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Posttraumatic Stress in Professional Firefighters in Japan: Rescue Efforts after the Great East Japan Earthquake (Higashi Nihon Dai-Shinsai)

Published online by Cambridge University Press:  09 August 2012

Masahito Fushimi*
Affiliation:
Akita Prefectural Mental Health & Welfare Center, Akita, Japan
*
Correspondence: Masahito Fushimi, MD, PhD Akita Prefectural Mental Health & Welfare Center 2-1-51 Nakadori, Akita City Akita 010-0001, Japan E-mail [email protected] or [email protected]

Abstract

Introduction

Firefighters are often exposed to stressful duty-related events and may experience extreme trauma. Such work-related stress can result in posttraumatic stress disorder (PTSD). It is therefore important to understand the traumatic stress experienced by firefighters in the course of their work and to promote appropriate intervention when necessary.

Methods

Data were collected from 118 workers (all males) in the Fire Department of Akita City, Japan who had participated in the Great East Japan Earthquake (Higashi Nihon Dai-Shinsai) rescue effort from March 11 through March 31, 2011. Study participants completed self-report surveys at three time intervals: shortly after return from the rescue effort, approximately two weeks after return from the rescue effort, and approximately one month after return from the rescue effort. The surveys included questions of demographics, physical complaints, medical history, and the Impact of Event Scale-Revised (IES-R) Japanese version, in which a cut-off point of 24/25 was set to screen for PTSD.

Results

A total of 117 participants undertook the initial survey with a range of 0-36 points obtained on the IES-R score. For the initial survey, two of 117 participants scored ≥25 points. For the intermediate survey phase, a range of 0-19 was obtained for 116 participants and for the final survey phase, a range of 0-11 points was obtained for 114 participants.

Conclusion

Contrary to expectations, the survey results showed no participant was judged to require prompt consultation for PTSD. The firefighters who participated in this study were in good mental health. However, more detailed study is required to ascertain whether these findings adequately and clearly reflect the mental health status of these participants.

FushimiM . Posttraumatic Stress in Professional Firefighters in Japan: Rescue Efforts after the Great East Japan Earthquake (Higashi Nihon Dai-Shinsai). Prehosp Disaster Med.2012;27(5):1-3.

Type
Original Research
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2012

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References

1. Fullerton, CS, McCarroll, JE, Ursano, RJ, Wright, KM. Psychological responses of rescue workers: fire fighters and trauma. Am J Orthopsychiatry. 1992;62(3):371-378.Google Scholar
2. Mitchell, JT, Dyregrov, A. Traumatic stress in disaster workers and emergency personnel. In: Wilson JP, Raphael B (eds), International Handbook of Traumatic Stress Syndromes. New York: Plenum; 1993:305-314.Google Scholar
3. Bryant, RA, Harvey, AG. Posttraumatic stress in volunteer firefighters. Predictors of distress. J Nerv Ment Dis. 1995;183(4):267-271.Google Scholar
4. McFarlane, AC, Raphael, B. Ash Wednesday: the effects of a fire. Aust N Z J Psychiatry. 1984;18(4):341-351.Google Scholar
5. Pfefferbaum, B, North, CS, Bunch, K, Wilson, TG, Tucker, P, Schorr, JK. The impact of the 1995 Oklahoma City bombing on the partners of firefighters. J Urban Health. 2002;79(3):364-372.Google Scholar
6. Robinson, HM, Sigman, MR, Wilson, JP. Duty-related stressors and PTSD symptoms in suburban police officers. Psychol Rep. 1997;81(3 Pt 1):835-845.Google Scholar
7. McFarlane, AC. The longitudinal course of posttraumatic morbidity. The range of outcomes and their predictors. J Nerv Ment Dis. 1988;176(1):30-39.Google Scholar
8. Wagner, D, Heinrichs, M, Ehlert, U. Prevalence of symptoms of posttraumatic stress disorder in German professional firefighters. Am J Psychiatry. 1998;155(12):1727-1732.Google Scholar
9. Yanagawa, Y, Miyawaki, H, Shimada, J, et al. Medical evacuation of patients to other hospitals due to the Fukushima I Nuclear Accidents. Prehosp Disaster Med. 2011;26(5):391-393.Google Scholar
10. Asukai, N, Kato, H, Kawamura, N, et al. Reliability and validity of the Japanese-language version of the impact of event scale-revised (IES-R-J): four studies of different traumatic events. J Nerv Ment Dis. 2002;190(3):175-182.Google Scholar
11. Hytten, A, Hasle, K. Fire fighters; a study of stress and coping. Acta Psychiatr Scand Suppl. 1989;355:50-55.CrossRefGoogle ScholarPubMed
12. McFarlane, AC, Clayer, JR, Bookless, CL. Psychiatric morbidity following a natural disaster: an Australian bushfire. Soc Psychiatry Psychiatr Epidemiol. 1997;32(5):261-268.CrossRefGoogle ScholarPubMed
13. Nurmi, LA. The sinking of the Estonia: the effects of critical incident stress debriefing (CISD) on rescuers. Int J Emerg Ment Health. 1999;1(1):23-31.Google Scholar
14. Spadafora, R. Firefighter safety and health issues at the World Trade Center site. Am J Ind Med. 2002;42(6):532-538.Google Scholar
15. Hildebrand, J. Stress research, Parts I-IV. Fire Command. 1984;20-21.Google Scholar
16. Polakoff, PL. Attention should be given to limiting firefighting hazards. Occup Health Saf. 1984;53(4):55-56.Google Scholar
17. Barnard, RJ, Gardner, GW, Diaco, NV, Kattus, AA. Near-maximal ECG stress testing and coronary artery disease risk factor analysis in Los Angeles City fire fighters. J Occup Med. 1975;17(11):693-695.Google Scholar
18. Bryant, RA, Harvey, AG. Posttraumatic stress reactions in volunteer firefighters. J Trauma Stress. 1996;9(1):51-62.Google Scholar
19. Al-Naser, F, Everly, GS Jr. Prevalence of posttraumatic stress disorder among Kuwaiti firefighters. Int J Emerg Ment Health. 1999;1(2):99-101.Google Scholar
20. Bennett, P, Williams, Y, Page, N, Hood, K, Woollard, M. Levels of mental health problems among UK emergency ambulance workers. Emerg Med J. 2004;21(2):235-236.CrossRefGoogle ScholarPubMed
21. Eaton, WW, Sigal, JJ, Weinfeld, M. Impairment in Holocaust survivors after 33 years: data from an unbiased community sample. Am J Psychiatry. 1982;139(6):773-777.Google ScholarPubMed
22. Bramsen, I, van der Ploeg, HM. Use of medical and mental health care by World War II survivors in The Netherlands. J Trauma Stress. 1999;12(2):243-261.Google Scholar
23. Calhoun, PS, Bosworth, HB, Grambow, SC, Dudley, TK, Beckham, JC. Medical service utilization by veterans seeking help for posttraumatic stress disorder. Am J Psychiatry. 2002;159(12):2081-2086.CrossRefGoogle ScholarPubMed