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. 2018 Jan 5;13(1):e0190630. doi: 10.1371/journal.pone.0190630

Table 3. Associations of posttraumatic stress disorder (PTSD) symptom severity and perceived functional impairment with barriers to treatment in firefighters with current probable PTSD but who had not received treatment from any professional (n = 1,802)a.

Concerns about
potential stigma
Perceived obstacles Joint p valuea
Adjusted OR
(95% CI)
p value Adjusted OR (95% CI) p value
PTSD symptom severity
Total PCL score, per 1-SD increase 1.16 (1.08–1.25) <0.001 1.12 (1.05–1.21) 0.001 <0.001
Total PCL score, per 10-point increase 1.19 (1.09–1.29) <0.001 1.15 (1.05–1.25) 0.001 <0.001
Perceived functional impairment
Not at all 1.00 (referent) - 1.00 (referent) -
Somewhat 1.39 (1.04–1.86) 0.03 1.28 (0.95–1.71) 0.10 0.06
Very 1.64 (1.20–2.25) 0.002 1.42 (1.03–1.95) 0.03 0.005
Extremely 1.56 (1.06–2.30) 0.02 1.19 (0.80–1.75) 0.39 0.08

Note. PCL = Posttraumatic Stress Disorder (PTSD) Checklist; OR = odds ratio; SD = standard deviation; CI = confidence interval.

a Age and rank were included as covariates, whereas years since employment was not included due to its collinearity with age (variance inflation factor = 9.1). Joint effect significance was derived from bivariate probit regression modeling [38].