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. 2022 Jan 29;19(3):1565.
doi: 10.3390/ijerph19031565.

A Scoping Review on the Prevalence and Determinants of Post-Traumatic Stress Disorder among Military Personnel and Firefighters: Implications for Public Policy and Practice

Gloria Obuobi-Donkor  1 , Folajinmi Oluwasina  1 , Nnamdi Nkire  1 , Vincent I O Agyapong  1   2
Affiliations

A Scoping Review on the Prevalence and Determinants of Post-Traumatic Stress Disorder among Military Personnel and Firefighters: Implications for Public Policy and Practice

Gloria Obuobi-Donkor et al. Int J Environ Res Public Health. .

Abstract

Introduction: Firefighters and military personnel are public safety personnel who protect the safety of individuals and their properties. They are usually exposed to traumatic events leaving them at risk of developing mental health conditions such as post-traumatic stress disorder (PTSD). Increasing concern is being raised regarding the mental health impacts, specifically PTSD, among military personnel and firefighters.

Objective: There is an increased exposure of firefighters and military personnel to traumatic events and the attendant risk of developing post-traumatic stress disorder. It is crucial to ascertain the level of PTSD amongst this cohort and determinants to formulate policies and practices that mitigate the risk and protect public safety personnel. This scoping review sought to determine the prevalence of PTSD among this cohort globally and to explore determinants of this mental health condition.

Methods: A literature search in databases including MEDLINE, CINAHL, PubMed, PsycINFO, and EMBASE was conducted electronically from May 2021 to 31 July 2021. Two reviewers independently assessed full-text articles according to the predefined inclusion criteria and screening process undertaken to identify studies for the review. Articles were screened with a third reviewer, resolving conflicts where necessary and further assessing them for eligibility. During article selection, the PRISMA checklist was adopted, and with the Covidence software, a total of 32 articles were selected for the final examination. For the eligible studies, data extraction was conducted, information was collated and summarized, and the findings were reported. Original qualitative and quantitative data on the prevalence and predictors of PTSD among veterans, military, and firefighters were reported.

Results: The prevalence of PTSD was 57% for firefighters and 37.8% for military personnel. Demographic factors, job factors, social support, injuries, physical and psychological factors, and individual traits were the main predictors of PTSD in this cohort.

Conclusion: This information is vital for developing and implementing prevention and intervention strategies for PTSD in military personnel and firefighters. Recognizing and addressing factors that predict PTSD will help to improve mental wellbeing and increase productivity. More peer-reviewed studies are needed on the prevalence of PTSD amongst these cohorts.

Keywords: PTSD; determinants; firefighters; military personnel; prevalence.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
PRISMA flow chart.
Figure 2
Figure 2
Summary of continents selected for the review.
See this image and copyright information in PMC

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References

    1. Smith S.M., Goldstein R., Grant B.F. The association between post-traumatic stress disorder and lifetime DSM-5 psychiatric disorders among veterans: Data from the National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III) J. Psychiatr. Res. 2016;82:16–22. doi: 10.1016/j.jpsychires.2016.06.022. - DOI - PMC - PubMed
    1. Wilson S., Guliani H., Boichev G. On the economics of post-traumatic stress disorder among first responders in Canada. J. Community Saf. Well-Being. 2016;1:26–31. doi: 10.35502/jcswb.6. - DOI
    1. Benedek D.M., Fullerton C., Ursano R.J. First Responders: Mental health consequences of natural and human-made disasters for public health and public safety workers. Annu. Rev. Public Health. 2007;28:55–68. doi: 10.1146/annurev.publhealth.28.021406.144037. - DOI - PubMed
    1. Marmar C.R., Schlenger W., Henn-Haase C., Qian M., Purchia E., Li M., Corry N., Williams C.S., Ho C.-L., Horesh D., et al. Course of Posttraumatic Stress Disorder 40 years after the Vietnam War: Findings from the National Vietnam Veterans Longitudinal Study. JAMA Psychiatry. 2015;72:875–881. doi: 10.1001/jamapsychiatry.2015.0803. - DOI - PubMed
    1. Mat-Salleh M.-N. Prevalence and predictors for Post-Traumatic Stress Disorder (PTSD) among firefighters: A systematic review. Int. J. Public Health Res. 2020;10:1183–1194.

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