PDF(Pubmed)
Abstract：
Background: Due to the job characteristics, firefighters are repeatedly exposed to trauma incidents. However, not all firefighters exhibit the same level of post-traumatic stress disorder (PTSD) or post-traumatic growth (PTG). Despite this, few studies have looked into firefighters\' PTSD and PTG.Objective: This study identified subgroups of firefighters based on their PTSD and PTG levels, and investigated the influence of demographic factors and PTSD/PTG-related factors on latent class classification.Method: Latent profile analysis was used to examine the patterns of PTSD and PTG among 483 firefighters in South Korea. Using a cross-sectional design, demographic factors and job factors were examined as group covariates through a three-step approach. PTSD-related factors such as depression and suicide ideation, as well as PTG-related factors such as emotion-based response were analysed as differentiating factors.Results: Four classes were identified and named \'Low PTSD-low PTG (65.2%),\' \'Mid PTSD-mid PTG (15.5%),\' \'Low PTSD-high PTG (15.3%),\' and \'High PTSD-mid PTG (3.9%).\' The likelihood of belonging to the group with high trauma-related risks increased with more rotating shift work and years of service. The differentiating factors revealed differences based on the levels of PTSD and PTG in each group.Conclusions: 34.8% of firefighters experienced changes due to traumatic events while on the job, and some required serious attention. Modifiable job characteristics, such as the shift pattern, indirectly affected PTSD and PTG levels. Individual and job factors should be considered together when developing trauma interventions for firefighters.
Firefighters were classified into four groups based on their levels of PTSD and PTG. 65.2% of the participants belonged to the ‘Low PTSD-low PTG’ group.The shift pattern and years of service predicted the likelihood of group classification.This implies that, despite being frequently exposed to threatening events, not all firefighters experience trauma, and that job characteristics influence trauma-related vulnerabilities.
Firefighters were classified into four groups based on their levels of PTSD and PTG. 65.2% of the participants belonged to the ‘Low PTSD-low PTG’ group.The shift pattern and years of service predicted the likelihood of group classification.This implies that, despite being frequently exposed to threatening events, not all firefighters experience trauma, and that job characteristics influence trauma-related vulnerabilities.
摘要：
背景：由于工作特点，消防员反复遭受创伤事件。然而,并非所有消防员都表现出相同水平的创伤后应激障碍（PTSD）或创伤后成长（PTG）。尽管如此,很少有研究调查消防员的PTSD和PTG。目的：这项研究根据消防员的PTSD和PTG水平确定了消防员的亚组，调查人口学因素和PTSD/PTG相关因素对潜伏分类的影响。方法：采用潜在剖面分析法对韩国483名消防员的PTSD和PTG模式进行了研究。使用横截面设计，人口统计学因素和工作因素通过三步法作为组协变量进行检验.创伤后应激障碍相关因素，如抑郁和自杀意念，以及PTG相关因素，如基于情绪的反应被分析为区分因素。结果：确定了四个类别，并命名为低PTSD-低PTG（65.2％），PTSD中期-PTG中期（15.5%），\'\'低PTSD-高PTG（15.3%），\'和\'高PTSD-中期PTG（3.9%）。随着更多的轮班工作和服务年限的增加，属于与创伤相关的高风险人群的可能性也会增加。区分因素显示出各组PTSD和PTG水平的差异。结论：34.8％的消防员在工作中因创伤事件而发生了变化，有些需要认真注意。可修改的工作特征，比如换档模式，间接影响PTSD和PTG水平。在为消防员制定创伤干预措施时应同时考虑个人和工作因素。
消防员根据他们的PTSD和PTG水平分为四组。65.2%的参与者属于“低PTSD-低PTG”组。转移模式和服务年限预测了群体分类的可能性。这意味着,尽管经常受到威胁事件的影响，不是所有的消防员都会经历创伤,工作特征会影响与创伤相关的脆弱性。
消防员根据他们的PTSD和PTG水平分为四组。65.2%的参与者属于“低PTSD-低PTG”组。转移模式和服务年限预测了群体分类的可能性。这意味着,尽管经常受到威胁事件的影响，不是所有的消防员都会经历创伤,工作特征会影响与创伤相关的脆弱性。
