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Published in: International Archives of Occupational and Environmental Health 1/2018

01-01-2018 | Original Article

Relationship between burnout and PTSD symptoms in firefighters: the moderating effects of a sense of calling to firefighting

Authors: Insung Jo, Songhee Lee, Gyhye Sung, Minkyoung Kim, Sanghyuk Lee, Jooeon Park, Kangsoo Lee

Published in: International Archives of Occupational and Environmental Health | Issue 1/2018

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Abstract

Purpose

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.

Methods

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.

Results

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.

Conclusions

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.
Literature
go back to reference Ahn B, Park S (2014) The effect of ego-resilience and perception of social support on job satisfaction and burnout. Korean J Ind Organ Psychol 27(3):497–517 Ahn B, Park S (2014) The effect of ego-resilience and perception of social support on job satisfaction and burnout. Korean J Ind Organ Psychol 27(3):497–517
go back to reference Alexander C (1999) Police psychological burnout and trauma. In: Volanti JM, Paton D (eds) Police trauma: psychological aftermath of civilian combat. Charles C. Thomas, Springfield, pp 54–64 Alexander C (1999) Police psychological burnout and trauma. In: Volanti JM, Paton D (eds) Police trauma: psychological aftermath of civilian combat. Charles C. Thomas, Springfield, pp 54–64
go back to reference Beckham JC, Moore SD, Feldman ME, Hertzberg MA, Kirby AC, Fairbank JA (1998) Health status, somatization, and severity of posttraumatic stress disorder in Vietnam combat veterans with posttraumatic stress disorder. Am J Psychiatry 155(11):1565–1569. doi:10.1176/ajp.155.11.1565 CrossRef Beckham JC, Moore SD, Feldman ME, Hertzberg MA, Kirby AC, Fairbank JA (1998) Health status, somatization, and severity of posttraumatic stress disorder in Vietnam combat veterans with posttraumatic stress disorder. Am J Psychiatry 155(11):1565–1569. doi:10.​1176/​ajp.​155.​11.​1565 CrossRef
go back to reference Brennan M (2002) Reducing occupational mental stress for firefighter/paramedics. Disseration, Estern Michigan University Brennan M (2002) Reducing occupational mental stress for firefighter/paramedics. Disseration, Estern Michigan University
go back to reference Canfield J (2005) Secondary traumatization, burnout, and vicarious traumatization: a review of the literature as it relates to therapist who treat trauma. Smith Coll Stud Soc Work 75(2):81–101. doi:10.1300/J497v75n02_06 CrossRef Canfield J (2005) Secondary traumatization, burnout, and vicarious traumatization: a review of the literature as it relates to therapist who treat trauma. Smith Coll Stud Soc Work 75(2):81–101. doi:10.​1300/​J497v75n02_​06 CrossRef
go back to reference Chen Y, Chen M, Chou HF, Sun F, Chen P, Tsai K, Chao S (2007) The relationship between quality of life and posttraumatic stress disorder or major depression for firefighters in Kaohsiung, Taiwan. Qual Life Res 16(8):1289–1297. doi:10.1007/s11136-007-9248-7 CrossRef Chen Y, Chen M, Chou HF, Sun F, Chen P, Tsai K, Chao S (2007) The relationship between quality of life and posttraumatic stress disorder or major depression for firefighters in Kaohsiung, Taiwan. Qual Life Res 16(8):1289–1297. doi:10.​1007/​s11136-007-9248-7 CrossRef
go back to reference Cieslak R, Shoji K, Douglas A, Melville E, Luszczynska A, Benight CC (2014) A meta-analysis of the relationship between job burnout and secondary traumatic stress among workers with indirect exposure to trauma. Psychol Serv 11(1):75. doi:10.1037/a0033798 CrossRef Cieslak R, Shoji K, Douglas A, Melville E, Luszczynska A, Benight CC (2014) A meta-analysis of the relationship between job burnout and secondary traumatic stress among workers with indirect exposure to trauma. Psychol Serv 11(1):75. doi:10.​1037/​a0033798 CrossRef
go back to reference Cohen JE (1988) Statistical power analysis for the behavioral sciences. Lawrence Erlbaum, Hillsdale Cohen JE (1988) Statistical power analysis for the behavioral sciences. Lawrence Erlbaum, Hillsdale
go back to reference Crabbe JM, Bowley DM, Boffard KD, Alexander DA, Klein S (2004) Are health professionals getting caught in the crossfire? The personal implications of caring for trauma victims. Emerg Med J: EMJ 21(5):568–572. doi:10.1136/emj.2003.008540 CrossRef Crabbe JM, Bowley DM, Boffard KD, Alexander DA, Klein S (2004) Are health professionals getting caught in the crossfire? The personal implications of caring for trauma victims. Emerg Med J: EMJ 21(5):568–572. doi:10.​1136/​emj.​2003.​008540 CrossRef
go back to reference Eun HJ, Lee SM, Kim TH (2001) The epidemiological study of posttraumatic stress disorder in an urban area. J Korean Neuropsychiatr Assoc 40(4):581–591 Eun HJ, Lee SM, Kim TH (2001) The epidemiological study of posttraumatic stress disorder in an urban area. J Korean Neuropsychiatr Assoc 40(4):581–591
go back to reference Eun HJ, Kwon TW, Lee SM, Kim TH, Choi MR, Cho SJ (2005) A study on reliability and validity of the Korean version of impact of event scale-revised. J Korean Neuropsychiatr Assoc 44(3):303–310 Eun HJ, Kwon TW, Lee SM, Kim TH, Choi MR, Cho SJ (2005) A study on reliability and validity of the Korean version of impact of event scale-revised. J Korean Neuropsychiatr Assoc 44(3):303–310
go back to reference Figley CR (1995) Compassion fatigue: Toward a new understanding of the costs of caring. In: Stamm BH (ed) Secondary traumatic stress: Self-care issues for clinicians, researchers, and education. The Sidran, Baltimore, pp 112–145 Figley CR (1995) Compassion fatigue: Toward a new understanding of the costs of caring. In: Stamm BH (ed) Secondary traumatic stress: Self-care issues for clinicians, researchers, and education. The Sidran, Baltimore, pp 112–145
go back to reference Friedman R (2002) The importance of helping the helper. Best Pract Next Pract 3(1):16–21 Friedman R (2002) The importance of helping the helper. Best Pract Next Pract 3(1):16–21
go back to reference Hagmaier T, Volmer J, Spurk D (2013) Called and burnout: Integrating career research with occupational health psychology. In: Doolittle B (ed) Psychology of burnout: New research. Nova Science, New York, pp 19–32 Hagmaier T, Volmer J, Spurk D (2013) Called and burnout: Integrating career research with occupational health psychology. In: Doolittle B (ed) Psychology of burnout: New research. Nova Science, New York, pp 19–32
go back to reference Halbesleben RBJ (2003) Burnout and engagement: correlates and measurement. Dissertation, University of Oklahoma Halbesleben RBJ (2003) Burnout and engagement: correlates and measurement. Dissertation, University of Oklahoma
go back to reference Han BR, Kim JK (2014) The relation of traumatic events and posttraumatic stress disorder (PTSD) symptoms, depression of police officers: focusing on the moderating effect of job stress. Korean J Clin Psychol 33(3):531–548CrossRef Han BR, Kim JK (2014) The relation of traumatic events and posttraumatic stress disorder (PTSD) symptoms, depression of police officers: focusing on the moderating effect of job stress. Korean J Clin Psychol 33(3):531–548CrossRef
go back to reference Hirschi A (2012) Calling and work engagement: moderated mediation model of work meaningfulness, occupational identity, and occupational self-efficacy. J Couns Psychol 59:479–485. doi:10.1037/a0028949 CrossRef Hirschi A (2012) Calling and work engagement: moderated mediation model of work meaningfulness, occupational identity, and occupational self-efficacy. J Couns Psychol 59:479–485. doi:10.​1037/​a0028949 CrossRef
go back to reference Kehl D, Knuth D, Hulse L, Schmidt S (2014) Posttraumatic reactions among firefighters after critical incidents: cross-national data. J Aggress Maltreat Trauma 23(8):842–853CrossRef Kehl D, Knuth D, Hulse L, Schmidt S (2014) Posttraumatic reactions among firefighters after critical incidents: cross-national data. J Aggress Maltreat Trauma 23(8):842–853CrossRef
go back to reference Kim YJ (2001) Effects of professional identity, coping & social support on posttraumatic growth. Dissertation, University of Korea Kim YJ (2001) Effects of professional identity, coping & social support on posttraumatic growth. Dissertation, University of Korea
go back to reference Lea EK (2011) A study on the perception of youth work as a vocation and attendant levels of job satisfaction. Stud Korean Youth 22(1):115–140 Lea EK (2011) A study on the perception of youth work as a vocation and attendant levels of job satisfaction. Stud Korean Youth 22(1):115–140
go back to reference Lee HY, Song GM (2010) Factors influencing female public social workers’ burnout. GRI Rev 12(2):171–200 Lee HY, Song GM (2010) Factors influencing female public social workers’ burnout. GRI Rev 12(2):171–200
go back to reference Maslach C, Jackson SE, Leiter MP (1997) Maslach Burnout Inventory. In: Zalaquett CP, Wood RJ (eds) Evaluating stress: a book of resources. Scarecrow Press, Lanhan, pp 191–218 Maslach C, Jackson SE, Leiter MP (1997) Maslach Burnout Inventory. In: Zalaquett CP, Wood RJ (eds) Evaluating stress: a book of resources. Scarecrow Press, Lanhan, pp 191–218
go back to reference Oh JH, Lim NY (2006) Analysis of factors influencing secondary traumatic stress, burnout and physical symptoms in firefighters. J Korean Acad Fundam Nurs 13(1):96–106 Oh JH, Lim NY (2006) Analysis of factors influencing secondary traumatic stress, burnout and physical symptoms in firefighters. J Korean Acad Fundam Nurs 13(1):96–106
go back to reference Shaufeli WB, Leiter MP, Maslach C, Jackson SE (1996) MBI-general survey. In: Maslach C, Jackson SE, Leiter MP (eds) Maslach burnout inventory manual, 3rd edn. Consulting Psychologist Press, Palo Alto, pp 19–26 Shaufeli WB, Leiter MP, Maslach C, Jackson SE (1996) MBI-general survey. In: Maslach C, Jackson SE, Leiter MP (eds) Maslach burnout inventory manual, 3rd edn. Consulting Psychologist Press, Palo Alto, pp 19–26
go back to reference Shin KH (2003) The Maslach Burnout Inventory-General Survey(MBI-GS): an application in South Korea. Korean J Ind Organ Psychol 16(3):1–17 Shin KH (2003) The Maslach Burnout Inventory-General Survey(MBI-GS): an application in South Korea. Korean J Ind Organ Psychol 16(3):1–17
go back to reference Shin DY, Sa KJ (2009) A study on the status and countermeasures of Posttraumatic stress disorder among firefighters in Daegu. Korean Soc Occup Environ 11:576–577 Shin DY, Sa KJ (2009) A study on the status and countermeasures of Posttraumatic stress disorder among firefighters in Daegu. Korean Soc Occup Environ 11:576–577
go back to reference Shin DY, Jeon MJ, Sa KJ (2012) Posttraumatic stress disorder and related factors in male firefighters in a metropolitan city. Korean J Occup Environ Med 24(4):397–409 Shin DY, Jeon MJ, Sa KJ (2012) Posttraumatic stress disorder and related factors in male firefighters in a metropolitan city. Korean J Occup Environ Med 24(4):397–409
go back to reference Shin HY, Hwang ST, Shin YT (2015) The relationship between traumatic events and PTSD symptoms of Urban firefighters—Focusing on the moderating effects of Type D personality and coping style. Crisisonomy 11(6):97–120 Shin HY, Hwang ST, Shin YT (2015) The relationship between traumatic events and PTSD symptoms of Urban firefighters—Focusing on the moderating effects of Type D personality and coping style. Crisisonomy 11(6):97–120
go back to reference Stamm BH (2002) Measuring compassion satisfaction as well as fatigue: developmental history of the compassion satisfaction and fatigue test. Brunner-Routledge, New York Stamm BH (2002) Measuring compassion satisfaction as well as fatigue: developmental history of the compassion satisfaction and fatigue test. Brunner-Routledge, New York
go back to reference Weiss DS, Marmar CR (1997) The impact of event scale-revised. In: Wilson JP, Keane TM (eds) Assessing psychological trauma and PTSD: a practitioner’s handbook. Guilford, New York, pp 300–411. doi:10.1007/978-0-387-70990-1_10 Weiss DS, Marmar CR (1997) The impact of event scale-revised. In: Wilson JP, Keane TM (eds) Assessing psychological trauma and PTSD: a practitioner’s handbook. Guilford, New York, pp 300–411. doi:10.​1007/​978-0-387-70990-1_​10
go back to reference Youn EJ (2009) An experiential analysis of burnout in counselors. Korea J Couns 10(4):1855–1871CrossRef Youn EJ (2009) An experiential analysis of burnout in counselors. Korea J Couns 10(4):1855–1871CrossRef
Metadata
Title
Relationship between burnout and PTSD symptoms in firefighters: the moderating effects of a sense of calling to firefighting
Authors
Insung Jo
Songhee Lee
Gyhye Sung
Minkyoung Kim
Sanghyuk Lee
Jooeon Park
Kangsoo Lee
Publication date
01-01-2018
Publisher
Springer Berlin Heidelberg
Published in
International Archives of Occupational and Environmental Health / Issue 1/2018
Print ISSN: 0340-0131
Electronic ISSN: 1432-1246
DOI
https://doi.org/10.1007/s00420-017-1263-6

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