title: The relationship between burnout, PTSD symptoms and injuries in firefighters.
abstract: BACKGROUND
  Firefighters participate in activities with intense physical and psychological stress.
  
  
  OBJECTIVE
  To examine the correlation between work-related injuries (WRIs), burnout and post-traumatic stress disorder (PTSD) symptoms in firefighters.
  
  
  METHODS
  The method used for the recording of the elements was the collection of self-report anonymous questionnaires, the completion of which was optional. The questionnaires used were: (i) a WRIs questionnaire, (ii) the Maslach Burnout Inventory (MBI) and (iii) the Impact of Event Scale-Revised-Greek version. Descriptive statistics along with univariate and multivariate logistic regression analyses were applied.
  
  
  RESULTS
  The study population consisted of 3289 firefighters. There was a significant association between WRIs, burnout syndrome, PTSD symptoms and age, work experience and physical condition. Relationships were found between PTSD symptoms, the MBI-emotional exhaustion dimension and WRIs and between MBI-depersonalization dimension and PTSD symptoms. The most traumatic event was the 'dealing with death or rescue of a child' and the top stress factor was 'depression about the responsibility for quality of victims' life'.
  
  
  CONCLUSIONS
  The occupational obligations may be responsible for the psychological and musculoskeletal problems experienced by firefighters. Early recognition and response to psychosomatic issues in firefighters is of high importance.
authors.affiliation: Department of Physical Education and Sports Sciences (D.P.E.S.S.), Democritus University of Thrace, 69100 Komotini, Greece. katsavuni@yahoo.gr.
authors.forename: F
authors.initials: F
authors.lastname: Katsavouni
authors.affiliation: Department of Physical Education and Sports Sciences (D.P.E.S.S.), Democritus University of Thrace, 69100 Komotini, Greece.
authors.forename: E
authors.initials: E
authors.lastname: Bebetsos
authors.affiliation: Department of Physical Education and Sports Sciences (D.P.E.S.S.), Democritus University of Thrace, 69100 Komotini, Greece.
authors.forename: P
authors.initials: P
authors.lastname: Malliou
authors.affiliation: Department of Physical Education and Sports Sciences (D.P.E.S.S.), Democritus University of Thrace, 69100 Komotini, Greece.
authors.forename: A
authors.initials: A
authors.lastname: Beneka
mesh_terms: D000328:Adult; D002055:Burnout, Professional / Q000209:etiology*; D003863:Depression / Q000209:etiology; D004644:Emotions; D005260:Female; D061388:Firefighters / Q000523:psychology*; D005390:Fires; D006801:Humans; D007588:Job Satisfaction; D016015:Logistic Models; D008297:Male; D005222:Mental Fatigue / Q000209:etiology; D008875:Middle Aged; D009784:Occupational Diseases / Q000209:etiology; D016273:Occupational Exposure / Q000009:adverse effects*; D012941:Social Responsibility; D013313:Stress Disorders, Post-Traumatic / Q000209:etiology*; D013315:Stress, Psychological / Q000209:etiology*; D011795:Surveys and Questionnaires; D014937:Work / Q000523:psychology; D014947:Wounds and Injuries / Q000209:etiology / Q000523:psychology*; D055815:Young Adult
keywords: Burnout; PTSD; firefighters; work-related injuries (WRIs).