Occupational Stressors, Stress Responses, and Alcohol Consumption Among Professional Firefighters: A Prospective, Longitudinal Analysis

This dual-site longitudinal prospective study monitored and measured change in self-reported occupational stressors, emotional trauma, symptoms of stress, and alcohol consumption in urban firefighters. Study participants were 188 firefighters employed by two urban fire departments. The results showed that of 19 occupational stressors examined, only 5 (26%) changed significantly over time, and of those 5, only two—job skill concerns and concerns regarding reduction in force and benefits—decreased, reflecting less bothersome subjective ratings. Of the 12 measures of posttraumatic and other symptoms of stress, 9 (75%) increased significantly over time and none decreased significantly, whereas alcohol consumption was stable over time. Job stressors, trauma caseness, and stress response symptoms at baseline were strongly and significantly associated with the same measures at the two-year follow-up. The implications of the findings for prevention and remediation of stress disorders in fire service personnel are considered. It can be concluded that the stressful nature of urban firefighting is significantly associated with negative health outcomes, including the potential overreliance on alcohol use.     

Couple resilience and life wellbeing in firefighters

The validity of the Couple Resilience Inventory was tested using 102 married or cohabiting firefighters. This instrument measures types of relationship behavior that often occur during stressful life events and that are expected to be associated with an ability to cope with employment in a stressful occupation. It includes scales measuring two nearly orthogonal dimensions, with one dimension pertaining to positive behavior and the other to negative. Firefighters completed an online questionnaire that included the Couple Resilience Inventory and measures of relationship satisfaction, exposure to traumatic events, and life wellbeing. In line with hypotheses, scales measuring positive and negative couple resilience were nearly orthogonal to each other, and distinct from a measure of relationship satisfaction, but both scales correlated positively with exposure to traumatic events, and both correlated in opposite directions with relationship satisfaction and life wellbeing. Results were consistent with the theoretical model and they supported instrument validity.     

Developmental trajectories of multisite musculoskeletal pain and depressive symptoms: The effects of job demands and resources and individual factors

Objective: To investigate developmental paths in multisite musculoskeletal pain (MPS) and depressive symptoms (DPS) and the effects of job demands (JD), job resources (JR), optimism and health-related lifestyle on these paths. We expected to find four trajectories – Low Symptoms, High Pain, High Depression and High Symptoms – and hypothesised that high JDs, low JRs, low optimism and adverse lifestyle predict belonging to trajectories with high symptom levels.

Design: Data on Finnish firefighters (N = 360) were collected in 1996, 1999 and 2009. The effects of JDs (mental and physical workload), JRs (supervisory relations, interpersonal relations, task resources), optimism and lifestyle (alcohol consumption, smoking, physical exercise, sleeping) on MPS and DPS were assessed. Latent class growth modelling and multinomial logistic regression were applied.

Results: Three trajectories emerged: Low Symptoms; High Pain; and High Depression. In a multivariable model, high mental workload (OR 2.9, 95% CI 1.5–5.5), poor interpersonal relations (2.6, 1.4–5.0), sleeping problems (2.7, 1.4–5.2) and low optimism (2.0, 1.0–3.7) predicted belonging to High Depression. Alcohol consumption (2.4, 1.4–4.1) and sleeping problems (2.1, 1.3–3.6) were related to High Pain.

Conclusions: Different developmental paths in MPS and DPS are possible. Partly different factors predict the development of pain and depressive symptoms.     

Daily hassles,their antecedents and outcomes among professional first responders: A systematic literature review

Occupational groups such as firefighters, military officers, paramedics and police officers are exposed to a combination of acute, severe and accumulated everyday stress. Drawing on the daily hassles perspective on stress, the aim was to synthesize existing research on daily hassles in professional first responder settings into a theoretical model. A systematic mixed studies review with an integrated design was undertaken. The selection process resulted in 40 articles meeting the inclusion criteria. The selected papers represented two literature reviews, one qualitative study, eight longitudinal studies and 29 cross‐sectional studies. Five superior categories emerged in the analysis: Individual antecedent and continuously framing factors, Environmental antecedent and continuously framing factors, Appraisal and coping processes, Daily hassles and Outcome. Suggestions for future research are presented.     

Investigating digit ratio (2D:4D) in a highly male‐dominated occupation: The case of firefighters

Voracek, M., Pum, U. & Dressler, S. G. (2009). Investigating digit ratio (2D:4D) in a highly male‐dominated occupation: The case of firefighters. Scandinavian Journal of Psychology, 51, 146–156. Second‐to‐fourth digit ratio (2D:4D), a widely studied putative marker for masculinization through prenatal androgen exposure, is lower (more masculinized) in athletes than in general population controls, and athletes with lower 2D:4D have higher sporting success. Occupations differ markedly in perceived masculinity and actual maleness (sex ratios), but these givens have not yet been picked up and utilized in 2D:4D research. Accordingly, this study extended existing accounts on 2D:4D in athletes to a novel approach: 2D:4D and possible relationships to a variety of candidate variables (demographic, fertility‐related, psychological, and other) were investigated in firefighters, a highly male‐dominated occupation. Contrary to expectation, 2D:4D in firefighters (N = 134) was not lower than in local male population controls. Lower 2D:4D corresponded to lower service ranks. Replicating previous findings either unequivocally or partly, lower 2D:4D was associated with larger family size, later sibling position, left‐handedness, and higher scores in the disinhibition component of sensation seeking. Not replicating prior evidence, 2D:4D was unrelated to body‐mass index, offspring sex ratio, and sporting performance level. Novel findings included low 2D:4D in those with low relationship satisfaction and in cigarette smokers, especially among heavy smokers. Absolute finger length, a positive correlate of pubertal‐adolescent androgen levels, was also considered. This marker showed negative associations with relationship consensus and satisfaction and positive ones with perceived quality of relationship alternatives and the experience seeking component of sensation seeking. The merits of this additional marker, relative to 2D:4D, for supplementing studies of possible sex‐hormonal effects on personality and directions for future inquiry along these lines are discussed.