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Relationship between Job Stress and Depressive Symptoms among Field Firefighters  

Kim, Tae-Woo (Occupational Safety and Health Research Institute, Korea Occupational Safety and Health Agency)
Kim, Kyoo-Sang (Occupational Safety and Health Research Institute, Korea Occupational Safety and Health Agency)
Ahn, Yeon-Soon (Department of Occupational & Environmental Medicine, Dongguk University Ilsan Hospital)
Publication Information
Annals of Occupational and Environmental Medicine / v.22, no.4, 2010 , pp. 378-387 More about this Journal
Abstract
Objectives: To investigate the relationship between job stress and depressive symptoms among field firefighters. Methods: We carried out a survey of 17,457 field firefighters using the KOSS-24 (Korean Occupational Stress Scales-24) and CES-D (Center for Epidemiological Studies-Depression Scale). Results: The mean CES-D score was 12.2${\pm}$9.6 and 19.2% of subjects had depressive symptoms. Job insecurity (OR=2.70, 95% CI=2.45~2.98) and lack of reward (OR=2.41, 95% CI=2.18~2.65), occupational climate (OR=2.38, 95% CI=2.15~2.63) were strongly associated with depressive symptoms. Job demand (OR=1.89, 95% CI=1.69~2.10), insufficient job control (OR=1.14, 95% CI=1.03~1.25), interpersonal conflict (OR=2.05, 95% CI=1.87~2.26) and organizational system (OR=1.83, 95% CI=1.66~2.02) were also significantly associated with depressive symptoms. Alcohol dependence had a stronger association than with normal subjects (OR=2.39, 95% CI=2.07~2.77). Conclusions: In field firefighters, job stress factors and alcohol dependence were associated with depressive symptoms. An intervention to reduce job stress and alcohol among field firefighters is needed to reduce depression in this population.
Keywords
Job stress; Depressive symptoms; Firefighter; Alcohol dependence;
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1 Pikhart H, Bobak M, Pajak A, Malyutina S, Kubinova R, Topor R, Sebakova H, Nikitin Y, Marmot M. Psychosocial factors at work and depression in three countries of Central and Eastern Europe. Soc Sci Med 2004;58(8):1475-82.   DOI   ScienceOn
2 Park SG, Min KB, Chang SJ, Kim HC, Min JY. Job stress and depressive symptoms among Korean employees: the effects of culture on work. Int Arch Occup Environ Health 2009;82(3):397-405.   DOI   ScienceOn
3 Graham K, Massak A, Demers A, Rehm J. Does the association between alcohol consumption and depression depend on how they are measured? Alcohol Clin Exp Res 2007;31(1):78-88.   DOI   ScienceOn
4 Rajala U, Keinanen-Kiukaanniemi S, Uusimaki A, Kivela SL. Musculoskeletal pains and depression in a middle-aged Finnish population. Pain 1995;61(3):451-7.   DOI   ScienceOn
5 Chen YS, Chen MC, Chou FH, Sun FC, Chen PC, Tsai KY, Chao SS. The relationship between quality of life and posttraumatic stress disorder or major depression for firefighters in Kaohsiung, Taiwan. Qual Life Res 2007;16(8):1289-97.   DOI   ScienceOn
6 Baris D, Garrity TJ, Telles JL, Heineman EF, Olshan A, Zahm SH. Cohort mortality study of Philadelphia firefighters. Am J Ind Med 2001;39(5):463-76.   DOI   ScienceOn
7 Saijo Y, Ueno T, Hashimoto Y. Twenty-four-hour shift work, depressive symptoms, and job dissatisfaction among Japanese firefighters. Am J Ind Med 2008;51(5):380-91.   DOI   ScienceOn
8 Rugulies R, Bultmann U, Aust B, Burr H. Psychosocial work environment and incidence of severe depressive symptoms: prospective findings from a 5-year followup of the Danish work environment cohort study. Am J Epidemiol 2006;163(10):877-87.   DOI   ScienceOn
9 Park E, Kim MD, Son YJ, Song HJ, Hong SC. The Prevalence of depression and related factors among adults. J Korean Acad Community Health Nurs 2009;20(3):277-84. (Korean)   과학기술학회마을
10 Chiu S, Webber MP, Zeig-Owens R, Gustave J, Lee R, Kelly KJ, Rizzotto L, Prezant DJ. Validation of the Center for Epidemiologic Studies Depression Scale in screening for major depressive disorder among retired firefighters exposed to the World Trade Center disaster. J Affect Disord 2010;121(3):212-9.   DOI   ScienceOn
11 Choi JW, Cho JJ, Chang HM, Kim CW, Paek YJ, Song HJ, Park KH, Choi W. Association between depression and cardiovascular risk factors in workers undergoing comprehensive medical examination in a university-based hospital. Korean J Fam Med 2008;29(9):645-50. (Korean)
12 Kim JH, Hyun MY, Kim SY. Job Stress, depression, social support, and coping strategies of clinical nurses. Korean J Occup Health Nurs 2009;18(2):219-31. (Korean)
13 Rugulies R, Thielen K, Nygaard E, Diderichsen F. Job insecurity and the use of antidepressant medication among Danish employees with and without a history of prolonged unemployment: a 3.5-year follow-up study. J Epidemiol Community Health 2010;64(1):75-81.   DOI
14 Korea Occupational Safety and Health Agency. Guideline of harmful factors survey for musculoskeletal overloading works. Available: http://www.kosha.or.kr/jsp/codeGuide/koshaCodeGuideView.jsp [cited 5 October 2010] (Korean)
15 Kim KH, Kim JW, Kim SH. Influences of job stressors on psychosocial well-being, fatigue and sleep sufficiency among firefighters. Korean J Occup Environ Med 2006;18(3):232-45. (Korean)
16 Lee K, Heo H, Kim D, Kim I, Kim S, Rho J, Jung S, Mun J. The factors related to Health-related Quality of Life(HRQOL), and correlation between occupational stress and HRQOL among municipal fire officers in incheon. Korean J Occup Environ Med 2009;21(3):267-75. (Korean)
17 Kim H, Chang S, Lee K, Kim C, Kim K. Prevalence of hazardous and harmful alcohol consumption using alcohol use disorders identification test in Chungju area. Korean J Prev Med 2001;34:277-83. (Korean)
18 Chang SJ. Standardization of job stress measurement scale for Korean employee. OSHRI, Korea Occupational Safety and Health Agency. Incheon. Korea 2004. pp 17-42, p 171. (Korean)
19 Durkin J, Bekerian DA. Psychological resilience to stress in firefighters. University of London, UK. 2000. pp 3-6.
20 Cho MJ, Kim KH. Diagnostic validity of the CESD(Korean version) in the assessment of the DSM-III-R major depression. J Korean Neuropsychiatr Assoc 1993;32(3):381-99. (Korean)
21 Guidotti TL. Human factors in firefighting: ergonomic-, cardiopulmonary-, and psychogenic stress-related issues. Int Arch Occup Environ Health 1992;64(1):1-12.   DOI
22 Saijo Y, Ueno T, Hashimoto Y. Job stress and depressive symptoms among Japanese fire fighters. Am J Ind Med 2007;50(6):470-80.   DOI   ScienceOn
23 Ha J, Kim DI, Seo BS, Kim WS, Ryu S, Kim SG. Job Stress and psychosocial stress among firefighters. Korean J Occup Environ Med 2008;20(2):104-11. (Korean)
24 Breslau N, Davis GC, Peterson EL, Schultz LR. A second look at comorbidity in victims of trauma: the posttraumatic stress disorder-major depression connection. Biol Psychiatry 2000;48:902-9.   DOI   ScienceOn
25 Lee DH, Jeon HJ, Shin DH, Chung IS, Lee MY. Association between job stress and the minnesota multiphasic personality inventory in firefighters. Korean J Occup Environ Med 2009;21(4):324-36. (Korean)
26 Kales SN, Soteriades ES, Christophi CA, Christiani DC. Emergency duties and deaths from heart disease among firefighters in the United States. N Engl J Med 2007;356(12):1207-15.   DOI   ScienceOn
27 Bos J, Mol E, Visser B, Frings-Dresen M. Risk of health complaints and disabilities among Dutch fire-fighters. Int Arch Occup Environ Health 2004;77(6):373-82.
28 Nieuwenhuijsen K, Bruinvels D, Frings-Dresen M. Psychosocial work environment and stress-related disorders, a systematic review. Occup Med 2010;60(4):277-86.   DOI   ScienceOn
29 Bertolote JM, Fleischmann A, De Leo D, Wasserman D. Suicide and mental disorders: do we know enough? Br J Psychiatry 2003;183:382-3.   DOI   ScienceOn
30 Takeyama H, Itani T, Tachi N, Sakamura O, Murata K, Inoue T, Takanishi T, Suzumura H, Niwa S. Effects of shift schedules on fatigue and physiological functions among firefighters during night duty. Ergonomics 2005;48(1):1-11.   DOI   ScienceOn
31 Ye SB, Kang DM, Kim YK, Son MJ, Kim JE, Park SM. The relationship between work ability and job stress factors in manufacturing industries. Korean J Occup Environ Med 2008;20(3):260-71. (Korean)
32 Lipton RI. The effect of moderate alcohol use on the relationship between stress and depression. Am J Public Health 1994;84(12):1913-7.   DOI   ScienceOn
33 McFarlane AC. Epidemiological evidence about the relationship between PTSD and alcohol abuse: the nature of the association. Addict Behav 1998;23(6):813-25.   DOI   ScienceOn
34 Strohle A. Physical activity, exercise, depression and anxiety disorders. J Neural Transm 2009;116(6):777-84.   DOI
35 Ferrie JE, Shipley MJ, Newman K, Stansfeld SA, Marmot M. Self-reported job insecurity and health in the Whitehall II study: potential explanations of the relationship. Soc Sci Med 2005;60(7):1593-602.   DOI   ScienceOn
36 Song YH, GongYoo JO, Kim I, Choi WJ. The Relationship between depressive symptoms, job stress and intensity of labor among security firm workers. Korean J Occup Environ Med 2008;20(4):283-94. (Korean)
37 Sakata Y, Wada K, Tsutsumi A, Ishikawa H, Aratake Y, Watanabe M, Katoh N, Aizawa Y, Tanaka K. Effort-reward imbalance and depression in Japanese medical residents. J Occup Health 2008;50(6):498-504.   DOI   ScienceOn
38 Roy MP, Steptoe A. Daily stressors and social support availability as predictors of depressed mood in male firefighters. Work and Stress 1994;8(3):210-9.   DOI   ScienceOn