 2023 ; Boulos & Zamorski, 2013 ; Carleton et al, 2018 ; Hoge et al, 2004 ; Lade et al, 2023 ; Maguen et al, 2010 ; Maia et al, 2007 ).…”

Section: Introductionmentioning

confidence: 99%

Traumatic stress, active engagement and resilience in first responders and civilians in the outbreak of war

Saar-Ashkenazy,

Bergman,

Ashkenazy

et al. 2024

European Journal of Psychotraumatology

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Background: The outbreak of war in Israel on 7 October and the unique events of that day have presented unprecedented challenges to first responders (FRs), who are professionally trained to engage in providing assistance in such circumstances. Moreover, while research demonstrates the long-term psychological consequences of FRs, little is known regarding how FR’s engagement in providing assistance relates to stress and resilience levels as events continue to unfold. Objective: The current study examined the relationship between traumatic stress symptoms (TSS) and resilience levels among FRs and controls during the first weeks of the Iron Swords war, while focusing on the moderating role of active engagement in providing assistance. Method: Data were collected during the first month of the Iron Swords war from 374 participants living in Southern Israel, of whom 77 (20.6%) were FRs. All participants filled out scales assessing TSS and resilience and provided relevant background information. Results: High TSS levels were associated with reduced resilience in FRs and non-FRs. Moreover, both the study group and active engagement were significant moderators for the TSS-resilience link, which was insignificant among FRs who provided assistance and for civilians who did not provide assistance. However, the TSS-resilience association remained significant for FRs who did not engage in providing assistance and for civilians who did. Conclusions: Our findings highlight the importance of examining the extent to which FRs act in line with their duties during times of adverse stress. Clinical interventions aimed towards FRs who did not engage in providing assistance are needed and should focus on the extent to which their moral values, beliefs and expectations are met, as these appear critical parameters in preserving resilience.

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