Safety and Health at Work

Occupational Safety and Health Research Institute, Korea Occupational Safety and Health Agency (산업안전보건연구원)
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Predictors of Obesity and Physical Health Complaints Among 911 Telecommunicators

  • Lilly, Michelle M. (Northern Illinois University, Department of Psychology) ;
  • London, Melissa J. (Northern Illinois University, Department of Psychology) ;
  • Mercer, Mary C. (Northern Illinois University, Department of Psychology)
  • Received : 2015.01.23
  • Accepted : 2015.09.01
  • Published : 2016.03.30
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Abstract

Background: This study aims to: (1) examine rates of obesity and physical health complaints among 911 telecommunicators; and (2) document the role of emotion dysregulation, psychological inflexibility, duty-related distress and dissociation, and psychopathology in predicting obesity and physical health complaints in this population. Methods: The sample consisted of 911 telecommunicators from across the country (N = 758). Participants completed an online survey assessing their mental and physical health functioning. Results: A total of 82.5% of the sample reported a body mass index that fell within the overweight or obese category and an average of 17 physical health complaints within the past month. Peritraumatic reactions (distress and dissociation), emotion dysregulation, and psychological inflexibility had effects on physical health largely through psychopathology (alcohol abuse, post-traumatic stress disorder, and depression). Conclusion: Development of adapted prevention and intervention efforts with this population is needed.

Keywords

References

  1. Benedek DM, Fullerton C, Ursano RJ. First responders: mental health consequences of natural and human-made disasters for public health and public safety workers. Annu Rev Public Health 2007;28:55-68. https://doi.org/10.1146/annurev.publhealth.28.021406.144037
  2. Tsismenakis AJ, Christophi CA, Burress JW, Kinney AM, Kim M, Kales SN. The obesity epidemic and future emergency responders. Obesity 2009;17:1648-50. https://doi.org/10.1038/oby.2009.63
  3. Bacharach SB, Bamberger PA, Doveh E. Firefighters, critical incidents, and drinking to cope: the adequacy of unit-level performance resources as a source of vulnerability protection. J Appl Psychol 2008;93:155-69. https://doi.org/10.1037/0021-9010.93.1.155
  4. Carey MG, Al-Zaiti SS, Dean GE, Sessanna L, Finnell DS. Sleep problems, depression, substance use, social bonding, and quality of life in professional firefighters. J Occup Environ Med 2012;53:928-33.
  5. Ballenger JF, Best SR, Metzler TJ, Wasserman DA, Mohr DC, Liberman A, Marmar CR. Patterns and predictors of alcohol use in male and female urban police officers. Am J Addict 2011;1:21-9.
  6. Violanti JM, Slaven JE, Charles LE, Burchfiel CM, Andrew ME, Homish GG. Police and alcohol use: A descriptive analysis and associations with stress outcomes. Am J Crim Justice 2011;36:344-56. https://doi.org/10.1007/s12103-011-9121-7
  7. Osofsky HJ, Osofsky JD, Arey J, Kronenberg ME, Hansel T, Many M. Hurricane Katrina's first responders: the struggle to protect and serve in the aftermath of the disaster. Disaster Med Public Health Prep 2011;5:214-9. https://doi.org/10.1001/dmp.2011.53
  8. Meyer EC, Zimering R, Daly E, Knight J, Kamholz BW, Gulliver SB. Predictors of posttraumatic stress disorder and other psychological symptoms in traumaexposed firefighters. Psychol Serv 2012;9:1-15. https://doi.org/10.1037/a0026414
  9. Wang Z, Inslicht SS, Metzler TJ, Henn-Haase C, McCaslin S, Tong H, Marmar CR. A prospective study of depression symptoms in police. Psychiatry Res 2010;175:211-6. https://doi.org/10.1016/j.psychres.2008.11.010
  10. Biggs QM, Fullerton CS, Reeves JJ, Grieger TA, Reissman D, Ursano RJ. Acute stress disorder, depression, and tobacco use in disaster workers following 9/11. Am J Orthopsychiatry 2010;80:586-92. https://doi.org/10.1111/j.1939-0025.2010.01063.x
  11. Galatzer-Levy I, Madan A, Neylan T, Henn-Haase C, Marmar C. Peritraumatic and trait dissociation differentiate police officers with resilient versus symptomatic trajectories of posttraumatic stress symptoms. J Trauma Stress 2011;24:557-65. https://doi.org/10.1002/jts.20684
  12. Perrin MA, DiGrande L, Wheeler K, Thorpe L, Farfel M, Brackbill R. Differences in PTSD prevalence and associated risk factors among World Trade Center disaster rescue and recovery workers. Am J Psychiatry 2007;164:1385-94. https://doi.org/10.1176/appi.ajp.2007.06101645
  13. Pierce H, Lilly MM. Duty-related trauma exposure in 911 telecommunicators: considering the risk for posttraumatic stress. J Trauma Stress 2012;25:211-5. https://doi.org/10.1002/jts.21687
  14. Taylor M. APCO Project RETAINS: responsive efforts to address integral needs in staffing. Paper presented at the Regional Conference of the Association of Public Safety Communications Officials. Kansas City (MO); 2005.
  15. Troxell R. Indirect exposure to the trauma of others: the experiences of 911 telecommunicators (Doctoral dissertation). Retried from ProQuest Dissertations and Theses database; 2008. Publication no.: 3335425.
  16. Sparks K, Cooper C, Fried Y, Shirom A. The effects of hours of work on health: a meta-analytic review. J Occup Organ Psychol 2011;70:391-408.
  17. Violanti JM, Burchfiel CM, Hartley TA, Mnatsakanova A, Fekedulegn D, Andrew ME, Vila BJ. Atypical work hours and metabolic syndrome among police officers. Arch Environ Occup Health 2009;64:194-201. https://doi.org/10.1080/19338240903241259
  18. Donovan R, Nelson T, Peel J, Lipsey T, Voyles W, Israel RG. Cardiorespiratory fitness and the metabolic syndrome in firefighters. Occup Med 2009;59:487-92. https://doi.org/10.1093/occmed/kqp095
  19. Poston WSC, Haddock K, Jahnke SA, Jitnarin N, Tuley BC, Kales SN. The prevalence of overweight, obesity, and substandard fitness in a populationbased firefighter cohort. J Occup Environ Med 2011;53:266-73. https://doi.org/10.1097/JOM.0b013e31820af362
  20. Yeomans MR. Alcohol, appetite and energy balance: is alcohol intake a risk factor for obesity? Physiol Behav 2010;100:82-9. https://doi.org/10.1016/j.physbeh.2010.01.012
  21. Stunkard A, Faith M, Allison M. Depression and obesity. Biol Psychiatry 2003;54:330-2. https://doi.org/10.1016/S0006-3223(03)00608-5
  22. Gu JK, Charles LE, Burchfiel CM, Andrew ME, Ma C, Bang KM, Violanti JM. Associations between psychological distress and body mass index among law enforcement officers; the National Health Interview Survey 2004-2010. Saf Health Work 2013;4:52-62. https://doi.org/10.5491/SHAW.2013.4.1.52
  23. Friedman MJ, Schnurr P. The relationship between trauma, post-traumatic stress disorder, and physical health. In: Friedman MJ, Charney DS, Deutch AY, editors. Neurobiological and clinical consequences of stress: from normal adaptation to post-traumatic stress disorder. Philadelphia (PA): Lippincott-Raven; 1995. p. 507-24.
  24. Violanti JM, Fekedulegn D, Hartley TA, Andrew ME, Charles LE, Mnatsakanova A, Burchfiel CM. Police trauma and cardiovascular disease: association between PTSD symptoms and metabolic syndrome. Int J Emerg Ment Health 2006;8:227-38.
  25. Ozer EJ, Best SR, Lipsey TL, Weiss DS. Predictors of posttraumatic stress disorder and symptoms in adults: a meat-analysis. Psychol Bull 2003;129:52-73. https://doi.org/10.1037/0033-2909.129.1.52
  26. Lilly MM, Pierce H. PTSD and depressive symptoms in 911 telecommunicators: the role of peritraumatic distress and world assumptions in predicting risk. Psychol Trauma 2012;5:135-41.
  27. Marmar CR, McCaslin SE, Metzler TJ, Best S, Weiss DS, Fagan J, Neylan T. Predictors of posttraumatic stress in police and other first responders. Ann N Y Acad Sci 2006;1071:1-18. https://doi.org/10.1196/annals.1364.001
  28. Weiss DS, Marmar CR, Metzler TJ, Ronfeldt HM. Predicting symptomatic distress in emergency services personnel. J Consult Clin Psychol 1995;63:361-8. https://doi.org/10.1037/0022-006X.63.3.361
  29. Lilly MM, Pole N, Best SR, Metzler T, Marmar CR. Gender and PTSD: what can we learn from female police officers? J Anxiety Disord 2009;23:767-74. https://doi.org/10.1016/j.janxdis.2009.02.015
  30. Gratz KL, Roemer L. Multidimensional assessment of emotion regulation and dysregulation: development, factor structure, and initial validation of the difficulties in emotion regulation scale. J Psychopathol Behav Assess 2004;26:41-4. https://doi.org/10.1023/B:JOBA.0000007455.08539.94
  31. Boden M, Westermann S, McRae K, Kuo J, Alvarez J, Kulkarni MR, Gross JJ, Bonn-Miller MO. Emotion regulation and posttraumatic stress disorder: a prospective investigation. J Soc Clin Psychol 2013;32:296-314. https://doi.org/10.1521/jscp.2013.32.3.296
  32. Bonn-Miller M, Vujanovic A, Boden M, Gross J. Posttraumatic stress, difficulties in emotion regulation, and coping-oriented marijuana use. Cogn Behav Ther 2011;40:34-44. https://doi.org/10.1080/16506073.2010.525253
  33. Tull M, Barrett H, McMillan E. A preliminary investigation of the relationship between emotion regulation difficulties and posttraumatic stress symptoms. Behav Ther 2007;38:303-13. https://doi.org/10.1016/j.beth.2006.10.001
  34. Aldao A, Nolen-Hoeksema S, Schweizer S. Emotion regulation strategies across psychopathology: a meta-analytic review. Clin Psychol Rev 2010;30:217-37. https://doi.org/10.1016/j.cpr.2009.11.004
  35. Gianini L, White M, Masheb R. Eating pathology, emotion regulation, and emotional overeating in obese adults with binge eating disorder. Eat Behav 2013;14:309-13. https://doi.org/10.1016/j.eatbeh.2013.05.008
  36. Kashdan TB, Rottenberg J. Psychological flexibility as a fundamental aspect of health. Clin Psychol Rev 2010;30:865-78. https://doi.org/10.1016/j.cpr.2010.03.001
  37. Bonanno GA, Papa A, Lalande K, Westphal M, Coifman K. The importance of being flexible. Psychol Sci 2004;15:482-7. https://doi.org/10.1111/j.0956-7976.2004.00705.x
  38. Westphal M, Seivert NH, Bonanno GA. Expressive flexibility. Emotion 2010;10:92-100. https://doi.org/10.1037/a0018420
  39. Berking M, Meier C, Wupperman P. Enhancing emotion-regulation skills in police officers: results of a pilot controlled study. Behav Ther 2010;41:329-39. https://doi.org/10.1016/j.beth.2009.08.001
  40. Pennebacker JW. Putting stress into words: health, linguistic, and therapeutic implications. Behav Res Ther 1993;31:539-48. https://doi.org/10.1016/0005-7967(93)90105-4
  41. Babor TF, Higgins-Biddle JC, Saunders JB, Monteiro MG. The Alcohol Use Disorders Identification Test (AUDIT): Guidelines for use in primary care. Geneva (Switzerland): World Health Organization; 2001.
  42. Menard KS, Arter ML. Police officer alcohol use and trauma symptoms: associations with critical incidents, coping, and social stressors. Int J Stress Manag 2013;20:37-56. https://doi.org/10.1037/a0031434
  43. Beck AT, Steer RA, Brown GK. Manual for the Beck Depression Inventory-II. San Antonio (TX): Psychological Corporation; 1996.
  44. Marchand A, Durand P. Psychological distress, depression, and burnout: Similar contribution of the job demand-control and job demand-controlsupport models. J Occup Env Med 2011;53:185-9. https://doi.org/10.1097/JOM.0b013e318206f0e9
  45. Brouwer D, Meijer RR, Zevalkink J. On the factor structure of the Beck Depression Inventory-II: G is the key. Psychol Assess 2013;25:136-45. https://doi.org/10.1037/a0029228
  46. Ruggiero KJ, Del Ben K, Scotti JR, Rabalais AE. Psychometric properties of the PTSD ChecklistdCivilian Version. J Trauma Stress 2003;16:495-502. https://doi.org/10.1023/A:1025714729117
  47. Brunet A, Weiss DS, Metzler TJ, Best SR, Neylan TC, Rogers C, Marmar CR. The Peritraumatic Distress Inventory: a proposed measure of PTSD criterion A2. Am J Psychiatry 2001;158:1480-5. https://doi.org/10.1176/appi.ajp.158.9.1480
  48. Marmar CR, Metzler TJ, Otte C. The Peritraumatic Dissociative Experiences Questionnaire Assessing psychological trauma and PTSD. 2nd ed. New York (NY): Guilford Press; 2004. p. 144-67.
  49. Maia DB, Marmar CR, Henn-Haase C, Nobrega A, Fiszman A, Marques-Portella C, Figueira I. Predictors of PTSD symptoms in Brazilian police officers: the synergy of negative affect and peritraumatic dissociation. Rev Bras Psiquiatr 2011;33:362-6. https://doi.org/10.1590/S1516-44462011000400009
  50. Gratz KL, Dixon-Gordon KL, Tull MT. Predictors of treatment response to an adjunctive emotion regulation group therapy for deliberate self-harm among women with borderline personality disorder. Personal Disord 2014;5:97-107. https://doi.org/10.1037/per0000062
  51. Bond FW, Hayes SC, Baer RA, Carpenter KM, Guenole N, Orcutt HK, Zettle RD. Preliminary psychometric properties of the Acceptance and Action Questionnaire-II: a revised measure of psychological inflexibility and experiential avoidance. Behav Ther 2011;42:676-88. https://doi.org/10.1016/j.beth.2011.03.007
  52. Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of childhood and adult obesity in the United States, 2011-2012. J Am Med Assoc 2014;311:806-14. https://doi.org/10.1001/jama.2014.732
  53. Dickey B, Normand ST, Weiss RD, Drake RE, Azeni H. Medical morbidity, mental illness, and substance use disorders. Psychiatr Serv 2002;53:861-7. https://doi.org/10.1176/appi.ps.53.7.861
  54. Howell RT, Kern ML, Lyubomirsky S. Health benefits: meta-analytically determining the impact of well-being on objective health outcomes. Health Psychol Rev 2007;1:83-136. https://doi.org/10.1080/17437190701492486
  55. Jones DR, Macias C, Barreira PJ, Fisher WH, Hargreaves WA, Harding CM. Prevalence, severity, and co-occurrence of chronic health problems of persons with serious mental illness. Psychiatr Serv 2004;55:1250-7. https://doi.org/10.1176/appi.ps.55.11.1250
  56. Lazarus RS, Folkman S. Transactional theory and research on emotions and coping. Eur J Personality 1987;1:141-69. https://doi.org/10.1002/per.2410010304
  57. Cohen S, Wills TA. Stress, social support, and the buffering hypothesis. Psychol Bull 1985;98:310-57. https://doi.org/10.1037/0033-2909.98.2.310
  58. Unterrainer HF, Lewis AJ, Fink A. Religious/spiritual well-being, personality and mental health: a review of results and conceptual issues. J Relig Health 2014;53:382-92. https://doi.org/10.1007/s10943-012-9642-5
  59. Wheeler RJ, Frank MA. Identification of stress buffers. Behav Med 1988;14:78-89. https://doi.org/10.1080/08964289.1988.9935128
  60. Everly GS, Flannery RB, Mitchell JT. Critical incident stress management (CISM): a review of the literature. Aggress Violent Beh 2000;5:23-40. https://doi.org/10.1016/S1359-1789(98)00026-3
  61. Kabat-Zinn J. Mindfulness-based interventions in context: Past, present, and future. Clin Psychol Sci Pract 2003;10:144-56. https://doi.org/10.1093/clipsy.bpg016
  62. Hayes SC, Strosahl K, Wilson KG. Acceptance and commitment therapy: An experiential approach to behavior change. New York (NY): Guilford Press; 1999.
  63. Orsillo SM, Roemer L. The mindful way through anxiety: break free from chronic worry and reclaim your life. New York (NY): Guilford Press; 2011.
  64. Segal ZV, Williams JMG, Teasdale JD. Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse. New York (NY): Guilford Press; 2002.
  65. Walser RD, Westrup D. Acceptance & commitment therapy for the treatment of Post-traumatic Stress Disorder. Oakland (CA): New Harbinger Publications; 2007.
  66. Thompson RW, Arnkoff DB, Glass CR. Conceptualizing mindfulness and acceptance as components of psychological resilience to trauma. Trauma Violence Abuse 2011;12:220-35. https://doi.org/10.1177/1524838011416375
  67. Bonn SE, Lagerros YT, Balter K. How valid are web-based self-reports of weight? J Med Internet Res 2013;15:e52. https://doi.org/10.2196/jmir.2393

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