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Firefighters, posttraumatic stress disorder, and barriers to treatment: Results from a nationwide total population survey

Title
Firefighters, posttraumatic stress disorder, and barriers to treatment: Results from a nationwide total population survey
Authors
Kim, Jieun E.Dager, Stephen R.Jeong, Hyeonseok S.Ma, JiyoungPark, ShinwonKim, JungyoonChoi, YeraLee, Suji L.Kang, IlhyangHa, EunjiCho, Han ByulLee, SunhoKim, Eui-JungYoon, SujungLyoo, In Kyoon
Ewha Authors
김의정류인균윤수정
SCOPUS Author ID
김의정scopus; 류인균scopus; 윤수정scopus
Issue Date
2018
Journal Title
PLOS ONE
ISSN
1932-6203JCR Link
Citation
vol. 13, no. 1
Publisher
PUBLIC LIBRARY SCIENCE
Indexed
SCIE; SCOPUS WOS
Abstract
Repeated exposure to traumatic experiences may put professional firefighters at increased risk of developing posttraumatic stress disorder (PTSD). To date, however, the rate of PTSD symptoms, unmet need for mental health treatment, and barriers to treatment have only been investigated in subsamples rather than the total population of firefighters. We conducted a nationwide, total population-based survey of all currently employed South Korean firefighters (n = 39,562). The overall response rate was 93.8% (n = 37,093), with 68.0% (n = 26,887) complete responses for all variables. The rate of current probable PTSD was estimated as 5.4%. Among those with current probable PTSD (n = 1,995), only a small proportion (9.7%) had received mental health treatment during the past month. For those who had not received treatment, perceived barriers of accessibility to treatment (29.3%) and concerns about potential stigma (33.8%) were reasons for not receiving treatment. Although those with higher PTSD symptom severity and functional impairment were more likely to seek treatment, greater symptom severity and functional impairment were most strongly associated with increased concerns about potential stigma. This nationwide study points to the need for new approaches to promote access to mental health treatment in professional firefighters.
DOI
10.1371/journal.pone.0190630
Appears in Collections:
의학전문대학원 > 의학과 > Journal papers
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