- Effect of Burnout on Post-traumatic Stress Disorder Symptoms Among Firefighters in Korea: Data From the Firefighter Research on Enhancement of Safety & Health (FRESH)
-
Woojin Kim, Munjoo Bae, Sei-Jin Chang, Jin-Ha Yoon, Da Yee Jeong, Dae-Sung Hyun, Hye-Yoon Ryu, Ki-Soo Park, Mi-Ji Kim, Changsoo Kim
-
J Prev Med Public Health. 2019;52(6):345-354. Published online October 24, 2019
-
DOI: https://doi.org/10.3961/jpmph.19.116
-
-
10,001
View
-
240
Download
-
18
Crossref
-
Abstract
Summary
PDFSupplementary Material
- Objectives
It is well-known that post-traumatic stress disorder (PTSD) among firefighters contributes to their job-related stress. However, the relationship between burnout and PTSD in firefighters has rarely been studied. This study therefore explored the association between burnout and its related factors, such as trauma and violence, and PTSD symptoms among firefighters in Korea.
Methods A total of 535 firefighters participated in the Firefighter Research on Enhancement of Safety & Health study at 3 university hospitals from 2016 to 2017. The 535 participants received a baseline health examination, including questionnaires assessing their mental health. A Web-based survey was also conducted to collect data on job-related stress, history of exposure to violence, burnout, and trauma experience. The associations among burnout, its related factors, and PTSD symptoms were investigated using structural equation modeling.
Results Job demands (β=0.411, p<0.001) and effort-reward balance (β=-0.290, p<0.001) were significantly related to burnout. Burnout (β=0.237, p<0.001) and violence (β=0.123, p=0.014) were significantly related to PTSD risk. Trauma (β=0.131, p=0.001) was significantly related to burnout; however, trauma was not directly associated with PTSD scores (β=0.085, p=0.081).
Conclusions Our results show that burnout and psychological, sexual, and physical violence at the hands of clients directly affected participants’ PTSD symptoms. Burnout mediated the relationship between trauma experience and PTSD.
-
Summary
Korean summary
535명의 현직소방관을 대상으로 소방공무원에서 업무관련스트레스, 폭력노출, 외상노출, 소진(번아웃), 외상후 스트레스 장애(PTSD) 증상 설문을 시행하였고, 구조방정식 통해 업무스트레스에 의한 소진이 PTSD에 주는 영향과 다른 요인간의 연관성을 분석하였다. 그 결과, 업무 환경에서의 높은 직무요구수준과 낮은 노력-보상 균형은 소진을 증가시키며, 업무스트레스에 의한 소진과 근무 중 겪게 되는 폭력노출 경험은 PTSD 점수와 양의 연관관계를 보였다. 반면, 업무 도중 외상사건 경험은 PTSD 점수와 직접적으로 유의한 연관관계를 보이지 않았으나, 소진을 통한 간접적으로 영향을 주는 것을 확인하였다.
-
Citations
Citations to this article as recorded by
- Association between burnout and post‐traumatic stress disorder among frontline nurse during COVID‐19 pandemic: A moderated mediation analysis
Leilei Liang, Yuanchao Hu, Junsong Fei, Tongshuang Yuan, Ren Gao, Jingyi Yue, Qianqian Song, Xixi Zhao, Songli Mei Journal of Clinical Nursing.2024; 33(3): 1076. CrossRef - Post-Traumatic Stress Disorder Symptoms among Pediatric Healthcare Workers
Nikolaos Rigas, Zacharias Kyritsis, Maria Dagla, Alexandra Soldatou, Eirini Orovou, Maria Tzitiridou-Chatzopoulou, Panagiotis Eskitzis, Evangelia Antoniou Nursing Reports.2024; 14(1): 115. CrossRef - Moderating effect of work fatigue on the association between resilience and posttraumatic stress symptoms: a cross-sectional multi-country study among pharmacists during the COVID-19 pandemic
Samar Younes, Souheil Hallit, Irfan Mohammed, Sarah El Khatib, Anna Brytek-Matera, Shadrach Chinecherem Eze, Kenneth Egwu, Rawshan Jabeen, Nebojša Pavlović, Pascale Salameh, Michelle Cherfane, Marwan Akel, Chadia Haddad, Randa Choueiry, Feten Fekih-Romdha BioPsychoSocial Medicine.2024;[Epub] CrossRef - Post-traumatic stress disorder in international surgeons undertaking trauma electives in a South African trauma centre
V Thirayan, VY Kong, H Uchino, DL Clarke South African Journal of Surgery.2024; 62(1): 14. CrossRef - Firefighters and Spouses: Hostility, Satisfaction, and Conflict
Romana Pasca, Shannon L. Wagner Journal of Family Issues.2023; 44(4): 1074. CrossRef - Psychological Variables Associated With Post-Traumatic Stress Disorder in Firefighters: A Systematic Review
Elena R. Serrano-Ibáñez, Tania Corrás, Mirtha del Prado, Javier Diz, Carmen Varela Trauma, Violence, & Abuse.2023; 24(4): 2049. CrossRef - Burnout and post-traumatic stress disorder symptoms among medical staff two years after the COVID-19 pandemic in Wuhan, China: Social support and resilience as mediators
Yifang Liu, Li Zou, Shijiao Yan, Pu Zhang, Jun Zhang, Jing Wen, Jing Mao, Longti Li, Ying Wang, Wenning Fu Journal of Affective Disorders.2023; 321: 126. CrossRef - Compassion Fatigue and Perceived Social Support among Polish Nurses
Paulina Pergol-Metko, Anna Staniszewska, Sebastian Metko, Zofia Sienkiewicz, Lukasz Czyzewski Healthcare.2023; 11(5): 706. CrossRef - Occupational Stress and Burnout in the Fire Service: Examining the Complex Role and Impact of Sleep Health
Mari-Amanda A. Dyal, Todd D. Smith, David M. DeJoy, Brian A. Moore Behavior Modification.2022; 46(2): 374. CrossRef - Student Burnout and PTSD Symptoms: The Role of Existential Anxiety and Academic Fears on Students during the COVID 19 Pandemic
Katarzyna Tomaszek, Agnieszka Muchacka-Cymerman, Giovanni Galeoto Depression Research and Treatment.2022; 2022: 1. CrossRef - The short form effort−reward imbalance: Measure of occupational stress for firefighters
Dal Lae Chin, MinJung Kyung, Jian Li, Stephanie Phelps, OiSaeng Hong American Journal of Industrial Medicine.2022; 65(6): 492. CrossRef - Emergency nurses' burnout levels as the mediator of the relationship between stress and posttraumatic stress disorder symptoms during COVID‐19 pandemic
Bey‐Jing Yang, Ching‐Wei Yen, Shou‐Ju Lin, Chien‐Hua Huang, Jhong‐Lin Wu, Yih‐Ru Cheng, Chia‐Chen Hsieh, Fei‐Hsiu Hsiao Journal of Advanced Nursing.2022; 78(9): 2861. CrossRef - Workplace stressors and PTSD among psychiatric workers: The mediating role of burnout
Elke Ham, Michael C. Seto, Nicole C. Rodrigues, N. Zoe Hilton International Journal of Mental Health Nursing.2022; 31(5): 1151. CrossRef - Testosterone and occupational burnout in professional male firefighters
Denis Vinnikov, Zhanna Romanova, Gulnara Kapanova, Aizhan Raushanova, Sundetgali Kalmakhanov, Alexander Zhigalin BMC Public Health.2021;[Epub] CrossRef - Doctors and Nurses: A Systematic Review of the Risk and Protective Factors in Workplace Violence and Burnout
Jose Miguel Giménez Lozano, Juan Pedro Martínez Ramón, Francisco Manuel Morales Rodríguez International Journal of Environmental Research and Public Health.2021; 18(6): 3280. CrossRef - A Relational Model for Stress: A Systematic Review of the Risk and Protective Factors for Stress-Related Diseases in Firefighters
Joana Proença Becker, Rui Paixão, Manuel João Quartilho Psych.2020; 2(1): 74. CrossRef - PTSD symptoms among health workers and public service providers during the COVID-19 outbreak
Sverre Urnes Johnson, Omid V. Ebrahimi, Asle Hoffart, Kristin Vickers PLOS ONE.2020; 15(10): e0241032. CrossRef - A Systematic Review and Meta-analysis on the Factors Related to Post-traumatic Growth of Fire Officials
Myung-Gwan Kim, Seung-Woo Han Journal of Health Informatics and Statistics.2020; 45(4): 373. CrossRef
- The Association of Perceived Neighborhood Walkability and Environmental Pollution With Frailty Among Community-dwelling Older Adults in Korean Rural Areas: A Cross-sectional Study
-
Mi-Ji Kim, Sung-Hyo Seo, Ae-Rim Seo, Bo-Kyoung Kim, Gyeong-Ye Lee, Yeun-Soon Choi, Jin-Hwan Kim, Jang-Rak Kim, Yune-Sik Kang, Baek-Geun Jeong, Ki-Soo Park
-
J Prev Med Public Health. 2019;52(6):405-415. Published online October 24, 2019
-
DOI: https://doi.org/10.3961/jpmph.19.166
-
-
9,563
View
-
149
Download
-
12
Crossref
-
Abstract
Summary
PDFSupplementary Material
- Objectives
The aim of this study was to evaluate the associations of frailty with perceived neighborhood walkability and environmental pollution among community-dwelling older adults in rural areas.
Methods The participants were 808 community-dwelling men and women aged 65 years and older in 2 rural towns. Comprehensive information, including demographics, socioeconomic status, grip strength, polypharmacy, perceived neighborhood environment (specifically, walkability and environmental pollution), and frailty, was collected from participants using face-to-face interviews conducted between June and August 2018. Perceived neighborhood walkability was measured using 20 items that were selected and revised from the Neighborhood Environment Walkability Scale, the Neighborhood Walkability Checklist from the National Heart Foundation of Australia, and the Physical Activity Neighborhood Environment Survey. The Kaigo-Yobo Checklist was used to assess participants’ frailty.
Results The overall prevalence of frailty in this community-dwelling population was 35.5%. Sex, age, cohabitation status, educational attainment, employment status, grip strength, and polypharmacy were significantly associated with frailty. In the logistic regression analysis, frailty was associated with low perceived neighborhood walkability (adjusted odds ratio [aOR], 0.881; 95% confidence interval [CI], 0.833 to 0.932; p<0.001) and severe perceived neighborhood environmental pollution (aOR, 1.052; 95% CI, 1.017 to 1.087; p=0.003) after adjusting for sex, age, cohabitation status, educational attainment, employment status, monthly income, grip strength, and polypharmacy.
Conclusions More studies are warranted to establish causal relationships between walkability and environmental pollution and frailty.
-
Summary
Korean summary
본 연구는 우리나라 농촌지역 노인들이 인지하는 지역 환경과 노쇠의 연관성을 확인하기 위하여 자기보고식 설문지로 인지된 보행편의성 및 환경오염을 측정하였고, Kaigo-Yobo 평가척도로 노쇠를 평가하였다. 연구 결과, 노쇠에 영향을 미칠 것으로 예상되는 변수들을 통제한 후에도 인지된 보행편의성의 감소와 인지된 환경오염의 증가는 노쇠와 관련성이 있었다.
-
Citations
Citations to this article as recorded by
- Effect of walkability on the physical activity of hemodialysis patients: a multicenter study
Yoichi Sato, Naoto Usui, Yoshifumi Abe, Daisuke Okamura, Yota Kuramochi, Sho Kojima, Nobuto Shinozaki, Yu Shimano, Nobuyuki Shirai, Kenta Mikami, Yoji Yamada, Masakazu Saitoh Renal Replacement Therapy.2024;[Epub] CrossRef - Is tourist walkability and well-being different?
Myung Ja Kim, C. Michael Hall Current Issues in Tourism.2023; 26(2): 171. CrossRef - Association Between Pollution and Frailty in Older People: A Cross-Sectional Analysis of the UK Biobank
Nicola Veronese, Laura Maniscalco, Domenica Matranga, Guido Lacca, Ligia J. Dominguez, Mario Barbagallo Journal of the American Medical Directors Association.2023; 24(4): 475. CrossRef - Associations of Perceived and Objective Neighborhood Environment Attributes with Walking in Older Adults: A Cross-Sectional Study
Faezeh Behnamifard, Zohre Shafieiyoun, Mostafa Behzadfar Journal of Urban Planning and Development.2023;[Epub] CrossRef - Frailty in Older Adults and Internal and Forced Migration in Urban Neighborhood Contexts in Colombia
Herney Rengifo-Reina, Tonatiuh Barrientos-Gutiérrez, Nancy López-Olmedo, Brisa N. Sánchez, Ana V. Diez Roux International Journal of Public Health.2023;[Epub] CrossRef - The Effects of Neighborhood Physical and Social Environment on Physical Function among Japanese Community-Dwelling Older Adults: A One-Year Longitudinal Study
Masataka Ando, Naoto Kamide, Miki Sakamoto, Yoshitaka Shiba, Haruhiko Sato, Akie Kawamura, Shuichiro Watanabe International Journal of Environmental Research and Public Health.2022; 19(13): 7999. CrossRef - Association between Age-Friendliness of Communities and Frailty among Older Adults: A Multilevel Analysis
Jixiang Xu, Yingwei Chen, Yujie Wang, Junling Gao, Limei Huang International Journal of Environmental Research and Public Health.2022; 19(12): 7528. CrossRef - Differences in the Association of Neighborhood Environment With Physical Frailty Between Urban and Rural Older Adults: The Korean Frailty and Aging Cohort Study (KFACS)
Yuri Seo, Miji Kim, Hayoung Shim, Chang Won Won Journal of the American Medical Directors Association.2021; 22(3): 590. CrossRef - Urban services, pedestrian networks and behaviors to measure elderly accessibility
Federica Gaglione, Caitlin Cottrill, Carmela Gargiulo Transportation Research Part D: Transport and Environment.2021; 90: 102687. CrossRef - Prevalence and risk factors of frailty among people in rural areas: a systematic review and meta-analysis
Rui Xu, Qiufang Li, Feifei Guo, Maoni Zhao, Luyao Zhang BMJ Open.2021; 11(4): e043494. CrossRef - Perceived Neighborhood Environment Associated with Sarcopenia in Urban-Dwelling Older Adults: The Korean Frailty and Aging Cohort Study (KFACS)
Yuri Seo, Miji Kim, Hyungeun Shin, Changwon Won International Journal of Environmental Research and Public Health.2021; 18(12): 6292. CrossRef - Frailty Status and Transport Disadvantage: Comparison of Older Adults’ Travel Behaviours between Metropolitan, Suburban, and Rural Areas of Japan
Takumi Abe, Akihiko Kitamura, Satoshi Seino, Yuri Yokoyama, Hidenori Amano, Yu Taniguchi, Mariko Nishi, Yu Nofuji, Tomoko Ikeuchi, Takemi Sugiyama, Shoji Shinkai International Journal of Environmental Research and Public Health.2020; 17(17): 6367. CrossRef
|