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International Archives of Occupational and Environmental Health

Erschienen in:

09.09.2020 | Original Article

The mediating role of coping in the relationship of posttraumatic stress disorder symptoms (PTSS) and job burnout among Chinese firefighters

verfasst von: Jiali Huang, Xiaohui Li, Yuanyuan An

Erschienen in: International Archives of Occupational and Environmental Health | Ausgabe 2/2021

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Abstract

Purpose

The study aims to explore the relationship of posttraumatic stress disorder symptoms (PTSS) and job burnout among firefighters, as well as the mediating effect of coping in the relationship of PTSS and job burnout.

Methods

A total of 431 firefighters participated in the study by completing a questionnaire package including Maslach Burnout Inventory-General Survey (MBI-GS), PTSD Checklist for DSM-5 (PCL-5), and Coping Strategy Indicator (CSI).

Results

(1) The level of firefighters’ emotional exhaustion of job burnout varied significantly by age groups [F (2, 428) = 4.33, p < 0.05], and working years [F (2, 428) = 3.22, p < 0.05]; the level of cynicism of job burnout varied significantly by working years [F (2, 428) = 3.63, p < 0.05]. (2) PTSS was significantly and positively associated with job burnout (β = 0.899, p < 0.001). (3) Both avoidant coping and problem-solving mediated the relationship between PTSS and job burnout (β = 0.212, p < 0.001; β = 0.145, p < 0.001).

Conclusions

Firefighters with higher level of PTSS are more likely to have job burnout. Avoidant coping and problem-solving play the mediating role in the relationship between PTSS and job burnout. The clinical implications for firefighters’ interventions are discussed.

American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders (DSM-5®). Am Psychiatr Publ 309–334

Amirkhan JH (1990) A factor analytically derived measure of coping: the coping strategy indicator. J Pers Soc Psychol 59(5):1066–1074

An Y, Fu F, Wu X, Lin C, Zhang Y (2013a) Longitudinal relationships between neuroticism, avoidant coping, and posttraumatic stress disorder symptoms in adolescents following the 2008 Wenchuan earthquake in China. J Loss Trauma 18(6):556–571

An YY, Wu XC, Liu CH, Lin CD (2013b) Neuroticism personality and posttraumatic growth in adolescent: the moderating effect of coping style and mediating effect of social support. Psychol Dev Educ 29(6):657–663

Antoniou AS, Ploumpi A, Ntalla M (2013) Occupational stress and professional burnout in teachers of primary and secondary education: the role of coping strategies. Psychol 4(03):349–355

Arbona C, Schwartz JP (2016) Posttraumatic stress disorder symptom clusters, depression, alcohol abuse, and general stress among Hispanic male firefighters. Hisp J Behav Sci 38(4):507–522

Argentero P, Setti I (2011) Engagement and vicarious traumatization in rescue workers. Int Arch Occup Environ Health 84(1):67–75

Bai YL, Li XW (2015) The relationship between social support, work burnout and PTSD in Chinese firefighters. Mod Prev Med 42(13):2329–2333

Bartlett BA, Smith LJ, Lebeaut A, Tran JK, Vujanovic AA (2019) PTSD symptom severity and impulsivity among firefighters: associations with alcohol use. Psychiatry Res 278:315–323

Carmona C, Buunk AP, Peiró JM, Rodríguez I, Bravo MJ (2006) Do social comparison and coping styles play a role in the development of burnout? Cross-sectional and longitudinal findings. J Occup Ogr Psychol 79(1):85–99

Chamberlin MJ, Green HJ (2010) Stress and coping strategies among firefighters and recruits. J Loss Trauma 15(6):548–560

Chen H, Chen Y, Au M, Feng L, Chen Q, Guo H, Li Y, Yang X (2014) The presence of post-traumatic stress disorder symptoms in earthquake survivors one month after a mudslide in southwest China. Nurs Health Sci 16(1):39–45

Chen ZG, Zhang YQ, Liu Y, Zhang N, Wu KK (2011) Ethnicity, culture, and disaster response: identifying and explaining ethnic differences in PTSD six months after Sichuan earthquake in China. Chin J Clin Psychol 19(4):503–507

Cheng Y, Fei Y, Li Z, Chen N (2008) Relationship between coping style and post-traumatic stress disorder among patients with brachial plexus nerve injury. J Nurs Sci 23(22):16–18

Cieslak R, Shoji K, Douglas A, Melville E, Luszczynska A, Benight CC (2014) A meta-analysis of the relationship between job burnout and secondary traumatic stress among workers with indirect exposure to trauma. Psychol Serv 11(1):75–86

Cordes CL, Dougherty TW (1993) A review and an integration of research on job burnout. Acta Manag Rev 18(4):621–656

Dworkin ER, Ullman SE, Stappenbeck C, Brill CD, Kaysen D (2018) Proximal relationships between social support and PTSD symptom severity: a daily diary study of sexual assault survivors. Depress Anxiety 35(1):43–49

Einav S, Shalev AY, Ofek H, Freedman S, Matot I, Weiniger CF (2008) Differences in psychological effects in hospital doctors with and without post-traumatic stress disorder. Br J Psychiatry 193(2):165–166

Folkman S, Lazarus RS (1980) An analysis of coping in a middle-aged community sample. J Health Soc Behav 21(3):219–239

Fu ZM (2014) Analysis on the fire data in China for the period between 2003–2012. J Saf Environ 14(6):341–345

García-Izquierdo M, Meseguer de Pedro M, Ríos-Risquez MI, Sánchez MIS (2018) Resilience as a moderator of psychological health in situations of chronic stress (burnout) in a sample of hospital nurses. J Nurs Scholarsh 50(2):228–236

Grandey AA, Cropanzano R (1999) The conservation of resources model applied to work-family conflict and strain. J Voc Behav 54(2):1–21

Griva K, Joekes K (2003) UK teachers under stress: can we predict wellness on the basis of characteristics of the teaching job? Psychol Health 18(4):457–471

Gustafsson H, Kenttä G, Hassmén P (2011) Athlete burnout: an integrated model and future research directions. Int Rev Sport Exerc Psychol 4(1):3–24

Haslam C, Mallon K (2003) A preliminary investigation of post-traumatic stress symptoms among firefighters. Work Stress 17(3):277–285

Hobfoll SE (1988) Stress, culture, and community: the psychology and philosophy of stress. Plenum, New York

Hobfoll SE (2002) Social and psychological resources and adaptation. Rev Gen Psychol 6(4):307–324

Hom MA, Stanley IH, Rogers ML, Tzoneva M, Bernert RA, Joiner TE (2016) The association between sleep disturbances and depression among firefighters: emotion dysregulation as an explanatory factor. J Clin Sleep Med 12(02):235–245

Hou ZJ, Zhou X, Chen JL, Zhu L, Ni J, Chen SF (2014) The influencing factors of PTSD and PTG among teachers after Wenchuan earthquake: perspectives from before, during and after disaster. Psychol Dev Educ 30(1):82–89

Huang J, Wang X, Li W, An Y (2019a) The relationship between conscientiousness and posttraumatic stress disorder among young Chinese firefighters: the mediating effect of perceived social support. Psychiatry Res 273:450–455

Huang J, You XQ, Wang YS, Bao XH (2015) A longitudinal analysis of the developmental process of job burnout. J Psychol Sci 38(4):911–915

Huang Q, Zhang Q, An Y, Xu W (2019b) The relationship between dispositional mindfulness and PTSD/PTG among firefighters: the mediating role of emotion regulation. Pers Indiv Differ 151:109492

Huijts I, Kleijn WC, van Emmerik AA, Noordhof A, Smith AJ (2012) Dealing with man-made trauma: the relationship between coping style, posttraumatic stress, and quality of life in resettled, traumatized refugees in the Netherlands. J Trauma Stress 25(1):71–78

Jaegers LA, Matthieu MM, Vaughn MG, Werth P, Katz IM, Ahmad SO (2019) Posttraumatic stress disorder and job burnout among jail officers. J Occup Environ Med 61(6):505–510

Jang SH, Ryu HS, Choi SC, Lee SY (2016) Psychological factors influence the gastroesophageal reflux disease (GERD) and their effect on quality of life among firefighters in South Korea. Int J Occup Env Health 22(4):315–320

Janoff-Bulman R (1989) Assumptive worlds and the stress of traumatic events: applications of the schema construct. Soc Cogn 7(2):113–136

Jenaro C, Flores N, Arias B (2007) Burnout and coping in human service practitioners. Prof Psychol Res Pract 38(1):80–87

Jo I, Lee S, Sung G, Kim M, Lee S, Park J, Lee K (2018) Relationship between burnout and PTSD symptoms in firefighters: the moderating effects of a sense of calling to firefighting. Int Arch Occup Environ Health 91(1):117–123

Katsavouni F, Bebetsos E, Malliou P, Beneka A (2015) The relationship between burnout, PTSD symptoms and injuries in firefighters. Occup Med 66(1):32–37

Kim JI, Park H, Kim JH (2018) Alcohol use disorders and insomnia mediate the association between PTSD symptoms and suicidal ideation in Korean firefighters. Depress Anxiety 35(11):1095–1103

Lazarus RS, Folkman S (1984) Stress, appraisal, and coping. Pringer, New York

Lee N, Lee J, Kim J, Jeon K, Sim M (2019) Risk factors for stress and depression in firefighters: comparison of individual and job related factors. Anxiety Mood 15(1):35–44

Li CP, Shi K, Luo ZX (2003) An investigation and job burnout of doctor and nurse. CN J Clin Psychol 35(5):677–684

Li R (2014) Relationship among post-traumatic stress disorder, mental health and coping style. CN J Health Psychol 22(4):501–503

Litman JA (2006) The COPE inventory: dimensionality and relationships with approach-and avoidance-motives and positive and negative traits. Pers Individ Differ 41(2):273–284

Leiter MP (1991) Coping patterns as predictors of burnout: the function of control and escapist coping patterns. J Organ Behav 12(2):123–144

MacKinnon DP, Lockwood CM, Williams J (2004) Confidence limits for the indirect effect: distribution of the product and resampling methods. Multivar Behav Res 39(1):99–128

Martin CE, Vujanovic AA, Paulus DJ, Bartlett B, Gallagher MW, Tran JK (2017) Alcohol use and suicidality in firefighters: associations with depressive symptoms and posttraumatic stress. Compr Psychiatry 74:44–52

Maslach C, Jackson SE (1981) The measurement of experienced burnout. J Organ Behav 2(2):99–113

Maslach C, Schaufeli WB, Leiter MP (2001) Job burnout. Annu Rev Psychol 52(1):397–422

Mitani S, Fujita M, Nakata K, Shirakawa T (2006) Impact of post-traumatic stress disorder and job-related stress on burnout: a study of fire service workers. J Emerg Med 31(1):7–11

Peng LH, Li Y (2010) Investigation and analysis on the mental fatigue of special firefighters. CN Occup Med 37(4):339–341

Pennington ML, Carpenter TP, Synett SJ, Torres VA, Teague J, Morissette SB, Knight J, Kamholz BW, Keane TM, Zimering RT, Gulliver SB (2018) The influence of exposure to natural disasters on depression and PTSD symptoms among firefighters. Prehosp Disaster Med 33(1):102–108

Podsakoff PM, MacKenzie SB, Lee JY, Podsakoff NP (2003) Common method biases in behavioral research: a critical review of the literature and recommended remedies. J Appl Psychol 88(5):879–903

Saijo Y, Ueno T, Hashimoto Y (2012) Post-traumatic stress disorder and job stress among firefighters of urban Japan. Prehosp Disaster Med 27(1):59–63

Schaufeli WB, Buunk BP (2003) Burnout: an overview of 25 years of research and theorizing. Handb Work Health Psychol 2:282–424

Setti I, Lourel M, Argentero P (2016) The role of affective commitment and perceived social support in protecting emergency workers against burnout and vicarious traumatization. Traumatology 22(4):261–270

Smith BW, Ortiz JA, Steffen LE, Tooley EM, Wiggins KT, Yeater EA, Yeater EA, Montoya JD, Bernard ML (2011) Mindfulness is associated with fewer PTSD symptoms, depressive symptoms, physical symptoms, and alcohol problems in urban firefighters. J Consult Clin Psychol 79(5):613–617

Stanley IH, Hom MA, Chu C, Dougherty SP, Gallyer AJ, Spencer-Thomas S, Shelef L, Fruchter E, Comtois KA, Gutierrez PM, Sachs-Ericsson NJ, Joiner TE (2018) Perceptions of belongingness and social support attenuate PTSD symptom severity among firefighters: a multistudy investigation. Psychol Serv. https://doi.org/10.1037/ser0000240CrossRef

Toomey RB, Ryan C, Diaz RM, Russell ST (2018) Coping with sexual orientation-related minority stress. J Homosex 65(4):484–500

Violanti JM, Ma CC, Mnatsakanova A, Fekedulegn D, Hartley TA, Gu JK, Andrew ME (2018) Associations between police work stressors and posttraumatic stress disorder symptoms: examining the moderating effects of coping. J Police Crim Psychol 33(3):271–282

Wagner A, Monson C, Hart T (2016) Understanding social factors in the context of trauma: implications for measurement and intervention. J Aggress Maltreat Trauma 25(8):831–853

Weathers FW (2013) The PTSD checklist for DSM-5 (PCL-5): development and initial psychometric analysis. PA, Philadelphia

Wei X, Li FY, Wang Q, Liu JW (2016) The analysis of the fire fighters and soldiers work input and burnout in Xinjiang. Xinjiang Med J 46(11):1399–1402

Wen ZL, Kit-Tai H, Marsh HW (2004) Structural equation model testing: cutoff criteria for goodness of fit indices and chi-square test. Acta Psychol Sinica 36(2):186–194

Xiong F, Li R, Wei X, Li FY, Liu JW (2014) Cross-sectional investigation on job burnout among fire fighters in Xinjiang. Occup Health 30(19):2716–2718

Yip J, Zeig-Owens R, Hall CB, Webber MP, Olivieri B, Schwartz T, Kelly KJ, Prezant DJ (2016) Health conditions as mediators of the association between World Trade Center exposure and health-related quality of life in firefighters and EMS workers. J Occup Environ Med 58(2):200–206

Zhang LR, Wang D, Bai XJ (2007) New progresses of studies of influencing factors of teachers’ job burnout abroad. Psychol Sci 30(2):492–494

Zhou X, Wu X, Zhen R (2018) Self-esteem and hope mediate the relations between social support and post-traumatic stress disorder and growth in adolescents following the Ya’an earthquake. Anxiety Stress Coping 31(1):32–45

Titel: The mediating role of coping in the relationship of posttraumatic stress disorder symptoms (PTSS) and job burnout among Chinese firefighters
verfasst von: Jiali Huang
Xiaohui Li
Yuanyuan An
Publikationsdatum: 09.09.2020
Verlag: Springer Berlin Heidelberg
Erschienen in: International Archives of Occupational and Environmental Health / Ausgabe 2/2021
Print ISSN: 0340-0131
Elektronische ISSN: 1432-1246
DOI: https://doi.org/10.1007/s00420-020-01571-0

Klimawandel und Gesundheit: Was Sie in der Hausarztpraxis wissen müssen und tun können

Springer Medizin

The mediating role of coping in the relationship of posttraumatic stress disorder symptoms (PTSS) and job burnout among Chinese firefighters

Abstract

Purpose

Methods

Results

Conclusions

Klimawandel und Gesundheit: Was Sie in der Hausarztpraxis wissen müssen und tun können

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

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