Health outcomes of psychosocial stress within firefighters: A systematic review of the research landscape

Background and Objectives Much of the research surrounding firefighter health has concerned the hazards intuitively associated with the occupation, such as physical, thermal, and chemical risks. However, an additional aspect of their work environment, psychosocial stressors, has begun to attract a g...

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Published inJournal of occupational health Vol. 63; no. 1; pp. e12219 - n/a
Main Authors Igboanugo, Somkene, Bigelow, Philip L., Mielke, John G.
Format Journal Article
LanguageEnglish
Published Australia John Wiley & Sons, Inc 01.01.2021
John Wiley and Sons Inc
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Abstract Background and Objectives Much of the research surrounding firefighter health has concerned the hazards intuitively associated with the occupation, such as physical, thermal, and chemical risks. However, an additional aspect of their work environment, psychosocial stressors, has begun to attract a growing level of attention. Work‐related psychosocial stress may best be described as mental and emotional strain caused by a combination of workplace events and characteristics, and the objective of our review was to identify the health outcomes associated with these stressors in firefighters. Methods A systematic review was performed of studies reporting on the psychosocial stressors and the associated health outcomes experienced by firefighters. Data sources included the MEDLINE, PsychInfo, and CINAHL databases. Results Twenty‐nine studies met the inclusion criteria. Upon analysis, we found that firefighters experienced a range of psychosocial stressors (including interpersonal conflict and concerns over organizational fairness) and observed that these stressors were associated with a number of health‐related outcomes that could be arranged into six areas: depression‐suicidality, non‐depressive mental health problems, burnout, alcohol use disorders, sleep quality, and physiological parameters and somatic disorders. Conclusion Our findings strongly suggest that work‐related psychosocial stressors can affect the health and well‐being of those in the fire service, and highlight that interventions meant to address these psychosocial risk factors should focus upon promoting self‐esteem, enhancing self‐efficacy, and strengthening social support.
AbstractList Background and ObjectivesMuch of the research surrounding firefighter health has concerned the hazards intuitively associated with the occupation, such as physical, thermal, and chemical risks. However, an additional aspect of their work environment, psychosocial stressors, has begun to attract a growing level of attention. Work‐related psychosocial stress may best be described as mental and emotional strain caused by a combination of workplace events and characteristics, and the objective of our review was to identify the health outcomes associated with these stressors in firefighters.MethodsA systematic review was performed of studies reporting on the psychosocial stressors and the associated health outcomes experienced by firefighters. Data sources included the MEDLINE, PsychInfo, and CINAHL databases.ResultsTwenty‐nine studies met the inclusion criteria. Upon analysis, we found that firefighters experienced a range of psychosocial stressors (including interpersonal conflict and concerns over organizational fairness) and observed that these stressors were associated with a number of health‐related outcomes that could be arranged into six areas: depression‐suicidality, non‐depressive mental health problems, burnout, alcohol use disorders, sleep quality, and physiological parameters and somatic disorders.ConclusionOur findings strongly suggest that work‐related psychosocial stressors can affect the health and well‐being of those in the fire service, and highlight that interventions meant to address these psychosocial risk factors should focus upon promoting self‐esteem, enhancing self‐efficacy, and strengthening social support.
Abstract Background and Objectives Much of the research surrounding firefighter health has concerned the hazards intuitively associated with the occupation, such as physical, thermal, and chemical risks. However, an additional aspect of their work environment, psychosocial stressors, has begun to attract a growing level of attention. Work-related psychosocial stress may best be described as mental and emotional strain caused by a combination of workplace events and characteristics, and the objective of our review was to identify the health outcomes associated with these stressors in firefighters. Methods A systematic review was performed of studies reporting on the psychosocial stressors and the associated health outcomes experienced by firefighters. Data sources included the MEDLINE, PsychInfo, and CINAHL databases. Results Twenty-nine studies met the inclusion criteria. Upon analysis, we found that firefighters experienced a range of psychosocial stressors (including interpersonal conflict and concerns over organizational fairness) and observed that these stressors were associated with a number of health-related outcomes that could be arranged into six areas: depression-suicidality, non-depressive mental health problems, burnout, alcohol use disorders, sleep quality, and physiological parameters and somatic disorders. Conclusion Our findings strongly suggest that work-related psychosocial stressors can affect the health and well-being of those in the fire service, and highlight that interventions meant to address these psychosocial risk factors should focus upon promoting self-esteem, enhancing self-efficacy, and strengthening social support.
Much of the research surrounding firefighter health has concerned the hazards intuitively associated with the occupation, such as physical, thermal, and chemical risks. However, an additional aspect of their work environment, psychosocial stressors, has begun to attract a growing level of attention. Work-related psychosocial stress may best be described as mental and emotional strain caused by a combination of workplace events and characteristics, and the objective of our review was to identify the health outcomes associated with these stressors in firefighters. A systematic review was performed of studies reporting on the psychosocial stressors and the associated health outcomes experienced by firefighters. Data sources included the MEDLINE, PsychInfo, and CINAHL databases. Twenty-nine studies met the inclusion criteria. Upon analysis, we found that firefighters experienced a range of psychosocial stressors (including interpersonal conflict and concerns over organizational fairness) and observed that these stressors were associated with a number of health-related outcomes that could be arranged into six areas: depression-suicidality, non-depressive mental health problems, burnout, alcohol use disorders, sleep quality, and physiological parameters and somatic disorders. Our findings strongly suggest that work-related psychosocial stressors can affect the health and well-being of those in the fire service, and highlight that interventions meant to address these psychosocial risk factors should focus upon promoting self-esteem, enhancing self-efficacy, and strengthening social support.
Background and Objectives Much of the research surrounding firefighter health has concerned the hazards intuitively associated with the occupation, such as physical, thermal, and chemical risks. However, an additional aspect of their work environment, psychosocial stressors, has begun to attract a growing level of attention. Work‐related psychosocial stress may best be described as mental and emotional strain caused by a combination of workplace events and characteristics, and the objective of our review was to identify the health outcomes associated with these stressors in firefighters. Methods A systematic review was performed of studies reporting on the psychosocial stressors and the associated health outcomes experienced by firefighters. Data sources included the MEDLINE, PsychInfo, and CINAHL databases. Results Twenty‐nine studies met the inclusion criteria. Upon analysis, we found that firefighters experienced a range of psychosocial stressors (including interpersonal conflict and concerns over organizational fairness) and observed that these stressors were associated with a number of health‐related outcomes that could be arranged into six areas: depression‐suicidality, non‐depressive mental health problems, burnout, alcohol use disorders, sleep quality, and physiological parameters and somatic disorders. Conclusion Our findings strongly suggest that work‐related psychosocial stressors can affect the health and well‐being of those in the fire service, and highlight that interventions meant to address these psychosocial risk factors should focus upon promoting self‐esteem, enhancing self‐efficacy, and strengthening social support.
Author Igboanugo, Somkene
Bigelow, Philip L.
Mielke, John G.
AuthorAffiliation 1 School of Public Health and Health Systems University of Waterloo Waterloo ON Canada
2 Institute for Work & Health Toronto ON Canada
AuthorAffiliation_xml – name: 1 School of Public Health and Health Systems University of Waterloo Waterloo ON Canada
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  surname: Bigelow
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  surname: Mielke
  fullname: Mielke, John G.
  email: jgmielke@uwaterloo.ca
  organization: University of Waterloo
BackLink https://www.ncbi.nlm.nih.gov/pubmed/33780075$$D View this record in MEDLINE/PubMed
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Copyright 2021 The Authors. published by John Wiley & Sons Australia, Ltd on behalf of The Japan Society for Occupational Health
2021 The Authors. Journal of Occupational Health published by John Wiley & Sons Australia, Ltd on behalf of The Japan Society for Occupational Health.
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Issue 1
Keywords psychosocial stress
firefighter
first responder
mental health
health and well-being
Language English
License Attribution-NonCommercial-NoDerivs
2021 The Authors. Journal of Occupational Health published by John Wiley & Sons Australia, Ltd on behalf of The Japan Society for Occupational Health.
This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
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Notes SI and JGM conceived of the idea for the project, completed the data collection and analysis, and prepared the manuscript; PLB provided constructive feedback on the study design and helped to edit the manuscript.
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Snippet Background and Objectives Much of the research surrounding firefighter health has concerned the hazards intuitively associated with the occupation, such as...
Much of the research surrounding firefighter health has concerned the hazards intuitively associated with the occupation, such as physical, thermal, and...
Abstract Background and Objectives Much of the research surrounding firefighter health has concerned the hazards intuitively associated with the occupation,...
Background and ObjectivesMuch of the research surrounding firefighter health has concerned the hazards intuitively associated with the occupation, such as...
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StartPage e12219
SubjectTerms Alcohol use
Burnout
Chronic illnesses
Disorders
Emergency preparedness
Fire prevention
Fire services
firefighter
Firefighters
first responder
health and well‐being
Health hazards
Health problems
Mental depression
Mental disorders
Mental health
Occupational health
Occupational stress
Physiology
Psychological stress
psychosocial stress
Review
Reviews
Risk analysis
Risk factors
Social interactions
Standard deviation
Suicidal behavior
Suicides & suicide attempts
Systematic review
Well being
Work environment
Working conditions
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Title Health outcomes of psychosocial stress within firefighters: A systematic review of the research landscape
URI https://onlinelibrary.wiley.com/doi/abs/10.1002%2F1348-9585.12219
https://www.ncbi.nlm.nih.gov/pubmed/33780075
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https://pubmed.ncbi.nlm.nih.gov/PMC8006668
Volume 63
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