Clinical and psychological implications of post-traumatic stress in firefighters: a moderated network study

References

• Alexander, D. A., & Klein, S. (2001). Ambulance personnel and critical incidents: Impact of accident and emergency work on mental health and emotional well-being. British Journal of Psychiatry, 178(1), 76–81. https://doi.org/10.1192/bjp.178.1.76
   PubMed Web of Science ®Google Scholar
• Alexander, D. A., & Klein, S. (2009). First responders after disasters: A review of stress reactions, at-risk, vulnerability, and resilience factors. Prehospital and Disaster Medicine: The Official Journal of the National Association of EMS Physicians and the World Association for Emergency and Disaster Medicine in Association with the Acute Care Foundation, 24(2), 87–94. https://doi.org/10.1017/s1049023x00006610
   PubMedGoogle Scholar
• American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5 (5th ed.).
   Google Scholar
• Armour, C., Fried, E. I., Deserno, M. K., Tsai, J., & Pietrzak, R. H. (2017). A network analysis of DSM-5 posttraumatic stress disorder symptoms and correlates in U.S. military veterans. Journal of Anxiety Disorders, 45, 49–59. https://doi.org/10.1016/j.janxdis.2016.11.008
   PubMed Web of Science ®Google Scholar
• Athey, A., Overholser, J., Bagge, C., Dieter, L., Vallender, E., & Stockmeier, C. A. (2018). Risk-taking behaviors and stressors differentially predict suicidal preparation, non-fatal suicide attempts, and suicide deaths. Psychiatry Research, 270, 160–167. https://doi.org/10.1016/j.psychres.2018.09.032
   PubMed Web of Science ®Google Scholar
• Bartels, L., Berliner, L., Holt, T., Jensen, T., Jungbluth, N., Plener, P., Risch, E., Rojas, R., Rosner, R., & Sachser, C. (2019). The importance of the DSM-5 posttraumatic stress disorder symptoms of cognitions and mood in traumatized children and adolescents: Two network approaches. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 60(5), 545–554. https://doi.org/10.1111/jcpp.13009
   PubMed Web of Science ®Google Scholar
• Benfer, N., Bardeen, J. R., Cero, I., Kramer, L. B., Whiteman, S. E., Rogers, T. A., Silverstein, M. W., & Weathers, F. W. (2018). Network models of posttraumatic stress symptoms across trauma types. Journal of Anxiety Disorders, 58, 70–77. https://doi.org/10.1016/j.janxdis.2018.07.004
   PubMed Web of Science ®Google Scholar
• Bentley, M. A., Crawford, J. M., Wilkins, J. R., Fernandez, A. R., & Studnek, J. R. (2013). An assessment of depression, anxiety, and stress among nationally certified EMS professionals. Prehospital Emergency Care, 17(3), 330–338. https://doi.org/10.3109/10903127.2012.761307
   PubMed Web of Science ®Google Scholar
• Birkeland, M. S., & Heir, T. (2017). Making connections: Exploring the centrality of posttraumatic stress symptoms and covariates after a terrorist attack. European Journal of Psychotraumatology, 8(sup3), 1333387. https://doi.org/10.1080/20008198.2017.1333387
   PubMed Web of Science ®Google Scholar
• Blevins, C. A., Weathers, F. W., Davis, M. T., Witte, T. K., & Domino, J. L. (2015). The posttraumatic stress disorder checklist for DSM-5 (PCL-5): Development and initial psychometric evaluation. Journal of Traumatic Stress, 28(6), 489–498. https://doi.org/10.1002/jts.22059
   PubMed Web of Science ®Google Scholar
• Boettcher, H., Brake, C. A., & Barlow, D. H. (2016). Origins and outlook of interoceptive exposure. Journal of Behavior Therapy and Experimental Psychiatry, 53, 41–51. https://doi.org/10.1016/j.jbtep.2015.10.009
   PubMed Web of Science ®Google Scholar
• Borsboom, D. (2017). A network theory of mental disorders. World Psychiatry: Official Journal of the World Psychiatric Association (WPA), 16(1), 5–13. https://doi.org/10.1002/wps.20375
   PubMed Web of Science ®Google Scholar
• Borsboom, D., & Cramer, A. O. J. (2013). Network analysis: An integrative approach to the structure of psychopathology. Annual Review of Clinical Psychology, 9(1), 91–121. https://doi.org/10.1146/annurev-clinpsy-050212-185608
   PubMed Web of Science ®Google Scholar
• Bowers, C. A., Beidel, D. C., & Marks, M. R. (Eds.). (2019). Mental health intervention and treatment of first responders and emergency workers. IGI Global. https://doi.org/10.4018/978-1-5225-9803-9
   Google Scholar
• Brown, L. A., Belli, G. M., Asnaani, A., & Foa, E. B. (2018). A review of the role of negative cognitions about oneself, others, and the world in the treatment of PTSD. Cognitive Therapy and Research, 43(1), 1–31. https://doi.org/10.1007/s10608-018-9938-1
   PubMed Web of Science ®Google Scholar
• Bryant, R. A. (2022). The nature of posttraumatic stress disorder in treatment-seeking first responders. European Journal of Psychotraumatology, 13(1), 2011602. https://doi.org/10.1080/20008198.2021.2011602
   PubMed Web of Science ®Google Scholar
• Capron, D. W., Norr, A. M., Allan, N. P., & Schmidt, N. B. (2017). Combined “top-down” and “bottom-up” intervention for anxiety sensitivity: Pilot randomized trial testing the additive effect of interpretation bias modification. Journal of Psychiatric Research, 85, 75–82. https://doi.org/10.1016/j.jpsychires.2016.11.003
   PubMed Web of Science ®Google Scholar
• Chen, J., & Chen, Z. (2008). Extended bayesian information criteria for model selection with large model spaces. Biometrika, 95(3), 759–771. https://doi.org/10.1093/biomet/asn034
   Web of Science ®Google Scholar
• Epskamp, S., Borsboom, D., & Fried, E. I. (2018). Estimating psychological networks and their accuracy: A tutorial paper. Behavior Research Methods, 50(1), 195–212. https://doi.org/10.3758/s13428-017-0862-1
   PubMed Web of Science ®Google Scholar
• Epskamp, S., Cramer, A. O. J., Waldorp, L. J., Schmittmann, V. D., & Borsboom, D. (2012). qgraph: Network visualizations of relationships in psychometric data. Journal of Statistical Software, 48(4). https://doi.org/10.18637/jss.v048.i04
   Web of Science ®Google Scholar
• Epskamp, S., & Fried, E. I. (2018). A tutorial on regularized partial correlation networks. Psychological Methods, 23(4), 617–634. https://doi.org/10.1037/met0000167
   PubMed Web of Science ®Google Scholar
• Epskamp, S., Waldorp, L. J., Mõttus, R., & Borsboom, D. (2018). The gaussian graphical model in cross-sectional and time-series data. Multivariate Behavioral Research, 53(4), 453–480. https://doi.org/10.1080/00273171.2018.1454823
   PubMed Web of Science ®Google Scholar
• Foa, E. B., Riggs, D. S., & Gershuny, B. S. (1995). Arousal, numbing, and intrusion: Symptom structure of PTSD following assault. The American Journal of Psychiatry, 152(1), 116–120. https://doi.org/10.1176/ajp.152.1.116
   PubMed Web of Science ®Google Scholar
• Fried, E. I., Eidhof, M. B., Palic, S., Costantini, G., Huisman van Dijk, H. M., Bockting, C. L. H., Engelhard, I., Armour, C., Nielsen, A. B. S., & Karstoft, K.-I. (2018). Replicability and generalizability of posttraumatic stress disorder (PTSD) networks: A cross-cultural multisite study of PTSD symptoms in four trauma patient samples. Clinical Psychological Science: A Journal of the Association for Psychological Science, 6(3), 335–351. https://doi.org/10.1177/2167702617745092
   PubMed Web of Science ®Google Scholar
• Gijzen, M. W. M., Rasing, S. P. A., Creemers, D. H. M., Smit, F., Engels, R. C. M. E., & De Beurs, D. (2021). Suicide ideation as a symptom of adolescent depression. A network analysis. Journal of Affective Disorders, 278, 68–77. https://doi.org/10.1016/j.jad.2020.09.029
   PubMed Web of Science ®Google Scholar
• Gradus, J. L. (2018). Posttraumatic stress disorder and death from suicide. Current Psychiatry Reports, 20(11), 98. https://doi.org/10.1007/s11920-018-0965-0
   PubMed Web of Science ®Google Scholar
• Gray, M. J., Litz, B. T., Hsu, J. L., & Lombardo, T. W. (2004). Psychometric properties of the life events checklist. Assessment, 11(4), 330–341. https://doi.org/10.1177/1073191104269954
   PubMed Web of Science ®Google Scholar
• Haslbeck, J. M. B., Borsboom, D., & Waldorp, L. J. (2021). Moderated network models. Multivariate Behavioral Research, 56(2), 256–287. https://doi.org/10.1080/00273171.2019.1677207
   PubMed Web of Science ®Google Scholar
• Haslbeck, J. M. B., & Waldorp, L. J. (2020). mgm : Estimating time-varying mixed graphical models in high-dimensional data. Journal of Statistical Software, 93(8). https://doi.org/10.18637/jss.v093.i08
   PubMed Web of Science ®Google Scholar
• Haugen, P. T., Evces, M., & Weiss, D. S. (2012). Treating posttraumatic stress disorder in first responders: A systematic review. Clinical Psychology Review, 32(5), 370–380. https://doi.org/10.1016/j.cpr.2012.04.001
   PubMed Web of Science ®Google Scholar
• Haugen, P. T., McCrillis, A. M., Smid, G. E., & Nijdam, M. J. (2017). Mental health stigma and barriers to mental health care for first responders: A systematic review and meta-analysis. Journal of Psychiatric Research, 94, 218–229. https://doi.org/10.1016/j.jpsychires.2017.08.001
   PubMed Web of Science ®Google Scholar
• Holliday, R., Holder, N., & Surís, A. (2018). Reductions in self-blame cognitions predict PTSD improvements with cognitive processing therapy for military sexual trauma-related PTSD. Psychiatry Research, 263, 181–184. https://doi.org/10.1016/j.psychres.2018.03.007
   PubMed Web of Science ®Google Scholar
• Hoorelbeke, K., Sun, X., Koster, E. H. W., & Dai, Q. (2021). Connecting the dots: A network approach to post-traumatic stress symptoms in Chinese healthcare workers during the peak of the coronavirus disease 2019 outbreak. Stress and Health: Journal of the International Society for the Investigation of Stress, 37(4), 692–705. https://doi.org/10.1002/smi.3027
   PubMed Web of Science ®Google Scholar
• Isvoranu, A.-M., Epskamp, S., & Cheung, M. W.-L. (2021). Network models of posttraumatic stress disorder: A meta-analysis. Journal of Abnormal Psychology, 130(8), 841–861. https://doi.org/10.1037/abn0000704
   PubMed Web of Science ®Google Scholar
• Jiang, W., Ren, Z., Yu, L., Tan, Y., & Shi, C. (2020). A network analysis of post-traumatic stress disorder symptoms and correlates during the COVID-19 pandemic. Frontiers in Psychiatry, 11, 568037. https://doi.org/10.3389/fpsyt.2020.568037
   PubMed Web of Science ®Google Scholar
• Kilpatrick, D. G., Resnick, H. S., Milanak, M. E., Miller, M. W., Keyes, K. M., & Friedman, M. J. (2013). National estimates of exposure to traumatic events and PTSD prevalence using DSM-IV and DSM-5 criteria. Journal of Traumatic Stress, 26(5), 537–547. https://doi.org/10.1002/jts.21848
   PubMed Web of Science ®Google Scholar
• Kitagawa, Y., Ando, S., Yamasaki, S., Foo, J. C., Okazaki, Y., Shimodera, S., Nishida, A., Togo, F., & Sasaki, T. (2017). Appetite loss as a potential predictor of suicidal ideation and self-harm in adolescents: A school-based study. Appetite, 111, 7–11. https://doi.org/10.1016/j.appet.2016.12.026
   PubMed Web of Science ®Google Scholar
• Kleim, B., Bingisser, M.-B., Westphal, M., & Bingisser, R. (2015). Frozen moments: Flashback memories of critical incidents in emergency personnel. Brain and Behavior, 5(7), e00325. https://doi.org/10.1002/brb3.325
   PubMed Web of Science ®Google Scholar
• Kumpula, M. J., Pentel, K. Z., Foa, E. B., LeBlanc, N. J., Bui, E., McSweeney, L. B., Knowles, K., Bosley, H., Simon, N. M., & Rauch, S. A. M. (2017). Temporal sequencing of change in posttraumatic cognitions and PTSD symptom reduction during prolonged exposure therapy. Behavior Therapy, 48(2), 156–165. https://doi.org/10.1016/j.beth.2016.02.008
   PubMed Web of Science ®Google Scholar
• Lazarov, A., Suarez-Jimenez, B., Levi, O., Coppersmith, D. D. L., Lubin, G., Pine, D. S., Bar-Haim, Y., Abend, R., & Neria, Y. (2020). Symptom structure of PTSD and co-morbid depressive symptoms - a network analysis of combat veteran patients. Psychological Medicine, 50(13), 2154–2170. https://doi.org/10.1017/S0033291719002034
   PubMed Web of Science ®Google Scholar
• Lewis-Schroeder, N. F., Kieran, K., Murphy, B. L., Wolff, J. D., Robinson, M. A., & Kaufman, M. L. (2018). Conceptualization, assessment, and treatment of traumatic stress in first responders: A review of critical issues. Harvard Review of Psychiatry, 26(4), 216–227. https://doi.org/10.1097/HRP.0000000000000176
   PubMed Web of Science ®Google Scholar
• Macia, K. S., Raines, A. M., Maieritsch, K. P., & Franklin, C. L. (2020). PTSD networks of veterans with combat versus non-combat types of index trauma. Journal of Affective Disorders, 277, 559–567. https://doi.org/10.1016/j.jad.2020.08.027
   PubMed Web of Science ®Google Scholar
• Marmar, C. R., McCaslin, S. E., Metzler, T. J., Best, S., Weiss, D. S., Fagan, J., Liberman, A., Pole, N., Otte, C., Yehuda, R., Mohr, D., & Neylan, T. (2006). Predictors of posttraumatic stress in police and other first responders. Annals of the New York Academy of Sciences, 1071(1), 1–18. https://doi.org/10.1196/annals.1364.001
   PubMed Web of Science ®Google Scholar
• McMillen, J. C., North, C. S., & Smith, E. M. (2000). What parts of PTSD are normal: Intrusion, avoidance, or arousal? Data from the Northridge, California, earthquake. Journal of Traumatic Stress, 13(1), 57–75. https://doi.org/10.1023/A:1007768830246
   PubMed Web of Science ®Google Scholar
• Menne-Lothmann, C., Viechtbauer, W., Höhn, P., Kasanova, Z., Haller, S. P., Drukker, M., van Os, J., Wichers, M., Lau, J. Y. F., & Voracek, M. (2014). How to boost positive interpretations? A meta-analysis of the effectiveness of cognitive bias modification for interpretation. Plos One, 9(6), e100925. https://doi.org/10.1371/journal.pone.0100925
   PubMed Web of Science ®Google Scholar
• Moshier, S. J., Bovin, M. J., Gay, N. G., Wisco, B. E., Mitchell, K. S., Lee, D. J., Sloan, D. M., Weathers, F. W., Schnurr, P. P., Keane, T. M., & Marx, B. P. (2018). Examination of posttraumatic stress disorder symptom networks using clinician-rated and patient-rated data. Journal of Abnormal Psychology, 127(6), 541–547. https://doi.org/10.1037/abn0000368
   PubMed Web of Science ®Google Scholar
• Obuobi-Donkor, G., Oluwasina, F., Nkire, N., & Agyapong, V. I. O. (2022). A scoping review on the prevalence and determinants of post-traumatic stress disorder among military personnel and firefighters: Implications for public policy and practice. International Journal of Environmental Research and Public Health, 19(3), 1565. https://doi.org/10.3390/ijerph19031565
   PubMed Web of Science ®Google Scholar
• Opsahl, T., Agneessens, F., & Skvoretz, J. (2010). Node centrality in weighted networks: Generalizing degree and shortest paths. Social Networks, 32(3), 245–251. https://doi.org/10.1016/j.socnet.2010.03.006
   Web of Science ®Google Scholar
• Paltell, K. C., Bing-Canar, H., Ranney, R. M., Tran, J. K., Berenz, E. C., & Vujanovic, A. A. (2019). Anxiety sensitivity moderates the effect of posttraumatic stress disorder symptoms on emotion dysregulation among trauma-exposed firefighters. Journal of Psychopathology and Behavioral Assessment, 41(3), 524–535. https://doi.org/10.1007/s10862-019-09731-4
   Web of Science ®Google Scholar
• Pfeiffer, E., Sukale, T., Müller, L. R. F., Plener, P. L., Rosner, R., Fegert, J. M., Sachser, C., & Unterhitzenberger, J. (2019). The symptom representation of posttraumatic stress disorder in a sample of unaccompanied and accompanied refugee minors in Germany: A network analysis. European Journal of Psychotraumatology, 10(1), 1675990. https://doi.org/10.1080/20008198.2019.1675990
   PubMed Web of Science ®Google Scholar
• Phillips, R. D., Wilson, S. M., Sun, D., VA Mid-Atlantic MIRECC Workgroup, & Morey, R. (2018). Posttraumatic stress disorder symptom network analysis in U.S. military veterans: Examining the impact of combat exposure. Frontiers in Psychiatry, 9, 608. https://doi.org/10.3389/fpsyt.2018.00608
   PubMed Web of Science ®Google Scholar
• Pompili, M., Sher, L., Serafini, G., Forte, A., Innamorati, M., Dominici, G., Lester, D., Amore, M., & Girardi, P. (2013). Posttraumatic stress disorder and suicide risk among veterans: A literature review. The Journal of Nervous and Mental Disease, 201(9), 802–812. https://doi.org/10.1097/NMD.0b013e3182a21458
   PubMed Web of Science ®Google Scholar
• Robinaugh, D. J., Millner, A. J., & McNally, R. J. (2016). Identifying highly influential nodes in the complicated grief network. Journal of Abnormal Psychology, 125(6), 747–757. https://doi.org/10.1037/abn0000181
   PubMed Web of Science ®Google Scholar
• Ross, J., Murphy, D., & Armour, C. (2018). A network analysis of DSM-5 posttraumatic stress disorder and functional impairment in UK treatment-seeking veterans. Journal of Anxiety Disorders, 57, 7–15. https://doi.org/10.1016/j.janxdis.2018.05.007
   PubMed Web of Science ®Google Scholar
• Rudd, M. D. (2006). Fluid vulnerability theory: A cognitive approach to understanding the process of acute and chronic suicide risk. In T. E. Ellis (Ed.), Cognition and suicide: Theory, research, and therapy (1st ed., pp. 355–368). American Psychological Association (APA).
   Google Scholar
• Rugo-Cook, K. F., Kerig, P. K., Crowell, S. E., & Bryan, C. J. (2021). Fluid vulnerability theory as a framework for understanding the association between posttraumatic stress disorder and suicide: A narrative review. Journal of Traumatic Stress, 34(6), 1080–1098. https://doi.org/10.1002/jts.22782
   PubMed Web of Science ®Google Scholar
• SAMHSA. (2018). SAMHSA disaster technical assistance center supplemental research bulletin - first responders: Behavioral health concerns, emergency response, and trauma. Substance Abuse and Mental Health Services Administration.
   Google Scholar
• Saraiya, T., & Lopez-Castro, T. (2016). Ashamed and afraid: A scoping review of the role of shame in Post-Traumatic Stress Disorder (PTSD). Journal of Clinical Medicine, 5(11), 94. https://doi.org/10.3390/jcm5110094
   PubMed Web of Science ®Google Scholar
• Segal, A., Wald, I., Lubin, G., Fruchter, E., Ginat, K., Ben Yehuda, A., Pine, D. S., & Bar-Haim, Y. (2020). Changes in the dynamic network structure of PTSD symptoms pre-to-post combat. Psychological Medicine, 50(5), 746–753. https://doi.org/10.1017/S0033291719000539
   PubMed Web of Science ®Google Scholar
• Sjoberg, D. D., Whiting, K., Curry, M., Lavery, J. A., & Larmarange, J. (2021). Reproducible summary tables with the gtsummary package. The R Journal, 13, 570–580. https://doi.org/10.32614/RJ-2021-053
   Google Scholar
• Stanley, I. H., Boffa, J. W., Tran, J. K., Schmidt, N. B., Joiner, T. E., & Vujanovic, A. A. (2019). Posttraumatic stress disorder symptoms and mindfulness facets in relation to suicide risk among firefighters. Journal of Clinical Psychology, 75(4), 696–709. https://doi.org/10.1002/jclp.22748
   PubMed Web of Science ®Google Scholar
• Stefanovic, M., Ehring, T., Wittekind, C. E., Kleim, B., Rohde, J., Krüger-Gottschalk, A., Knaevelsrud, C., Rau, H., Schäfer, I., Schellong, J., Dyer, A., & Takano, K. (2022). Comparing PTSD symptom networks in type I vs. type II trauma survivors. European Journal of Psychotraumatology, 13(2), 2114260. https://doi.org/10.1080/20008066.2022.2114260
   PubMed Web of Science ®Google Scholar
• Strom, T. Q., Leskela, J., James, L. M., Thuras, P. D., Voller, E., Weigel, R., Yutsis, M., Khaylis, A., Lindberg, J., & Holz, K. B. (2012). An exploratory examination of risk-taking behavior and PTSD symptom severity in a veteran sample. Military Medicine, 177(4), 390–396. https://doi.org/10.7205/milmed-d-11-00133
   PubMed Web of Science ®Google Scholar
• Tibshirani, R. (1996). Regression shrinkage and selection via the lasso. Journal of the Royal Statistical Society: Series B (Methodological), 58(1), 267–288. https://doi.org/10.1111/j.2517-6161.1996.tb02080.x
   Web of Science ®Google Scholar
• Vermeulen, M., Brown, A. D., Raes, F., & Krans, J. (2018). Decreasing event centrality in undergraduates using cognitive bias modification of appraisals. Cognitive Therapy and Research, 43(1), 1–12. https://doi.org/10.1007/s10608-018-9936-3
   PubMed Web of Science ®Google Scholar
• Vujanovic, A. A., & Tran, J. K. (2021). Providing psychological services to firefighters. Journal of Health Service Psychology, 47(3), 137–148. https://doi.org/10.1007/s42843-021-00041-6
   Google Scholar
• Wald, J., & Taylor, S. (2007). Efficacy of interoceptive exposure therapy combined with trauma-related exposure therapy for posttraumatic stress disorder: A pilot study. Journal of Anxiety Disorders, 21(8), 1050–1060. https://doi.org/10.1016/j.janxdis.2006.10.010
   PubMed Web of Science ®Google Scholar
• Watson, D., O’Hara, M. W., Naragon-Gainey, K., Koffel, E., Chmielewski, M., Kotov, R., Stasik, S. M., & Ruggero, C. J. (2012). Development and validation of new anxiety and bipolar symptom scales for an expanded version of the IDAS (the IDAS-II). Assessment, 19(4), 399–420. https://doi.org/10.1177/1073191112449857
   PubMed Web of Science ®Google Scholar
• Watson, D., O’Hara, M. W., Simms, L. J., Kotov, R., Chmielewski, M., McDade Montez, E. A., Gamez, W., & Stuart, S. (2007). Development and validation of the Inventory of Depression and Anxiety Symptoms (IDAS). Psychological Assessment, 19(3), 253–268. https://doi.org/10.1037/1040-3590.19.3.253
   PubMed Web of Science ®Google Scholar
• 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). National Center for PTSD.
   Google Scholar
• Weathers, F. W., Litz, B. T., Keane, T. M., Palmieri, P. A., Marx, B. P., & Schnurr, P. P. (2013). The PTSD checklist for DSM-5 (PCL-5) - LEC-5 and Extended Criterion a. [Measurement Instrument].
   Google Scholar
• Winders, W. T., Bustamante, N. D., Garbern, S. C., Bills, C., Coker, A., Trehan, I., Osei-Ampofo, M., Levine, A. C., & GEMLR. (2021). Establishing the effectiveness of interventions provided to first responders to prevent and/or treat mental health effects of response to a disaster: A systematic review. Disaster Medicine and Public Health Preparedness, 15(1), 115–126. https://doi.org/10.1017/dmp.2019.140
   PubMed Web of Science ®Google Scholar
• Wortmann, J. H., Jordan, A. H., Weathers, F. W., Resick, P. A., Dondanville, K. A., Hall-Clark, B., Foa, E. B., Young McCaughan, S., Yarvis, J. S., Hembree, E. A., Mintz, J., Peterson, A. L., & Litz, B. T. (2016). Psychometric analysis of the PTSD checklist-5 (PCL-5) among treatment-seeking military service members. Psychological Assessment, 28(11), 1392–1403. https://doi.org/10.1037/pas0000260
   PubMed Web of Science ®Google Scholar
• Würtz, F., Krans, J., Blackwell, S. E., Cwik, J. C., Margraf, J., & Woud, M. L. (2022). Using cognitive bias modification-appraisal training to manipulate appraisals about the self and the world in analog trauma. Cognitive Therapy and Research, 46(1), 232–246. https://doi.org/10.1007/s10608-021-10257-x
   Web of Science ®Google Scholar
• Yuan, H., Ren, L., Ma, Z., Li, F., Liu, J., Jin, Y., Chen, C., Li, X., Wu, Z., Cheng, S., Song, L., Wang, C., Liu, X., & Yang, Q. (2022). Network structure of PTSD symptoms in Chinese male firefighters. Asian Journal of Psychiatry, 72, 103062. https://doi.org/10.1016/j.ajp.2022.103062
   PubMed Web of Science ®Google Scholar
• Zegel, M., Lebeaut, A., Healy, N., Tran, J. K., & Vujanovic, A. A. (2022). Mental health correlates of probable posttraumatic stress disorder, probable alcohol use disorder, and their co-occurrence among firefighters. Behavior Modification, 46(2), 395–421. https://doi.org/10.1177/01454455211033517
   PubMed Web of Science ®Google Scholar
• Zoellner, L. A., Pruitt, L. D., Farach, F. J., & Jun, J. J. (2014). Understanding heterogeneity in PTSD: Fear, dysphoria, and distress. Depression and Anxiety, 31(2), 97–106. https://doi.org/10.1002/da.22133
   PubMed Web of Science ®Google Scholar