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The mediating role of coping in the relationship of posttraumatic stress disorder symptoms (PTSS) and job burnout among Chinese firefighters

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Abstract

Purpose

The study aims to explore the relationship of posttraumatic stress disorder symptoms (PTSS) and job burnout among firefighters, as well as the mediating effect of coping in the relationship of PTSS and job burnout.

Methods

A total of 431 firefighters participated in the study by completing a questionnaire package including Maslach Burnout Inventory-General Survey (MBI-GS), PTSD Checklist for DSM-5 (PCL-5), and Coping Strategy Indicator (CSI).

Results

(1) The level of firefighters’ emotional exhaustion of job burnout varied significantly by age groups [F (2, 428) = 4.33, p < 0.05], and working years [F (2, 428) = 3.22, p < 0.05]; the level of cynicism of job burnout varied significantly by working years [F (2, 428) = 3.63, p < 0.05]. (2) PTSS was significantly and positively associated with job burnout (β = 0.899, p < 0.001). (3) Both avoidant coping and problem-solving mediated the relationship between PTSS and job burnout (β = 0.212, p < 0.001; β = 0.145, p < 0.001).

Conclusions

Firefighters with higher level of PTSS are more likely to have job burnout. Avoidant coping and problem-solving play the mediating role in the relationship between PTSS and job burnout. The clinical implications for firefighters’ interventions are discussed.

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References

  • American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders (DSM-5®). Am Psychiatr Publ 309–334

  • Amirkhan JH (1990) A factor analytically derived measure of coping: the coping strategy indicator. J Pers Soc Psychol 59(5):1066–1074

    Google Scholar 

  • An Y, Fu F, Wu X, Lin C, Zhang Y (2013a) Longitudinal relationships between neuroticism, avoidant coping, and posttraumatic stress disorder symptoms in adolescents following the 2008 Wenchuan earthquake in China. J Loss Trauma 18(6):556–571

    Google Scholar 

  • An YY, Wu XC, Liu CH, Lin CD (2013b) Neuroticism personality and posttraumatic growth in adolescent: the moderating effect of coping style and mediating effect of social support. Psychol Dev Educ 29(6):657–663

    Google Scholar 

  • Antoniou AS, Ploumpi A, Ntalla M (2013) Occupational stress and professional burnout in teachers of primary and secondary education: the role of coping strategies. Psychol 4(03):349–355

    Google Scholar 

  • Arbona C, Schwartz JP (2016) Posttraumatic stress disorder symptom clusters, depression, alcohol abuse, and general stress among Hispanic male firefighters. Hisp J Behav Sci 38(4):507–522

    Google Scholar 

  • Argentero P, Setti I (2011) Engagement and vicarious traumatization in rescue workers. Int Arch Occup Environ Health 84(1):67–75

    Google Scholar 

  • Bai YL, Li XW (2015) The relationship between social support, work burnout and PTSD in Chinese firefighters. Mod Prev Med 42(13):2329–2333

    Google Scholar 

  • Bartlett BA, Smith LJ, Lebeaut A, Tran JK, Vujanovic AA (2019) PTSD symptom severity and impulsivity among firefighters: associations with alcohol use. Psychiatry Res 278:315–323

    Google Scholar 

  • Carmona C, Buunk AP, Peiró JM, Rodríguez I, Bravo MJ (2006) Do social comparison and coping styles play a role in the development of burnout? Cross-sectional and longitudinal findings. J Occup Ogr Psychol 79(1):85–99

    Google Scholar 

  • Chamberlin MJ, Green HJ (2010) Stress and coping strategies among firefighters and recruits. J Loss Trauma 15(6):548–560

    Google Scholar 

  • Chen H, Chen Y, Au M, Feng L, Chen Q, Guo H, Li Y, Yang X (2014) The presence of post-traumatic stress disorder symptoms in earthquake survivors one month after a mudslide in southwest China. Nurs Health Sci 16(1):39–45

    Google Scholar 

  • Chen ZG, Zhang YQ, Liu Y, Zhang N, Wu KK (2011) Ethnicity, culture, and disaster response: identifying and explaining ethnic differences in PTSD six months after Sichuan earthquake in China. Chin J Clin Psychol 19(4):503–507

    Google Scholar 

  • Cheng Y, Fei Y, Li Z, Chen N (2008) Relationship between coping style and post-traumatic stress disorder among patients with brachial plexus nerve injury. J Nurs Sci 23(22):16–18

    Google Scholar 

  • 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):75–86

    Google Scholar 

  • Cordes CL, Dougherty TW (1993) A review and an integration of research on job burnout. Acta Manag Rev 18(4):621–656

    Google Scholar 

  • Dworkin ER, Ullman SE, Stappenbeck C, Brill CD, Kaysen D (2018) Proximal relationships between social support and PTSD symptom severity: a daily diary study of sexual assault survivors. Depress Anxiety 35(1):43–49

    Google Scholar 

  • Einav S, Shalev AY, Ofek H, Freedman S, Matot I, Weiniger CF (2008) Differences in psychological effects in hospital doctors with and without post-traumatic stress disorder. Br J Psychiatry 193(2):165–166

    Google Scholar 

  • Folkman S, Lazarus RS (1980) An analysis of coping in a middle-aged community sample. J Health Soc Behav 21(3):219–239

    CAS  Google Scholar 

  • Fu ZM (2014) Analysis on the fire data in China for the period between 2003–2012. J Saf Environ 14(6):341–345

    Google Scholar 

  • García-Izquierdo M, Meseguer de Pedro M, Ríos-Risquez MI, Sánchez MIS (2018) Resilience as a moderator of psychological health in situations of chronic stress (burnout) in a sample of hospital nurses. J Nurs Scholarsh 50(2):228–236

    Google Scholar 

  • Grandey AA, Cropanzano R (1999) The conservation of resources model applied to work-family conflict and strain. J Voc Behav 54(2):1–21

    Google Scholar 

  • Griva K, Joekes K (2003) UK teachers under stress: can we predict wellness on the basis of characteristics of the teaching job? Psychol Health 18(4):457–471

    Google Scholar 

  • Gustafsson H, Kenttä G, Hassmén P (2011) Athlete burnout: an integrated model and future research directions. Int Rev Sport Exerc Psychol 4(1):3–24

    Google Scholar 

  • Haslam C, Mallon K (2003) A preliminary investigation of post-traumatic stress symptoms among firefighters. Work Stress 17(3):277–285

    Google Scholar 

  • Hobfoll SE (1988) Stress, culture, and community: the psychology and philosophy of stress. Plenum, New York

    Google Scholar 

  • Hobfoll SE (2002) Social and psychological resources and adaptation. Rev Gen Psychol 6(4):307–324

    Google Scholar 

  • Hom MA, Stanley IH, Rogers ML, Tzoneva M, Bernert RA, Joiner TE (2016) The association between sleep disturbances and depression among firefighters: emotion dysregulation as an explanatory factor. J Clin Sleep Med 12(02):235–245

    Google Scholar 

  • Hou ZJ, Zhou X, Chen JL, Zhu L, Ni J, Chen SF (2014) The influencing factors of PTSD and PTG among teachers after Wenchuan earthquake: perspectives from before, during and after disaster. Psychol Dev Educ 30(1):82–89

    Google Scholar 

  • Huang J, Wang X, Li W, An Y (2019a) The relationship between conscientiousness and posttraumatic stress disorder among young Chinese firefighters: the mediating effect of perceived social support. Psychiatry Res 273:450–455

    Google Scholar 

  • Huang J, You XQ, Wang YS, Bao XH (2015) A longitudinal analysis of the developmental process of job burnout. J Psychol Sci 38(4):911–915

    Google Scholar 

  • Huang Q, Zhang Q, An Y, Xu W (2019b) The relationship between dispositional mindfulness and PTSD/PTG among firefighters: the mediating role of emotion regulation. Pers Indiv Differ 151:109492

    Google Scholar 

  • Huijts I, Kleijn WC, van Emmerik AA, Noordhof A, Smith AJ (2012) Dealing with man-made trauma: the relationship between coping style, posttraumatic stress, and quality of life in resettled, traumatized refugees in the Netherlands. J Trauma Stress 25(1):71–78

    Google Scholar 

  • Jaegers LA, Matthieu MM, Vaughn MG, Werth P, Katz IM, Ahmad SO (2019) Posttraumatic stress disorder and job burnout among jail officers. J Occup Environ Med 61(6):505–510

    Google Scholar 

  • Jang SH, Ryu HS, Choi SC, Lee SY (2016) Psychological factors influence the gastroesophageal reflux disease (GERD) and their effect on quality of life among firefighters in South Korea. Int J Occup Env Health 22(4):315–320

    CAS  Google Scholar 

  • Janoff-Bulman R (1989) Assumptive worlds and the stress of traumatic events: applications of the schema construct. Soc Cogn 7(2):113–136

    Google Scholar 

  • Jenaro C, Flores N, Arias B (2007) Burnout and coping in human service practitioners. Prof Psychol Res Pract 38(1):80–87

    Google Scholar 

  • Jo I, Lee S, Sung G, Kim M, Lee S, Park J, Lee K (2018) Relationship between burnout and PTSD symptoms in firefighters: the moderating effects of a sense of calling to firefighting. Int Arch Occup Environ Health 91(1):117–123

    Google Scholar 

  • Katsavouni F, Bebetsos E, Malliou P, Beneka A (2015) The relationship between burnout, PTSD symptoms and injuries in firefighters. Occup Med 66(1):32–37

    Google Scholar 

  • Kim JI, Park H, Kim JH (2018) Alcohol use disorders and insomnia mediate the association between PTSD symptoms and suicidal ideation in Korean firefighters. Depress Anxiety 35(11):1095–1103

    Google Scholar 

  • Lazarus RS, Folkman S (1984) Stress, appraisal, and coping. Pringer, New York

    Google Scholar 

  • Lee N, Lee J, Kim J, Jeon K, Sim M (2019) Risk factors for stress and depression in firefighters: comparison of individual and job related factors. Anxiety Mood 15(1):35–44

    Google Scholar 

  • Li CP, Shi K, Luo ZX (2003) An investigation and job burnout of doctor and nurse. CN J Clin Psychol 35(5):677–684

    Google Scholar 

  • Li R (2014) Relationship among post-traumatic stress disorder, mental health and coping style. CN J Health Psychol 22(4):501–503

    Google Scholar 

  • Litman JA (2006) The COPE inventory: dimensionality and relationships with approach-and avoidance-motives and positive and negative traits. Pers Individ Differ 41(2):273–284

    Google Scholar 

  • Leiter MP (1991) Coping patterns as predictors of burnout: the function of control and escapist coping patterns. J Organ Behav 12(2):123–144

    Google Scholar 

  • MacKinnon DP, Lockwood CM, Williams J (2004) Confidence limits for the indirect effect: distribution of the product and resampling methods. Multivar Behav Res 39(1):99–128

    Google Scholar 

  • Martin CE, Vujanovic AA, Paulus DJ, Bartlett B, Gallagher MW, Tran JK (2017) Alcohol use and suicidality in firefighters: associations with depressive symptoms and posttraumatic stress. Compr Psychiatry 74:44–52

    Google Scholar 

  • Maslach C, Jackson SE (1981) The measurement of experienced burnout. J Organ Behav 2(2):99–113

    Google Scholar 

  • Maslach C, Schaufeli WB, Leiter MP (2001) Job burnout. Annu Rev Psychol 52(1):397–422

    CAS  Google Scholar 

  • Mitani S, Fujita M, Nakata K, Shirakawa T (2006) Impact of post-traumatic stress disorder and job-related stress on burnout: a study of fire service workers. J Emerg Med 31(1):7–11

    Google Scholar 

  • Peng LH, Li Y (2010) Investigation and analysis on the mental fatigue of special firefighters. CN Occup Med 37(4):339–341

    Google Scholar 

  • Pennington ML, Carpenter TP, Synett SJ, Torres VA, Teague J, Morissette SB, Knight J, Kamholz BW, Keane TM, Zimering RT, Gulliver SB (2018) The influence of exposure to natural disasters on depression and PTSD symptoms among firefighters. Prehosp Disaster Med 33(1):102–108

    Google Scholar 

  • Podsakoff PM, MacKenzie SB, Lee JY, Podsakoff NP (2003) Common method biases in behavioral research: a critical review of the literature and recommended remedies. J Appl Psychol 88(5):879–903

    Google Scholar 

  • Saijo Y, Ueno T, Hashimoto Y (2012) Post-traumatic stress disorder and job stress among firefighters of urban Japan. Prehosp Disaster Med 27(1):59–63

    Google Scholar 

  • Schaufeli WB, Buunk BP (2003) Burnout: an overview of 25 years of research and theorizing. Handb Work Health Psychol 2:282–424

    Google Scholar 

  • Setti I, Lourel M, Argentero P (2016) The role of affective commitment and perceived social support in protecting emergency workers against burnout and vicarious traumatization. Traumatology 22(4):261–270

    Google Scholar 

  • Smith BW, Ortiz JA, Steffen LE, Tooley EM, Wiggins KT, Yeater EA, Yeater EA, Montoya JD, Bernard ML (2011) Mindfulness is associated with fewer PTSD symptoms, depressive symptoms, physical symptoms, and alcohol problems in urban firefighters. J Consult Clin Psychol 79(5):613–617

    Google Scholar 

  • Stanley IH, Hom MA, Chu C, Dougherty SP, Gallyer AJ, Spencer-Thomas S, Shelef L, Fruchter E, Comtois KA, Gutierrez PM, Sachs-Ericsson NJ, Joiner TE (2018) Perceptions of belongingness and social support attenuate PTSD symptom severity among firefighters: a multistudy investigation. Psychol Serv. https://doi.org/10.1037/ser0000240

    Article  Google Scholar 

  • Toomey RB, Ryan C, Diaz RM, Russell ST (2018) Coping with sexual orientation-related minority stress. J Homosex 65(4):484–500

    Google Scholar 

  • Violanti JM, Ma CC, Mnatsakanova A, Fekedulegn D, Hartley TA, Gu JK, Andrew ME (2018) Associations between police work stressors and posttraumatic stress disorder symptoms: examining the moderating effects of coping. J Police Crim Psychol 33(3):271–282

    Google Scholar 

  • Wagner A, Monson C, Hart T (2016) Understanding social factors in the context of trauma: implications for measurement and intervention. J Aggress Maltreat Trauma 25(8):831–853

    Google Scholar 

  • Weathers FW (2013) The PTSD checklist for DSM-5 (PCL-5): development and initial psychometric analysis. PA, Philadelphia

  • Wei X, Li FY, Wang Q, Liu JW (2016) The analysis of the fire fighters and soldiers work input and burnout in Xinjiang. Xinjiang Med J 46(11):1399–1402

    Google Scholar 

  • Wen ZL, Kit-Tai H, Marsh HW (2004) Structural equation model testing: cutoff criteria for goodness of fit indices and chi-square test. Acta Psychol Sinica 36(2):186–194

    Google Scholar 

  • Xiong F, Li R, Wei X, Li FY, Liu JW (2014) Cross-sectional investigation on job burnout among fire fighters in Xinjiang. Occup Health 30(19):2716–2718

    Google Scholar 

  • Yip J, Zeig-Owens R, Hall CB, Webber MP, Olivieri B, Schwartz T, Kelly KJ, Prezant DJ (2016) Health conditions as mediators of the association between World Trade Center exposure and health-related quality of life in firefighters and EMS workers. J Occup Environ Med 58(2):200–206

    CAS  Google Scholar 

  • Zhang LR, Wang D, Bai XJ (2007) New progresses of studies of influencing factors of teachers’ job burnout abroad. Psychol Sci 30(2):492–494

    Google Scholar 

  • Zhou X, Wu X, Zhen R (2018) Self-esteem and hope mediate the relations between social support and post-traumatic stress disorder and growth in adolescents following the Ya’an earthquake. Anxiety Stress Coping 31(1):32–45

    CAS  Google Scholar 

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Acknowledgements

The project was supported by Project of the Philosophy and Social Science Foundation of Jiangsu (Grant number: 18SHC004) and Project of the Natural Science Foundation of Jiangsu Province (Grant number: BK20190702).

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Correspondence to Yuanyuan An.

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Huang, J., Li, X. & An, Y. The mediating role of coping in the relationship of posttraumatic stress disorder symptoms (PTSS) and job burnout among Chinese firefighters. Int Arch Occup Environ Health 94, 243–250 (2021). https://doi.org/10.1007/s00420-020-01571-0

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