{"doi":"10.1037/tra0001393","title":"Distress overtolerance among firefighters: Associations with posttraumatic stress.","abstract":"OBJECTIVE: Firefighters experience heightened rates of posttraumatic stress disorder (PTSD) symptoms compared to the general population. Nascent literature has identified distress overtolerance (DO; i.e., the tendency to persist through extremely high levels of distress despite harmful consequences) as a construct of potential relevance to PTSD symptomatology, though empirical research is lacking. The present study examined incremental associations between DO subscales (Capacity for Harm: persevering through distress despite its effect on 1's wellbeing; Fear of Negative Evaluation: persisting through distress due to a fear of being negatively evaluated by others should they quit) and PTSD symptom severity and symptom cluster severity (i.e., intrusion, avoidance, negative alterations in cognitions and mood [NACM], arousal and reactivity) among firefighters. METHOD: = 9.6). Covariates included years in the fire service, trauma load (i.e., number of trauma exposure types), and negative affect. RESULTS: = .005). Fear of Negative Evaluation was not significantly related to any criterion variables. CONCLUSION: Further work examining DO-PTSD relations is necessary to inform intervention and policy for the fire service. (PsycInfo Database Record (c) 2023 APA, all rights reserved).","journal":"Psychological Trauma Theory Research Practice and Policy","year":2022,"id":278186,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":7,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9529,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2022-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":950274,"name":"Katherine E. Kabel","orcid":"0000-0002-1803-874X","position":1,"is_corresponding":false},{"id":924893,"name":"Antoine Lebeaut","orcid":"0000-0003-3267-167X","position":2,"is_corresponding":false},{"id":798213,"name":"Anka A. Vujanovic","orcid":"0000-0002-6099-3046","position":3,"is_corresponding":false},{"id":924894,"name":"Maya Zegel","orcid":"0000-0002-1432-8168","position":0,"is_corresponding":true}],"reference_count":9,"raw_metadata":null,"created_at":"2026-07-19T00:28:43.133347Z","pmid":"36301294","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}