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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
  • 8,507 View
  • 228 Download
  • 16 Crossref
AbstractAbstract AbstractSummary 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
  • 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
Short-term Effect of Ambient Air Pollution on Emergency Department Visits for Diabetic Coma in Seoul, Korea
Hyunmee Kim, Woojin Kim, Jee eun Choi, Changsoo Kim, Jungwoo Sohn
J Prev Med Public Health. 2018;51(6):265-274.   Published online October 29, 2018
DOI: https://doi.org/10.3961/jpmph.18.153
  • 5,771 View
  • 232 Download
  • 6 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
Objectives
A positive association between air pollution and both the incidence and prevalence of diabetes mellitus (DM) has been reported in some epidemiologic and animal studies, but little research has evaluated the relationship between air pollution and diabetic coma. Diabetic coma is an acute complication of DM caused by diabetic ketoacidosis or hyperosmolar hyperglycemic state, which is characterized by extreme hyperglycemia accompanied by coma. We conducted a time-series study with a generalized additive model using a distributed-lag non-linear model to assess the association between ambient air pollution (particulate matter less than 10 μm in aerodynamic diameter, nitrogen dioxide [NO2], sulfur dioxide, carbon monoxide, and ozone) and emergency department (ED) visits for DM with coma in Seoul, Korea from 2005 to 2009.
Methods
The ED data and medical records from the 3 years previous to each diabetic coma event were obtained from the Health Insurance Review and Assessment Service to examine the relationship with air pollutants.
Results
Overall, the adjusted relative risks (RRs) for an interquartile range (IQR) increment of NO2 was statistically significant at lag 1 (RR, 1.125; 95% confidence interval [CI], 1.039 to 1.219) in a single-lag model and both lag 0-1 (RR, 1.120; 95% CI, 1.028 to 1.219) and lag 0-3 (RR, 1.092; 95% CI, 1.005 to 1.186) in a cumulative-lag model. In a subgroup analysis, significant positive RRs were found for females for per-IQR increments of NO2 at cumulative lag 0-3 (RR, 1.149; 95% CI, 1.022 to 1.291).
Conclusions
The results of our study suggest that ambient air pollution, specifically NO2, is associated with ED visits for diabetic coma.
Summary
Korean summary
본 연구에서는 대기오염물질의 단기적인 영향을 확인하기 위하여 당뇨병성 혼수로 인한 응급실 내원을 시계열적으로 분석하였다. 분석 결과 이산화질소 상승이 노출 1일 후의 응급실 방문을 1.25% 상승시켰다(RR, 1.125; 95% CI 1.039-1.219). 또한, 노출 3일 후까지 누적 결과도 유의한 상관관계를 보였다(RR 1.092; 95% CI, 1.005-1.186).

Citations

Citations to this article as recorded by  
  • Criteria air pollutants and diabetes mortality classified by different subtypes and complications: A nationwide, case-crossover study
    Peng Yin, Huihuan Luo, Ya Gao, Wei Liu, Su Shi, Xinyue Li, Xia Meng, Haidong Kan, Maigeng Zhou, Guanglin Li, Renjie Chen
    Journal of Hazardous Materials.2023; 460: 132412.     CrossRef
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    Inbo Oh, Mi-Kyoung Hwang, Jin-Hee Bang, Wonho Yang, Soontae Kim, Kiyoung Lee, SungChul Seo, Jiho Lee, Yangho Kim
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  • Short-term effect of NO2 on outpatient visits for dermatologic diseases in Xinxiang, China: a time-series study
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    Abhishek Dutta, Wanida Jinsart
    Human and Ecological Risk Assessment: An International Journal.2021; 27(7): 1786.     CrossRef
  • Does ozone inhalation cause adverse metabolic effects in humans? A systematic review
    Judy S. LaKind, Carol J. Burns, Lynn H. Pottenger, Daniel Q. Naiman, Julie E. Goodman, Satori A. Marchitti
    Critical Reviews in Toxicology.2021; 51(6): 467.     CrossRef
  • Joint effect of heatwaves and air quality on emergency department attendances for vulnerable population in Perth, Western Australia, 2006 to 2015
    Dimpalben Patel, Le Jian, Jianguo Xiao, Janis Jansz, Grace Yun, Andrew Robertson
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JPMPH : Journal of Preventive Medicine and Public Health