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Influence of Avoidant Coping on Posttraumatic Stress Symptoms and Job Burnout Among Firefighters: The Mediating Role of Perceived Social Support

Published online by Cambridge University Press:  28 June 2021

Yaru Chen ,
Xiaohui Li ,
Chen Chen ,
Yuanyuan An Open the ORCID record for Yuanyuan An [Opens in a new window] ,
Junyi Shi ,
Jiali Huang  and
Yuqing Zhao
Yaru Chen
Affiliation:
School of Psychology, Nanjing Normal University, Nanjing, PRChina
Xiaohui Li
Affiliation:
School of Family and Consumer Sciences, Northern Illinois University, DeKalb, IL, USA
Chen Chen
Affiliation:
Department of Social and Behavioural Sciences, City University of Hong Kong, Hong Kong, China
Yuanyuan An*
Affiliation:
School of Psychology, Nanjing Normal University, Nanjing, PRChina
Junyi Shi
Affiliation:
School of Psychology, Nanjing Normal University, Nanjing, PRChina
Jiali Huang
Affiliation:
School of Psychology, Nanjing Normal University, Nanjing, PRChina
Yuqing Zhao
Affiliation:
School of Psychology, Nanjing Normal University, Nanjing, PRChina
*
Corresponding author: Yuanyuan An, Email: [email protected].
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Abstract

Objective:

The study aims to explore the effects of avoidant coping on posttraumatic stress symptoms (PTSS) and job burnout among firefighters, and to examine the mediating role of perceived social support on the relationship between avoidant coping and PTSS and job burnout.

Method:

Assessments including the posttraumatic stress disorder checklist for DSM-5 (PCL-5), Maslach Burnout Inventory–General Survey (MBI-GS), Coping Style Inventory (CSI), and Perceived Social Support Scale (PSSS) were conducted among 431 firefighters studying in a school specializing in training firemen in Nanjing, China.

Result:

The results show that: (1) Avoidant coping was positively related to PTSS and job burnout among firefighters; and (2) avoidant coping was positively related to PTSS and job burnout through the mediating effect of perceived social support.

Conclusion:

These findings not only provide guiding information for relevant departments to prevent mental health issues of firefighters in the future, but also enlighten the psychological intervention for firefighters, that is, to encourage firefighters to actively face and solve problems and adopt positive coping styles, as well as offer them more care and support whenever possible.

Keywords

avoidant copingfirefightersjob burnoutposttraumatic stress symptoms (PTSS)social support
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 16 , Issue 4 , August 2022 , pp. 1476 - 1481
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc.

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References

Kales, SN, Soteriades, ES, Christophi, CA, et al. Emergency duties and deaths from heart disease among firefighters in the United States. N Engl J Med. 2007;356:1207-1215.CrossRefGoogle ScholarPubMed
Chen, WQ, Siu, OL, Lu, JF, et al. Work stress and depression: the direct and moderating effects of informal social support and coping. Stress Health. 2009;25:13.CrossRefGoogle Scholar
Yoo, S, Komura, K, Matsui, Y, et al. The stress symptoms and posttraumatic growth of dispatched firefighters following the Great East Japan Earthquake. Shinrigaku Kenkyu. 2017;87:644-650.CrossRefGoogle ScholarPubMed
Ma, CP. Psychological crisis of firefighters affected by fire scene and its intervention. China Occup Med. 2008;35:65-66.Google Scholar
Mitani, S, Fujita, M, Nakata, K, et al. Impact of post-traumatic stress disorder and job-related stress on burnout: a study of fire service workers. J Emerg Med. 2006;31:7-11.CrossRefGoogle ScholarPubMed
U.S. Department of Veterans Affairs. The PTSD Checklist for DSM-5 (PCL-5). https://www.ptsd.va.gov. Accessed February 23, 2018.Google Scholar
Huang, J, Wang, X, Li, W, et al. The relationship between conscientiousness and posttraumatic stress disorder among young Chinese firefighters: the mediating effect of perceived social support. Psychiatry Res. 2019;273:450-455.CrossRefGoogle ScholarPubMed
Li, Y, Peng, LH, Chen, YR, et al. Analysis of firemen post-traumatic stress disorder after earthquake. Prog Mod Biomed. 2011;11:775-779.Google Scholar
Maslach, C, Schaufeli, WB, Leiter, MP. Job burnout. Ann Rev Psychol. 2001;52:397-422.CrossRefGoogle ScholarPubMed
Argentero, P, Setti, I. Engagement and vicarious traumatization in rescue workers. Int Arch Occup Environ Health. 2011;84:67-75.Google ScholarPubMed
Chatzea, VE, Sifaki-Pistolla, D, Vlachaki, SA, et al. PTSD, burnout and well-being among rescue workers: seeking to understand the impact of the European refugee crisis on rescuers. Psychiatry Res. 2017;262:446-451.CrossRefGoogle ScholarPubMed
Li, H, Zhao, R, Xu, FM, et al. Mediating role of control locus in teachers’ job burnout and their job stress coping strategies in colleges and universities. Chin J Clin Psychol. 2009;2:207-209.Google Scholar
Elhai, JD, Biehn, TL, Armour, C, et al. Evidence for a unique PTSD construct represented by PTSD’s D1-D3 symptoms. J Anxiety Disord. 2011;25:340-345.CrossRefGoogle ScholarPubMed
Boden, MT, Bonn-Miller, MO, Vujanovic, AA, et al. A prospective investigation of changes in avoidant and active coping and posttraumatic stress disorder symptoms among military veteran. J Psychopathol Behav Assess. 2012;34:433-439.CrossRefGoogle Scholar
Tiet, QQ, Rosen, C, Cavella, S, et al. Coping, symptoms, and functioning outcomes of patients with posttraumatic stress disorder. J Trauma Stress. 2006;19:799-811.CrossRefGoogle ScholarPubMed
Anderson, DG. Coping strategies and burnout among veteran child protection workers. Child Abuse Negl. 2000;24:839-848.CrossRefGoogle ScholarPubMed
Ognibene, TC, Collins, NL. Adult attachment styles, perceived social support and coping strategies. J Soc Pers Relat. 1998;15:323-345.CrossRefGoogle Scholar
Heaney, CA, Israel, BA. Social networks and social support. Health Behav Health Educ Theory Res Pract. 2008;4:189-210.Google Scholar
Bámaca-Colbert, MY, Tilghman-Osborne, EM, Calderón-López, S, et al. Perceptions of support from mothers, fathers, and friends: direct and indirect associations with the psychological adjustment of Mexican-origin girls. J Lat Psychol. 2017;5:142.Google Scholar
Schulz, R, Decker, S. Long-term adjustment to physical disability: the role of social support, perceived control, and self-blame. J Pers Soc Psychol. 1985;48:1162.CrossRefGoogle ScholarPubMed
Wolf, TM, Balson, PM, Morse, EV, et al. Relationship of coping style to affective state and perceived social support in asymptomatic and symptomatic HIV-infected persons: implications for clinical management. J Clin Psychiatry. 1991;52:171-173.Google ScholarPubMed
Ma, X, Liu, X, Hu, X, et al. Risk indicators for posttraumatic stress disorder in adolescents exposed to the 5.12 Wenchuan earthquake in China. Psychiatry Res. 2011;189:385-391.CrossRefGoogle Scholar
Russell, S, Subramanian, B, Russell, PS, et al. Psychopathology, traumatic life events, and coping skills among patients attending a primary-care adolescent clinic. Indian J Pediatr. 2012;79:52-59.Google ScholarPubMed
Zhou, X, Wu, X, Zhen, R. 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. 2018;31:32-45.CrossRefGoogle ScholarPubMed
Maslach, C, Jackson, SE. The measurement of experienced burnout. J Organ Behav. 1981;2(2):99-113.Google Scholar
Li, CP, Shi, K. The influence of distributive justice and procedural justice on job burnout. Acta Psychologica Sinica. 2003;35:677-684.Google Scholar
Li, X, Hou, ZJ, Chi, HY, et al. The mediating role of coping in the relationship between subtypes of perfectionism and job burnout: a test of the 2×2 model of perfectionism with employees in China. Pers Individ. 2014;58:65-70.CrossRefGoogle Scholar
Amirkhan, JH. A factor analytically derived measure of coping: the coping strategy indicator. J Pers Soc Psychol. 1990;59:1066-1074.CrossRefGoogle Scholar
Hou, ZJ, Zhou, X, Chen, JL, et al. The influencing factors of PTSD and PTG among teachers after Wenchuan earthquake: perspectives from before, during and after disaster. Psychol Dev Educ. 2014;30:82-89.Google Scholar
Huang, L, Jiang, QJ, Ren, WH. Study on the correlation between coping style, social support and psychosomatic symptoms of cancer patients. Chin Ment Health J. 1996;10:160-161.Google Scholar
Kong, F, You, X. Loneliness and self-esteem as mediators between social support and life satisfaction in late adolescence. Soc Indic Res. 2013;110:271-279.CrossRefGoogle Scholar
Wen, Z, Hau, KT, Herbert, WM. Structural equation model testing: cutoff criteria for goodness of fit indices and chi-square test. Acta Psychologica Sinica. 2004;36:186-194.Google Scholar
Wen, ZL, Zhang, L, Hou, TJ, et al. Testing and application of the mediation effects. Acta Psychologica Sinica. 2004;36(5):614-620.Google Scholar
Trew, JL. Exploring the roles of approach and avoidance in depression: an integrative model. Clin Psychol Rev. 2011;31:1156-1168.CrossRefGoogle Scholar
Georgiou, YS, Fotiou, A. Burnout and coping strategies among private fitness centre employees. Montenegrin J Sports Sci Med. 2019;8:33-38.CrossRefGoogle Scholar
Vázquez, C, Hervás, G, Pérez-Sales, P. Chronic thought suppression and posttraumatic symptoms: data from the Madrid March 11, 2004 terrorist attack. J Anxiety Disord. 2008;22:1326-1336.CrossRefGoogle ScholarPubMed
Petrie, KJ, Booth, RJ, Pennebaker, JW. The immunological effects of thought suppression. J Pers Soc Psychol. 1998;75:1264-1272.CrossRefGoogle ScholarPubMed
Wegner, DM. Ironic processes of mental control. Psychol Rev. 1994;101:34-52.CrossRefGoogle ScholarPubMed
Bryant, RA, Harvey, AG. Avoidant coping style and post-traumatic stress following motor vehicle accidents. Behav Res Ther. 1995;33:631-635.CrossRefGoogle ScholarPubMed
Makar, AB, McMartin, KE, Palese, M, et al. Formate assay in body fluids: application in methanol poisoning. Biochem Med. 1975;13:117-126.CrossRefGoogle ScholarPubMed