Skip to main content
Erschienen in: Cognitive Therapy and Research 4/2018

29.01.2018 | Original Article

Posttraumatic Stress and Suicidality Among Firefighters: The Moderating Role of Distress Tolerance

verfasst von: Brooke A. Bartlett, Charles Jardin, Colleen Martin, Jana K. Tran, Sam Buser, Michael D. Anestis, Anka A. Vujanovic

Erschienen in: Cognitive Therapy and Research | Ausgabe 4/2018

Einloggen, um Zugang zu erhalten

Abstract

Firefighters report high rates of suicidality and posttraumatic stress disorder (PTSD). This investigation explored the moderating role of distress tolerance (DT) in the association between PTSD symptomatology and suicidality in firefighters. Covariates included trauma load, depressive symptom severity, gender, race, age, and education. The sample was comprised of 765 (94.0% male; Mage = 38.8, SD = 8.6) trauma-exposed firefighters who completed a questionnaire battery. Structural equation modeling was employed. PTSD symptom severity was significantly, positively associated with global suicide risk, suicidal ideation/attempt, frequency of suicidal ideation, lifetime threat of suicide, and perceived likelihood of future suicide attempts. Lower levels of DT were significantly associated with higher frequency of past-year suicidal ideation. Significant interactive effects were noted; firefighters with higher levels of PTSD symptom severity and low levels of DT had the highest levels of global suicide risk and perceived likelihood of future suicide attempt. Clinical and research implications are discussed.
Literatur
Zurück zum Zitat American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders. (5th edn.). Arlington, VA: American Psychiatric Publishing.CrossRef American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders. (5th edn.). Arlington, VA: American Psychiatric Publishing.CrossRef
Zurück zum Zitat Batterham, P. J., Ftanou, M., Pirkis, J., Brewer, J. L., Mackinnon, A. J., Beautrais, A., … Christensen, H. (2015). A systematic review and evaluation of measures for suicidal ideation and behaviors in population-based research. Psychological Assessment, 27(2), 501–512. https://doi.org/10.1037/pas0000053.CrossRefPubMed Batterham, P. J., Ftanou, M., Pirkis, J., Brewer, J. L., Mackinnon, A. J., Beautrais, A., … Christensen, H. (2015). A systematic review and evaluation of measures for suicidal ideation and behaviors in population-based research. Psychological Assessment, 27(2), 501–512. https://​doi.​org/​10.​1037/​pas0000053.CrossRefPubMed
Zurück zum Zitat Berger, W., Coutinho, E. S. F., Figueira, I., Marques-Portella, C., Luz, M. P., Neylan, T. C., … Mendlowicz, M. V. (2011). Rescuers at risk: a systematic review and meta-regression analysis of the worldwide current prevalence and correlates of PTSD in rescue workers. Social Psychiatry and Psychiatric Epidemiology, 47(6), 1001–1011. https://doi.org/10.1007/s00127-011-0408-2.CrossRefPubMedPubMedCentral Berger, W., Coutinho, E. S. F., Figueira, I., Marques-Portella, C., Luz, M. P., Neylan, T. C., … Mendlowicz, M. V. (2011). Rescuers at risk: a systematic review and meta-regression analysis of the worldwide current prevalence and correlates of PTSD in rescue workers. Social Psychiatry and Psychiatric Epidemiology, 47(6), 1001–1011. https://​doi.​org/​10.​1007/​s00127-011-0408-2.CrossRefPubMedPubMedCentral
Zurück zum Zitat Berninger, A., Webber, M. P., Cohen, H. W., Gustave, J., Lee, R., Niles, J. K., … Prezant, D. J. (2010). Trends of Elevated PTSD Risk in Firefighters Exposed to the World Trade Center Disaster: 2001–2005. Public Health Reports (1974–), 125(4), pp. 556–566.CrossRef Berninger, A., Webber, M. P., Cohen, H. W., Gustave, J., Lee, R., Niles, J. K., … Prezant, D. J. (2010). Trends of Elevated PTSD Risk in Firefighters Exposed to the World Trade Center Disaster: 2001–2005. Public Health Reports (1974–), 125(4), pp. 556–566.CrossRef
Zurück zum Zitat Briere, J. (2001). Detailed Assessment of Posttraumatic Stress: DAPS: Professional Manual. Lutz, FL: Psychological Assessment Resources. Briere, J. (2001). Detailed Assessment of Posttraumatic Stress: DAPS: Professional Manual. Lutz, FL: Psychological Assessment Resources.
Zurück zum Zitat McCammon, S. L. (1996). Emergency medical service workers: Occupational stress and traumatic stress. In D. Paton & J. M. Violanti (Eds.), Traumatic stress in critical occupations: Recognition, consequences and treatment (pp. 58–86). Springfield, IL: Charles C Thomas Publisher. McCammon, S. L. (1996). Emergency medical service workers: Occupational stress and traumatic stress. In D. Paton & J. M. Violanti (Eds.), Traumatic stress in critical occupations: Recognition, consequences and treatment (pp. 58–86). Springfield, IL: Charles C Thomas Publisher.
Zurück zum Zitat Morey, L. (2007). Personality Assessment Inventory professional manual (2nd edn.). Odessa, FL: Psychological Assessment Resources. Morey, L. (2007). Personality Assessment Inventory professional manual (2nd edn.). Odessa, FL: Psychological Assessment Resources.
Zurück zum Zitat Osman, A., Bagge, C., Guitierrez, P., Konick, L., Kooper, B., & Barrios, F. (2001). The suicidal behaviors questionnaire-revised (SBQ-R): Validation with clinical and nonclinical samples. Assessment, 5, 443–454.CrossRef Osman, A., Bagge, C., Guitierrez, P., Konick, L., Kooper, B., & Barrios, F. (2001). The suicidal behaviors questionnaire-revised (SBQ-R): Validation with clinical and nonclinical samples. Assessment, 5, 443–454.CrossRef
Zurück zum Zitat Vujanovic, A. A., Bakhshaie, J., Martin, C., Reddy, M. K., & Anestis, M. D. (2017). Posttraumatic stress and distress tolerance: Associations with suicidality in acute-care psychiatric inpatients. Journal of Nervous and Mental Disease 205, 531–541.CrossRefPubMed Vujanovic, A. A., Bakhshaie, J., Martin, C., Reddy, M. K., & Anestis, M. D. (2017). Posttraumatic stress and distress tolerance: Associations with suicidality in acute-care psychiatric inpatients. Journal of Nervous and Mental Disease 205, 531–541.CrossRefPubMed
Zurück zum Zitat Vujanovic, A. A., Litz, B. T., & Farris, S. G. (2015). Distress Tolerance as Risk and Maintenance Factor for PTSD: Empirical and Clinical Implications. In C. R. Martin, V. R. Preedy & V. B. Patel (Eds.), Comprehensive Guide to Post-Traumatic Stress Disorder (pp. 1–13). New York: Springer International Publishing. Vujanovic, A. A., Litz, B. T., & Farris, S. G. (2015). Distress Tolerance as Risk and Maintenance Factor for PTSD: Empirical and Clinical Implications. In C. R. Martin, V. R. Preedy & V. B. Patel (Eds.), Comprehensive Guide to Post-Traumatic Stress Disorder (pp. 1–13). New York: Springer International Publishing.
Zurück zum Zitat Weathers, F. W., Blake, D. D., Schnurr, P. P., Kaloupek, D. G., Marx, B. P., & Keane, T. M. (2013). The life events checklist for DSM-5 (LEC-5). Retrieved from http://www.ptsd.va.gov. Weathers, F. W., Blake, D. D., Schnurr, P. P., Kaloupek, D. G., Marx, B. P., & Keane, T. M. (2013). The life events checklist for DSM-5 (LEC-5). Retrieved from http://​www.​ptsd.​va.​gov.
Zurück zum Zitat Weathers, F. W., Litz, B. T., & Herman, D. S. (1993). The PTSD Checklist (PCL): Reliability, validity, and diagnostic utility. Presented at the Meeting of the International Society for Traumatic Stress Studies. Weathers, F. W., Litz, B. T., & Herman, D. S. (1993). The PTSD Checklist (PCL): Reliability, validity, and diagnostic utility. Presented at the Meeting of the International Society for Traumatic Stress Studies.
Metadaten
Titel
Posttraumatic Stress and Suicidality Among Firefighters: The Moderating Role of Distress Tolerance
verfasst von
Brooke A. Bartlett
Charles Jardin
Colleen Martin
Jana K. Tran
Sam Buser
Michael D. Anestis
Anka A. Vujanovic
Publikationsdatum
29.01.2018
Verlag
Springer US
Erschienen in
Cognitive Therapy and Research / Ausgabe 4/2018
Print ISSN: 0147-5916
Elektronische ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-018-9892-y

Weitere Artikel der Ausgabe 4/2018

Cognitive Therapy and Research 4/2018 Zur Ausgabe

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.