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Exposure Frequency of Job Related Trauma Types and PTSD Symptoms of Firefighters : The Moderating Effect of Anger Rumination

소방공무원의 직무관련 외상 유형에 노출된 빈도가 PTSD에 미치는 영향 : 분노반추의 조절 효과

  • Jo, Insung (Department of Psychiatry, CHA Bundang Medical Center, CHA University) ;
  • Sung, Gyhye (Department of Psychiatry, CHA Bundang Medical Center, CHA University) ;
  • Lee, Kangsoo (Department of Psychiatry, CHA Bundang Medical Center, CHA University)
  • 조인성 (차의과학대학교 분당차병원 정신건강의학교실) ;
  • 성기혜 (차의과학대학교 분당차병원 정신건강의학교실) ;
  • 이강수 (차의과학대학교 분당차병원 정신건강의학교실)
  • Received : 2017.11.16
  • Accepted : 2018.03.28
  • Published : 2018.04.30

Abstract

Objective : This study aimed at investigating the relationship between exposure frequency of job related trauma types and the PTSD symptoms severity of firefighters, in relation to the moderating effect that anger rumination plays in the association between those of them. Methods : We examined data from 116 firefighters from Gyeonggi-do. The following instruments were applied: the Life Events Checklist (LEC), the Korean version of the Anger Rumination Scale (K-ARS) and the Primary Care PTSD screen (PC-PTSD). Results : A higher exposure frequency of job related trauma types was associated with severe PTSD symptoms; we discovered, however, that anger rumination exacerbated their relationship. Conclusion : This study showed that anger rumination is one of the variables to exacerbate PTSD symptoms in firefighters. Therefore, the study emphasizes the need to consider the level of anger rumination when running a program to predict or mitigate PTSD symptoms in firefighters.

Keywords

References

  1. Shin DY, Jeon MJ, Sakong J. Posttraumaitc stress disorder and re- lated factors in male firefighters in a mertopolitan city. Korean Journal Occupational Environmental Medicine 2012;24;397-409.
  2. Del Ben KS, Scotti JR, Chen YC, Fortson BL. Prevalence of post- traumatic stress disorder symptoms in frefghters. WorkStress 2006; 20;37-48.
  3. WagnerD, Heinrichs M, Ehlert U. Prevalence of symptoms of post- traumatic stress disorder in German professional frefghters. Am J Psychiatry 1998;155;1727-1732. https://doi.org/10.1176/ajp.155.12.1727
  4. Baek ML. Posttraumatic stress by work in frefghters. Journal of the Korean Society of Hazard Mitigation 2009;9;59-65.
  5. Nydegger R, Nydegger L, Basile F. Post-traumatic stress disorder and coping among career professional frefghters. Am J Health Sci 2011;2;11-20.
  6. Corneil W, Beaton R, Murphy S, Johnson C, Pike K. Exposure to traumatic incidents and prevalence of posttraumatic stress symptom- atology in urban frefghters in two countries. J Occup Health Psychol 1999;4;131-141. https://doi.org/10.1037/1076-8998.4.2.131
  7. Lee JY, Yoo JM, Hyun MH. The effects of emotional intelligence, active coping and social support on PTSD symptoms of frefghters. Kor J Psychol: Health 2008;13;373-389. https://doi.org/10.17315/kjhp.2008.13.2.005
  8. Shin HY, Hwang ST, Shin YT. The relationship between traumatic events and PTSD symptoms of urban fre fghters-Focusing on the moderating effects of type D personality and coping style. Crisisonomy 2015;11;97-120.
  9. Lee J, Ahn Y, Jeong K, Chae J, Choi K. Resilience buffers the impact of traumatic events on the development of PTSD symptoms in frefghters. J Affect Disord 2014;162;128-133. https://doi.org/10.1016/j.jad.2014.02.031
  10. Sliter M, Kale A, Yuan Z. Is humor the best medicine? The buffering effect of coping humor on traumatic stressors in frefghters. J Organ Behav 2014;35;257-272. https://doi.org/10.1002/job.1868
  11. Michael T, Halligan SL, Clark DM, Ehlers A. Rumination in posttraumatic stress disorder. Depress Anxiety 2007;24;307-317. https://doi.org/10.1002/da.20228
  12. McHugh T, Forbes D, Bates G, Hopwood M, Creamer M. Anger in PTSD: is there a need for a concept of PTSD-related posttraumatic anger?. Clin Psychol Rev 2012;32;93-104. https://doi.org/10.1016/j.cpr.2011.07.013
  13. Jayasinghe N, Giosan C, Evans S, Spielman L, Difede J. Anger and posttraumatic stress disorder in disaster relief workers exposed to the 9/11/01 World Trade Center Disaster: One-year follow-up study. J Nerv Ment Dis 2008;196 844-846. https://doi.org/10.1097/NMD.0b013e31818b492c
  14. Meffert SM, Metzler TJ, Henn-Hasse C, McCaslin S, Inslicht S, Chemtob C, et al. A prospective study of trait anger and PTSD symptoms in police. J Trauma Stress 2008;21;410-416. https://doi.org/10.1002/jts.20350
  15. Maxwell JP, Sukhodolsky DG, Chow CC, Wong CF. Anger rumination in Hong Kong and Great Britain: Validation of the scale and a cross-cultural comparison. Pers Individ Dif 2005;39;1147-1157. https://doi.org/10.1016/j.paid.2005.03.022
  16. Deffenbacher JL, Dahlen ER, Lynch RS, Morris CD, Gowensmith WN. An application of Beck's cognitive therapy to general anger reduction. Cognit Ther Res 2000;24;689-697. https://doi.org/10.1023/A:1005539428336
  17. Sukhodolsky DG, Golub A, Cromwell EN. Development and validation of the anger rumination scale. Pers Individ Dif2001;31;689- 700. https://doi.org/10.1016/S0191-8869(00)00171-9
  18. Denson TF. The multiple systems model of angry rumination. Pers Soc Psychol Rev 2013;17;103-123. https://doi.org/10.1177/1088868312467086
  19. Bae H, Kim D, Koh H, Kim Y, Park JS. Psychometric properties of the Life events checklist-Korean version. Psychiatry Investig 2008;5; 163-167. https://doi.org/10.4306/pi.2008.5.3.163
  20. Jang JY, Kang S, Chung GH, Choi HJ, Kim YT, So SH. Application of short screening tools for post-traumatic stress disorder in the Korean elderly population. Korean Neuropsychiatric Association 2016; 406-412.
  21. Cameron RP, Gusman D. The primary care PTSD screen (PC-PTSD): development and operating characteristics. Prim Care Psychiatr 2003; 9;9-14.
  22. Lee GB, Cho HC. Validation study of the Korean version of the Anger rumination scale. Journal of Emotional & Behavioral Disorders 2008;24;1-22.
  23. Kwon SC, Song J, Lee S, Kim I, Koh J, Ryou H, et al. Posttraumatic stress symptoms and related factors in frefghters of a frestation. Korean Journal of Occupational and Environemtal Medicine 2008; 20;193-204.
  24. Meyer EC, Zimering R, Daly E, Knight J, Kamholz BW, Gulliver SB. Predictors of posttraumatic stress disorder and other psychological symptoms in trauma-exposed frefghters. Psychol Serv 2012;9;1-15. https://doi.org/10.1037/a0026414
  25. Pinto RJ, Henriques SP, Jongenelen I, Carvalho C, Maia AC. The strongest correlates of PTSD for frefghters: number, recency, fre- quency, or perceived threat of traumatic events?. J trauma stress 2015; 28;434-440. https://doi.org/10.1002/jts.22035
  26. Brown J, Mulhern G, Joseph S. Incident-related stressors, locus of control, coping, and psychological distress among firefighters in Northern Ireland. J trauma stress 2002;15;161-168. https://doi.org/10.1023/A:1014816309959
  27. Wilkowski BM, Robinson MD. The anatomy of anger: An integrative cognitive model of trait anger and reactive aggression. J Pers 2010; 78;9-38. https://doi.org/10.1111/j.1467-6494.2009.00607.x
  28. Ehlers A, Mayou RA, Bryant B. Psychological predictors of chronic posttraumatic stress disorder after motor vehicle accidents. J Abnorm Psychol 1998;107;508-519. https://doi.org/10.1037/0021-843X.107.3.508
  29. So Y, Park K. The moderation effect of thought control ability on anger rumination and anger. Cogn Behav Ther Korea 2015;15;95-111.
  30. Min HJ, Park K. Effect of anger rumination on anger: Moderating effect of working memory capacity. Korean J Clin Psychol 2015;34; 391-409. https://doi.org/10.15842/kjcp.2015.34.2.004