Meyer Eric C, Farchione Todd, Kimbrel Nathan A, Kwok Oi-Man, Pennington Michelle L, Rostockyj Jessica, Gulliver Suzy B
Department of Counseling and Behavioral Health, University of Pittsburgh, Pittsburgh, PA, USA.
Department of Psychological and Brain Sciences, Boston University, Boston, MA, USA.
Contemp Clin Trials Commun. 2025 Aug 18;47:101537. doi: 10.1016/j.conctc.2025.101537. eCollection 2025 Oct.
Fire fighters (FFs) risk their lives, health, and well-being through trauma exposure and other occupational stressors. FFs report concerning rates of mental health challenges, alcohol use disorders, and suicide risk. These problems tend to co-occur, as each is linked with reliance on maladaptive emotion regulation strategies. As FFs advance in their careers, many tend to rely more heavily on these maladaptive emotion regulation strategies, thus exacerbating the problems. Many FFs leave fire service prematurely due to mental and physical health problems. FFs must be equipped with more effective emotion regulation skills to buffer against stressors they will face. FFs may benefit from training in transdiagnostic emotion regulation skills delivered by credible peers upon entry and socialization into the profession, potentially preventing substantial negative outcomes downstream while promoting resilience and wellness. This paper describes a cluster randomized controlled trial to compare peer-delivered emotion regulation training with peer-delivered psychoeducation regarding mental health, both delivered during the fire academy, for preventing symptoms of PTSD (primary outcome), depression, anxiety, alcohol use disorder, and functional impairment. Emotion regulation training is based on the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders. Participants will be a non-clinical population of FF trainees completing the fire academy at 10-12 cities nationwide ( = 312). Participants will be cluster randomized to training condition by recruit class. Subsequent recruit classes will then alternate between conditions within each city. Assessment measures will be administered at pre-training baseline, post-training, and at 6-, 12-, 18-, and 24 month follow-ups.
NCT06290778.
消防员因遭受创伤及其他职业压力源而危及生命、健康和福祉。消防员报告了心理健康挑战、酒精使用障碍和自杀风险的相关比率。这些问题往往同时出现，因为每个问题都与依赖适应不良的情绪调节策略有关。随着消防员职业生涯的推进，许多人往往更严重地依赖这些适应不良的情绪调节策略，从而加剧了问题。许多消防员因身心健康问题而过早离开消防部门。消防员必须具备更有效的情绪调节技能，以缓冲他们将面临的压力源。消防员可能会从入职和融入职业时由可靠同行提供的跨诊断情绪调节技能培训中受益，这有可能预防下游的大量负面结果，同时促进恢复力和健康。本文描述了一项整群随机对照试验，以比较在消防学院期间由同行提供的情绪调节培训与关于心理健康的同行提供的心理教育，以预防创伤后应激障碍（主要结果）、抑郁、焦虑、酒精使用障碍和功能损害的症状。情绪调节培训基于情绪障碍跨诊断治疗的统一方案。参与者将是在全国10 - 12个城市完成消防学院培训的非临床消防员学员群体（ = 312）。参与者将按新兵班级整群随机分配到培训条件。随后每个城市的新兵班级将在两种条件之间交替。评估措施将在培训前基线、培训后以及6个月、12个月、18个月和24个月随访时进行。
NCT06290778。
