Prevalence rate of PTSD, Depression and Anxiety symptoms among Saudi Firefighters
Open accessAbstract
Background: Firefighters have a high likelihood of being exposed to a variety of traumatic events. Traumatic events may occur during any rescue, such as providing aid to seriously injured victims or seeing a colleague injured. The psychological cost of this exposure may increase the risk of long-term problems such as PTSD symptoms, anxiety and depression. Moreover, firefighters who are injured in the line of duty sometimes have to retire as a consequence of their injury. Objective: The aim of this study was to investigate the prevalence of traumatic events, PTSD symptoms, anxiety and depression, and assess related variables such as coping strategies and social support among Saudi firefighters. Method: Two hundred Saudi firefighters completed the Firefighters Trauma History Screen (FTHS) to measure the number of traumatic events; the Screen for Post-traumatic Stress Symptoms (SPTSS) scale to assess the prevalence of PTSD symptoms; the Hospital Anxiety and Depression Scale (HADS) to assess depression and anxiety; the Brief COPE (BC) Scale to measure coping strategies used; and the Social Support Scale to evaluate the support that firefighters receive. Results: The results showed that 57% of firefighters fully met DSM-IV criteria for PTSD symptoms; the prevalence of anxiety and depression was 44.4% and 53.3% respectively. PTSD symptoms were significantly correlated with, anxiety, depression and passive coping strategies but not with active coping or social support. Conclusion: These results suggest that firefighters who experience multiple traumatic events as a result of their work environment may develop related symptoms, and they should not be neglected.
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In the same sample of 169 trauma-exposed firefighters, depression and PTSD were significantly correlated.
“Further, depression and PTSD were significantly correlated [62].”
From The Cyclical Battle of Insomnia and Mental Health Impairment in Firefighters: A Narrative Review (2024) · cites this paper as [62]
In a sample of 169 firefighters exposed to a traumatic event, 53.3% reported depression and 57% met the full DSM-IV criteria for PTSD.
“In a sample of 169 firefighters exposed to a traumatic event, 53.3% reported depression and 57% met the full DSM-IV criteria for PTSD.”
From The Cyclical Battle of Insomnia and Mental Health Impairment in Firefighters: A Narrative Review (2024) · cites this paper as [62]
Cites
The Hospital Anxiety and Depression Scale
Zigmond, A. S., & Snaith, R. P. (1983) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1983.tb09716.x · Cited by 47,139 · see citing works
Meta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults.
Brewin, C. R., Andrews, B., & Valentine, J. D. (2000) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.68.5.748 · Cited by 5,254 · see citing works
Stress, culture, and community: the psychology and philosophy of stress
(1999) · Choice Reviews Online · doi:10.5860/choice.36-6573 · Cited by 1,048 · see citing works
(2000) · PubMed · Cited by 858 · see citing works
Dohrenwend, B. P. (2000) · Journal of Health and Social Behavior · doi:10.2307/2676357 · Cited by 576 · see citing works
Johnson, J. G., Cohen, P., Dohrenwend, B. P., Link, B. G., & Brook, J. S. (1999) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.108.3.490 · Cited by 377 · see citing works
Johnson, J. G., Cohen, P. R., Dohrenwend, B. P., Link, B. G., & Brook, J. S. (1999) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.108.3.490 · Cited by 377 · see citing works
Carey, M. G., Al-Zaiti, S. S., Dean, G. E., Sessanna, L., & Finnell, D. S. (2011) · Journal of Occupational & Environmental Medicine · doi:10.1097/jom.0b013e318225898f · Cited by 350 · see citing works
Heinrichs, M., Wagner, D., Schoch, W., Soravia, L. M., Hellhammer, D. H., & Ehlert, U. (2005) · American Journal of Psychiatry · doi:10.1176/appi.ajp.162.12.2276 · Cited by 337 · see citing works
Corneil, W., Beaton, R., Murphy, S., Johnson, C., & Pike, K. (1999) · Journal of Occupational Health Psychology · doi:10.1037/1076-8998.4.2.131 · Cited by 336 · see citing works
Corneil, W., Beaton, R. D., Murphy, S. A., Johnson, C., & Pike, K. (1999) · Journal of Occupational Health Psychology · doi:10.1037//1076-8998.4.2.131 · Cited by 336 · see citing works
Maladaptive self-appraisals before trauma exposure predict posttraumatic stress disorder.
Bryant, R. A., & Guthrie, R. M. (2007) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.75.5.812 · Cited by 250 · see citing works
Marmar, C. R., Weiss, D. S., Metzler, T. J., Ronfeldt, H. M., & Foreman, C. (1996) · Journal of Traumatic Stress · doi:10.1007/bf02116834 · Cited by 250 · see citing works
A preliminary investigation of post-traumatic stress symptoms among firefighters
Haslam, C. O., & Mallon, K. (2003) · Work & Stress · doi:10.1080/02678370310001625649 · Cited by 188 · see citing works
Prevalence of posttraumatic stress disorder symptoms in firefighters
Ben, K. S. D., Scotti, J. R., Chen, Y., & Fortson, B. L. (2006) · Work & Stress · doi:10.1080/02678370600679512 · Cited by 180 · see citing works
Anxiety, Depression, and Posttraumatic Stress in Iranian Survivors of Chemical Warfare
Hashemian, F., Khoshnood, K., Desai, M. M., Falahati, F., Kasl, S. V., & Southwick, S. M. (2006) · JAMA · doi:10.1001/jama.296.5.560 · Cited by 177 · see citing works
Posttraumatic stress disorder following an air disaster: a prospective study
Epstein, R. S., Fullerton, C. S., & Ursano, R. J. (1998) · American Journal of Psychiatry · doi:10.1176/ajp.155.7.934 · Cited by 170 · see citing works
Comorbid Psychiatric Disorders in PTSD
Keane, T. M., & Kaloupek, D. G. (1997) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.1997.tb48266.x · Cited by 165 · see citing works
Brown, J. A., Mulhern, G., & Joseph, S. (2002) · Journal of Traumatic Stress · doi:10.1023/a:1014816309959 · Cited by 159 · see citing works
Psychometric Study of a Brief Screen for PTSD:Assessing the Impact of Multiple Traumatic Events
Carlson, E. B. (2001) · Assessment · doi:10.1177/107319110100800408 · Cited by 131 · see citing works
Chen, Y., Chen, M., Chou, F. H., Sun, F., Chen, P., Tsai, K., & Chao, S.-S. (2007) · Quality of Life Research · doi:10.1007/s11136-007-9248-7 · Cited by 123 · see citing works
El-Rufaie, O. E. F., & Absood, G. H. (1995) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/bf00784431 · Cited by 119 · see citing works
Mitani, S., Fujita, M., Nakata, K., & Shirakawa, T. (2006) · Journal of Emergency Medicine · doi:10.1016/j.jemermed.2005.08.008 · Cited by 116 · see citing works
Predicting post‐traumatic growth and post‐traumatic stress in firefighters
Armstrong, D., Shakespeare‐finch, J., & Shochet, I. (2014) · Australian Journal of Psychology · doi:10.1111/ajpy.12032 · Cited by 114 · see citing works
Mental Health Care in Saudi Arabia: Past, Present and Future
Koenig, H. G., Zaben, F. A., Sehlo, M. G., Khalifa, D. A., Ahwal, M. S. A., Qureshi, N. A., & Alhabeeb, A. A. (2014) · Open Journal of Psychiatry · doi:10.4236/ojpsych.2014.42016 · Cited by 111 · see citing works
Comorbid anxiety disorders in civilians seeking treatment for posttraumatic stress disorder
Zayfert, C., Becker, C. B., Unger, D. L., & Shearer, D. K. (2002) · Journal of Traumatic Stress · doi:10.1023/a:1014379127240 · Cited by 59 · see citing works
In the Line of Fire: Trauma in the Emergency Services
Regehr, C., & BOBER, T. (2005) · Cited by 59 · see citing works
Affective and anxiety comorbidity in post-traumatic stress disorder treatment trials of sertraline
Brady, K. T., & Clary, C. M. (2003) · Comprehensive Psychiatry · doi:10.1016/s0010-440x(03)00111-1 · Cited by 58 · see citing works
Comorbidity of PTSD and depression following myocardial infarction☆
Ginzburg, K. (2006) · Journal of Affective Disorders · doi:10.1016/j.jad.2006.03.016 · Cited by 48 · see citing works
Wahass, S. H., & Kent, G. G. (1997) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465800018750 · Cited by 44 · see citing works
Murphy, S. A., Beaton, R. D., Pike, K. C., & Cain, K. C. (1994) · AAOHN Journal · doi:10.1177/216507999404201102 · Cited by 40 · see citing works
Developing a self-help guide for traumatised university students in Iraq
Alatrany, S. S. J. (2012) · Nottingham ePrints (University of Nottingham) · Cited by 9 · see citing works
Angleman, A. J., Hasselt, V. B. V., Kibler, J. L., & Simco, E. R. (2011) · PsycEXTRA Dataset · doi:10.1037/e670612011-001 · Cited by 3 · see citing works
Developing effective narrative interventions for earthquake survivors
Zang, Y. (2013) · Nottingham ePrints (University of Nottingham) · Cited by 1 · see citing works
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Joseph, R., Lucca, J., Alshayban, D., & Alshehry, Y. (2021) · Journal of Infection and Public Health · doi:10.1016/j.jiph.2020.11.017 · Cited by 72 · see citing works
Asnakew, S., Shumet, S., Ginbare, W., Legas, G., & Haile, K. (2019) · BMJ Open · doi:10.1136/bmjopen-2018-028550 · Cited by 67 · see citing works
Kaurin, A., Schönfelder, S., & Wessa, M. (2018) · Journal of counseling and psychology · doi:10.1037/cou0000275 · Cited by 59 · see citing works
Tao, Y., Liu, X., Hou, W., Niu, H., Wang, S., Ma, Z., Bi, D., & Zhang, L. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2022.901686 · Cited by 39 · see citing works
Kabunga, A., Okalo, P., Nalwoga, V., & Apili, B. (2022) · BMC Psychology · doi:10.1186/s40359-022-01001-5 · Cited by 19 · see citing works
Sahebi, A., Yousefi, K., Moayedi, S., Golitaleb, N., Vardanjani, A. E., & Golitaleb, M. (2020) · Iranian Journal of Psychiatry · doi:10.18502/ijps.v15i4.4301 · Cited by 16 · see citing works
Post-Traumatic Stress Disorder among Emergency Medical Services Personnel: A Cross-sectional Study
Alaqeel, M., Aljerian, N., Alnahdi, M. A., & AlMaini, R. Y. (2019) · Asian Journal of Medical Sciences · doi:10.3126/ajms.v10i4.23990 · Cited by 15 · see citing works
Han, Y., Yun, J.-A., Jeong, K. S., Ahn, Y., & Choi, K. (2021) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2021.152250 · Cited by 12 · see citing works
Ogłodek, E. A. (2022) · Case Reports in Psychiatry · doi:10.1155/2022/7760988 · Cited by 11 · see citing works
Rapisarda, F., Guay, S., Ouellet‐Morin, I., Bond, S., & Geoffrion, S. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1303063 · Cited by 10 · see citing works
Jakubowski, T. D., & Sitko-Dominik, M. M. (2021) · PLoS ONE · doi:10.1371/journal.pone.0259025 · Cited by 10 · see citing works
The Cyclical Battle of Insomnia and Mental Health Impairment in Firefighters: A Narrative Review
Holland-Winkler, A. M., Greene, D. R., & Oberther, T. J. (2024) · Journal of Clinical Medicine · doi:10.3390/jcm13082169 · Cited by 9 · see citing works
Rourke, N. O., & Hyland, J. M. (2021) · DBS Business Review · doi:10.22375/dbr.v4i0.75 · Cited by 6 · see citing works
Majani, A. F., Ghazali, S. R., Yong, C. Y., Pauzi, N., Adenan, F., & Manogaran, K. (2022) · Asian Journal of Psychiatry · doi:10.1016/j.ajp.2022.103248 · Cited by 6 · see citing works
Kheramin, S., Shakibkhah, I., & Ashrafganjooie, M. (2019) · Iranian Red Crescent Medical Journal · doi:10.5812/ircmj.95307 · Cited by 6 · see citing works
Majani, A. F., Ghazali, S. R., Yong, C. Y., Pauzi, N., Adenan, F., & Manogaran, K. (2022) · Psychological Reports · doi:10.1177/00332941221075246 · Cited by 5 · see citing works
Alshahrani, K. M., Johnson, J., & O'Connor, D. B. (2022) · International Journal of Emergency Services · doi:10.1108/ijes-08-2021-0056 · Cited by 5 · see citing works
Lee, H.-S., Jang, S., Shin, Y., Kim, J., & Chung, S. (2024) · Psychiatric Quarterly · doi:10.1007/s11126-024-10094-7 · Cited by 3 · see citing works
Casanova, M. P., Nelson, M. C., & Baker, R. T. (2020) · Cogent Social Sciences · doi:10.1080/23311886.2020.1761509 · Cited by 3 · see citing works
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Greene, D. R., Holland-Winkler, A., Kohler, A. A., & Kinnaird, W. R. (2025) · Journal of Functional Morphology and Kinesiology · doi:10.3390/jfmk10020142 · Cited by 2 · see citing works
Hashempour, J., Shebani, Z., & Kimble, J. (2023) · International Journal of Emergency Services · doi:10.1108/ijes-12-2022-0075 · Cited by 2 · see citing works
Çelebi, I., & Gökkaya, E. (2023) · Rwanda medical journal · doi:10.4314/rmj.v80i3.10 · Cited by 2 · see citing works
Rapisarda, F., Lanovaz, M. J., Guay, S., & Geoffrion, S. (2025) · International Journal of Mental Health · doi:10.1080/00207411.2025.2486084 · Cited by 1 · see citing works
Covid-19: La evitación experiencial como predictor de hostilidad en los equipos de primera respuesta
Povea, H. R. C., Arias, P. R., Pérez, J. F. S., Salguero, W. S. Y., & Tarapués, M. L. R. (2022) · Revista Ecuatoriana de Psicología · doi:10.33996/repsi.v5i11.68
Zegel, M., Lebeaut, A., McGrew, S. J., Anderson-Fletcher, E. A., Zvolensky, M. J., & Vujanovic, A. A. (2025) · Journal of Affective Disorders · doi:10.1016/j.jad.2025.120696
Boulé, C., Guay, S., Samson-Daoust, E., & Geoffrion, S. (2026) · Santé mentale au Québec · doi:10.7202/1126802ar
Stretton, S. M., MacDermid, J. C., Killip, S. C., MacPhee, R. S., & Walton, D. M. (2026) · FACETS · doi:10.1139/facets-2026-0061
- Authors
- Alghamdi, M., Hunt, N., & Thomas, S.
- Affiliations
- Taif University (SA)
- Corresponding author
- Alghamdi, Mohammed
- Venue
- Journal of Traumatic Stress Disorders & Treatment
- Publisher
- OMICS Publishing Group
- Published
- 2017
- Volume
- 06
- Issue
- 01
- ISSN
- 2324-8947 (ISSN-L)
- OpenAlex
- W2588865041
- Cited by
- 27
- References
- 33
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 3 · 2023: 2 · 2022: 7 · 2021: 4 · 2020: 2 · 2019: 3 · 2018: 1
- FWCI
- 2.04
- Type
- journal article
- Language
- en
- Open access
- Licence
- cc-by
- Locations
- Journal of Traumatic Stress Disorders & Treatment (publishedVersion)
- Repository@Nottingham (University of Nottingham) (submittedVersion, cc-by)
- Funders
- Taif University
- 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 › COVID-19 and Mental Health
- Keywords
- post-traumatic stress disorder, firefighters, occupational injuries, anxiety, depression, coping strategies, social support, traumatic events, prevalence
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