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27-08-2020 | ORIGINAL PAPER

Association Between Sleep Disturbances and Suicide Risk Among Firefighters: the Moderating Role of Mindfulness

Auteurs: Danya M. Serrano, Katrina A. Rufino, Jana K. Tran, Anka A. Vujanovic

Gepubliceerd in: Mindfulness | Uitgave 12/2020

Abstract

Objectives

Firefighters are at increased risk for suicide. The evaluation of correlates of suicide risk among firefighters is necessary to inform evidence-based prevention efforts. Firefighters are chronically exposed to traumatic events and sleep disturbances (e.g., shift work) given the nature of the occupation. Thus, the aims of this study were to examine (a) the association of sleep disturbances with suicide risk among firefighters after controlling for occupational stress, trauma load, anxiety symptoms, and depressive symptoms and (b) whether mindfulness moderates the association of sleep disturbances with suicide risk.

Methods

Participants were 865 firefighters working for a fire department located in a large city in the southern USA. Hierarchical linear regression analyses were conducted.

Results

Findings indicated that firefighters who reported greater sleep disturbances reported increased risk of suicide (β = .19, p < .001), after controlling for covariates. Moderation analyses indicated that higher levels of the mindfulness facets of acting with awareness (β = − .15, p < .001) and nonjudging of inner experiences (β = − .23, p < .001) as well as overall mindfulness (β = − .10, p < .01) significantly reduced the magnitude of the association of sleep disturbances with suicide risk. Conversely, the observing facet of mindfulness (β = .17, p < .001) strengthened the association between sleep disturbances and suicide risk.

Conclusions

Preventive interventions for suicide among firefighters might incorporate evidence-based sleep interventions and mindfulness-based practices with an emphasis on improving skills in acting with awareness and accepting without judgment.

vorige artikel Improvements in Mindfulness Facets Mediate the Alleviation of Burnout Dimensions

volgende artikel Common Factors Underlying the Five Facets of Mindfulness and Proposed Mechanisms: a Psychometric Study Among Meditators and Non-meditators

Backhous, J., Junghanns, K., Broocks, A., Rieman, D., & Hohagen, F. (2002). Test–retest reliability and validity of the Pittsburgh sleep quality index in primary insomnia. Journal of Psychosomatic Research, 53(3), 737–740. https://doi.org/10.1016/S0022-3999(02)00330-6. CrossRef

Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13, 27–45. https://doi.org/10.1177/1073191105283504. CrossRefPubMed

Baer, R. A., Smith, G. T., Lykins, E., Button, D., Krietemeyer, J., Sauer, S., Walsh, E., Duggan, D., & Williams, J. M. G. (2008). Construct validity of the five facet mindfulness questionnaire in meditating and nonmeditating samples. Assessment, 15(3), 329–342. https://doi.org/10.1177/1073191107313003. CrossRefPubMed

Bartlett, B. A., Jardin, C., Martin, C., Tran, J. K., Buser, S., Anestis, M. D., & Vujanovik, A. A. (2018a). Posttraumatic stress and suicidality among firefighters: The moderating role of distress tolerance. Cognitive Therapy and Research, 42, 483–496. https://doi.org/10.1007/s10608-018-9892-y. CrossRef

Bartlett, B. A., Smith, L. J., Tran, J. K., & Vujanovic, A. A. (2018b). Understanding mental health among military veterans in the fire service. Psychiatry Research, 267, 394–399. https://doi.org/10.1016/j.psychres.2018.06.020. CrossRefPubMed

Batterham, P. J., Ftanou, M., Pirkis, J., Brewer, J. L., Mackinnon, A. J., Beautrais, A., Fairweather-Schmidt, A. K., & Christensen, H. (2015). A systematic review and evaluation of measures for suicidal ideation and behaviors in population-based research. Psychological Assessment, 27(2), 501–512. https://doi.org/10.1037/pas0000053. CrossRefPubMed

Beaton, R. D., & Murphy, S. A. (1993). Sources of occupational stress among firefighter/EMTs and firefighter/paramedics and correlations with job related outcomes. Prehospital and Disaster Medicine, 8, 140–150. https://doi.org/10.1017/S1049023X00040218. CrossRefPubMed

Beck, S. L., Schwartz, A. L., Towsley, G., Dudley, W. N., & Barsevick, A. (2004). Psychometric evaluation of the Pittsburgh sleep quality index in cancer patients. Journal of Pain and Symptom Management, 27, 140–148. https://doi.org/10.1016/j.jpainsymman.2003.12.002. CrossRefPubMed

Bentley, K. H., Franklin, J. C., Ribeiro, J. D., Kleiman, E. M., Fox, K. R., & Nock, M. K. (2016). Anxiety and its disorders as risk factors for suicidal thoughts and behaviors: A meta-analytic review. Clinical Psychology Review, 43, 30–46. https://doi.org/10.1016/j.cpr.2015.11.008. CrossRefPubMed

Bernert, R. A., & Nadorff, M. R. (2015). Sleep disturbance and suicide risk. Sleep Medicine Clinics, 10, 35–39. https://doi.org/10.1016/j.jsmc.2014.11.004. CrossRefPubMed

Bernert, R. A., Joiner, T. E., Cukrowicz, K. C., Schmidt, N. B., & Krakow, B. (2005). Suicidality and sleep disturbances. Sleep, 28(9), 1135–1141. https://doi.org/10.1093/sleep/28.9.1135. CrossRefPubMed

Billings, J., & Focht, W. (2016). Firefighters shift schedules affect sleep quality. Journal of Occupational and Environmental Medicine, 58(3), 294–298. https://doi.org/10.1097/JOM.0000000000000624. CrossRefPubMed

Black, D. S., O’Reilly, G. A., Olmstead, R., Breen, E. C., & Irwin, M. R. (2015). Mindfulness meditation and improvement in sleep quality and daytime impairment among older adults with sleep disturbances: A randomized clinical trial. JAMA Internal Medicine, 175(4), 494–501. https://doi.org/10.1001/jamainternmed.2014.8081. CrossRefPubMedPubMedCentral

Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: Mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84, 822–848. https://doi.org/10.1037/0022-3514.84.4.822. CrossRefPubMed

Buitron, V., Hill, R. M., & Pettit, J. W. (2017). Mindfulness moderates the association between perceived burdensomeness and suicide ideation in adults with elevated depressive symptoms. Suicide and Life-Threating Behavior, 47(5), 580–588. https://doi.org/10.1111/sltb.12314. CrossRef

Burzler, M. A., Voracek, M., Hos, M., & Tran, U. S. (2019). Mechanisms of mindfulness in the general population. Mindfulness, 10, 469–480. https://doi.org/10.1007/s12671-018-0988-y. CrossRef

Buysse, D. J., Reynolds 3rd, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Research, 28, 193–213. https://doi.org/10.1016/0165-1781(89)90047-4. CrossRefPubMed

Carey, M. G., Al-Zaiti, S. S., Dean, G. E., Sessanna, L., & Finnell, D. S. (2011). Sleep problems, depression, substance use, social bonding, and quality of life in professional firefighters. Journal of Occupational & Environmental Medicine, 53(8), 928–933. https://doi.org/10.1097/JOM.0b013e318225898f. CrossRef

Carpenter, J. S., & Andrykowski, M. A. (1998). Psychometric evaluation of the Pittsburgh sleep quality index. Journal of Psychosomatic Research, 45, 5–13. https://doi.org/10.1016/S0022-3999(97)00298-5. CrossRefPubMed

Centers for Disease Control and Prevention (CDC) (2018). Web-based injury statistics query and reporting system. https://www.cdc.gov/injury/wisqars/fatal/html. Accessed 23 Mar 2020.

Cheng, S., Banks, K., Bartlett, B. A., Miguel, G. S., & Vujanovic, A. A. (2018). Posttraumatic stress and mindfulness facets in relation to suicidal ideation severity among psychiatric inpatients. Mindfulness, 9, 761–772. https://doi.org/10.1007/s12671-017-0814-y. CrossRef

Chesin, M., Interian, A., Kline, A., Benjamin-Phillips, C., Latorre, M., & Stanley, B. (2016). Reviewing mindfulness-based interventions for suicidal behavior. Archives of Suicide Research, 20, 507–527. https://doi.org/10.1080/13811118.2016.1162244. CrossRefPubMed

Drapeau, C. W., & Nadorff, M. R. (2017). Suicidality in sleep disorders: Prevalence, impact, and management strategies. Nature and Science of Sleep, 9, 213–226. https://doi.org/10.2147/NSS.S125597. CrossRefPubMedPubMedCentral

Goodwin, R. D., & Marusic, A. (2008). Association between short sleep and suicidal ideation and suicide attempt among adults in the general population. Sleep, 31(8), 1097–1101. https://doi.org/10.5665/sleep/31.8.1097. CrossRefPubMedPubMedCentral

Gruber, R., & Cassoff, J. (2014). The interplay between sleep and emotion: Conceptual framework empirical evidence and future directions. Current Psychiatry Reports, 16, 500. https://doi.org/10.1007/s11920-014-0500-x. CrossRefPubMed

Hartwig, E., Rufino, K. A., Palmer, C., Shepherd, C., Alfano, C. A., Schanzer, B., Matthews, S. J., & Patriquin, M. A. (2019). Trajectories of self-reported sleep disturbance across inpatient psychiatric treatment predicts clinical outcomes. Journal of Affective Disorders, 251, 248–255. https://doi.org/10.1016/j.jad.2019.03.069. CrossRefPubMed

Hassirim, Z., Lim, E. C. J., Lo, J. C., & Lim, J. (2019). Pre-sleep cognitive arousal decreases following a 4-week introductory mindfulness course. Mindfulness, 10, 2429–2438. https://doi.org/10.1007/s12671-019-01217-4. CrossRef

Hill, C. L. M., & Updegraff, J. A. (2012). Mindfulness and its relationship to emotional regulation. Emotion, 12(1), 81–90. https://doi.org/10.1037/a0026355. CrossRefPubMed

Hom, M. A., Matheny, N. L., Stanley, I. H., Rogers, M. L., Cougle, J. R., & Joiner, T. E. (2017). Examining physical and sexual abuse histories as correlates of suicide risk among firefighters. Journal of Traumatic Stress, 30, 672–681. https://doi.org/10.1002/jts.22230. CrossRefPubMed

Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology: Science and Practice, 10, 144–156. https://doi.org/10.1093/clipsy.bpg016. CrossRef

Kim, K. I., Park, H., & Kim, J. H. (2018). Alcohol use disorders and insomnia mediate the association between PTSD symptoms and suicidal ideation in Korean firefighters. Depression and Anxiety, 35, 1095–1103. https://doi.org/10.1002/da.22803. CrossRefPubMed

Kimbrel, N. A., Steffen, L. E., Meyer, E. C., Kruse, M. I., Knight, J. A., Zimering, R. T., & Gulliver, S. B. (2011). A revised measure of occupational stress for firefighters: Psychometric properties and relationship to posttraumatic stress disorder, depression, and substance abuse. Psychological Services, 8(4), 294–306. https://doi.org/10.1037/a0025845. CrossRef

Korecki, J. R., Schwebel, F. J., Votaw, V. R., & Witkiewitz, K. (2020). Mindfulness-based programs for substance use disorders: A systematic review of manualized treatments. Substance Abuse Treatment, Prevention, and Policy, 15(1), 1–37. https://doi.org/10.1186/s13011-020-00293-3. CrossRef

Kujawski, S., Słomko, J., Tafil-Klawe, M., Zawadka-Kunikowska, M., Szrajda, J., Newton, J. L., Zalewski, P., & Klawe, J. J. (2018). The impact of total sleep deprivation upon cognitive functioning in firefighters. Neuropsychiatric Disease and Treatment, 14, 1171–1181. https://doi.org/10.2147/NDT.S156501. CrossRefPubMedPubMedCentral

Lee, C. W., Ree, M. J., & Wong, M. Y. (2018). Effective insomnia treatments: Investigation of processes in mindfulness and cognitive therapy. Behaviour Change, 35(2), 71–90. https://doi.org/10.1017/bec.2018.10. CrossRef

Lusa, S., Häkkänen, M., Luukkonen, R., & Viikari-Juntura, E. (2002). Perceived physical work capacity, stress, sleep disturbance and occupational accidents among firefighters working during a strike. Work & Stress, 16, 264–274. https://doi.org/10.1080/02678370210163301. CrossRef

Martin, C. E., Tran, J. K., & Buser, S. J. (2017). Correlates of suicidality in firefighter/EMS personnel. Journal of Affective Disorders, 208, 177–183. https://doi.org/10.1016/j.jad.2016.08.078. CrossRefPubMed

Meyer, E. C., Zimering, R., Daly, E., Knight, J., Kamholz, B. W., & Gulliver, S. B. (2012). Predictors of posttraumatic stress disorder and other psychological symptoms in trauma-exposed firefighters. Psychological Services, 9(1), 1–15. https://doi.org/10.1037/a0026414. CrossRefPubMed

Ong, J. C., Ulmer, C. S., & Manber, R. (2012). Improving sleep with mindfulness and acceptance: A metacognitive model of insomnia. Behavior Research and Therapy, 50(11), 651–660. https://doi.org/10.1016/j.brat.2012.08.001. CrossRef

Ong, J. C., Manber, R., Segal, Z., Yinglin, X., Shapiro, S., & Wyatt, J. K. (2014). A randomized controlled trial of mindfulness meditation for chronic insomnia. Sleep, 37(9), 1553–1563. https://doi.org/10.5665/sleep.4010. CrossRefPubMedPubMedCentral

Osman, A., Bagge, C. L., Gutierrez, P. M., Konick, L. C., Kopper, B. A., & Barrios, F. X. (2001). The suicidal behaviors questionnaire-revised (SBQ-R): Validation with clinical and nonclinical samples. Assessment, 8, 443–454. https://doi.org/10.1177/107319110100800409. CrossRefPubMed

Podsakoff, P. M., MacKenzie, S. B., Lee, J., & Podsakoff, N. P. (2003). Common method biases in behavioral research: A critical review of the literature and recommended remedies. Journal of Applied Psychology, 88(5), 879–903. https://doi.org/10.1037/0021-9010.88.5.879. CrossRefPubMed

Ribeiro, J. D., Pease, J. L., Gutierrez, P. M., Silva, C., Bernert, R. A., Rudd, M. D., & Joiner, T. E. (2012). Sleep problems outperform depression and hopelessness as cross-sectional and longitudinal predictors of suicidal ideation and behavior in young adults in the military. Journal of Affective Disorders, 136, 743–750. https://doi.org/10.1016/j.jad.2011.09.049. CrossRefPubMed

Rogers, M. L., & Joiner, T. E. (2017). Severity of suicidal ideation matters: Reexamining correlates of suicidal ideation using quantile regression. Journal of Clinical Psychology, 74, 442–452. https://doi.org/10.1002/jclp.22499. CrossRefPubMed

Smith, B. W., Ortiz, J. A., Steffen, L. E., Tooley, E. M., Wiggins, K. T., Yeater, E. A., Montoya, J. D., & Bernard, M. L. (2011). Mindfulness is associated with fewer PTSD symptoms, depressive symptoms, physical symptoms, and alcohol problems in urban firefighters. Journal of Consulting and Clinical Psychology, 79(5), 613–617. https://doi.org/10.1037/a0025189. CrossRefPubMed

Smith, L. J., Gallagher, M. W., Tran, J. K., & Vujanovica, A. A. (2018). Posttraumatic stress, alcohol use, and alcohol use reasons in firefighters: The role of sleep disturbance. Comprehensive Psychiatry, 87, 64–71. https://doi.org/10.1016/j.comppsych.2018.09.001. CrossRefPubMed

Smith, L. J., Bartlett, B. A., Gallagher, M. W., Tran, J. K., Alfano, C. A., & Vujanovic, A. A. (2019). Sleep disturbance among firefighters: Understanding associations with alcohol use and distress tolerance. Cognitive Therapy and Research, 43, 66–77. CrossRef

Stanley, I. H., Hom, M. A., Hagan, C. R., & Joiner, T. E. (2015). Career prevalence and correlates of suicidal thoughts and behaviors among firefighters. Journal of Affective Disorders, 187, 163–171. https://doi.org/10.1016/j.jad.2015.08.007. CrossRefPubMed

Stanley, I. H., Hom, M. A., & Joiner, T. E. (2016). A systematic review of suicidal thoughts and behaviors among police officers, firefighters, EMTs, and paramedics. Clinical Psychology Review, 44, 25–44. https://doi.org/10.1016/j.cpr.2015.12.002. CrossRefPubMed

Stanley, I. H., Boffa, J. W., Smith, L. J., Tran, J. K., Schmidt, N. B., Joiner, T. E., & Vujanovic, A. A. (2018). Occupational stress and suicidality among firefighters: Examining the buffering role of distress tolerance. Psychiatry Research, 266, 90–96. https://doi.org/10.1016/j.psychres.2018.05.058. CrossRefPubMedPubMedCentral

Stanley, I. H., Boffa, J. W., Tran, J. K., Schmidt, N. B., Joiner, T. E., & Vujanovic, A. A. (2019). Posttraumatic stress disorder symptoms and mindfulness facets in relation to suicide risk among firefighters. Journal of Clinical Psychology, 75, 696–709. https://doi.org/10.1002/jclp.22748. CrossRefPubMedPubMedCentral

Streeb, N., Shoji, K., & Benight, C. C. (2019). The capability for suicide in firefighers. Suicide and Life-threatening Behavior, 49(4), 980–995. https://doi.org/10.1111/sltb.12500. CrossRefPubMed

Ward-Ciesielski, E. F., Winer, E. S., Drapeau, C. W., & Nadorff, M. R. (2018). Examining components of emotion regulation in relation to sleep problems and suicide risk. Journal of Affective Disorders, 241, 41–48. https://doi.org/10.1016/j.jad.2018.07.065. CrossRefPubMed

Watson, D., O’Hara, M. W., Simms, L. J., Kotov, R., Chmielewski, M., McDade-Montez, E. A., Gamez, W., & Stuart, S. (2007). Development and validation of the inventory of depression and anxiety symptoms (IDAS). Assessment, 19, 253–268. https://doi.org/10.1037/1040-3590.19.3.253. CrossRef

Weathers, F. W., Blake, D. D., Schnurr, P. P., Kaloupek, D. G., Marx, B. P., & Keane, T. M. (2013). The life events checklist for DSM-5 (LEC-5). Retrieved from www.ptsd.va.gov.

Wolkow, A., Ferguson, S., Aisbett, B., & Main, L. (2015). Effects of work-related sleep restriction on acute physiological and psychological stress responses and their interactions: A review among emergency service personnel. International Journal of Occupational Medicine and Environmental Health, 28, 183–208. https://doi.org/10.13075/ijomeh.1896.00227. CrossRefPubMed

Titel: Association Between Sleep Disturbances and Suicide Risk Among Firefighters: the Moderating Role of Mindfulness
Auteurs: Danya M. Serrano
Katrina A. Rufino
Jana K. Tran
Anka A. Vujanovic
Publicatiedatum: 27-08-2020
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 12/2020
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-020-01491-7

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