# The relationship between sleep quality, moral distress, workplace burnout, and depressive symptoms in firefighters - URL: https://alisanburak.com/en/wcp-2026-posterler/ev0725 - Language: en - Last updated: not specified - Page title: The relationship between sleep quality, moral distress, workplace burnout, and depressive symptoms in firefighters | WCP 2026 Summary > The effect of poor sleep quality on depressive symptoms in firefighters is partially mediated by demoralization and work-related burnout. This page was translated automatically from Turkish. [Read the original](https://alisanburak.com/wcp-2026-posterler/ev0725) Bu sayfa, 26. Dünya Psikiyatri Kongresi'nde sunulan çalışmanın yapay zekâ desteğiyle hazırlanmış Türkçe özetidir. Çalışmanın sahibi sunan yazarlardır; atıf için orijinal kaynağa başvurun. EV0725 E-PosterUyku ve Yaşam TarzıKesitsel çalışma # The relationship between sleep quality, moral distress, workplace burnout, and depressive symptoms in firefighters THE RELATIONSHIP OF SLEEP QUALITY, MORAL DISTRESS, WORKPLACE BURNOUT AND DEPRESSIVE SYMPTOMS AMONG FIREFIGHTERS. Sunan: Huai Hsuan Chang Ülke: Taiwan Kurum: Fu-Jen Catholic University The effect of poor sleep quality on depressive symptoms in firefighters is partially mediated by demoralization and work-related burnout. The study aimed to examine the relationship between sleep disturbance and depressive symptoms in firefighters and to investigate whether work-related fatigue and moral distress mediate this relationship. A total of 271 firefighters participated in this cross-sectional survey study. Depressive symptoms were measured using the Beck Depression Inventory (BDI), sleep quality using the Pittsburgh Sleep Quality Index (PSQI), work-related fatigue using the work-related burnout subscale of the Copenhagen Burnout Inventory (CBI-WORK), and moral distress using the Mandarin version of the Demoralization Scale (DS-MV). Regression and path analyses were performed. Participants had a mean age of 35.10 ± 7.76 years (range: 21–58); 234 (86.3%) were men and 37 (13.7%) were women. Eighty participants (29.5%) had a chronic physical illness, and 29 (10.7%) had a history of a psychiatric disorder. The mean PSQI score was 6.44 ± 3.40, and, based on a cutoff score of 5, 69.1% of participants (186/269) showed moderate to severe sleep disturbance. The mean CBI-WORK score was 32.53 ± 22.46, and, based on a cutoff score of 50, 24.4% (66/271) were classified as having moderate to severe work-related fatigue. The mean BDI score was 8.98 ± 9.83, with moderate to severe depressive symptoms identified in 15.9% (43/271). The mean DS-MV score was 28.98 ± 15.85, and, based on a cutoff score of 30, 43.5% (118/271) showed moderate to severe demoralization. In the path analysis, the direct effect of PSQI on BDI was significant (β = 0.43; B = 1.24; 95% confidence interval 0.93 to 1.55; p < 0.0001). When DS-MV was included as a mediator, the total effect was 1.00 (95% CI 0.67 to 1.32), the direct effect was 0.37 (95% CI 0.10 to 0.65), and the indirect effect was 0.62 (95% CI 0.40 to 0.84). When CBI-WORK was included as a mediator, the total effect was 1.00 (95% CI 0.67 to 1.32), the direct effect was 0.63 (95% CI 0.33 to 0.93), and the indirect effect was 0.36 (95% CI 0.16 to 0.62) (all p < 0.0001). The authors emphasize that speaking openly, seeking help early, and establishing support networks are crucial to recovery from moral injury, and that strengthening personal resilience, self-disclosure, and work engagement may protect firefighters against burnout. [Orijinal postere git](https://cslide.ctimeetingtech.com/wcp26/attendee/eposter/file/45) Bu çalışmaya nasıl atıf yapılır? APA 7: Yeh, C-B., Chang, H. H., Zeng, Y-W., Hsu, C-L., & Lai, C-H. (2026, September 23-26). The relationship of sleep quality, moral distress, workplace burnout and depressive symptoms among firefighters [E-poster]. 26th WPA World Congress of Psychiatry (WCP 2026), Stockholm, Sweden. https://cslide.ctimeetingtech.com/wcp26/attendee/eposter/file/45 Vancouver: Yeh CB, Chang HH, Zeng YW, Hsu CL, Lai CH. The relationship of sleep quality, moral distress, workplace burnout and depressive symptoms among firefighters [e-poster]. 26th WPA World Congress of Psychiatry (WCP 2026); 2026 Sep 23-26; Stockholm, Sweden. Available from: https://cslide.ctimeetingtech.com/wcp26/attendee/eposter/file/45 Yazar adları ve başlık biçimi kongre sisteminden otomatik oluşturulmuştur; kullanmadan önce orijinal posterle karşılaştırın. ## Aynı konudan - [Yaşam boyu DEHB'de kronotip](https://alisanburak.com/en/wcp-2026-posterler/ev0082) - [Erken ergenlerde psikopatolojik belirtiler ile uyku bozukluklarının birlikte görülmesi: boylamsal ağ analizleri](https://alisanburak.com/en/wcp-2026-posterler/ev0270) - [Fiziksel egzersiz ve ergenlerde uyku yeterliliği: fiziksel yorgunluk, boş zaman ekran süresi ve psikolojik sıkıntı üzerinden keşifsel seri aracılık analizi](https://alisanburak.com/en/wcp-2026-posterler/ev0277) - [Meyve tüketim biçimlerinin ruh sağlığı, enerji düzenlenmesi ve uyku kalitesiyle farklılaşan ilişkileri](https://alisanburak.com/en/wcp-2026-posterler/ev0581) - [Hadi hareket edelim: ruhsal hastalık tedavisinde spor ve egzersiz terapisinin fiziksel aktivite üzerindeki etkisi](https://alisanburak.com/en/wcp-2026-posterler/ev0582) [Tüm WCP 2026 özetleri](https://alisanburak.com/en/wcp-2026-posterler) --- Kaynak / Source: https://alisanburak.com/en/wcp-2026-posterler/ev0725 İletişim / Contact: Bağdat Caddesi, Veli Güneysu Apt. 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