Evidence map›Paper›PMID 28161583›Full record

ArticleComprehensive psychiatry2017

Cumulative exposure to work-related traumatic events and current post-traumatic stress disorder in New York City's first responders.

Lupo Geronazzo-Alman, Ruth Eisenberg, Sa Shen, Cristiane S Duarte, George J Musa, Judith Wicks, Bin Fan, Thao Doan, Guia Guffanti, Michaeline Bresnahan and 1 more

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Comprehensive psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 68 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Lupo Geronazzo-AlmanDepartment of Psychiatry, New York State Psychiatric Institute, 1051 Riverside Dr, New York, NY 10032. Electronic address: geronazl@nyspi.columbia.edu.
Ruth EisenbergDepartment of Psychiatry, New York State Psychiatric Institute, 1051 Riverside Dr, New York, NY 10032. Electronic address: eisenbe@nyspi.columbia.edu.
Sa ShenThe Center on Health, Aging, and Disability, University of Illinois at Urbana-Champaign, 1206 South 4th Street, Champaign, IL. Electronic address: sashen2@illinois.edu.
Cristiane S DuarteDepartment of Psychiatry, New York State Psychiatric Institute, 1051 Riverside Dr, New York, NY 10032. Electronic address: DuarteC@nyspi.columbia.edu.
George J MusaDepartment of Psychiatry, New York State Psychiatric Institute, 1051 Riverside Dr, New York, NY 10032. Electronic address: MUSAG@nyspi.columbia.edu.
Judith WicksDepartment of Psychiatry, New York State Psychiatric Institute, 1051 Riverside Dr, New York, NY 10032. Electronic address: WicksJ@nyspi.columbia.edu.
Bin FanDepartment of Psychiatry, New York State Psychiatric Institute, 1051 Riverside Dr, New York, NY 10032. Electronic address: fanb@nyspi.columbia.edu.
Thao DoanDepartment of Psychiatry, New York State Psychiatric Institute, 1051 Riverside Dr, New York, NY 10032. Electronic address: DoanT@nyspi.columbia.edu.
Guia GuffantiDepartment of Psychiatry, McLean Hospital/Harvard Medical School, 115 Mill Street, Belmont, MA 02478.. Electronic address: gguffantimasetti@mclean.harvard.edu.
Michaeline BresnahanDepartment of Psychiatry, New York State Psychiatric Institute, 1051 Riverside Dr, New York, NY 10032. Electronic address: bresnah@nyspi.columbia.edu.
Christina W HovenDepartment of Psychiatry, New York State Psychiatric Institute, 1051 Riverside Dr, New York, NY 10032. Electronic address: HOVEN@nyspi.columbia.edu.
New York Psychoanalytic Society and Institute · USMcLean Hospital · USUniversity of Illinois Urbana-Champaign · US

Funding

Violence and Mental Health: Children of First RespondersR01HD046786 · NICHD · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI HOVEN, CHRISTINA W. · 2006 to 2010
$2.8M
NICHD NIH HHS R01 HD046786
6 · The paper itself

Abstract

BACKGROUND AND

objectivesCumulative exposure to work-related traumatic events (CE) is a foreseeable risk for psychiatric disorders in first responders (FRs). Our objective was to examine the impact of work-related CE that could serve as predictor of posttraumatic stress disorder (PTSD) and/or depression in FRs.

designCross-sectional examination of previous CE and past-month PTSD outcomes and depression in 209 FRs.

methodsLogistic (probable PTSD; probable depression) and Poisson regressions (PTSD score) of the outcomes on work-related CE indexes, adjusting for demographic variables. Differences across occupational groups were also examined. Receiver operating characteristic analysis determined the sensitivity and specificity of CE indexes.

resultsAll indexes were significantly and differently associated with PTSD; associations with depression were non-significant. The index capturing the sheer number of different incidents experienced regardless of frequency ('Variety') showed conceptual, practical and statistical advantages compared to other indexes. In general, the indexes showed poor to fair discrimination accuracy.

conclusionsWork-related CE is specifically associated with PTSD. Focusing on the variety of exposures may be a simple and effective strategy to predict PTSD in FRs. Further research on sensitivity and specificity of exposure indexes, preferably examined prospectively, is needed and could lead to early identification of individuals at risk.

Indexed as

AdultCross-Sectional StudiesDepressionEmergency RespondersFemaleHumansMaleMiddle AgedNew York CityOccupational ExposureRandom AllocationRegistriesRisk FactorsStress Disorders, Post-Traumatic

Identifiers

PMID28161583
PMCPMC5359025
OpenAlexW2563067708

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.