A Scoping Review on the Prevalence and Determinants of Post-Traumatic Stress Disorder among Military Personnel and Firefighters: Implications for Public Policy and Practice
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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.
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A recent review reported the PTSD prevalence in firefighters to be as high as 57%.
“a recent review reported the PTSD prevalence in firefighters to be as high as 57% [66].”
From The Cyclical Battle of Insomnia and Mental Health Impairment in Firefighters: A Narrative Review (2024) · cites this paper as [66]
Psychological measurement has played a central role in HCI and CSCW.
“Psychological measurement has played a central role in the fields of human-computer interaction and computersupported cooperative work [33,61,98,131,133].”
From Measuring the Mental Health of Content Reviewers, a Systematic Review (2025) · cites this paper as [133]
The Results section (Characteristics of Studies; page not provided) describes PTSD symptom measures used in studies of firefighters and military personnel. Neither that section nor the passages found by searching for HCI, CSCW, and psychological measurement address the role of psychological measurement in those fields. (LLM, conf=0.75)
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The Influence of Social and Individual Determinants on the Ukrainian Military During Wartime
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Social and Psychological Rehabilitation of Servicemen with Post-Traumatic Stress Disorder
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Combat Trauma and Distress Symptoms Among Women Veterans
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Strategies for Reducing Greenhouse Gas Emissions and Promoting Renewable Energy
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Clinical Considerations When Working with Veterans Who are First Responders
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An Exploratory Examination of Trauma-Related Characteristics among United States Student Veterans
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Potential Lifelong Neurobiological, Bio-behavioral, and Other Outcomes of Trauma
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The Effects of Heat and Emergencies on Firefighters in Oklahoma Throughout Their Careers
Bradley, D. J. L. (2023) · Advances in human resources management and organizational development book series · doi:10.4018/978-1-6684-8691-7.ch003
ПТСР У ВІЙСЬКОВОСЛУЖБОВЦІВ: ОСОБЛИВОСТІ КЛІНІЧНОЇ КАРТИНИ ТА ПІДХОДИ ДО ЛІКУВАННЯ
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Neiterman, E., MacEachen, E., McKnight, E., Crouch, M., Kaminska, K., Malachowski, C., & Hopwood, P. (2024) · Journal of Occupational Rehabilitation · doi:10.1007/s10926-024-10189-9
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- Authors
- Obuobi-Donkor, G., Oluwasina, F., Nkire, N., & Agyapong, V. I. O.
- Affiliations
- University of Alberta (CA)
- Dalhousie University (CA)
- Corresponding author
- Obuobi-Donkor, Gloria
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- MDPI AG
- Published
- 2022-01-29
- Volume
- 19
- Issue
- 3
- Pages
- 1565
- ISSN
- 1660-4601 (ISSN-L)
- PMC
- PMC8834704
- OpenAlex
- W4210461510
- Cited by
- 111
- References
- 120
- Citations by year
- 2026: 19 · 2025: 34 · 2024: 31 · 2023: 18 · 2022: 9
- FWCI
- 3.84
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (acceptedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (acceptedVersion)
- Funders
- Government of Alberta (N/A)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Performance
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Keywords
- post-traumatic stress disorder, firefighters, military personnel, prevalence, risk factors, occupational trauma exposure, public safety personnel, veterans, social support, PTSD prevention, mental health policy
- MeSH terms
- Humans, Military Personnel, Public Policy, Stress Disorders, Post-Traumatic, Prevalence, Firefighters
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