Cognitive Resilience Training to Prevent PTSD and Major Depressive Disorder in Paramedic Recruits

Is training that targets modifiable risk factors for posttraumatic stress disorder (PTSD) and major depressive disorder (MDD) in paramedics associated with lower rates of these disorders at 1-year follow-up compared with psychoeducation and standard practice?In this randomized clinical trial of 570 student paramedics, participants who received internet-delivered cognitive training in resilience (iCT-R) over 6 weeks had a statistically significant reduction in and significantly lower odds of developing PTSD and MDD diagnoses at follow-up.These findings suggest that iCT-R reduces the likelihood of developing common psychiatric disorders associated with paramedic training and work.

Corresponding Author: Jennifer Wild, DClinPsy, Department of Experimental Psychology, University of Oxford, Life and Mind Building, Oxford OX1 3EL, United Kingdom (jennifer.wild@psy.ox.ac.uk).

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