Korean J Psychosom Med.  2016 Jun;24(1):109-116. 10.0000/kjpm.2016.24.1.109.

Depression as a Mediator of the Relationship Between Resilience and Posttraumatic Stress Symptoms and Dissociation in Firefighters

Affiliations
  • 1Department of Psychiatry and Behavioral Sciences, Ajou University School of Medicine, Suwon, Korea. nadianam@gmail.com
  • 2Department of Humanities and Social Medicine, Ajou University School of Medicine, Suwon, Korea.
  • 3Office of Biostatistics, Ajou University School of Medicine, Suwon, Korea.

Abstract


OBJECTIVES
This study aimed to investigate the effects of resilience on posttraumatic stress symptoms and dissociation and whether depression mediates the relationships between resilience and posttraumatic stress symptoms and dissociation.
METHODS
A total of 115 firefighters participated in the study. Data were collected via the Life Events Checklist, Impact of Event Scale-Revised, Dissociative Experience Scale, Beck Depression Inventory, and Connor-Davidson Resilience Scale. Structural equation modeling and path analysis were applied to estimate the relationships between resilience, depression, posttraumatic stress symptoms, and dissociation.
RESULTS
Greater resilience was associated with lower posttraumatic stress symptoms and dissociation, and the relationship between them was fully mediated by depression.
CONCLUSIONS
Specific aspects of depression may help explain the relationships between resilience and posttraumatic stress symptoms and dissociation. Tailored prevention programs and treatments based on resilience and depression may prevent posttraumatic stress symptoms and dissociation in firefighters and improve treatments outcomes among firefighters with posttraumatic stress symptoms and/or dissociation.

Keyword

Resilience; Posttraumatic stress; Dissociation; Depression; Firefighters

MeSH Terms

Checklist
Depression*
Firefighters*
Humans
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