Childhood care and abuse in firefighters assessed for mental ill-health following the Fort McMurray fire of May 2016.
Background: We aimed to determine the relationship between childhood abuse and mental ill-health in firefighters deployed to a devastating fire that engulfed Fort McMurray Methods: A stratified sample of 282 firefighters was selected from a cohort of 1234 for assessment by Structured Clinical Interv...
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ftdoajarticles:oai:doaj.org/article:00e7875551e5495faed3e886d3829d8f 2023-05-15T16:17:37+02:00 Childhood care and abuse in firefighters assessed for mental ill-health following the Fort McMurray fire of May 2016. Nicola Cherry Jean-Michel Galarneau Andrea Melnyk Scott Patten 2021-04-01T00:00:00Z https://doi.org/10.1016/j.jadr.2021.100090 https://doaj.org/article/00e7875551e5495faed3e886d3829d8f EN eng Elsevier http://www.sciencedirect.com/science/article/pii/S2666915321000172 https://doaj.org/toc/2666-9153 2666-9153 doi:10.1016/j.jadr.2021.100090 https://doaj.org/article/00e7875551e5495faed3e886d3829d8f Journal of Affective Disorders Reports, Vol 4, Iss , Pp 100090- (2021) Childhood abuse Anxiety disorders Depressive disorders PTSD Substance use disorders Firefighters Mental healing RZ400-408 article 2021 ftdoajarticles https://doi.org/10.1016/j.jadr.2021.100090 2022-12-31T15:22:38Z Background: We aimed to determine the relationship between childhood abuse and mental ill-health in firefighters deployed to a devastating fire that engulfed Fort McMurray Methods: A stratified sample of 282 firefighters was selected from a cohort of 1234 for assessment by Structured Clinical Interview (SCID) for DSM-5 diagnostic criteria and the Childhood Experience of Care and Abuse questionnaire (CECA-Q). Diagnoses were grouped as post-traumatic stress disorder (PTSD), anxiety disorders, depressive disorders and substance use disorders. Scales extracted from the CECA-Q included parental loss, antipathy, neglect, physical punishment, sexual abuse and support from a same-age confidant. The relation to diagnostic group was examined by multivariable logistic regression Results: 192 SCID interviews and 188 CECA-Qs were completed: 124 met DSM-5 criteria for diagnoses including anxiety disorder (56), depressive disorder (54), PTSD (77) and substance use disorder (43). Childhood sexual abuse was reported by 24 firefighters all of whom met DSM-5 diagnostic criteria. Sexual abuse and a childhood confidant differentiated diagnoses in an initial multivariable model of those with psychiatric disorders. Compared to those without a psychiatric diagnosis, father's antipathy was related to anxiety and substance use, physical punishment to PTSD and substance use. A childhood same-age confidant protected against anxiety, depression and PTSD. Fire exposures related only to PTSD. Limitations: The comparison group without mental disorders was small. Childhood abuse information was collected retrospectively and may be biased by current state. Conclusions: Firefighters’ mental health is a function of both work-role traumas and childhood events. Occupational health provision must address this complexity. Article in Journal/Newspaper Fort McMurray Directory of Open Access Journals: DOAJ Articles Fort McMurray Journal of Affective Disorders Reports 4 100090 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Childhood abuse Anxiety disorders Depressive disorders PTSD Substance use disorders Firefighters Mental healing RZ400-408 |
spellingShingle |
Childhood abuse Anxiety disorders Depressive disorders PTSD Substance use disorders Firefighters Mental healing RZ400-408 Nicola Cherry Jean-Michel Galarneau Andrea Melnyk Scott Patten Childhood care and abuse in firefighters assessed for mental ill-health following the Fort McMurray fire of May 2016. |
topic_facet |
Childhood abuse Anxiety disorders Depressive disorders PTSD Substance use disorders Firefighters Mental healing RZ400-408 |
description |
Background: We aimed to determine the relationship between childhood abuse and mental ill-health in firefighters deployed to a devastating fire that engulfed Fort McMurray Methods: A stratified sample of 282 firefighters was selected from a cohort of 1234 for assessment by Structured Clinical Interview (SCID) for DSM-5 diagnostic criteria and the Childhood Experience of Care and Abuse questionnaire (CECA-Q). Diagnoses were grouped as post-traumatic stress disorder (PTSD), anxiety disorders, depressive disorders and substance use disorders. Scales extracted from the CECA-Q included parental loss, antipathy, neglect, physical punishment, sexual abuse and support from a same-age confidant. The relation to diagnostic group was examined by multivariable logistic regression Results: 192 SCID interviews and 188 CECA-Qs were completed: 124 met DSM-5 criteria for diagnoses including anxiety disorder (56), depressive disorder (54), PTSD (77) and substance use disorder (43). Childhood sexual abuse was reported by 24 firefighters all of whom met DSM-5 diagnostic criteria. Sexual abuse and a childhood confidant differentiated diagnoses in an initial multivariable model of those with psychiatric disorders. Compared to those without a psychiatric diagnosis, father's antipathy was related to anxiety and substance use, physical punishment to PTSD and substance use. A childhood same-age confidant protected against anxiety, depression and PTSD. Fire exposures related only to PTSD. Limitations: The comparison group without mental disorders was small. Childhood abuse information was collected retrospectively and may be biased by current state. Conclusions: Firefighters’ mental health is a function of both work-role traumas and childhood events. Occupational health provision must address this complexity. |
format |
Article in Journal/Newspaper |
author |
Nicola Cherry Jean-Michel Galarneau Andrea Melnyk Scott Patten |
author_facet |
Nicola Cherry Jean-Michel Galarneau Andrea Melnyk Scott Patten |
author_sort |
Nicola Cherry |
title |
Childhood care and abuse in firefighters assessed for mental ill-health following the Fort McMurray fire of May 2016. |
title_short |
Childhood care and abuse in firefighters assessed for mental ill-health following the Fort McMurray fire of May 2016. |
title_full |
Childhood care and abuse in firefighters assessed for mental ill-health following the Fort McMurray fire of May 2016. |
title_fullStr |
Childhood care and abuse in firefighters assessed for mental ill-health following the Fort McMurray fire of May 2016. |
title_full_unstemmed |
Childhood care and abuse in firefighters assessed for mental ill-health following the Fort McMurray fire of May 2016. |
title_sort |
childhood care and abuse in firefighters assessed for mental ill-health following the fort mcmurray fire of may 2016. |
publisher |
Elsevier |
publishDate |
2021 |
url |
https://doi.org/10.1016/j.jadr.2021.100090 https://doaj.org/article/00e7875551e5495faed3e886d3829d8f |
geographic |
Fort McMurray |
geographic_facet |
Fort McMurray |
genre |
Fort McMurray |
genre_facet |
Fort McMurray |
op_source |
Journal of Affective Disorders Reports, Vol 4, Iss , Pp 100090- (2021) |
op_relation |
http://www.sciencedirect.com/science/article/pii/S2666915321000172 https://doaj.org/toc/2666-9153 2666-9153 doi:10.1016/j.jadr.2021.100090 https://doaj.org/article/00e7875551e5495faed3e886d3829d8f |
op_doi |
https://doi.org/10.1016/j.jadr.2021.100090 |
container_title |
Journal of Affective Disorders Reports |
container_volume |
4 |
container_start_page |
100090 |
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1766003502642888704 |