PTSD symptom severity and impulsivity among firefighters: Associations with alcohol use
Abstract
Firefighters represent a unique population at high risk for trauma exposure, posttraumatic stress disorder (PTSD), and alcohol use. This study explored the main and interactive effects of PTSD symptom severity and impulsivity with regard to alcohol use severity. We hypothesized that higher levels of PTSD symptom severity and impulsivity would be related to greater alcohol use severity. Covariates included trauma load, depressive symptom severity, and romantic relationship status. The sample was comprised of 654 firefighters (Mage = 38.65, SD = 8.60) who endorsed exposure to potentially traumatic events and lifetime alcohol use. Firefighters completed an online questionnaire battery. A series of hierarchical regressions was conducted. PTSD symptom severity and impulsivity were significantly, incrementally associated with alcohol use severity, and a significant interactive effect was documented; firefighters with heightened PTSD symptom severity and impulsivity had the highest levels of alcohol use severity. This line of inquiry has great potential to inform prevention and intervention efforts for this vulnerable population. Clinical and research implications are discussed.
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Substance abuse has been linked to PTSD in firefighters.
“it has also been linked to other mental health conditions such as PTSD [94], depression [7], and sleep quality [7] in firefighters.”
From The Cyclical Battle of Insomnia and Mental Health Impairment in Firefighters: A Narrative Review (2024) · cites this paper as [94]
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Vara, N., Faria, S., Fonseca, S. M., & Queirós, C. M. L. (2021) · RISCOS - Associação Portuguesa de Riscos, Prevenção e Segurança eBooks · doi:10.34037/978-989-9053-06-9_1.2_34 · Cited by 1 · see citing works
- Authors
- Bartlett, B. A., Smith, L. J., Lebeaut, A., Tran, J. K., & Vujanovic, A. A.
- Affiliations
- University of Houston (US)
- Corresponding author
- Vujanovic, Anka A.
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2019-08
- Volume
- 278
- Pages
- 315-323
- ISSN
- 0165-1781 (ISSN-L)
- OpenAlex
- W2956101006
- Cited by
- 30
- References
- 74
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 7 · 2023: 4 · 2022: 4 · 2021: 5 · 2020: 4 · 2014: 1
- FWCI
- 3.80
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Psychiatry Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Performance
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- post-traumatic stress disorder, PTSD symptom severity, impulsivity, firefighters, alcohol consumption, alcohol use severity, trauma exposure, depressive symptoms, romantic relationship status, occupational injuries, interaction effects
- MeSH terms
- Adult, Alcohol Drinking, Depression, Female, Humans, Impulsive Behavior, Interpersonal Relations, Male, Middle Aged, Occupational Diseases, Surveys and Questionnaires, Severity of Illness Index, Stress Disorders, Post-Traumatic, Firefighters
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