SynthesisStress and health : journal of the International Society for the Investigation of Stress2021
Coping among public safety personnel: A systematic review and meta-analysis.
Synthesis in Stress and health : journal of the International Society for the Investigation of Stress, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Psychological interventions for post-traumatic stress injuries among public safety personnel: a systematic review and meta-analysis.Systematic reviews · 2022Pooled it
- Coping among public safety personnel: A systematic review and meta-analysis.Stress and health : journal of the International Society for the Investigation of Stress · 2021Pooled it
- Association of Psychological Safety with PTSD Symptoms Among Regional Firefighters in South Korea: Moderating Roles of Occupational Identity and Peer Support.International journal of environmental research and public health · 2026Article
- The association between childhood adversity and resilience among cadets: Evidence from The Royal Canadian Mounted Police Study.Journal of traumatic stress · 2025Article
- Work Exposome and Related Disorders of Firefighters: An Overview of Systematized Reviews.Safety and health at work · 2025Review
- Moral injury, coping strategies, and supports among Canadian public safety personnel.Journal of military, veteran and family health · 2025Article
- Trauma exposure, post-traumatic stress disorder and alcohol and other drug use among Australian public safety personnel.The Australian and New Zealand journal of psychiatry · 2025Article
- Article
- Strategies for Coping with Occupational Trauma: A Scoping Review of the Police Officer Context.International journal of environmental research and public health · 2024Article
- Return-to-Work Experiences in Ontario Policing: Injured But Not Broken.Journal of occupational rehabilitation · 2024Article
- Article
- A conceptualization and psychometric evaluation of positive psychological outcome measures used in adolescents and young adults living with HIV: A mixed scoping and systematic review.PLOS global public health · 2024Article
- Return to Work Experiences of Ontario Public Safety Personnel with Work-Related Psychological Injuries.Journal of occupational rehabilitation · 2023Article
- Brief Assessment of Adaptive and Maladaptive Coping Strategies During Pandemic.Trends in psychology · 2023Article
- Mental health of public safety personnel: Developing a model of operational, organizational, and personal factors in public safety organizations.Frontiers in public health · 2023Article
- Organizational Factors and Their Impact on Mental Health in Public Safety Organizations.International journal of environmental research and public health · 2022Review
- Development of an Evidence-Informed Solution to Emotional Distress in Public Safety Personnel and Healthcare Workers: The Social Support, Tracking Distress, Education, and Discussion CommunitY (STEADY) Program.Healthcare (Basel, Switzerland) · 2022Review
- Organizational Justice and Health: A Survey in Hospital Workers.International journal of environmental research and public health · 2022Article
- A Qualitative Analysis of the Mental Health Training and Educational Needs of Firefighters, Paramedics, and Public Safety Communicators in Canada.International journal of environmental research and public health · 2022Article
- Self-Reported Coping Strategies for Managing Work-Related Stress among Public Safety Personnel.International journal of environmental research and public health · 2022Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
Public safety personnel (PSP) are routinely exposed to potentially psychologically traumatic events (PPTEs) that, in turn, can result in posttraumatic stress injuries (PTSI), including burnout and increased symptoms of depression and anxiety. However, the longitudinal impact of PPTEs on PSP coping remains unclear. Coping can be operationalized as various strategies (i.e., behaviours, skills, thought and emotion regulation) for dealing with stressors, which are broadly categorized as either approach (adaptive, positive, social support) or avoidant coping strategies (maladaptive withdrawal, avoidance, substance use). This systematic review and meta-analysis aims to evaluate longitudinal coping outcomes among PSP. Thirteen eligible repeated-measures studies explicitly evaluated coping in 1854 police officers, firefighters, and rescue and recovery workers. Study designs included randomized-control trials, within-subject interventions and observational studies. Effect sizes (Cohen's d) at follow-up were described in 11 studies. Separate meta-analyses reveal small (d < 0.2) but non-significant improvements in approach and avoidant coping. Studies were of moderate quality and low risk of publication bias. Heterogeneity in outcome measures, follow-up durations, and study types precluded subgroup analyses. The current findings can inform the development and evaluation of organizational training programs that effectively promote sustained adaptive coping for PSP and mitigate PTSIs.
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Registered trials
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.