Department of Psychiatry, College of Medicine, CHA Bundang Medical Center, CHA University, 59 Yatap-ro, Bundang-gu, Seongnam, Gyeonggi-do, 463-712, Republic of Korea.
Department of Psychiatry, Gyeonggi Provincial Medical Center, Uijeongbu Hospital, Uijeongbu, Republic of Korea.
Int Arch Occup Environ Health. 2018 Jan;91(1):117-123. doi: 10.1007/s00420-017-1263-6. Epub 2017 Oct 3.
Firefighting has been reported to lead to burnout and posttraumatic stress disorder (PTSD). However, burnout and PTSD symptoms may vary depending on personal characteristics, such as having a sense of calling. This study examined the role of calling in the association between burnout and PTSD symptoms. We hypothesized that burnout would be associated with more severe PTSD symptoms and calling would buffer the relationship between burnout and PTSD symptoms.
The Korean version of the Maslach Burnout Inventory-General Survey, Sense of Calling Subscale of the Professionalism Scale, and the Impact of Event Scale-Revised-Korean version were used to measure burnout, calling, and PTSD symptoms. Data from 109 of 127 firefighters from Gyeonggi-do, South Korea were analyzed using hierarchical linear regression.
Burnout was a significant predictor of PTSD symptoms. Furthermore, the interaction term between burnout and calling accounted for a significant variance in PTSD symptoms. Higher burnout was associated with severe PTSD symptoms, but this relationship differed by the level of calling. The increase in PTSD symptoms due to increased burnout in the high calling group was relatively higher than in the low and average calling groups.
Calling, though perceived as a positive variable, can be hazardous to exhausted people. A sense of calling as part of one's job identity should not be encouraged until personal circumstances and characteristics, such burnout symptoms, are evaluated. Identifying context and variables associated with PTSD for interventions with firefighters and persons in other dangerous occupations should aid in their recovery from trauma exposure.
有报道称，消防员工作会导致倦怠和创伤后应激障碍（PTSD）。然而，倦怠和 PTSD 症状可能因个人特征（如使命感）而异。本研究探讨了使命感在倦怠与 PTSD 症状之间的关系中的作用。我们假设，倦怠与更严重的 PTSD 症状相关，而使命感则可以缓冲倦怠与 PTSD 症状之间的关系。
使用 Maslach 倦怠量表一般调查（MBI-GS）、职业使命感量表使命感分量表和修订后的事件影响量表-韩国版（IES-R-K）来测量倦怠、使命感和 PTSD 症状。使用分层线性回归分析了来自韩国京畿道的 127 名消防员中的 109 名消防员的数据。
倦怠是 PTSD 症状的一个显著预测因子。此外，倦怠和使命感之间的交互项解释了 PTSD 症状的显著差异。较高的倦怠与严重的 PTSD 症状相关，但这种关系因使命感的水平而异。在高使命感组中，由于倦怠程度增加而导致 PTSD 症状增加的幅度相对较高，而在低使命感组和平均使命感组中则较低。
使命感虽然被视为一个积极的变量，但对疲惫的人来说可能是危险的。在评估个人情况和特征（如倦怠症状）之前，不应鼓励将使命感作为工作身份的一部分。确定与创伤后应激障碍相关的干预措施的背景和变量，应有助于消防员和其他危险职业人员从创伤暴露中恢复。
