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The relationship between quality of life and posttraumatic stress disorder or major depression for firefighters in Kaohsiung, Taiwan

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Abstract

Objective

The work of firefighters involves the risk of exposure to the harmful effects of toxic substances as well as the possibility of enormous emotional shock from disasters, which may result in psychiatric impairments and a lower quality of life. Therefore, we examined quality of life, prevalence of posttraumatic stress disorder (PTSD) and major depression, and the related risk factors for firefighters in Kaohsiung, Taiwan.

Methods

This is a two-stage survey study. During the first stage, we used the 36-item Short-Form Health Survey (SF-36) and the Disaster-Related Psychological Screening Test (DRPST) to assess quality of life, probable PTSD, probable major depression, and the related risk factors for 410 firefighters. During the second stage, psychiatrists categorized these probable cases according to self-reported questionnaires against DSM-IV into PTSD or major depression group, subclinical group, and health group. All the data were analyzed with SPSS 10.0 Chinese version.

Results

The estimated current prevalence rates for major depression and PTSD were 5.4% (22/410) and 10.5% (43/410), respectively. The firefighters with estimated PTSD or major depression scored significantly lower on quality of life measures than subclinical PTSD/major depression and mentally healthy groups, which was evident in eight concepts and two domains of the SF-36. The major predictors of poor quality of life and PTSD/major depression were mental status, psychosocial stressors, or perceived physical condition.

Conclusion

Firefighters have a higher estimated rate of PTSD, and the risk factors that affect quality of life and PTSD/major depression should encourage intervention from mental health professionals.

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References

  1. Gershon, R. R., Lin, S., & Li, X. (2002). Work stress in aging police officers. Journal of Occupational and Environmental Medicine, 44, 160–167.

    Article  Google Scholar 

  2. Berrios-Torres, S. I., Greenko, J. A., Phillips, M., Miller, J. R., Treadwell, T., & Ikeda, R. M. (2003). World Trade Center rescue worker injury and illness surveillance, New York, 2001. American Journal of Preventive Medicine, 25(2), 79–87.

    Article  Google Scholar 

  3. Chen, H. C., Chou, F. H., Chen M. C., Su S.F., Wang S. Y., Feng W. W., Chen P. C., Lai J. Y., Chao, S. S., Yang, S. L., Tsai, T. C., Tsai, K. Y., Lin, K. S., Lee C. Y., & Wu, H.C. (2006). A survey of quality of life and depression for police officers in Kaohsiung, Taiwan. Quality of Life Research 15(5), 925–932.

    Article  Google Scholar 

  4. Herbert, R., Moline, J., Skloot, G., Metzger, K., Baron, S., Luft, B., Markowitz, S., Udasin, I., Harrison, D., Stein, D., Todd, A., Enright, P., Stellman, J. M., Landrigan, P. J., & Levin, S. M. (2006). The World Trade Center disaster and the health of workers: five-year assessment of a unique medical screening program. Environmental Health Perspectives 114(12), 1853–1858.

    Google Scholar 

  5. Guo, Y. J., Chen, C. H., Lu, M. L., Tan, H. K., Lee, H. W., & Wang, T. N. (2004). Posttraumatic stress disorder among professional and non-professional rescuers involved in an earthquake in Taiwan. Psychiatry Research, 127(1–2):35–41.

    Article  Google Scholar 

  6. Liao, S. C., Lee, M. B., Lee, Y. J., Weng, T., Shih, F. Y., & Ma, M. H. (2002). Association of psychological distress with psychological factors in rescue workers within two months after a major earthquake. Journal of the Formosan Medical Association, 101(3), 169–176.

    Google Scholar 

  7. Chou, F. H., Wu, H. C., Chou, P., Su, C. Y., Tsai, K. Y., Shin-Shin Chao, S. S., Chen, M. C., Su, T. T., Sun, W. J., & Ou-Yang, W. C. (2007). Epidemiologic psychiatric studies on postdisaster impact among Chi-Chi earthquake survivors in Yu-Chi, Taiwan. Psychiatry and Clinical Neuroscience, 61, 370–378.

    Article  Google Scholar 

  8. Chang, C. M., Lee, L. C., Connor, K. M., Davidson, J. R., Jeffries, K., & Lai, T. J. (2003). Posttraumatic distress and coping strategies among rescue workers after an earthquake. The Journal of Nervous and Mental Disease, 191, 391–398.

    Article  Google Scholar 

  9. Fullerton, C. S., Ursano, R. J., & Wang, L. (2004). Acute stress disorder, posttraumatic stress disorder, and depression in disaster or rescue workers. The American Journal of Psychiatry, 161(8), 1370–1376.

    Article  Google Scholar 

  10. North, C. S., Tivis, L., McMillen, J. C., et al. (2002). Psychiatric disorders in rescue workers after the Oklahoma City bombing. The American Journal of Psychiatry, 159(5), 857–859.

    Article  Google Scholar 

  11. Pattani, S., Constantinovici, N., & Williams, S. (2004). Predictors of re-employment and quality of life in NHS staff one year after early retirement because of ill health; a national prospective study. Occupational and Environmental Medicine, 61, 572–576.

    Article  CAS  Google Scholar 

  12. Chou, F. H., Chou, P., Su, T. T., Ou-Yang, W. C., Chien, I. C., Lu, M. K., & Huang, M. W. (2004). Quality of life and related risk factors for a Taiwanese village population 21 months after an earthquake. The Australian and New Zealand Journal of Psychiatry, 38(5), 358–364.

    Article  Google Scholar 

  13. Wu, H. C., Chou, P., Chou, F. H., Su, C. Y., Tsai, K. Y., Ou-Yang, W. C., Su, T. T., Chao, S. S., Sun, W. J., & Chen, M. C. (2006). Survey of quality of life and related risk factors for a Taiwanese village population 3 years post-earthquake. The Australian and New Zealand Journal of Psychiatry, 40, 355–361.

    Article  Google Scholar 

  14. Tsai, K. Y., Chou, P., Chou, F. H., Su, T. T., Lin, S. C., Lu, M. K., Ou-Yang, W. C., Su, C. Y., Chao, S. S., Huang, M. W., Wu, H. C., Sun, W. J., Su, S. F., & Chen, M. C. (2007). Three-year follow-up study on the relationship between posttraumatic stress symptoms and quality of life among earthquake survivors in Yu-Chi, Taiwan. Journal of Psychiatric Research, 41(1–2):90–96.

    Article  Google Scholar 

  15. Halbesleben, J. R. (2006). Sources of social support and burnout: a meta-analytic test of the conservation of resources model. The Journal of Applied Psychology, 91, 1134–1145.

    Article  Google Scholar 

  16. Chou, F. H., Su, T. T., Ou-Yang, W. C., Chien, I. C., Lu, M. K., & Chou, P. (2003). Establishment of a disaster-related psychological screening test. The Australian and New Zealand Journal of Psychiatry, 37(1), 97–103.

    Article  Google Scholar 

  17. Jenkinson, C., Layte, R., Jenkinson, D., Lawrence, K., Petersen, S., Paice, C., & Stradling, J. (1997). A shorter form health survey: can the SF-12 replicate results from the SF-36 in longitudinal studies? Journal of Public Health Medicine, 19(2), 179–186.

    CAS  Google Scholar 

  18. Chou, F. H., Su, T. T., Chou, P., Ou-Yang, W. C., Lu, M. K., & Chien I. C. (2005). Survey of psychiatric disorders after an earthquake: MINI diagnosis for a village population in Taiwan. Journal of the Formosan Medical Association, 104, 308–317.

    Google Scholar 

  19. Lin M. R., Huang W., Huang, C., Hwang, H. F., Tsai, L. W., & Chiu, Y. N. (2002). The impact of the Chi-Chi earthquake on quality of life among elderly survivors in Taiwan—a before and after study. Quality of Life Research, 11, 379–388.

    Article  Google Scholar 

  20. Surtees, P. G., Wainwright, N. W., & Khaw, K. T. (2003). Day NE. Functional health status, chronic medical conditions and disorders of mood. The British Journal of Psychiatry, 183, 299–303.

    Article  Google Scholar 

  21. Chou, F. H., Chou, P., Lin, C., et al. (2004). The relationship between quality of life and psychiatric impairment for a Taiwanese community post earthquake. Quality of Life Research, 13, 1089–1097.

    Article  Google Scholar 

  22. Goenjian, A. K., Steinberg, A. M., Najarian, L. M., Fairbanks, L. A., Tashjian, M., & Pynoos, R. S. (2000). Prospective study of posttraumatic stress, anxiety, and depressive reactions after earthquake and political violence. The American Journal of Psychiatry, 157, 911–916.

    Article  CAS  Google Scholar 

  23. Yang, Y. K., Yeh, T. L., Chen, C. C., et al. (2003). Psychiatric morbidity and posttraumatic symptoms among earthquake victims in primary care clinics. General Hospital Psychiatry, 25, 253–261.

    Article  Google Scholar 

Download references

Acknowledgments

The study was supported by grants from the Bureau of Health, Kaohsiung City and from the National Science Council, Republic of China (No. NSC 94-2625-Z-280-001). The authors also appreciated the help from the Fire Bureau, Kaohsiung City.

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Correspondence to Frank Huang-Chih Chou.

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Chen, YS., Chen, MC., Chou, F.HC. et al. The relationship between quality of life and posttraumatic stress disorder or major depression for firefighters in Kaohsiung, Taiwan. Qual Life Res 16, 1289–1297 (2007). https://doi.org/10.1007/s11136-007-9248-7

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  • DOI: https://doi.org/10.1007/s11136-007-9248-7

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