Evidence map›Paper›PMID 33029308›Full record

ArticleEuropean journal of psychotraumatology2020

Post-traumatic stress disorder in volunteer firefighters: influence of specific risk and protective factors.

Thomas Schnell, Frederike Suhr, Roland Weierstall-Pust

Abstract read
In one paragraph

Article in European journal of psychotraumatology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

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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

13 citing papers in PubMed, 1 synthesis or guideline 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

3 authors.

Thomas SchnellDepartment of Clinical Psychology and Psychotherapy, Medical School Hamburg, University of Applied Sciences and Medical University, Hamburg, Germany.
Frederike SuhrDepartment of Clinical Psychology and Psychotherapy, Medical School Hamburg, University of Applied Sciences and Medical University, Hamburg, Germany.
Roland Weierstall-PustDepartment of Clinical Psychology and Psychotherapy, Medical School Hamburg, University of Applied Sciences and Medical University, Hamburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVolunteer firefighters belong to a risk population regarding the development of posttraumatic stress disorder (PTSD). However, given the frequency of work-related trauma, PTSD prevalences seem relatively low. Protective factors appear to be effective and are the focus of this study.

objectiveWe investigated the PTSD-prevalence as well as the influence of trauma exposure and the impact of protective factors resilience and Sense of Coherence (SoC) on symptoms of PTSD in volunteer firefighters.

methodData from 232 participants of an online questionnaire study were analysed using a path model approach.

results'The results suggest a possible prevalence of PTSD of 12.5% and 2.2% for partial PTSD based on self-report measures. SoC and trauma event load proved to be independent of each other, as no intercorrelations were found. But both directly predicted PTSD severity. Higher resilience scores predicted the participants' Sense of Coherence, but PTSD severity was only indirectly affected by resilience, which was entirely mediated by SoC. Further, although SoC and trauma load increase with age and years of job experience, it is only SoC that affects PTSD severity, not age or years of experience.

conclusionsThe results emphasize that not only exposure to potentially traumatic events predicts the later probability of developing symptoms of PTSD, but that the integration of stressful experiences into the self-concept (associated with SoC) is essential for the development of PTSD. Future research should address the question of causality between SoC and PTSD, and consider which factors moderate the SoC.

Indexed as

Firefighterspost-traumatic stress disorder• PTSD prevalence of 12.5% highlights volunteer firefighters as a risk group.• Sense of Coherence (SoC) and trauma event load is independent of each other, but both predict PTSD severity.• Resilience indirectly influences PTSD severity and is mediated by SoC.resiliencesense of coherencetrauma

Identifiers

PMID33029308
PMCPMC7473037

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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.