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First responders are exposed to critical incidents and chronic stressors that contribute to a higher prevalence of negative health outcomes compared to other occupations. Psychological resilience, a learnable process of positive adaptation to stress, has been identified as a protective factor against the negative impact of burnout. Mindfulness-Based Resilience Training (MBRT) is a preventive intervention tailored for first responders to reduce negative health outcomes, such as burnout. This study is a secondary analysis of law enforcement and firefighter samples to examine the mechanistic role of psychological resilience on burnout. Results indicated that changes in resilience partially mediated the relationship between mindfulness and burnout and that increased mindfulness was related to increased resilience (b = 0.41, SE = 0.11, p < .01), which in turn was related to decreased burnout (b = −0.25, SE = 0.12, p = .03). The bootstrapped confidence interval of the indirect effect did not contain zero [95% CI; −0.27, −0.01], providing evidence for mediation. Limitations and implications are discussed.
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Administration USF. (2015). Firefighter fatalities in the United States. https://apps.usfa.fema.gov/firefighterfatalities/.
Alghamd, M., Hunt, N., & Thomas, S. (2013). Prevalence rate of post-traumatic stress disorders (PTSD) and other psychological disorders among Saudi firefighters. European Journal of Psycho-Traumatology, 4, 22652. CrossRef
Alliance FBH. Firefighter suicide report. http://www.ffbha.org/.
Alpert, G., & Rojek, J. (2011). Frontline police officer assessments of risk and decision making during encounters with offenders (Briefing paper issue 5). ARC Centre of Excellence in Policing and Security: Queensland.
Anshel, M. H. (2000). A conceptual model and implications for coping with stressful events in police work. Criminal Justice and Behavior, 27(3), 375–400. CrossRef
Arnetz, B. B., Nevedal, D. C., Lumley, M. A., Backman, L., & Lublin, A. (2009). Trauma resilience training for police: psychophysiological and performance effects. Journal of Police and Criminal Psychology, 24(1), 1–9. CrossRef
Arslan, C. (2010). An investigation of anger and anger expression in terms of coping with stress and interpersonal problem-solving. Educational Sciences: Theory and Practice, 10(1), 25–43.
Bakker, A. B., & Heuven, E. (2006). Emotional dissonance, burnout, and in-role performance among nurses and police officers. International Journal of Stress Management, 13(4), 423–440. CrossRef
Barger, L. K., Rajaratnam, S. M., Wang, W., O’Brien, C. S., Sullivan, J. P., Qadri, S., Lockley, S. W., & Czeisler, C. A. (2015). Common sleep disorders increase risk of motor vehicle crashes and adverse health outcomes in firefighters. Journal of Clinical Sleep Medicine, 11(3), 233–240. PubMedPubMedCentral
Bayouth, S. T., Keren, N., Franke, W. D., & Godby, K. (2013). Examining firefighter decision-making: how experience influences speed in process and choice. International Fire Service Journal of Leadership & Management., 7, 51–60.
Berger, W., Coutinho, E., Figueira, I., Marques-Portella, C., Luz, M., Neylan, T., Marmar, C., & Mendlowicz, M. (2012). Rescuers at risk: a systematic review and meta-regression analysis of the worldwide current prevalence and correlates of PTSD in rescue workers. Social Psychiatry and Psychiatric Epidemiology, 47(6), 1001–1011. PubMedCrossRef
Bergman, A. L., Christopher, M. S., & Bowen, S. (2016). Changes in facets of mindfulness predict stress and anger outcomes for police officers. Mindfulness, 7(4), 851–858. CrossRef
Bittner, J. G., Khan, Z., Babu, M., & Hamed, O. (2011). Stress, burnout, and maladaptive coping: strategies for surgeon well-being. Bulletin of the American College of Surgeons, 96(8), 17–22. PubMed
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 and environmental medicine / American College of Occupational and Environmental Medicine, 53(8), 928–933. PubMedCentralCrossRef
Colgan, D., Christopher, M., Michael, P., & Wahbeh, H. (2016). The body scan and mindful breathing among veterans with PTSD: type of intervention moderates the relationship between changes in mindfulness and post-traumatic depression. Mindfulness, 7, 372–383. doi: 10.1007/s12671-015-0453-0. CrossRef
Christopher, M. S., Goerling, R. J., Rogers, B. S., Hunsinger, M. H., Baron, G., Bergman, A., & Zava, D. T. (2016). A pilot study of evaluating the effectiveness of a mindfulness-based intervention on cortisol awakening response and health outcomes among law enforcement officers. Journal of Police and Criminal Psychology, 31(1), 15–28. doi: 10.1007/s11896-015-9161-x. CrossRef
De la Fuente Solana, E. I., Aguayo Extremera, R., Vargas Pecino, C., & Cañadas de la Fuente, G. R. (2013). Prevalence and risk factors of burnout syndrome among Spanish police officers. Psicothema, 25(4), 488–493. PubMed
Demerouti, E., Bakker, A. B., Vardakou, I., & Kantas, A. (2003). The convergent validity of two burnout instruments: a multitrait-method analysis. European Journal of Psychological Assessment, 19(1), 12–23. CrossRef
Devilly, G. J., & Cotton, P. (2003). Psychological debriefing and the workplace: defining a concept, controversies and guidelines for intervention. Australian Psychologist, 38(2), 144–150. CrossRef
Forneris, C. A., Gartlehner, G., Brownley, K. A., Gaynes, B. N., Sonis, J., Coker-Schwimmer, E., Jonas, D. E., Greenblatt, A., Wilkins, T. M., Woodell, C. L., & Lohr, K. N. (2013). Interventions to prevent post-traumatic stress disorder: a systematic review. American Journal of Preventive Medicine, 44(6), 635–650. PubMedCrossRef
Garcia, G. M., & Calvo, J. C. A. (2012). Emotional exhaustion of nursing staff: influence of emotional annoyance and resilience. International Nursing Review, 59, 101–107. CrossRef
Greeson, J. M., Webber, D. M., Smoski, M. J., Brantley, J. G., Ekblad, A. G., Suarez, E. C., & Wolever, R. Q. (2011). Changes in spirituality partly explain health-related quality of life outcomes after mindfulness-based stress reduction. Journal of Behavioral Medicine, 34(6), 508–518. PubMedPubMedCentralCrossRef
Gross, C. R., Kreitzer, M. J., Reilly-Spong, M., Wall, M., Winbush, N. Y., Patterson, R., Mahowald, M., & Cramer-Bornemann, M. (2011). Mindfulness-based stress reduction versus pharmacotherapy for chronic primary insomnia: a randomized controlled clinical trial. Explore (New York, N.Y.), 7(2), 76–87. CrossRef
Halbesleben, J. R. B., Osburn, H. K., & Mumford, M. D. (2006). Action research as a burnout intervention: reducing burnout in the federal fire service. Journal of Applied Behavioral Science, 42(2), 244–266. CrossRef
Hao, S., Hong, W., Xu, H., Zhou, L., & Xie, Z. (2015). Relationship between resilience, stress and burnout among civil servants in Beijing, China: mediating and moderating effect analysis. Personality and Individual Differences, 83, 65–71. CrossRef
Harris, M. B., Baloğlu, M., & Stacks, J. R. (2002). Mental health of trauma-exposed firefighters and critical incident stress debriefing. Journal of Loss and Trauma, 7(3), 223–238. CrossRef
Hayes, A. F. (2012). Process: a versatile computational tool for observed variable mediation, moderation, and conditional process modeling [White paper]. Retrieved from http://www.afhayes.com/public/process2012.pdf. Accessed December 15, 2016.
Hokanson, M., & Wirth, B. (2000). The critical incident stress debriefing process for the Los Angeles County Fire Department: automatic and effective. International Journal of Emergency Mental Health, 2(4), 249–258. PubMed
IBM Corp. Released. (2013). IBM SPSS Statistics for Windows, version 22.0. Armonk, NY: IBM Corp.
Jacobs, J., Horne-Moyer, H. L., & Jones, R. (2004). The effectiveness of critical incident stress debriefing with primary and secondary trauma victims. International Journal of Emergency Mental Health, 6(1), 5–14. PubMed
Jenson, J. M., & Fraser, M. W. (2016). Social policy for children and families: a risk and resilience perspective. Los Angeles: Sage Publications.
Jha, A. P., Rogers, S. L., & Morrison, A. B. (2014). Mindfulness training in high stress professions: strengthening attention and resilience. In R. Baer (Ed.), Mindfulness-based treatment approaches: clinician’s guide to evidence base and applications (pp. 347–366). London: Elsevier.
Johnson, D. C., Thom, N. J., Stanley, E. A., Haase, L., Simmons, A. N., Shih, P. A., et al. (2014). Modifying resilience mechanisms in at-risk individuals: a controlled study of mindfulness training in marines preparing for deployment. American Journal of Psychiatry, 171(8), 844–853. PubMedPubMedCentralCrossRef
Kabat-Zinn, J. (1991). Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness. New York: Dell.
Kahn, S. A., Woods, J., & Rae, L. (2015). Line of duty firefighter fatalities: an evolving trend over time. Journal of Burn Care & Research, 36(1), 218–224. CrossRef
Kalill, K. S., Treanor, M., & Roemer, L. (2014). The importance of non-reactivity to posttraumatic stress symptoms: a case for mindfulness. Mindfulness, 5(3), 314–321. CrossRef
Kaplan, J., Christopher, M., & Bowen, S. (under review). Dispositional mindfulness moderates the relationship between occupational stressors and stress outcomes among law enforcement personnel. Manuscript submitted for publication.
Kehl, D., Knuth, D., Hulse, L., & Schmidt, S. (2014). Posttraumatic reactions among firefighters after critical incidents: cross-national data. Journal of Aggression, Maltreatment & Trauma, 23(8), 842–853. CrossRef
Kligyte, V., Connelly, S., Thiel, C., & Devenport, L. (2013). The influence of anger, fear, and emotion regulation on ethical decision making. Human Performance, 26( 4):297- 326. doi: 10.1080/08959285.2013.814655.
Kop, N., Euwema, M., & Schaufeli, W. (1999). Burnout, job stress and violent behavior among Dutch police officers. Work & Stress, 13(4), 326–340. CrossRef
Leppin, A. L., Bora, P. R., Tilburt, J. C., Gionfriddo, M. R., Zeballos-Palacios, C., Dulohery, M. M., et al. (2014). The efficacy of resiliency training programs: a systematic review and meta-analysis of randomized trials. PloS One, 9(10), 1–15. CrossRef
Meredith, L.S., Sherbourne, C.D., & Gaillot, S.J. (2011) Promoting psychological resilience in the US military: Rand Corporation.
Miller, L. (2006). Practical police psychology: stress management and crisis intervention for law enforcement. Springfield, IL: Charles C Thomas.
Mitchell, J. T., & Everly Jr., G. S. (2001). Critical incident stress debriefing: an operations manual for CISD, defusing and other group crisis intervention services (Third ed.). Ellicott City, MD: Chevron.
Pastwa-Wojciechowska, B., & Piotrowski, A. (2016). Sources, consequences, and methods of coping with stress in police officers. Journal of Alcohol and Drug Dependence, 4, 244.
Patterson, G. T., Chung, I. W., & Swan, P. G. (2014). Stress management interventions for police officers and recruits: a meta-analysis. Journal of Experimental Criminology, 10(4), 487–513. CrossRef
Ranta, R. S. (2009). Management of stress and coping behaviour of police personnel through Indian psychological techniques. Journal of the Indian Academy of Applied Psychology, 35(1), 47–53.
Rees, C. S., Breen, L. J., Cusack, L., & Hegney, D. (2015). Understanding individual resilience in the workplace: the international collaboration resilience model. Frontiers in Psychology, 7(73), 1–7.
Reis, D., Xanthopoulou, D., & Tsaousis. (2015). Measuring job and academic burnout with the Oldenburg Burnout Inventory (OLBI): factorial invariance across samples and countries. Burnout Research, 2(1), 8–18. CrossRef
Regehr, C. (2001). Crisis debriefing groups for emergency responders: reviewing the evidence. Brief Treatment and Crisis Intervention, 1(2), 87. CrossRef
Regehr, C., Hill, J., Goldberg, G., & Hughes, J. (2003a). Postmortem inquiries and trauma responses in paramedics and firefighters. Journal of Interpersonal Violence, 18, 607–622. CrossRef
Regehr, C., Hill, J., Knott, T., & Sault, B. (2003b). Social support, self-efficacy and trauma in new recruits and experienced firefighters. Stress and Health, 19(4), 189–193. CrossRef
Sack, R.E., III. (2009). Rethinking use of force: a correlational study of burnout and aggression in patrol officers. PhD dissertation. Alliant International University. (ID 305175076).
Sallis, G., Catherwood, D. F., Edgar, G. K., Medley, A., & Brookes, D. (2013). The human brain in fireground decision-making: trustworthy firefighting equipment? International Fire Professional, 5(21), 24.
Schaible, L. M., & Six, M. (2016). Emotional strategies of police and their varying consequences for burnout. Police Quarterly, 19(1), 3–31. CrossRef
Setti, I., Lourel, M., & Argentero, P. (2016). The role of affective commitment and perceived social support in protecting emergency workers against burnout and vicarious traumatization. Traumatology, 2016, 1–10.
Shipley, P., & Branski, J. V. (2002). Police officer performance under stress: a pilot study on the effects of visuo-motor behavior rehearsal. International Journal of Stress Management, 9(2), 71–80. CrossRef
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. PubMedCrossRef
Stanley, S. A., Schaldach, J. M., & Kiyonaga, A. (2011). Mindfulness-based mind fitness training: a case study of a high-stress predeployment military cohort. Cognitive and Behavioral Practice, 18, 566–576. CrossRef
Taku, K. (2014). Relationships among perceived psychological growth, resilience and burnout in physicians. Personality and Individual Differences, 59, 120–123. CrossRef
US Bureau of Labor Statistics (2014). Police and detectives: occupational outlook handbook. Retrieved from http://www.bls.gov/ooh/protective-service/police-and-detectives.htm
- Role of Resilience in Mindfulness Training for First Responders
Joshua Benjamin Kaplan
Aaron L. Bergman
- Springer US