SynthesisSystematic reviews2022
Psychological interventions for post-traumatic stress injuries among public safety personnel: a systematic review and meta-analysis.
Synthesis in Systematic reviews, 2022. 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.
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.
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.
Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- Pooled it
- Workplace Programs to Reduce Post-traumatic Stress Injuries Work Disability: First Responder Experiences.Journal of occupational rehabilitation · 2026Article
- Interventions to improve mental well-being and sleep in paramedics: A scoping review.PloS one · 2026Article
- Claim Characteristics and Return to Work Outcomes for Ontario Public Safety Personnel with Mental Stress Injury Program Claims, 2014-2023.Journal of occupational rehabilitation · 2025Article
- The association between childhood adversity and resilience among cadets: Evidence from The Royal Canadian Mounted Police Study.Journal of traumatic stress · 2025Article
- Cognitive processing therapy for posttraumatic stress disorder in first responders and veterans: Flexing the approach with explicit case formulation.Journal of traumatic stress · 2025Article
- Return-to-Work Outcomes Following Mental Health Treatment Among Public Safety Personnel Disabled by Post-Traumatic Stress Disorder.Journal of occupational rehabilitation · 2025Article
- Developing Recommendations to Improve Crisis Line Supports for Public Safety Personnel in Canada: Protocol for a Multimethod National Study.JMIR research protocols · 2025Article
- Exploring the association between moral injury and posttraumatic stress symptoms among Canadian public safety personnel.Journal of traumatic stress · 2025Article
- Perspectives and Experiences of Public Safety Personnel Engaged in a Peer-Led Workplace Reintegration Program Post Critical Incident or Operational Stress Injury: A Qualitative Thematic Analysis.International journal of environmental research and public health · 2024Article
- Evaluating the before operational stress program: comparing in-person and virtual delivery.Frontiers in psychology · 2024Article
- Strengthening the military stoic tradition: enhancing resilience in military service members and public safety personnel through functional disconnection and reconnection.Frontiers in psychology · 2024Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPublic safety personnel (PSP) are exposed to potentially psychologically traumatic events (PPTE) far more often than the general public, which increases the risk for various post-traumatic stress injuries (PTSIs). While there are many evidence-based psychological interventions for PTSI, the effectiveness of each intervention for PSP remains unclear.
objectivesThe current study assessed the effectiveness and acceptability of psychological interventions for PTSI among PSPs.
methodsA systematic review and random-effects meta-analysis were performed on the effectiveness and acceptability of psychotherapies for PTSIs (i.e., symptoms of depression, anxiety, post-traumatic stress disorder) among PSP. The review adhered to the PRISMA reporting guidelines and used standardized mean differences (Cohen's d), rate ratios (RR), and their 95% confidence intervals (95% CI) to measure pooled effect sizes across studies; negative d values and RR values less than one indicated a reduction in symptoms compared to baseline or control groups. In addition, heterogeneity was quantified using I
resultsThe analyses included data from eight randomized controlled trials representing 402 PSP (79.4% male, 35.3 years). Psychological interventions included narrative exposure therapy (n = 1), cognitive behavioral therapy (n = 2), eclectic psychotherapy (n = 2), eye-movement desensitization and reprocessing (n = 1), supportive counseling (n = 2), and group critical incident stress debriefing (n = 1). The interventions were associated with statistically significant reductions in symptoms associated with PTSD (d = - 1.23; 95% CI - 1.81, - 0.65; 7 studies; I
conclusionsThere is preliminary evidence that psychotherapies help treat PTSIs in PSP; however, the shortage of high-quality studies on PSP indicates a need for additional research into treating PTSI among PSP. SYSTEMATIC REVIEW REGISTRATION: PROSPERO: CRD42019133534.
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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.