ArticleBMC public health2025
Post-Traumatic stress disorder and post-traumatic growth in firefighters: examining the moderating effects of resilience on occupational safety behaviors.
Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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
3 citing papers in PubMed.
- 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
- Nonlinear dose-response relationships between psychological and behavioral factors and training quality among firefighters: a restricted cubic spline analysis.Frontiers in public health · 2026Article
- Mapping the Relationship Between Post-Traumatic Stress and Post-Traumatic Growth and the Mediating Role of Resilience.Clinical psychology & psychotherapyReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPosttraumatic stress disorder (PTSD) and posttraumatic growth (PTG) represent divergent outcomes following trauma exposure in high-risk professions. This investigation examined the complex interplay between PTSD, PTG, and resilience in relation to occupational safety behaviors among Turkish firefighters.
methodsA multi-site cross-sectional study was conducted across five metropolitan fire departments in Turkey (N = 122). Participants completed validated psychometric instruments including the PTSD Checklist for DSM-5 (PCL-5), Posttraumatic Growth Inventory-Expanded Form (PTGI-X), Brief Resilience Scale, alongside detailed evaluations of safety practices, perceptions, and behaviors that assessed protocol adherence, equipment maintenance, training attendance, and safety communication metrics. Hierarchical multiple regression and chi-square analyses examined the relationships between psychological factors and safety outcomes, with particular attention to moderating effects.
resultsAnalyses revealed significant associations between psychological adaptation patterns and safety-critical behaviors. PTSD symptomatology demonstrated negative correlations with safety protocol adherence (r=-.24, p <.01) and safety awareness (r=-.21, p <.01). PTG manifested distinct cultural patterns, with Personal Strength emerging as the predominant domain (M = 3.10, SD = 1.08). A distinct disparity emerged between technical and psychological safety dimensions, with high adherence to equipment-related protocols (breathing apparatus maintenance: M = 4.00) contrasting markedly with poor implementation of psychological safety practices (comfort in communicating safety concerns: M = 1.66). Regression analyses indicated that psychological factors accounted for 28% of the variance in safety performance metrics, with resilience moderating the relationship between PTSD symptomatology and safety outcomes.
conclusionsThis investigation identifies critical relationships between psychological adaptation and occupational safety in firefighting, revealing how PTSD symptoms and PTG distinctly influence safety behaviors through culturally mediated patterns. The significant gap between adherence to technical safety protocols versus psychological safety practices underscores the need for integrated interventions that address both domains. These findings support developing comprehensive programs that enhance psychological resilience while maintaining technical safety standards in emergency services, suggesting a paradigm shift in occupational safety approaches for high-risk professions.
Indexed as
Identifiers
What OpenQuestion holds
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.