Treating posttraumatic stress disorder in first responders: a systematic review

Clinical Psychology Review
Peter T HaugenDaniel S Weiss

Abstract

First responders are generally considered to be at greater risk for full or partial posttraumatic stress disorder (PTSD) than most other occupations because their duties routinely entail confrontation with traumatic stressors. These critical incidents typically involve exposure to life threat, either directly or as a witness. There is a substantial literature that has examined the risk factors, symptom presentation, course, and comorbidities of PTSD in this population. However, to our knowledge, there are no systematic reviews of treatment studies for first responders. We conducted a systematic review of the PTSD treatment literature (English and non-English) in order to evaluate such treatment proposals based on what is known about treating PTSD in first responders. We especially sought to identify randomized controlled trials (RCTs) whose primary outcome was PTSD. Our search identified 845 peer-reviewed articles of which 0.002% (n=2) were bona fide RCTs of PTSD treatment in first responders. Both studies tested a psychosocial treatment. We did not locate a single psychopharmacologic RCT for PTSD in first responders. An additional 2 psychosocial studies and 13 case or observational studies comprised the remaining extant litera...Continue Reading

References

Jun 1, 1991·The British Journal of Psychiatry : the Journal of Mental Science·D A Richards, J S Rose
Jan 1, 1989·Acta Psychiatrica Scandinavica. Supplementum·S ErslandA Sund
Mar 1, 1995·Journal of Behavior Therapy and Experimental Psychiatry·C R Spates, M M Burnette
Apr 1, 1995·The Journal of Nervous and Mental Disease·R A Bryant, A G Harvey
Jan 1, 1995·The Journal of Nervous and Mental Disease·R J UrsanoV R Bhartiya
Jan 1, 1997·Journal of Traumatic Stress·B H JohnsenL T Michelsen
Apr 1, 1997·Journal of Traumatic Stress·I V Carlier, B P Gersons
Dec 24, 1997·Psychological Reports·H M RobinsonJ P Wilson
Nov 6, 1998·Journal of Consulting and Clinical Psychology·R A BryantC Basten
Aug 11, 2000·General Hospital Psychiatry·M B SteinM E McCahill
Sep 7, 2000·The British Journal of Psychiatry : the Journal of Mental Science·I Marks, R Dar
Dec 29, 2000·The Australian and New Zealand Journal of Psychiatry·M Deahl
Jan 3, 2001·The British Journal of Psychiatry : the Journal of Mental Science·D A Alexander, S Klein
Jun 5, 2001·Depression and Anxiety·F W WeathersJ R Davidson
May 3, 2002·The American Journal of Psychiatry·Carol S NorthElizabeth M Smith
Jun 27, 2003·The Journal of Nervous and Mental Disease·Chia-Ming ChangTe-Jen Lai
Jul 2, 2004·The New England Journal of Medicine·Charles W HogeRobert L Koffman
Aug 3, 2004·The American Journal of Psychiatry·Carol S FullertonLeming Wang
Sep 14, 2004·Journal of Psychiatric Practice·Mohamed A Aziz, Susan Kenford
Jan 29, 2005·The American Journal of Psychiatry·Rebekah BradleyDrew Westen
May 25, 2005·Disasters·Barbara Lopes CardozoPeter Salama
Dec 22, 2005·Journal of Occupational Health·Mattijn MorrenStephan J M Wevers
Jan 3, 2006·The Journal of Neuropsychiatry and Clinical Neurosciences·Karen LansingLisa Rudy
Jun 22, 2006·Journal of Traumatic Stress·Shannon E McCaslinCharles R Marmar
Aug 16, 2006·The Journal of Nervous and Mental Disease·Shannon E McCaslinCharles R Marmar
Jan 5, 2007·The American Journal of Psychiatry·Marit SijbrandijBerthold P R Gersons
Jan 12, 2007·Journal of Urban Health : Bulletin of the New York Academy of Medicine·SangWoo TakChristine West
Jul 11, 2007·The Australian and New Zealand Journal of Psychiatry·David ForbesSkye Newton
Aug 31, 2007·The American Journal of Psychiatry·Megan A PerrinRobert Brackbill
Nov 29, 2007·The Journal of Nervous and Mental Disease·JoAnn DifedeCharles Marmar
Dec 7, 2007·The Journal of Clinical Psychiatry·JoAnn DifedeHunter G Hoffman
Dec 22, 2007·Neuroscience and Behavioral Physiology·G M Rumyantseva, A L Stepanov
Nov 22, 2008·Biological Psychology·Yoichi Chida, Andrew Steptoe
Jul 29, 2009·Journal of Traumatic Stress·Nancy Kassam-AdamsFlaura Koplin Winston
Oct 13, 2009·Journal of Trauma & Dissociation : the Official Journal of the International Society for the Study of Dissociation (ISSD)·Melissa MartinNormand Martin
Jan 7, 2010·Clinical Psychology Review·Anke EhlersWilliam Yule
Mar 25, 2010·BMJ : British Medical Journal·David MoherDouglas G Altman

❮ Previous
Next ❯

Citations

Jul 28, 2015·Disability and Rehabilitation·Joanne NunnerleyTim Woodfield
Nov 19, 2014·The Psychiatric Quarterly·Raymond B Flannery
Dec 3, 2014·Annals of Global Health·Michael A CraneFatih Ozbay
Oct 19, 2016·American Journal of Industrial Medicine·Ian H StanleyThomas E Joiner
Nov 5, 2016·Journal of Psychiatric Research·Joseph W BoffaNorman B Schmidt
Aug 29, 2017·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·R Nicholas CarletonGordon J G Asmundson
Jan 24, 2019·Journal of Clinical Psychology·Ian H StanleyAnka A Vujanovic
Sep 12, 2019·Journal of the American Psychiatric Nurses Association·Sara JonesJean McSweeney
Feb 11, 2020·Occupational Medicine·R RicciardelliR N Carleton
Nov 7, 2015·Harvard Review of Psychiatry·Judith D BentkoverSheyda Bautista-Saeyan
Aug 1, 2018·Journal of Cognitive Psychotherapy·Michael Kin-Fun ChengDonna Ferguson
Aug 23, 2020·International Journal of Environmental Research and Public Health·Hugh C McCallHeather D Hadjistavropoulos
May 6, 2019·International Journal of Environmental Research and Public Health·Mayer BellehsenRebecca M Schwartz
Jul 6, 2018·Harvard Review of Psychiatry·Nina F Lewis-SchroederMilissa L Kaufman
Aug 9, 2016·Stress and Health : Journal of the International Society for the Investigation of Stress·Eamonn Arble, Bengt B Arnetz
Aug 26, 2020·International Journal of Disaster Risk Reduction : IJDRR·Julian Laufs, Zoha Waseem
Aug 31, 2019·Neurobiology of Stress·Nuria DaviuAnna Beyeler
Nov 10, 2020·Forensic Science International : Synergy·Donia P Slack
Jan 28, 2021·International Journal of Environmental Research and Public Health·Cristina CivilottiDaniela Acquadro Maran
Mar 30, 2021·Journal of Occupational Health·Somkene IgboanugoJohn G Mielke

❮ Previous
Next ❯

Related Concepts

Related Feeds

Anxiety Disorders

Discover the latest research on anxiety disorders including agoraphobia, panic disorder, obsessive-compulsive disorder, and post-traumatic stress disorder here.

© 2021 Meta ULC. All rights reserved