Journal of Korean Academy of Psychiatric and Mental Health Nursing (정신간호학회지)

The Korean Academy of Psychiatric and Mental Health Nursing (한국정신간호학회)
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Posttraumatic Growth and Related Factors in Firefighters

소방공무원의 외상 후 성장 관련요인

  • Kwak, Minyeong (Busan Fire & Safety Headquarters Psychological Support Center) ;
  • Bae, Jeongyee (Department of Nursing, Inje University.Inje University Institute for International Safe Community)
  • 곽민영 (부산광역시 소방안전본부 심리지원센터) ;
  • 배정이 (인제대학교 간호학과.국제안전도시연구소)
  • Received : 2017.01.09
  • Accepted : 2017.04.11
  • Published : 2017.06.30
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Abstract

Purpose: The purposes of this study were to investigate the posttraumatic growth, a positive mental and psychological change and related factors experienced by firefighters, in order to prevent PTSD and to for use as basic data for mental health promotion. Methods: This study was a descriptive research study with 186 firefighters working in two fire stations in Busan Metropolitan City. It was conducted from August 1 to 31, 2015. There were 5 research tools in the structured survey, including IES-R-K, Resilience Scale, FACES-III, OCQ, and K-PTGI. Collected data were analyzed with t-test, ANOVA, Pearson correlation coefficients and multiple linear regression analysis using SPSS/WIN 18.0. Results: The related factors affecting posttraumatic growth in firefighers were family cohesion (${\beta}=.15$, p=.044), organizational commitment (${\beta}=.61$, p<.001), gender (${\beta}=.16$, p=.023) and amount of work experience in the current field (${\beta}=.28$, p=.001). The explanatory power of these factors for posttraumatic growth was 43.1%. Conclusion: The results indicate a need to develop and distribute intervention programs that focus on strengthening the resilience of individuals, organizational commitment and family cohesion to promote post-traumatic growth, instead of focusing on crisis intervention and follow-up programs after traumatic experiences.

Keywords

References

  1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-5). 5th ed. Kwon JS, translator. Washington, DC: Hakjisa; 2013. 1038 p.
  2. Jo MJ, Park JI, Bai A, Son JW, Ahn JH, Lee DW, et al. The epidemiological survey of mental disorders in Korea. Research and Service Report. Seoul: Ministry of Health and Welfare; 2011 December. Report No. 7154646.
  3. Kim YJ, Bae JY. Construction of a post-traumatic stress model for fire fighters. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2012;21(4):282-291. https://doi.org/10.12934/jkpmhn.2012.21.4.282
  4. Kim HS, Nam CY, Lee HJ. Effects of post traumatic growth of firefighters-focused on the D-city fire official. Crisisonomy. 2014;10(10):103-121.
  5. Wagner D, Heinrichs M, Ehlert U. Prevalance of symptoms of posttraumatic stress disorder in German professional firefighters. American Journal of Psychiatry. 1998;155:1727-1732. https://doi.org/10.1176/ajp.155.12.1727
  6. Park YH, Park YM. A study on policy to relieve fire-fighting officers' occupational stress-focused on satisfaction for health camp. Korean Local Government Studies. 2013;15(3):123-146.
  7. Song SH. Reliability and validity of the Korean version of the posttraumatic growth inventory [master's thesis]. [Daejeon]: Chungnam National University; 2007. 91 p.
  8. Tedeschi RG, Calhoun LG. 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
  9. Tedeschi RG, Calhoun LG. Posttraumatic growth: conceptual foundations and empirical evidence. Psychological Inquiry. 2004;15(1):1-18. https://doi.org/10.1207/s15327965pli1501_01
  10. Kim HJ, Kwon JH, Kim JN, Lee R, Lee KS. Posttraumatic growth and related factors in breast cancer survivors. Korean Journal of Health Psychology. 2008;13(3):781-799. https://doi.org/10.17315/kjhp.2008.13.3.013
  11. Taku K. The role of rumination in the coexistence of distress and posttraumatic growth among bereaved Japanese university students. Death Studies. 2008;32(5):428-444. https://doi.org/10.1080/07481180801974745
  12. Lee JA, Luxton DD, Reger GM, Gahm GA. Confirmatory factor analysis of the posttraumatic growth inventory with a sample of soldiers previously deployed in support of the Iraq and Afghanistan wars. Journal of Clinical Psychology. 2010;66(7): 813-819. https://doi.org/10.1002/jclp.20692
  13. Kleim B, Ehlers A. Evidence for a curvilinear relationship between posttraumatic growth and posttrauma psychopathology. Journal of Traumatic Stress. 2009;22(1):45-52. https://doi.org/10.1002/jts.20378
  14. Nishi D, Matsuoka Y, Kim Y. Posttraumatic growth, posttraumatic stress disorder and resilience of motor vehicle accident survivors. BioPsychoSocial Medicine. 2010;4(7):1-6. https://doi.org/10.1186/1751-0759-4-7
  15. Shin WY, Kim MG, Kim JH. Developing measures of resilience for Korean adolescents and testing cross, convergent and discriminant validity. Studies on Korean Youth. 2009;20(4):105-131.
  16. Kim YJ. Effects of professional identity, coping, & social support on posttraumatic growth [master's thesis]. [Seoul]: Korea University; 2011. 70 p.
  17. Jung IM, Choi YK. The effect of intentional rumination and optimism on posttraumatic growth. Korean psychologial association annual conference. 2009 August 25-1; Yonsei University Daewoo Hall. Seoul: Korean Psychologial Association. 2009;278-279.
  18. Yu HJ. The mediating effect of social support and deliberate rumination in the influence of resilience and distress perception on posttraumatic growth. Korean Journal of Counseling. 2014;15(1):59-85. https://doi.org/10.15703/kjc.15.1.201402.59
  19. Jeong EK, Hah YS. The effect of ego-resiliency, social support, military life satisfaction on growth related military service in Korean veterans. Journal of Military Nursing Research. 2014;32(1):53-65.
  20. Yoon MS, Park EA. Posttraumatic growth among mental health social workers. Mental Health and Social Work. 2011;39:61-89.
  21. Lee SY. Qualitative study on posttraumatic growth found in North Korean female defectors: primarily based on cases where they have marriage experience during staying in China [dissertation]. [Seoul]: Konkuk University; 2014. 210 p.
  22. Olson DH. Circumplex model VII: validation studies and FACES III. Family Process. 1986;25(3):337-351. https://doi.org/10.1111/j.1545-5300.1986.00337.x
  23. Mowday RT, Steers RM, Porter LW. The measurement of organizational commitment. Journal of Vocational Behavior. 1979;14(2):224-247. https://doi.org/10.1016/0001-8791(79)90072-1
  24. Paton D. Posttraumatic growth in protective services professionals: individual, cognitive and organizational influences. Traumatology. 2005;11(4):335-346. https://doi.org/10.1177/153476560501100411
  25. Horowitz M, Wilner N, Alvarez W. Impact of event scale: a measure of subjective stress. Psychosomatic Medicine. 1979;41(3):209-218. https://doi.org/10.1097/00006842-197905000-00004
  26. Eun HJ, Kwon TW, Lee SM, Kim TH, Choi MR, Cho SJ. A study on reliability and validity of the Korean version of impact of event scale-revised. Journal of the Korean Neuropsychiatric Association. 2005;44(3):303-310.
  27. Jo KH, Song BS. Effect of family cohesion, subjective happiness and other factors on death anxiety in Korean elders. Journal of Korean Academy of Nursing. 2012;42(5):680-688. https://doi.org/10.4040/jkan.2012.42.5.680
  28. Kim SK. Human behavior in organizations. 4th ed. Seoul: Myeongkyeongsa; 2005. 552 p.
  29. Bae JI, Kwak MY, Han DS, Jo SI, Bai CH. Visiting consultation room for firefighters. Research and Service Report. Busan: Inje University; 2016 December.
  30. Han SW, Kim HS. Factors influencing post-traumatic growth with police officer. Crisisonomy. 2015;11(3):189-205.

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