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Gepubliceerd in: Quality of Life Research 8/2007

01-10-2007 | Original Paper

The relationship between quality of life and posttraumatic stress disorder or major depression for firefighters in Kaohsiung, Taiwan

Auteurs: Yong-Shing Chen, Ming-Chao Chen, Frank Huang-Chih Chou, Feng-Ching Sun, Pei-Chun Chen, Kuan-Yi Tsai, Shin-Shin Chao

Gepubliceerd in: Quality of Life Research | Uitgave 8/2007

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Abstract

Objective

The work of firefighters involves the risk of exposure to the harmful effects of toxic substances as well as the possibility of enormous emotional shock from disasters, which may result in psychiatric impairments and a lower quality of life. Therefore, we examined quality of life, prevalence of posttraumatic stress disorder (PTSD) and major depression, and the related risk factors for firefighters in Kaohsiung, Taiwan.

Methods

This is a two-stage survey study. During the first stage, we used the 36-item Short-Form Health Survey (SF-36) and the Disaster-Related Psychological Screening Test (DRPST) to assess quality of life, probable PTSD, probable major depression, and the related risk factors for 410 firefighters. During the second stage, psychiatrists categorized these probable cases according to self-reported questionnaires against DSM-IV into PTSD or major depression group, subclinical group, and health group. All the data were analyzed with SPSS 10.0 Chinese version.

Results

The estimated current prevalence rates for major depression and PTSD were 5.4% (22/410) and 10.5% (43/410), respectively. The firefighters with estimated PTSD or major depression scored significantly lower on quality of life measures than subclinical PTSD/major depression and mentally healthy groups, which was evident in eight concepts and two domains of the SF-36. The major predictors of poor quality of life and PTSD/major depression were mental status, psychosocial stressors, or perceived physical condition.

Conclusion

Firefighters have a higher estimated rate of PTSD, and the risk factors that affect quality of life and PTSD/major depression should encourage intervention from mental health professionals.
Literatuur
1.
go back to reference Gershon, R. R., Lin, S., & Li, X. (2002). Work stress in aging police officers. Journal of Occupational and Environmental Medicine, 44, 160–167.CrossRef Gershon, R. R., Lin, S., & Li, X. (2002). Work stress in aging police officers. Journal of Occupational and Environmental Medicine, 44, 160–167.CrossRef
2.
go back to reference Berrios-Torres, S. I., Greenko, J. A., Phillips, M., Miller, J. R., Treadwell, T., & Ikeda, R. M. (2003). World Trade Center rescue worker injury and illness surveillance, New York, 2001. American Journal of Preventive Medicine, 25(2), 79–87.CrossRef Berrios-Torres, S. I., Greenko, J. A., Phillips, M., Miller, J. R., Treadwell, T., & Ikeda, R. M. (2003). World Trade Center rescue worker injury and illness surveillance, New York, 2001. American Journal of Preventive Medicine, 25(2), 79–87.CrossRef
3.
go back to reference Chen, H. C., Chou, F. H., Chen M. C., Su S.F., Wang S. Y., Feng W. W., Chen P. C., Lai J. Y., Chao, S. S., Yang, S. L., Tsai, T. C., Tsai, K. Y., Lin, K. S., Lee C. Y., & Wu, H.C. (2006). A survey of quality of life and depression for police officers in Kaohsiung, Taiwan. Quality of Life Research 15(5), 925–932.CrossRef Chen, H. C., Chou, F. H., Chen M. C., Su S.F., Wang S. Y., Feng W. W., Chen P. C., Lai J. Y., Chao, S. S., Yang, S. L., Tsai, T. C., Tsai, K. Y., Lin, K. S., Lee C. Y., & Wu, H.C. (2006). A survey of quality of life and depression for police officers in Kaohsiung, Taiwan. Quality of Life Research 15(5), 925–932.CrossRef
4.
go back to reference Herbert, R., Moline, J., Skloot, G., Metzger, K., Baron, S., Luft, B., Markowitz, S., Udasin, I., Harrison, D., Stein, D., Todd, A., Enright, P., Stellman, J. M., Landrigan, P. J., & Levin, S. M. (2006). The World Trade Center disaster and the health of workers: five-year assessment of a unique medical screening program. Environmental Health Perspectives 114(12), 1853–1858. Herbert, R., Moline, J., Skloot, G., Metzger, K., Baron, S., Luft, B., Markowitz, S., Udasin, I., Harrison, D., Stein, D., Todd, A., Enright, P., Stellman, J. M., Landrigan, P. J., & Levin, S. M. (2006). The World Trade Center disaster and the health of workers: five-year assessment of a unique medical screening program. Environmental Health Perspectives 114(12), 1853–1858.
5.
go back to reference Guo, Y. J., Chen, C. H., Lu, M. L., Tan, H. K., Lee, H. W., & Wang, T. N. (2004). Posttraumatic stress disorder among professional and non-professional rescuers involved in an earthquake in Taiwan. Psychiatry Research, 127(1–2):35–41.CrossRef Guo, Y. J., Chen, C. H., Lu, M. L., Tan, H. K., Lee, H. W., & Wang, T. N. (2004). Posttraumatic stress disorder among professional and non-professional rescuers involved in an earthquake in Taiwan. Psychiatry Research, 127(1–2):35–41.CrossRef
6.
go back to reference Liao, S. C., Lee, M. B., Lee, Y. J., Weng, T., Shih, F. Y., & Ma, M. H. (2002). Association of psychological distress with psychological factors in rescue workers within two months after a major earthquake. Journal of the Formosan Medical Association, 101(3), 169–176. Liao, S. C., Lee, M. B., Lee, Y. J., Weng, T., Shih, F. Y., & Ma, M. H. (2002). Association of psychological distress with psychological factors in rescue workers within two months after a major earthquake. Journal of the Formosan Medical Association, 101(3), 169–176.
7.
go back to reference Chou, F. H., Wu, H. C., Chou, P., Su, C. Y., Tsai, K. Y., Shin-Shin Chao, S. S., Chen, M. C., Su, T. T., Sun, W. J., & Ou-Yang, W. C. (2007). Epidemiologic psychiatric studies on postdisaster impact among Chi-Chi earthquake survivors in Yu-Chi, Taiwan. Psychiatry and Clinical Neuroscience, 61, 370–378.CrossRef Chou, F. H., Wu, H. C., Chou, P., Su, C. Y., Tsai, K. Y., Shin-Shin Chao, S. S., Chen, M. C., Su, T. T., Sun, W. J., & Ou-Yang, W. C. (2007). Epidemiologic psychiatric studies on postdisaster impact among Chi-Chi earthquake survivors in Yu-Chi, Taiwan. Psychiatry and Clinical Neuroscience, 61, 370–378.CrossRef
8.
go back to reference Chang, C. M., Lee, L. C., Connor, K. M., Davidson, J. R., Jeffries, K., & Lai, T. J. (2003). Posttraumatic distress and coping strategies among rescue workers after an earthquake. The Journal of Nervous and Mental Disease, 191, 391–398.CrossRef Chang, C. M., Lee, L. C., Connor, K. M., Davidson, J. R., Jeffries, K., & Lai, T. J. (2003). Posttraumatic distress and coping strategies among rescue workers after an earthquake. The Journal of Nervous and Mental Disease, 191, 391–398.CrossRef
9.
go back to reference Fullerton, C. S., Ursano, R. J., & Wang, L. (2004). Acute stress disorder, posttraumatic stress disorder, and depression in disaster or rescue workers. The American Journal of Psychiatry, 161(8), 1370–1376.CrossRef Fullerton, C. S., Ursano, R. J., & Wang, L. (2004). Acute stress disorder, posttraumatic stress disorder, and depression in disaster or rescue workers. The American Journal of Psychiatry, 161(8), 1370–1376.CrossRef
10.
go back to reference North, C. S., Tivis, L., McMillen, J. C., et al. (2002). Psychiatric disorders in rescue workers after the Oklahoma City bombing. The American Journal of Psychiatry, 159(5), 857–859.CrossRef North, C. S., Tivis, L., McMillen, J. C., et al. (2002). Psychiatric disorders in rescue workers after the Oklahoma City bombing. The American Journal of Psychiatry, 159(5), 857–859.CrossRef
11.
go back to reference Pattani, S., Constantinovici, N., & Williams, S. (2004). Predictors of re-employment and quality of life in NHS staff one year after early retirement because of ill health; a national prospective study. Occupational and Environmental Medicine, 61, 572–576.CrossRef Pattani, S., Constantinovici, N., & Williams, S. (2004). Predictors of re-employment and quality of life in NHS staff one year after early retirement because of ill health; a national prospective study. Occupational and Environmental Medicine, 61, 572–576.CrossRef
12.
go back to reference Chou, F. H., Chou, P., Su, T. T., Ou-Yang, W. C., Chien, I. C., Lu, M. K., & Huang, M. W. (2004). Quality of life and related risk factors for a Taiwanese village population 21 months after an earthquake. The Australian and New Zealand Journal of Psychiatry, 38(5), 358–364.CrossRef Chou, F. H., Chou, P., Su, T. T., Ou-Yang, W. C., Chien, I. C., Lu, M. K., & Huang, M. W. (2004). Quality of life and related risk factors for a Taiwanese village population 21 months after an earthquake. The Australian and New Zealand Journal of Psychiatry, 38(5), 358–364.CrossRef
13.
go back to reference Wu, H. C., Chou, P., Chou, F. H., Su, C. Y., Tsai, K. Y., Ou-Yang, W. C., Su, T. T., Chao, S. S., Sun, W. J., & Chen, M. C. (2006). Survey of quality of life and related risk factors for a Taiwanese village population 3 years post-earthquake. The Australian and New Zealand Journal of Psychiatry, 40, 355–361.CrossRef Wu, H. C., Chou, P., Chou, F. H., Su, C. Y., Tsai, K. Y., Ou-Yang, W. C., Su, T. T., Chao, S. S., Sun, W. J., & Chen, M. C. (2006). Survey of quality of life and related risk factors for a Taiwanese village population 3 years post-earthquake. The Australian and New Zealand Journal of Psychiatry, 40, 355–361.CrossRef
14.
go back to reference Tsai, K. Y., Chou, P., Chou, F. H., Su, T. T., Lin, S. C., Lu, M. K., Ou-Yang, W. C., Su, C. Y., Chao, S. S., Huang, M. W., Wu, H. C., Sun, W. J., Su, S. F., & Chen, M. C. (2007). Three-year follow-up study on the relationship between posttraumatic stress symptoms and quality of life among earthquake survivors in Yu-Chi, Taiwan. Journal of Psychiatric Research, 41(1–2):90–96.CrossRef Tsai, K. Y., Chou, P., Chou, F. H., Su, T. T., Lin, S. C., Lu, M. K., Ou-Yang, W. C., Su, C. Y., Chao, S. S., Huang, M. W., Wu, H. C., Sun, W. J., Su, S. F., & Chen, M. C. (2007). Three-year follow-up study on the relationship between posttraumatic stress symptoms and quality of life among earthquake survivors in Yu-Chi, Taiwan. Journal of Psychiatric Research, 41(1–2):90–96.CrossRef
15.
go back to reference Halbesleben, J. R. (2006). Sources of social support and burnout: a meta-analytic test of the conservation of resources model. The Journal of Applied Psychology, 91, 1134–1145.CrossRef Halbesleben, J. R. (2006). Sources of social support and burnout: a meta-analytic test of the conservation of resources model. The Journal of Applied Psychology, 91, 1134–1145.CrossRef
16.
go back to reference Chou, F. H., Su, T. T., Ou-Yang, W. C., Chien, I. C., Lu, M. K., & Chou, P. (2003). Establishment of a disaster-related psychological screening test. The Australian and New Zealand Journal of Psychiatry, 37(1), 97–103.CrossRef Chou, F. H., Su, T. T., Ou-Yang, W. C., Chien, I. C., Lu, M. K., & Chou, P. (2003). Establishment of a disaster-related psychological screening test. The Australian and New Zealand Journal of Psychiatry, 37(1), 97–103.CrossRef
17.
go back to reference Jenkinson, C., Layte, R., Jenkinson, D., Lawrence, K., Petersen, S., Paice, C., & Stradling, J. (1997). A shorter form health survey: can the SF-12 replicate results from the SF-36 in longitudinal studies? Journal of Public Health Medicine, 19(2), 179–186. Jenkinson, C., Layte, R., Jenkinson, D., Lawrence, K., Petersen, S., Paice, C., & Stradling, J. (1997). A shorter form health survey: can the SF-12 replicate results from the SF-36 in longitudinal studies? Journal of Public Health Medicine, 19(2), 179–186.
18.
go back to reference Chou, F. H., Su, T. T., Chou, P., Ou-Yang, W. C., Lu, M. K., & Chien I. C. (2005). Survey of psychiatric disorders after an earthquake: MINI diagnosis for a village population in Taiwan. Journal of the Formosan Medical Association, 104, 308–317. Chou, F. H., Su, T. T., Chou, P., Ou-Yang, W. C., Lu, M. K., & Chien I. C. (2005). Survey of psychiatric disorders after an earthquake: MINI diagnosis for a village population in Taiwan. Journal of the Formosan Medical Association, 104, 308–317.
19.
go back to reference Lin M. R., Huang W., Huang, C., Hwang, H. F., Tsai, L. W., & Chiu, Y. N. (2002). The impact of the Chi-Chi earthquake on quality of life among elderly survivors in Taiwan—a before and after study. Quality of Life Research, 11, 379–388.CrossRef Lin M. R., Huang W., Huang, C., Hwang, H. F., Tsai, L. W., & Chiu, Y. N. (2002). The impact of the Chi-Chi earthquake on quality of life among elderly survivors in Taiwan—a before and after study. Quality of Life Research, 11, 379–388.CrossRef
20.
go back to reference Surtees, P. G., Wainwright, N. W., & Khaw, K. T. (2003). Day NE. Functional health status, chronic medical conditions and disorders of mood. The British Journal of Psychiatry, 183, 299–303.CrossRef Surtees, P. G., Wainwright, N. W., & Khaw, K. T. (2003). Day NE. Functional health status, chronic medical conditions and disorders of mood. The British Journal of Psychiatry, 183, 299–303.CrossRef
21.
go back to reference Chou, F. H., Chou, P., Lin, C., et al. (2004). The relationship between quality of life and psychiatric impairment for a Taiwanese community post earthquake. Quality of Life Research, 13, 1089–1097.CrossRef Chou, F. H., Chou, P., Lin, C., et al. (2004). The relationship between quality of life and psychiatric impairment for a Taiwanese community post earthquake. Quality of Life Research, 13, 1089–1097.CrossRef
22.
go back to reference Goenjian, A. K., Steinberg, A. M., Najarian, L. M., Fairbanks, L. A., Tashjian, M., & Pynoos, R. S. (2000). Prospective study of posttraumatic stress, anxiety, and depressive reactions after earthquake and political violence. The American Journal of Psychiatry, 157, 911–916.CrossRef Goenjian, A. K., Steinberg, A. M., Najarian, L. M., Fairbanks, L. A., Tashjian, M., & Pynoos, R. S. (2000). Prospective study of posttraumatic stress, anxiety, and depressive reactions after earthquake and political violence. The American Journal of Psychiatry, 157, 911–916.CrossRef
23.
go back to reference Yang, Y. K., Yeh, T. L., Chen, C. C., et al. (2003). Psychiatric morbidity and posttraumatic symptoms among earthquake victims in primary care clinics. General Hospital Psychiatry, 25, 253–261.CrossRef Yang, Y. K., Yeh, T. L., Chen, C. C., et al. (2003). Psychiatric morbidity and posttraumatic symptoms among earthquake victims in primary care clinics. General Hospital Psychiatry, 25, 253–261.CrossRef
Metagegevens
Titel
The relationship between quality of life and posttraumatic stress disorder or major depression for firefighters in Kaohsiung, Taiwan
Auteurs
Yong-Shing Chen
Ming-Chao Chen
Frank Huang-Chih Chou
Feng-Ching Sun
Pei-Chun Chen
Kuan-Yi Tsai
Shin-Shin Chao
Publicatiedatum
01-10-2007
Uitgeverij
Springer Netherlands
Gepubliceerd in
Quality of Life Research / Uitgave 8/2007
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-007-9248-7

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