CoChat
Sign Up
Cited by 55Posttraumatic Stress Disorder ResearchAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesOccupational Health and Performance

The unique and interactive effects of anxiety sensitivity and emotion dysregulation in relation to posttraumatic stress, depressive, and anxiety symptoms among trauma-exposed firefighters

Paulus, Daniel J., Gallagher, Matthew W., Bartlett, Brooke A., Tran, Jana, Vujanovic, Anka A.·2018·Comprehensive Psychiatry
DOI 10.1016/j.comppsych.2018.03.012
Open this paper in CoChat — free account

Abstract

Background Firefighters are chronically exposed to traumatic events. Relatedly, past work has documented high rates of psychiatric problems, such as posttraumatic stress symptoms and depression, among firefighters. Less is known regarding anxiety symptoms among firefighters. Moreover, little work has examined risk/maintenance factors related to these symptoms among firefighters. Doing so may be important to developing interventions tailored to trauma-exposed firefighters. The current study examined symptoms of posttraumatic stress, depression, panic disorder, and social anxiety among trauma-exposed firefighters.Procedure Using structural equation modeling, the main and interactive effects of anxiety sensitivity and emotion dysregulation were examined in relation to these symptom outcomes. Participants included 787 male urban firefighters reporting at least one past traumatic event.Results There was a statistically significant main effect of anxiety sensitivity on each outcome. Emotion dysregulation exerted a statistically significant main effect on posttraumatic stress, depression, and social anxiety symptoms. Interactive effects of anxiety sensitivity and emotion dysregulation did not reach statistical significance but examination of effect sizes suggests that interactive effects may be present for posttraumatic stress symptoms (R 2 = 0.011), depression (R 2 = 0.008), and panic (R 2 = 0.016) such that emotion dysregulation is more strongly related to outcomes when anxiety sensitivity levels are relatively lower. All effects were evident after controlling for trauma severity and history of armed forces service.Conclusion Overall, results suggest that anxiety sensitivity and emotion dysregulation represent unique risk/maintenance factors related to a broad range of emotional symptoms among trauma-exposed firefighters. These findings replicate patterns found among the general population and extend the findings to potentially vulnerable firefighters.

Integrity signals

Registry

Crossref · 10.1016/j.comppsych.2018.03.012

Cites

70 of 70 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Related

Authors
Paulus, D. J., Gallagher, M. W., Bartlett, B. A., Tran, J., & Vujanovic, A. A.
Affiliations
University of Houston (US)
Corresponding author
  • Paulus, Daniel J.
  • Vujanovic, Anka A.
ORCID
Venue
Comprehensive Psychiatry
Publisher
Elsevier BV
Published
2018-07
Volume
84
Pages
54-61
ISSN
0010-440X (ISSN-L)
DOI
10.1016/j.comppsych.2018.03.012
OpenAlex
W2796196439
Cited by
55
References
67
Citations by year
2026: 2 · 2025: 4 · 2024: 6 · 2023: 10 · 2022: 6 · 2021: 11 · 2020: 9 · 2019: 5 · 2018: 2
FWCI
7.92
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Comprehensive Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Performance
Keywords
anxiety sensitivity, emotional dysregulation, posttraumatic stress symptoms, depression, panic disorder, social anxiety, firefighters, occupational trauma exposure, injury severity
MeSH terms
Adult, Affective Symptoms, Anxiety, Cross-Sectional Studies, Depression, Emotions, Humans, Male, Middle Aged, Risk Factors, Self Concept, Stress Disorders, Post-Traumatic, Self Report, Firefighters

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review