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A hazardous profession: war, journalists, and psychopathology
Anthony Feinstein1, John Owen, Nancy Blair
1Department of Psychiatry, University of Toronto, Sunnybrook and Women's College Health Sciences Centre, Ont., Canada. ant.feinstein@utoronto.ca
The American Journal of Psychiatry
|August 31, 2002
Summary
War journalists experience higher rates of psychiatric difficulties, including posttraumatic stress disorder (PTSD) and depression, compared to non-war journalists. Many war correspondents do not seek treatment for these significant psychological distress symptoms.
Area of Science:
- Psychiatry
- Journalism Studies
- Occupational Health
Background:
- War journalists face extreme occupational hazards.
- Limited data exists on the psychological well-being of war correspondents.
- Understanding the mental health impact on war journalists is crucial.
Purpose of the Study:
- To investigate and compare the psychological well-being of war journalists and non-war journalists.
- To assess the prevalence of posttraumatic stress disorder (PTSD), depression, and substance abuse in war journalists.
- To determine if war journalists are more likely to seek treatment for mental health conditions.
Main Methods:
- Self-report questionnaires (Impact of Event Scale-Revised, Beck Depression Inventory-II, General Health Questionnaire) were administered to 140 war journalists and 107 non-war journalists.
- Structured Clinical Interview for Axis I DSM-IV Disorders was used in interviews with a subset of participants.
- Data was analyzed to compare psychological distress symptoms and treatment-seeking behaviors between the two groups.
Main Results:
- War journalists reported significantly higher alcohol consumption, PTSD symptoms, and depression scores compared to non-war journalists.
- Lifetime prevalence rates for war journalists included 28.6% for PTSD, 21.4% for major depression, and 14.3% for substance abuse.
- No significant difference was found in the likelihood of seeking treatment for these disorders between the groups.
Conclusions:
- War journalists exhibit significantly higher rates of psychiatric difficulties, including PTSD and major depression, than their non-war counterparts.
- The prevalence of PTSD in war journalists is comparable to combat veterans, and major depression rates exceed those in the general population.
- News organizations should be aware of the substantial, often untreated, psychological distress experienced by war journalists.