This page was translated automatically from Turkish. Read the original

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

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.

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.

Tüm WCP 2026 özetleri