Research in Community and Public Health Nursing (지역사회간호학회지)

Korean Academy of Community Health Nursing (한국지역사회간호학회)
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The Structural Equation Model for Posttraumatic Growth of Firefighter: Based on the Calhoun and Tedeschi's model of posttraumatic growth

소방공무원의 외상 후 성장 구조모형: Calhoun과 Tedeschi의 외상 후 성장 모형을 중심으로

  • Jeong, Yeo Ju (Department of Preventive Medicine.Institute of Health Sciences, Gyeongsang National University) ;
  • Jeon, Mi Yang (College of Nursing.Institute of Health Science, Gyeongsang National University)
  • 정여주 (경상대학교 의과 예방의학교실.건강과학연구원) ;
  • 전미양 (경상대학교 간호대학.건강과학연구원)
  • Received : 2020.06.08
  • Accepted : 2020.10.26
  • Published : 2020.12.31
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Abstract

Purpose: The purpose of this study is to construct and validate a posttraumatic growth structural model for firefighters based on Calhoun and Tedeschi's model (2006). Methods: The research data was collected from 200 firefighters working in Gyeongsang-do, Jeolla-do, and Gyeonggi-do. The participants completed an anonymous survey asking about ego-resilience, active coping, family support, organizational support, self-exposure, deliberate rumination, posstraumatic stress and posttraumatic growth. Results: The model selected as a final model was the one that supports 10 hypotheses out of 13 hypotheses. In the final model, deliberate rumination (β=.59, p<.001) had a significant effect in the posttraumatic growth of firefighters. Active coping, organizational support, self-exposure, ego-resilience and posttraumatic stress had a significant indirect effect. The explanatory power of these variables was 36.0%. Conclusion: The results of the survey show that it is important to develop a strategy to strengthen deliberate rumination. In addition, encouraging deliberate rumination through organizational support and self-exposure can promote posttraumatic growth of firefighters.

Keywords

Acknowledgement

본 연구는 소방청 소방안전 및 119구조·구급기술 연구개발사업("MPSS-소방안전-2015-80")의 연구비 지원으로 수행되었음.

References

  1. Fisher P, Etches B. A comprehensive approach to workplace stress &trauma in fire-fighting: A review document prepared for the international association of firefighters 17th redmond symposium. Poster session presented at: International Association of Fire Fighters 17th Redmond Symposium; 2003 October 5-9; San Francisco. CA.
  2. Jung YG, Lim GY, Cho SM, Cho JP, Kim GU, Shin YM, et al. A Study on the Status of Post-traumatic Stress in Fire Officials. Research Report. Suwon: Disaster safety education management; 2008 April. Report No.: 11-1660000-000125-14.
  3. Kang YJ, Kim SG, Choi TS, Seo YJ, Kim SS. Dangerous job group [Firefighters] PTSD Interventions performance reports. Research Report. Gwangju: Gwangju Trauma center; 2014 February.
  4. Calhoun LG, Tedeschi RG. Handbook of Posttraumatic Growth: Research and Practice. 1st ed. Mahwah New Jersey: Lawrnce Erlbaum Associates; 2006. 387 p.
  5. Wilcox S. Social relationship and PTSD symtomatology in combat veterans. Psychological Trauma: Theory, Research Practice, and Policy. 2010;2(3):175-182. https://doi.org/10.1037/a0019062
  6. Sattler DN, Boyd B, Kirsch J. Trauma exposed firefighters: Relationships among posttraumatic growth, posttraumatic stress, resource availability, coping and critical incident stress debriefing experience. Stress and Health. 2014;30(5):356-365. https://doi.org/10.1002/smi.2608
  7. Kehl D, Knuth D, Hulse L, Schmidt S. Predictors of postevent distress and growth among firefighters after work-related emergencies-A cross-national study. Psychological Trauma: Theory, Research, Practice, and Policy. 2015;7(3):203-211. https://doi.org/10.1037/a0037954
  8. Park JS, Kim YJ, Ryu YS, Park MH. Factors influencing post-traumatic growth in cancer survivors. Asian Oncology Nursing. 2018;18(1):30-39. https://doi.org/10.5388/aon.2018.18.1.30
  9. Kim GE, Yang NM. The relations between ego-resilience and post-traumatic growth on university students: Mediating effects of meaning in life and active stress coping method. The Korean Journal of Counseling and Psychotherapy. 2016;28(1):127-145. https://doi.org/10.23844/kjcp.2016.02.28.1.127
  10. Park SJ. The effect of active stress coping of adolescents experienced loss on their posttraumatic growth-The mediating effects of deliberate rumination-. Youth Facility & Environment. 2015;13(1):119-130.
  11. Yang SK, Ha Y. Predicting posttraumatic growth among firefighters: The role of deliberate rumination and problem-Focused coping. International Journal of Environmental Research and Public Health. 2019;16(20):3879. https://doi.org/10.3390/ijerph16203879
  12. Yu JP. The concept and understanding of structural equation modeling. 1st ed. Seoul: Hannarae Publishing Co.; 2012. 568 p.
  13. Kim CJ, Jang SJ, Park KS. The study on physical and mental health promotion of firefighters through lifetime health risk management system. Research Report. Seoul: National Fire Agency; 2020 February. Report No.: 1761001048.
  14. Block J, Kremen AM. IQ and ego-resiliency: Conceptual and empirical connections and separateness. Journal of Personality and Social Psychology. 1996;70(2):349-361. https://doi.org/10.1037/0022-3514.70.2.349
  15. Yoo SK, Shim HW. Psychological protective factors in resilient adolescents in Korea. Journal of Educational Psychology. 2002;16(4):189-206.
  16. Lazarus RS, Folkman S. Stress, appraisal, and coping. 1st ed. New York; Springer publishing company: 1984. 444 p.
  17. Lee JH, Kim JH. Relations of perceived stress, cognitive set, and coping behaviors to depressidn: A focus on freshmen's stress experiences. The Korean Journal of Counseling Psychotherapy. 1988;1(1):25-45.
  18. King LA, Mattimore LK, King DW, Adams GA. Family support inventory for workers: A new measure of perceived social support from family members. Journal of Organizational Behavior. 1995;16(3):235-258. https://doi.org/10.1002/job.4030160306
  19. Jo KJ. A study on work-family conflict and social support among sales persons. Global Business Administration Review. 2013;10(3):87-110. https://doi.org/10.17092/jibr.2013.10.3.87
  20. Eisenberger R, Huntington R, Hutchison S, Sowa D. Perceived organizational support. Journal of Applied Psychology. 1986;71(3):500-507. https://doi.org/10.1037/0021-9010.71.3.500
  21. Kim MS. (A)study of model building on job stress. [dissertation]. [Seoul]: Korea University; 1990. 260 p.
  22. Park JH. Effects of rumination and self-disclosure about the stressful Life event on emotion. The Korean Journal of Health Psychology. 2009;14(1):125-145. https://doi.org/10.17315/kjhp.2009.14.1.008
  23. Cann A, Calhoun LG, Tedeschi RG, Vishnevsky T, Lindstrom CM. Assessing posttraumatic cognitive processes: The event related rumination inventory. Anxiety, Stress, & Coping. 2011;24(2):137-156. https://doi.org/10.1080/10615806.2010.529901
  24. Shin SY, Chung NW. The effect of meaning in life and social support on posttraumatic growth. Journal of Human Understanding and Counseling. 2012;33(2):217-235.
  25. Foa EB, Cashman L, Jaycox L, Perry K. The validation of a self-report measure of posttraumatic stress disorder: The posttraumatic diagnostic scale. Psychological Assessment. 1997;9(4):445. https://doi.org/10.1037/1040-3590.9.4.445
  26. Nam BR, Kwon IH, Kwon JH. Psychometric qualities of the korean version of the post traumatic diagnosis scale (PDS-K). Korean Journal of Clinical Psychology. 2010;29(1):147-167. https://doi.org/10.15842/kjcp.2010.29.1.009
  27. Calhoun LG, Tedeschi RG. The posttraumatic growth inventory: Measuring the positive legacy of trauma. Journal of Traumatic Stress. 1996;9(3):455-471. https://doi.org/10.1002/jts.2490090305
  28. Song SS, Kim KH, Kwon SJ, Lee HS. Reliability and validity of a Korean version of the posttraumatic growth inventory. The Korean Journal of Health Psychology. 2009;14(1):193-214. https://doi.org/10.17315/kjhp.2009.14.1.012
  29. Hong SH. The criteria for selecting appropriate fit Indices in structural equation modeling and their rationales. Korean Journal of Clinical Psychology. 2000;19(1):161-177.
  30. Cha JY, Ham KA, Cheon SM. The development and effect of posttraumatic growth program for adolescents with traumatic experiences. The Korean Journal of School Psychology. 2019;16(2):129-157. https://doi.org/10.16983/KJSP.2019.16.2.129