Department of Anxiety and Stress, National Center for Mental Health, Seoul, South Korea.
Department of Mental Health Research, Mental Health Research Institute, National Center for Mental Health, Seoul, South Korea.
Psychiatry Res. 2018 Dec;270:649-655. doi: 10.1016/j.psychres.2018.10.032. Epub 2018 Oct 17.
Professional firefighters frequently encounter stressful events in the line of duty, which may lead to the development of posttraumatic stress symptoms (PTSS). However, it remains unclear how PTSS relates to ways of coping in this population. We evaluated the differences in ways of coping between firefighters and the general population, and we determined the relationship between ways of coping and PTSS in both groups. Professional firefighters (N = 212) and adults from the general population (N = 500) completed measures of potentially traumatic events (PTEs), the Ways of Coping Checklist, the Beck Depression Inventory, the Childhood Trauma Questionnaire. Participants who reported experiencing at least one PTE also completed the Impact of Events Scale-Revised to assess PTSS severity. Firefighters showed greater use of problem-focused coping, seeking social support, and wishful thinking than did the general population. In the firefighters group only, there were negative correlations between PTSS and problem-focused coping and seeking social support; however, the opposite was found in the general population. This study identified the unique relationship between ways of coping and PTSS in professional firefighters. Our findings highlighted that active coping, including problem-focused and seeking social support, might play a key role in alleviating firefighters' post-traumatic stress reactions.
专业消防员在执行任务时经常会遇到压力事件,这可能导致创伤后应激症状(PTSS)的发展。然而,目前尚不清楚 PTSS 与该人群的应对方式有何关系。我们评估了消防员和普通人群之间应对方式的差异,并确定了两组人群中应对方式与 PTSS 之间的关系。专业消防员(N=212)和普通人群中的成年人(N=500)完成了潜在创伤事件(PTE)、应对方式检查表、贝克抑郁量表、儿童创伤问卷的测量。报告至少经历过一次 PTE 的参与者还完成了修订后的事件影响量表-修订版,以评估 PTSS 严重程度。消防员比普通人群更多地使用问题焦点应对、寻求社会支持和如意思维。仅在消防员组中,PTSS 与问题焦点应对和寻求社会支持呈负相关;然而,在普通人群中则相反。这项研究确定了专业消防员应对方式与 PTSS 之间的独特关系。我们的研究结果强调,积极的应对方式,包括问题焦点应对和寻求社会支持,可能在减轻消防员的创伤后应激反应方面发挥关键作用。