Saf Health Work.  2023 Dec;14(4):431-437. 10.1016/j.shaw.2023.10.002.

Association Between Social Support, and Depressive Symptoms Among Firefighters: The Mediating Role of Negative Coping

Affiliations
  • 1College of Public Health, Chongqing Medical University, China
  • 2Chongqing Center for Disease Control and Prevention, China

Abstract

Background
Depressive symptoms (DS) can erode physical and mental health; social support (SS) is considered a buffer for DS and a promoter for improving coping and recovery abilities. However, there is almost no research on the mediating role of negative coping (NC) in SS and DS, especially among firefighters.
Methods
A cross-sectional survey was conducted among firefighters in Chongqing, China, and the valid data of 407 firefighters were collected through questionnaires distributed on the WeChat platform in 2020. Statistical Product and Service Solutions (SPSS) 26.0 is used for descriptive statistics and correlation analysis. Structural equation modeling was adopted to analyze the association among SS, NC, and DS. The mediation effect is also evaluated.
Results
Firefighters' detection rate of DS is 23.3%, and when they receive more SS were less likely to develop DS. NC was positively correlated with DS (β = 0.54, p < 0.001) after controlling for SS. Besides, the results of structural equation modeling showed that NC partially mediates the relationship between SS and DS (standard error = 0.039, indirect effects = 0.109, 95% confidence interval: 0.047–0.200 p < 0.001).
Conclusion
NC has a partial indirect effect between SS and DS among firefighters. SS could not only affect DS directly but also indirect work on it by affecting NC. This discovery will be a novel and meaningful part of the research on the firefighter population.

Keyword

depressive symptoms; firefighters; negative coping; social support; structural equation modeling
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