Effect of Post-traumatic Stress and Ways of Stress Coping on Problem Drinking in Firefighters.
10.5807/kjohn.2017.26.4.218
- Author:
Kyoung Sun JEON
1
;
Kyung Ah KANG
Author Information
1. National Center for Mental Health, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Firefighter;
Post-traumatic stress;
Ways of stress coping;
Problem drinking
- MeSH:
Bereavement;
Checklist;
Divorce;
Drinking*;
Education;
Firefighters*;
Fires;
Humans;
Korea;
Logistic Models;
Male;
Prevalence;
Risk Factors;
Stress Disorders, Post-Traumatic
- From:Korean Journal of Occupational Health Nursing
2017;26(4):218-226
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The study aimed to determine the impact of post-traumatic stress and ways of stress coping on problem drinking in firefighters. METHODS: Data were collected from May 11 to June 11, 2015, in fire brigades across South Korea. Participants were 183 male firefighters who used self-report questionnaires containing questions from the Impact of Event Scale-Revised (IES-R), Ways of Coping Checklist (WCC), and Alcohol Use Disorders Identification Test (AUDIT). Data were analyzed using χ2 test, t-test, and logistic regression with the SPSS/WIN 21.0 program. RESULTS: The prevalence of PTSD among firefighters was 36.7% and that of problem drinking was 39.3%. Firefighters with single (OR=0.23, 95% CI=0.038~1.321) and married status (OR=0.46, 95% CI=0.069~3.040) were less likely to have problem drinking than those who were divorced or bereavement. Those with invasion symptoms (OR=1.17, 95% CI=1.031~1.327) and hyperarousal symptoms (OR=0.85, 95% CI=0.722~0.989) were more likely to have problem drinking than those with avoidance symptoms. CONCLUSION: Post-traumatic stress symptom was a major risk factor that increased problem drinking, and married status reduced problem drinking. There is a need to develop post-traumatic stress symptom management program and early education content for symptom management.