Evidence map›Paper›PMID 34962111›Full record

ArticleJournal of Korean medical science2021

Regional Gray Matter Volume Related to High Occupational Stress in Firefighters.

Deokjong Lee, Woojin Kim, Jung Eun Lee, Junghan Lee, Seung-Koo Lee, Sei-Jin Chang, Da Yee Jeung, Dae-Sung Hyun, Hye-Yoon Ryu, Changsoo Kim and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of Korean medical science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

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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 4 institutions in 1 country.

Deokjong Lee *Department of Psychiatry, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, Korea.ORCID https://orcid.org/0000-0002-5425-4677
Woojin Kim *Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-5520-4228
Jung Eun LeeInstitute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0003-2588-3404
Junghan LeeInstitute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-2367-867X
Seung-Koo LeeDepartment of Radiology, Yonsei University Medical College, Seoul, Korea.ORCID https://orcid.org/0000-0001-5646-4072
Sei-Jin ChangDepartment of Preventive Medicine and Institute of Occupational and Environmental Medicine, Wonju College of Medicine, Yonsei University, Wonju, Korea.ORCID https://orcid.org/0000-0001-9347-3592
Da Yee JeungDepartment of Dental Hygiene, Hanyang Women's University, Seoul, Korea.ORCID https://orcid.org/0000-0003-4730-8814
Dae-Sung HyunHealth Insurance Research Institute, National Health Insurance Service, Wonju, Korea.ORCID https://orcid.org/0000-0002-3911-3913
Hye-Yoon RyuDepartment of Occupational and Environmental Medicine, Wonju Severance Christian Hospital, Wonju, Korea.ORCID https://orcid.org/0000-0002-6695-8313
Changsoo KimDepartment of Preventive Medicine, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-5940-5649
Young-Chul JungInstitute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-0578-2510
Yonsei University · KRHanyang Women's University · KRNational Health Insurance Service · KRWonju Severance Christian Hospital · KR

Funding

National Fire Agency MPSS-Firesafety-2015-80
6 · The paper itself

Abstract

backgroundFirefighters inevitably encounter emotionally and physically stressful situations at work. Even firefighters without diagnosed post-traumatic stress disorder receive clinical attention because the nature of the profession exposes them to repetitive trauma and high occupational stress. This study investigated gray matter abnormalities related to high occupational stress in firefighters using voxel-based morphometry (VBM) and surface-based morphometry (SBM).

methodsWe assessed 115 subjects (112 males and 3 females) using magnetic resonance imaging and evaluated occupational stress by the Korean Occupational Stress Scale-26 (KOSS-26). Subjects were classified into highly or lowly stressed groups based on the median value of the KOSS-26.

resultsIn VBM analysis, we found that firefighters with high occupational stress had lower gray matter volume (GMV) in both sides of the insula, the left amygdala, the right medial prefrontal cortex (mPFC), and the anterior cingulate cortex than firefighters with low occupational stress. In SBM analysis based on regions of interest, the GMV of the bilateral insula and right mPFC were also lower in the highly stressed group. Within the highly stressed group, low GMV of the insula was significantly correlated with the length of service (left:

conclusionOur findings suggest that regional GMV abnormalities are related to occupational stress. Regional gray matter abnormalities and related emotional dysregulation may contribute to firefighter susceptibility to burnout.

Indexed as

FirefightersOccupational StressCerebral CortexFemaleGray MatterHumansMagnetic Resonance ImagingMaleFirefightersGray Matter VolumeNeuropsychologyStress

Identifiers

PMID34962111
PMCPMC8728591
OpenAlexW3215159571

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.