Holland-Winkler Angelia M, Greene Daniel R, Oberther Tiffany J
Department of Kinesiology, Augusta University, 3109 Wrightsboro Road, Augusta, GA 30909, USA.
J Clin Med. 2024 Apr 9;13(8):2169. doi: 10.3390/jcm13082169.
The occupational requirements of full-time non-administrative firefighters include shift-work schedules and chronic exposure to alerting emergency alarms, hazardous working conditions, and psychologically traumatic events that they must attend and respond to. These compiling and enduring aspects of the career increase the firefighter's risk for insomnia and mental health conditions compared to the general population. Poor sleep quality and mental health impairments are known to coincide with and contribute to the symptom severity of one another. Thus, it is important to determine approaches that may improve sleep and/or mental health specifically for firefighters, as their occupation varies in many aspects from any other occupation. This review will discuss symptoms of insomnia and mental health conditions such as PTSD, anxiety, depression, substance abuse, and suicide in firefighters. The influencing factors of sleep and mental health will be examined including anxiety sensitivity, emotional regulation, and distress tolerance. Current sleep and mental health interventions specific to full-time firefighters are limited in number; however, the existing experimental studies will be outlined. Lastly, this review will provide support for exploring exercise as a possible intervention that may benefit the sleep and mental health of this population.
全职非行政消防员的职业要求包括轮班工作安排，以及长期暴露于应急警报声中、危险的工作环境和他们必须参与应对的心理创伤事件。与普通人群相比，职业生涯中这些累积且持久的因素增加了消防员患失眠症和心理健康问题的风险。众所周知，睡眠质量差和心理健康受损会相互伴随并加重彼此的症状严重程度。因此，确定专门针对消防员改善睡眠和/或心理健康的方法很重要，因为他们的职业在许多方面与其他任何职业都不同。本综述将讨论消防员失眠症和心理健康问题的症状，如创伤后应激障碍、焦虑、抑郁、药物滥用和自杀。将研究睡眠和心理健康的影响因素，包括焦虑敏感性、情绪调节和痛苦承受能力。目前针对全职消防员的睡眠和心理健康干预措施数量有限；然而，将概述现有的实验研究。最后，本综述将为探索运动作为一种可能有益于该人群睡眠和心理健康的干预措施提供支持。
