"Objective: To determine risk factors for symptoms of PTSD and depression in frontline journalists that traverse type of conflict, degree of exposure to stressors, language, and culture. Methods: A retrospective analysis of 1,103 frontline journalists from 12 datasets (Balkans, 9/11 attacks, Iraq, M
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exico, Israel, Syria, Afghanistan, Iran, Kenya, refugee crisis, user-generated content [visually traumatic images], and moral injury project) accumulated between 2000 and 2022. Symptoms of PTSD were assessed, in the first language of participants, with validated versions of the Revised Impact of Event Scale (* = .96) and PTSD Checklist for DSM-5 (* = .96) and symptoms of depression with validated versions of the Beck Depression Inventory-Revised (* = .92). Data were analyzed using linear mixed models to take into account inherent between-study differences. Results: Mean age and work duration were 39.12 (SD = 9.58) and 14.64 (SD = 9.13) years, respectively. Most journalists were male (66.27%), university educated (82.23%), and in a relationship (56.12%). While symptom severity scores varied considerably across studies, three variables were found that predicted symptoms of PTSD and depression in all studies, namely being female, single, and having a past history of psychiatric difficulties. Conclusions: News organizations have a moral obligation to care for journalists sent into harm's way. The identification of risk factors for symptoms of PTSD and depression common to journalists irrespective of the nature of the conflict covered, degree of exposure to conflict, and differences in language and culture is an important step in promoting this duty of care. (PsycInfo Database Record (c) 2023 APA, all rights reserved)." (Abstract)
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"This article presents a mapping review of the available literature on the emotional well-being of journalists exposed to traumatic events. The review consists of three parts: (a) a summary of the results of trauma-related literature; (b) identification of the limitations of studies to date; and (c)
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suggestions for future research. The overview of the reviewed studies is provided as a table." (Abstract)
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"Afghanistan is one of the world’s most dangerous places for journalists. There are, however, no data on the mental health of Afghan journalists covering conflict in their country. The study aims to determine the degree to which Afghan journalists are exposed to traumatic events, their perceptions
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of organizational support, their rates of symptoms of posttraumatic stress disorder (PTSD) and depression, their utilization of mental health services and the effectiveness of the treatment received.
Design/methodology/approach: The entire study was undertaken in Dari (Farsi). Five major Afghan news organizations representing 104 journalists took part of whom 71 (68%) completed a simple eleven-point analog scale rating perceptions of organizational support. Symptoms of PTSD and depression were recorded with the Impact of Event Scale – Revised (IES-R) and the Centre for Epidemiologic Studies Depression Scale (CES-D), respectively. Behavioral comparisons were undertaken between those journalists who had and had not received mental health therapy.
Findings: The majority of journalists exceeded cutoff scores for PTSD and major depression and reported high rates for exposure to traumatic events. There were no significant differences in IES-R and CES-D scores between journalists who had and had not received mental health therapy. Most journalists did not view their employers as supportive.
Originality/value: To the best of authors’ knowledge, this is the first study to collect empirical data on the mental health of Afghan journalists. The results highlight the extreme stressors confronted by them, their correspondingly high levels of psychopathology and the relative ineffectiveness of mental health therapy given to a minority of those in distress. The implications of these findings are discussed." (Abstract)
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"The objective of the current study was to determine the frequency and severity of symptoms of posttraumatic stress disorder (PTSD) in journalists covering conflict. Methods: PTSD data (Impact of Event Scale-Revised) collected over an 18-year period from 684 conflict journalists were analyzed retros
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pectively for frequency and severity of reexperiencing, avoidance, and arousal symptoms. Conflicts covered were civil wars in the Balkans ( n = 140 journalists), 9/11 attack in New York City ( n = 46), Iraq war ( n = 84), Mexico drug wars ( n = 104), civil war in Syria ( n = 59), Kenya election violence/Al-Shabab terror ( n = 57), state-sanctioned media intimidation in Iran ( n = 114), and the current migration crisis in Europe ( n = 80).
Results: The mean age of the sample was 38.59 (SD = 8.35) years, 461 (67%) journalists were men, and the mean duration of conflict work was 13.42 (SD = 7.74) years. The 5 most frequently endorsed symptoms were in the reexperiencing/intrusion category. Mean intrusion (1.31, SD = 0.97), avoidance (1.08, SD = 0.89), and arousal (1.07, SD = 0.96) scores for the entire sample were in the mild range. Being female and less educated independently predicted PTSD symptoms.
Conclusions: PTSD phenomenology in a group of conflict journalists with well over a decade of frontline experience is dominated by reexperiencing symptoms. While symptom severity is for the most part mild, group means can obscure those individuals with significantly more severe difficulties." (Abstract)
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"Objective: To explore the emotional health of journalists covering the migrations of refugees across Europe. Design: Descriptive. A secure website was established and participants were given their unique identifying number and password to access the site. Setting: Newsrooms and in the field. Partic
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ipants: Responses were received from 80 (70.2%) of 114 journalists from nine news organisations. Main outcome measures: Symptoms of PTSD (Impact of Events Scale-revised), depression (Beck Depression Inventory-Revised) and moral injury (Moral Injury Events Scale-revised).
Results: Symptoms of PTSD were not prominent, but those pertaining to moral injury and guilt were. Moral injury was associated with being a parent (p*=*.031), working alone (p*=*.02), a recent increase in workload (p*=*.017), a belief that organisational support is lacking (p*=*.046) and poor control over resources needed to report the story (p*=*.027). A significant association was found between guilt and moral injury (p*=*.01) with guilt more likely to occur in journalists who reported covering the migrant story close to home (p*=*.011) and who divulged stepping outside their role as a journalist to assist migrants (p*=*.014). Effect sizes (d) ranged from .47 to .71.
Conclusions: On one level, the relatively low scores on conventional psychometric measures of PTSD and depression are reassuring. However, our data confirm that moral injury is a different construct from DSM-defined trauma response syndromes, one that potentially comes with its own set of long-term maladaptive behaviours and adjustment problems." (Abstract)
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"Objectives: To determine the emotional wellbeing of journalists who work in Iran. Methods: A website was established and journalists in newsrooms in Iran and the Diaspora were given information to access the site. Responses were received from 114 journalists (76 per per cent cent). The mean age was
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37.8 years and 57 per cent were male. Primary outcomes measures: Impact of Event Scale-revised for posttraumatic stress disorder, Beck Depression Inventory-II for depression. Results: Stressors included arrest (41.2 per cent), torture (19.3 per cent), assault (10.5 per cent), intimidation (51.4 per cent) and family threatened (43.1 per cent). Eighty-nine (78.1 per cent) journalists had stopped working on a story because of intimidation. Arrest, torture, intimidation and family threatened were associated with more PTSD symptoms and assault and intimidation with more depressive symptoms. Almost a third used barbiturates, with use correlating with symptoms of intrusion, avoidance, arousal and depression. Conclusions: Iranian journalists confront an extraordinary degree of danger. Self-medication of emotional distress with barbiturates gives additional cause for concern." (Abstract)
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"To support joint efforts to protect journalism, there is a growing need for research-based knowledge. Acknowledging this need, the aim of this publication is to highlight and fuel journalist safety as a field of research, to encourage worldwide participation, as well as to inspire further dialogues
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and new research initiatives. The contributions represent diverse perspectives on both empirical and theoretical research and offer many quantitatively and qualitatively informed insights. The articles demonstrate that a new important interdisciplinary research field is in fact emerging, and that the fundamental issue remains identical: Violence and threats against journalists constitute an attack on freedom of expression." (Back cover)
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"Iran ranks 173 out of 180 countries on an index of press freedom. The purpose of the study was to assess the psychological wellbeing of Iranian journalists and document the stressors encountered in their work. Design: A secure website was established and participants were given their unique identif
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ying number and password to access the site. Setting: Newsrooms in Iran and the diaspora. Participants: Responses were received from 114 journalists (76%) of whom 65.8% were living in the diaspora. The mean age was 37.8 years (SD*=*7.30) and 57% male. Main outcomes measures: Type of stressor and behavioural data: Impact of Event Scale-revised for posttraumatic stress disorder, Beck Depression Inventory-II for depression. Results: Stressors include arrest (41.2%), torture (19.3%), assault (10.5%), intimidation (51.4%) and family threatened (43.1%). Eighty nine (78.1%) journalists had stopped working on a story because of intimidation. Arrest, torture, intimidation and family threatened were associated with more intrusive and arousal PTSD symptoms (p*<*.01 to .001) and assault and intimidation with more depressive symptoms (p*<*.05). Almost a third of Iranian journalists regularly used barbiturates, with use correlating with symptoms of intrusion (p*<*.0001), avoidance (p*<*.01), arousal (p*<*.0001) and depression (p*<*.0001). 46.5% of Iranian journalists were not receiving therapy for their distress. Conclusions: The findings, the first of their kind, provide data highlighting the extraordinary degree of danger confronted by Iranian journalists, their emotional distress in response to this and their proclivity to self-medicate with barbiturates." (Abstract)
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"Purpose: More journalists died in Syria during 2013 than in any other country experiencing conflict. This statistic raises concerns about the psychological wellbeing of journalists covering the internecine violence. The paper aims to discuss this issue. Design/methodology/approach: The study sample
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was made up of 59 western journalists currently covering the Syrian conflict. To place these results in the broader context of war journalism previously collected data from a group of 84 journalists who had reported the war in Iraq were used as a control sample. Outcome measures included indices of posttraumatic stress disorder (PTSD) (Impact of Event Scale-revised) and psychological distress (General Health Questionnaire-28 item version (GHQ-28)). Findings: Compared to journalists who covered the Iraq war, the journalists working in Syria were more likely to be female (p = 0.007), single (p = 0.018), freelance (p = 0.0001) and had worked fewer years as a journalist (p = 0.012). They were more depressed according to the GHQ-28 (p = 0.001) and endorsed more individual symptoms of depression including worthlessness (p = 0.012), helplessness (p = 0.02) and suicidal intent (p = 0.003). A linear regression analysis revealed that the group differences in depression data could not be accounted for by demographic factors. Research limitations/implications: An absence of structured interviews. Results not applicable to local Syrian journalists. Practical implications: Western journalists covering Syrian appear to be particularly vulnerable to the development of depression. Journalists and the news organizations that employ them need to be cognizant of data such as these. Given that depression is treatable, there needs to be a mechanism in place to detect and treat those in need. Originality/value: This is the first study that highlights the emotional toll on western journalists covering the Syrian conflict. (PsycInfo Database Record (c) 2020 APA, all rights reserved)." (Abstract)
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"Objective: To assess the psychological health of journalists in Kenya who have reported on, and been exposed to, extreme violence. Design: Descriptive. Psychological responses were elicited to two stressors, the ethnic violence surrounding the disputed 2007 general election and the Al-Shabab attack
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on the Westgate Mall in Nairobi. Participants: A representative sample of 90 Kenyan journalists was enrolled. Setting: Newsrooms of two national news organizations in Kenya. Main outcome measures: Symptoms of post-traumatic stress disorder (Impact of Event Scale-revised), depression (Deck Depression inventory-revised) and general psychological wellbeing (General Health Questionnaire).
Results: Of the 90 journalists approached 57 (63.3%) responded. Journalists covering the election violence (n*=*23) reported significantly more PTSD type intrusion (p*=*0.027) and arousal (p*=*0.024) symptoms than their colleagues (n*=*34) who had not covered the violence. Reporting the Westgate attack was not associated with increased psychopathology. Being wounded (n*=*11) emerged as the most robust independent predictor of emotional distress. Journalists covering the ethnic violence compared to colleagues who did not were not more likely to receive psychological counselling.
Conclusions: These data, the first of their kind from an African country, replicate findings over a decade old from Western media, namely that journalists asked to cover life-threatening events may develop significant symptoms of emotional difficulties and fail to receive therapy for them. Good journalism, a pillar of civil society, depends on healthy journalists. It is hoped that these data act as a catalyst encouraging news organisations sending journalists into harm’s way to look out for their psychological health in doing so." (Abstract)
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"Objective: User Generated Content – photos and videos submitted to newsrooms by the public – has become a prominent source of information for news organisations. Journalists working with uncensored material can frequently witness disturbing images for prolonged periods. How this might affect th
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eir psychological health is not known and it is the focus of this study.
Design: Descriptive, exploratory. Setting: The newsrooms of three international news organisations. Participants: One hundred and sixteen journalists working with User Generated Content material. Main outcome measures: Psychometric data included the re-experiencing, avoidance and autonomic arousal indices of posttraumatic stress disorder (Impact of Event Scale-revised), depression (Beck Depression Inventory-II; BDI-II), a measure of psychological distress (GHQ-28), the latter comprising four subscales measuring somatisation, anxiety, social dysfunction and depression, and mean weekly alcohol consumption divided according to gender.
Results: Regression analyses revealed that frequent (i.e. daily) exposure to violent images independently predicted higher scores on all indices of the Impact of Event Scale-revised, the BDI-II and the somatic and anxiety subscales of the GHQ-28. Exposure per shift only predicted scores on the intrusion subscale of the Impact of Event Scale-revised.
Conclusions: The present study, the first of its kind, suggests that frequency rather than duration of exposure to images of graphic violence is more emotionally distressing to journalists working with User Generated Content material. Given that good journalism depends on healthy journalists, news organisations will need to look anew at what can be done to offset the risks inherent in viewing User Generated Content material. Our findings, in need of replication, suggest that reducing the frequency of exposure may be one way to go." (Abstract)
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"Purpose: War journalists confront many dangers, leaving them at risk for mental health problems. They are, however, able to take breaks from the hazards of frontline work by periodically leaving conflict zones for the safety of home. This respite is not afforded local journalists who cover conflict
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situations. An example of this may be found in Mexico where journalists reporting on the drug cartels may under threat. This inability to seek temporary respite from grave danger may theoretically increase levels of psychological distress. The purpose of this paper is to examine this possibility.
Design/methodology/approach: The study sample comprised 104 Mexican journalists and a control group of 104 war journalists (non*Mexican, demographically matched). Outcome measures included indices of posttraumatic stress disorder (Impact of Event Scale*Revised)(IES*R), depression (Beck Depression Inventory*Revised (BDI*II) and psychological distress (General Health Questionnaire*28 (GHQ*28).
Findings: Mexican journalists had higher scores on the avoidance (p=0.01), arousal (p=0.0001), but not intrusion (p=0.29) scales of the IES*R. They had higher scores on the BDI*II (p=0.0001) and anxiety (p=0.0001), somatic (p=0.0001) and social dysfunction (p=0.01) subscales of the GHQ*28.
Practical implications: Mexican journalists targeted by drug cartels have more psychopathology than journalists who cover war. News organisations that employ journalists in this line of work therefore need to be aware of this and have a mechanism in place to provide treatment, when needed. Originality/value: This is the first study to directly explore the psychological effects of violence on local journalists who do not cover war, but nevertheless live and work in areas of grave danger." (Abstract)
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"This study examines the psychological health of contractors working in war zones. Seventy-nine contractors completed an Internet-based psychiatric assessment. The sample was exclusively male with a mean age of 43 (SD = 7) years. The number of contractors whose scores exceeded the cutoff points for
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depression, psychological distress, and excessive weekly alcohol consumption were 15 (20%), 21 (28%), and 13 (17%), respectively. A third of contractors had posttraumatic stress disorder (PTSD) scores in the moderate to severe range. Approximately 10% of contractors had employer-organized access to psychological help following deployment. This study provides the first empirical data showing that a significant minority of contractors working in war zones are psychologically distressed and not receiving therapy." (Abstract)
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"As journalists in Iraq and other hot spots around the world continue to face harrowing dangers and personal threats, neuropsychiatrist Anthony Feinstein offers a timely and important exploration
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into the psychological damage of those who, armed only with pen, tape recorder, or camera, bear witness to horror. Based on a series of recent studies investigating the emotional impact of war on the profession, Journalists under Fire breaks new ground in the study of trauma-related disorders." (Abstract)
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"The current war in Iraq saw an alliance between the media and the military, a process called embedded journalism. The aim of this study was to explore whether this process affected the journalists' vulnerability to psychological distress. Eighty-five of 100 journalists approached agreed to particip
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ate; 38 (44.7%) were embedded. There were no differences between embedded and unilateral (nonembedded) journalists on demographic measures or in their exposure to traumatic events. Similarly, the two groups did not differ on indices of posttraumatic stress disorder, depression, psychological distress, and substance use. Based on General Health Questionnaire scores, one third of all journalists were psychologically distressed. There is no evidence from the recent war in Iraq suggesting that embedded journalists are at increased risk for psychological problems." (Abstract)
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"Sharing the Front Line and the Back Hills" points to a crisis facing international institutions and the media who seek to alleviate and report human suffering throughout the world. The goals of the editor are to tell the story of thousands of individuals dedicated to helping others; and to integrat
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e issues of protection and care into all levels of planning, implementing and evaluating international intervention and action. The book identifies approaches that have proven useful and explores and suggests future directions." (Publisher description)
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