남자 소방공무원의 외상적 사건 경험과 알코올 사용과의 관련성
The Relationship between Alcohol Consumption and Exposure to Traumatic Events in Male Firefighters
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Objectives This study explored the relationship between alcohol consumption and exposure to traumatic events in male firefighters. Methods Data was collected from a sample of 584 firefighters at urban fire stations. We surveyed the firefighters using self-administered questionnaires including sociodemographic and job-related characteristics such as the Alcohol Use Disorders Identification Test (AUDIT), Life Event Checklist (LEC), Perceived Stress Scale (PSS), Korean Occupational Stress Scale-Short Form (KOSS-SF), Impacted Event Scale-Revised (IES-R), Stait Trait Anxiety Inventory (STAI) and Beck Depression Inventory (BDI). Results There were significant differences in smoking, traumatic events (LEC), post-traumatic stress disorder symptoms (IES-R), and anxiety (STAI-T) between the two drinking groups (p<0.05). In multivariate logistic regression, smoking (OR=2.084, 95% CI=1.172-3.705), LEC (OR=1.163, 95% CI=1.010-1.339) and IES-R (OR=1.024, 95% CI=1.002-1.046) were significant predictors for AUDIT (p<0.05). ConclusionZZThese results indicate that an appropriate intervention about the exposure to traumatic events should play a useful role in preventing firefighter alcohol problems.
Abstract
Objectives This study explored the relationship between alcohol consumption and exposure to traumatic events in male firefighters. Methods Data was collected from a sample of 584 firefighters at urban fire stations. We surveyed the firefighters using self-administered questionnaires including sociodemographic and job-related characteristics such as the Alcohol Use Disorders Identification Test (AUDIT), Life Event Checklist (LEC), Perceived Stress Scale (PSS), Korean Occupational Stress Scale-Short Form (KOSS-SF), Impacted Event Scale-Revised (IES-R), Stait Trait Anxiety Inventory (STAI) and Beck Depression Inventory (BDI). Results There were significant differences in smoking, traumatic events (LEC), post-traumatic stress disorder symptoms (IES-R), and anxiety (STAI-T) between the two drinking groups (p<0.05). In multivariate logistic regression, smoking (OR=2.084, 95% CI=1.172-3.705), LEC (OR=1.163, 95% CI=1.010-1.339) and IES-R (OR=1.024, 95% CI=1.002-1.046) were significant predictors for AUDIT (p<0.05). ConclusionZZThese results indicate that an appropriate intervention about the exposure to traumatic events should play a useful role in preventing firefighter alcohol problems.
참고문헌 (44)
- Ministry of Health, Welfare and Family Affairs. Korea Centers for Disease Control and Prevention, "National Health Statistics-National Nutrition Survery 4th, 2008" (2008)
- Frone MR, "Work stress and alcohol use", Alcohol Res Health, 23, pp.284~291 (1999)
- Guidotti TL, "Human factors in firefighting: ergonomic-, cardiopulmonary-, and psychogenic stress-related issues", Int Arch Occup Environ Health, 64, pp.1~12 (1992)
- Guo YL, "Depression and alcohol abuse among firefighters associated with job stress and effort reward", Epidemiology, 17, pp.174~ (2006)
- North CS, "Psychiatric disorders in rescue workers after the Oklahoma City bombing", Am J Psychiatry, 159, pp.857~859 (2002)
- McFarlane AC, "Epidemiological evidence about the relationship between PTSD and alcohol abuse: the nature of the association", Addict Behav, 23, pp.813~825 (1998)
- Boxer PA, "Psychological distress and alcohol use among fire fighters", Scand J Work Environ Health, 19, pp.121~125 (1993)
- Kang KH, "The relationship between alcohol use and job stress among firemen", Korean J Occup Environ Med, 13, pp.401~412 (2001)
- 김정아, "한국 소방관의 음주 양태와 외상후 스트레스 장애 증상, 심리적 강인성, 대처방식과의 관련성", 신경정신의학, 48(6), pp.467~472 (2009), 대한신경정신의학회
- Lee MI, "Association between alcohol use and posttraumatic stress symptoms in Korean firefighters", J Korean Academy of Addiction Psychiatry, 14, pp.10~14 (2010)
- Oh MG, "Screening criteria of alcoholism by alcohol use disorders identification test (AUDIT) in Korea", J Korean Acad Fam Med, 20, pp.1152~1159 (1999)
- Blake DD, "The development of a Clinician-Administered PTSD Scale", J Trauma Stress, 8, pp.75~90 (1995)
- Hwallip Bae, "Psychometric Properties of the Life Events Checklist-Korean Version", PSYCHIATRY INVESTIGATION, 5(3), pp.163~167 (2008), 대한신경정신의학회
- 장세진, "한국인 직무 스트레스 측정도구의 개발 및 표준화", 대한직업환경의학회지, 17(4), pp.297~317 (2005), 대한직업환경의학회
- Cohen S, "A global measure of perceived stress", J Health Soc Behav, 24, pp.385~396 (1983)
- Ha YS, "Relationships between perceived stress during the maternal role attainment process and health - promoting lifestyle practice. Research institute of nursing science", pp.23~47 (1990), Ewha Womans University
- Marmer C, "The impact of event scale-revised. Assessing psychological trauma and PTSD", pp.399~411 (1997), New York: Guilford
- Horowitz M, "Impact of Event Scale: a measure of subjective stress", Psychosom Med, 41, pp.209~218 (1979)
- 은 헌 정, "한국판 사건충격척도 수정판의 신뢰도 및 타당도 연구", 신경정신의학, 44(3), pp.303~310 (2005), 대한신경정신의학회
- Spielberger C, "STAI manual for the state-trait anxiety inventory" (1970), Palo Alto, CA: Consulting Psychologists
- Hahn DW, "The Korean. Adaptation of the state-trait depression inventory: STDI-. K", Korean J Health Psychology, 3, pp.1~14 (1999)
- Beck AT, "An inventory for measuring depression", Arch Gen Psychiatry, 4, pp.561~571 (1961)
- Rhee MK, "A standardization study of Beck depression inventory I; Korean version (K-BDI): reliability and factor analysis", Korean J Psychopathol, 4, pp.77~95 (1995)
- Murphy SA, "Occupational stressors, stress responses, and alcohol consumption among professional firefighters: a prospective, longitudinal analysis", International Journal of Stress Management, 6, pp.179~196 (1999)
- Droomers M, "Educational differences in excessive alcohol consumption: the role of psychosocial and material stressors", Prev Med, 29, pp.1~10 (1999)
- Grunberg L, "Work stress and self-reported alcohol use: the moderating role of escapist reasons for drinking", J Occup Health Psychol, 4, pp.29~36 (1999)
- Alexander LL, "The smoking behaviour of military nurses: the relationship to job stress, job satisfaction and social support", J Adv Nurs, 15, pp.843~849 (1990)
- Op Den Velde W, "Alcohol use, cigarette consumption and chronic posttraumatic stress disorder", Alcohol Alcohol, 37, pp.355~361 (2002)
- Rose JE, "Psychopharmacological interactions between nicotine and ethanol", Nicotine Tob Res, 6, pp.133~144 (2004)
- Fertig J, "Alcohol and tobacco: From basic science to clinical practice" (1995), DIANE Publishing
- Chang SJ, "Current comprehension of job stress", pp.279~312 (2005), Seoul: Korean Medical Book Publisher Co
- 하재혁, "소방공무원의 직무스트레스와 사회심리적 건강", 대한직업환경의학회지, 20(2), pp.104~111 (2008), 대한직업환경의학회
- Ragland DR, "Occupational and nonoccupational correlates of alcohol consumption in urban transit operators", Prev Med, 24, pp.634~645 (1995)
- Pfefferbaum B, "The impact of the 1995 Oklahoma City bombing on the partners of firefighters", J Urban Health, 79, pp.364~372 (2002)
- Cole G, "Relationships among measures of alcohol drinking behavior, life-events and perceived stress", Psychol Rep, 67, pp.587~591 (1990)
- Conway TL, "Occupational stress and variation in cigarette, coffee, and alcohol consumption", J Health Soc Behav, 22, pp.155~165 (1981)
- Deliramich AN, "Changes in women’s sexual behavior following sexual assault", Behav Modif, 32, pp.611~621 (2008)
- Stewart SH, "Alcohol abuse in individuals exposed to trauma: a critical review", Psychol Bull, 120, pp.83~112 (1996)
- Volpicelli J, "The role of uncontrollable trauma in the development of PTSD and alcohol addiction", Alcohol Res Health, 23, pp.256~262 (1999)
- Breslau N, "Posttraumatic stress disorder and the incidence of nicotine, alcohol, and other drug disorders in persons who have experienced trauma", Arch Gen Psychiatry, 60, pp.289~294 (2003)
- Poikolainen K, "Predictors of alcohol intake and heavy drinking in early adulthood: a 5-year follow-up of 15-19-year-old Finnish adolescents", Alcohol Alcohol, 36, pp.85~88 (2001)
- Chilcoat HD, "Posttraumatic stress disorder and drug disorders: testing causal pathways", Arch Gen Psychiatry, 55, pp.913~917 (1998)
- 백준혁, "소방 공무원에서 간접 외상이 정신 건강에 미치는 영향", 대한불안의학회지, 6(1), pp.65~70 (2010), 대한불안의학회
- 권순찬, "일개 소방서 소방관들의 외상후 스트레스 증상 및 관련요인", 대한직업환경의학회지, 20(3), pp.193~204 (2008), 대한직업환경의학회