Coping strategies employed by Irish firefighters, association with stress and anxiety, and the use of Critical Incident Stress Management (CISM) support.
DBS Business Review Volume 4 2021


Critical Incident Stress Management
Coping mechanisms
Firefighter Stress


Emergency services personnel experience high levels of stress daily (Minnie et al., 2015). An individual’s ability to cope with stressful situations is determined by the individual’s perception of stress and coping mechanisms employed. The aim of this study was to investigate coping strategies employed by Irish firefighters and association with perceived stress and anxiety levels. Additionally, one further aim was to determine attitude towards CISM supports such as post-event Psychological Debriefing/ Defusing. A mixed method survey design (N-72) employing both CISS and DASS21 measures were completed by participants from a full time urban based station providing Emergency Medical Services, and five stations on ‘retained’ status. Participants were recruited through convenience sampling. Results suggested a moderate positive correlation between stress and avoidance and a weak positive correlation between stress and social diversion, avoidance distraction and emotion orientated coping. Respondents further indicated reliance on talking, colleague support, and recreational activity for stress management.


Adler, A.B., Litz, B.T., Castro, C.A., Suvak, M., Thomas, J.L., Burrell, L., McGurk, D., Wright, K.M., Bliese, P.D., 2008. A group randomized trial of critical incident stress debriefing provided to U.S. peacekeepers. Journal of Traumatic Stress 21, 253–263.

Alexander, D.A., Klein, S., 2001. Ambulance personnel and critical incidents: Impact of accident and emergency work on mental health and emotional well-being. The British Journal of Psychiatry 178, 76–81.

Alghamdi, M., Hunt, N., Thomas, S., 2016. Prevalence rate of PTSD, Depression and Anxiety symptoms among Saudi Firefighters. Journal of Traumatic Stress Disorders and Treatment 6, 1–6.

Arce, E.C., 2018. The Efficacy of Debriefing for First Responders (Doctoral dissertation, California Southern University).

Baker, S.R., Williams, K., 2001. Relation between social problem-solving appraisals, work stress and psychological distress in male firefighters. Stress & Health: Journal of the International Society for the Investigation of Stress 17, 219–229.

Ben, K.S., Scotti, J.R., Yi-Chuen, C., Fortson, B.L., 2006. Prevalence of posttraumatic stress disorder symptoms in firefighters. Work & Stress 20, 37–48.

Biggs, Q.M., Fullerton, C.S., Reeves, J.J., Grieger, T.A., Reissman, D., Ursano, R.J., 2010. Acute stress disorder, depression, and tobacco use in disaster workers following 9/11. American Journal of Orthopsychiatry 80, 586–592.

Bisson, J.I., Jenkins, P., Alexander, J., Bannister, C., 1997. Randomized controlled trial of psychological debriefing for victims of acute burn trauma. British Journal of Psychiatry 171, 78–81.

Bryant, R.A., Guthrie, R.M., 2007. Maladaptive self-appraisals before trauma exposure predict posttraumatic stress disorder. Journal of Consulting and Clinical Psychology 75, 812–815.

Bryant, R.A., Sutherland, K., Guthrie, R.M., 2007. Impaired specific autobiographical memory as a risk factor for posttraumatic stress after trauma. Journal of Abnormal Psychology 116, 837–841.

Campfield, K.M., Hills, A.M., 2001. Effect of timing of critical incident stress debriefing (CISD) on posttraumatic symptoms. Journal of Traumatic Stress 14, 327–340.

Chamberlin, M.A., Green, H.J., 2010. Stress and coping strategies among firefighters and recruits. Journal of Loss and Trauma 15, 548–560.

Crowe, A., Glass, J.S., Lancaster, M.F., Raines, J.M., Waggy, M.R., 2017. A content analysis of psychological resilience among first responders and the general population. SAGE Open,7(1 215824401769853.

Devilly, G.J., Cotton, P., 2003. Psychological debriefing and the workplace: Defining a concept, controversies and guidelines for intervention. Australian Psychologist 38, 144–150.

Endler, N.S., Parker, J.D.A., 1999. Coping Inventory for Stressful Situations (CISS): Manual, Revised. ed. MultiHealth Systems.

Fraess-Phillips, A., Wagner, S., Harris, R., 2017. Firefighters and traumatic stress: A review. International Journal of Emergency Services 6, 67–80.

Fullerton, C.S., Ursano, R.J., Wang, L., 2004. Acute stress disorder, posttraumatic stress disorder, and depression in disaster or rescue workers. American Journal of Psychiatry 161, 1370–1376.

Gibbs, M., Montagnino, K., 2007. Disasters, a psychological perspective, in: McEntire, D.A. (Ed.), Disciplines, Disasters and Emergency Management: The Convergence and Divergence of Concepts, Issues and Trends from the Research Literature. Charles C Thomas Publisher, pp. 95–110.

Healy, S., Tyrrell, M., 2013. Importance of debriefing following critical incidents. Emergency Nurse 20, 32–37.

H.S.E., 2012. HSE Policy for Preventing & Managing Critical Incident Stress.

Jahnke, S., Poston, W., Haddock, C., Murphy, B., 2016. Firefighting and mental health: Experiences of repeated exposure to trauma. Work 53, 737–744.

Jeannette, J.M., Scoboria, A., 2008. Firefighter preferences regarding post-incident intervention. Work & Stress 22, 314–326.

Lazarus, R., 1966. Psychological Stress and the Coping Process. McGraw‐Hill.

Lazarus, R., Folkman, S., 1984. Stress, appraisal, and coping. Springer.

Lee, J.C., Sudom, K.A., Zamorski, M.A., 2013. Longitudinal analysis of psychological resilience and mental health in Canadian military personnel returning from overseas deployment. Journal of Occupational Health Psychology 18, 327–337.

Leonard, R., Alison, L., 1999. Critical incident stress debriefing and its effects on coping strategies and anger in a sample of Australian police officers involved in shooting incidents. Work & Stress 13, 144–161.

Lovibond, S.H., Lovibond, P.F., 1996. Manual for the depression anxiety stress scales. Psychology Foundation of Australia.

Maltby, J., Day, L., Macaskill, A., 2013. Personality, individual differences, and intelligence, 3rd ed. Pearson Education.

McWilliams, L.A., Cox, B.J., Enns, M.W., 2003. Use of the Coping Inventory for Stressful Situations in a clinically depressed sample: Factor structure, personality correlates, and prediction of distress. Journal of Clinical Psychology 59, 1371–1385.

Meyer, E.C., Zimering, R., Daly, E., Knight, J., Kamholz, B.W., Gulliver, S.B., 2012. Predictors of posttraumatic stress disorder and other psychological symptoms in trauma-exposed firefighters. Psychological Services 9, 1–15.

Minnie, L., Goodman, S., Wallis, L., 2015. Exposure to daily trauma: The experiences and coping mechanism of emergency medical personnel. A cross-sectional study. African Journal of Emergency Medicine 5, 12–18.

Mitchell, J., 1983a. Guidelines for psychological debriefing. Emergency management course manual. Emergency Management Agency.

Mitchell, J., 1983b. When disaster strikes...The critical incident stress debriefing process. Journal of Emergency Medical Services 8, 36–39.

Mitchell, J.T., Everly, G.S., Jr, 1993. Critical incident stress debriefing: An operations manual for the prevention of traumatic stress among emergency services and disaster workers. Chevron Publishing Corporation.

Nydegger, R., Nydegger, L., Basile, F., 2011. Post-traumatic stress disorder and coping among career professional firefighters. American Journal of Health Sciences (AJHS 2, 11–20.

Osman, A., Wong, J.L., Bagge, C.L., Freedenthal, S., Gutierrez, P.M., Lozano, G., 2012. The depression anxiety stress scales-21 (DASS-21): Further examination of dimensions, scale reliability, and correlates. Journal of Clinical Psychology 68, 1322–1338.

Parker, J.D., Endler, N.S., 1992. Coping with coping assessment: A critical review. European Journal of Personality 6, 321–344.

Regel, S., 2007. Post-trauma support in the workplace: The current status and practice of critical incident stress management (CISM) and psychological debriefing (PD) within organizations in the UK. Occupational Medicine 57, 411–416.

Relationships between firefighters’ postevent distress and growth at different times after distressing incidents, 2014. . Traumatology 20, 253–261.

Robinson, R., 2004. Counterbalancing misrepresentations of critical incident stress debriefing and critical incident stress management. Australian Psychologist 39, 29–34.

Robinson, R.C., Mitchell, J.T., 1993. Evaluation of psychological debriefings. Journal of Traumatic Stress 6, 367–382.

Rose, S., Bisson, J., Churchill, R., Wessely, S., 2002. Psychological debriefing for preventing post traumatic stress disorder (PTSD) (cochrane review. Cochrane Database Systematic Reviews.

Ross-Adjie, G.M., Leslie, G., Gillman, L., 2007. Occupational stress in the ED: What matters to nurses? Australasian Emergency Nursing Journal 10, 117–123.

Sterud, T., Hem, E., Lau, B., Ekeberg, Ø., 2011. A comparison of general and ambulance specific stressors: Predictors of job satisfaction and health problems in a nationwide one-year follow-up study of Norwegian ambulance personnel. Journal of Occupational Medicine & Toxicology 6, 10–18.

Tran, D., North, C., 2018. The association between dissatisfaction with debriefing and post-traumatic stress disorder (PTSD) in rescue and recovery workers for the Oklahoma city bombing. Disaster Medicine and Public Health Preparedness 12, 718–722.

Tuckey, M.R., 2007. Issues in the debriefing debate for the emergency services: Moving research outcomes forward. Clinical Psychology: Science and Practice 14, 106–116.

Tuckey, M.R., Scott, J.E., 2014. Group critical incident stress debriefing with emergency services personnel: A randomized controlled trial. Anxiety, Stress & Coping 27, 38–54.

Udwin, O., Boyle, S., Yule, W., 2000. Risk factors for long-term psychological effects of a disaster experienced in adolescence: Predictors of post-traumatic stress disorder. Journal of Child Psychology & Psychiatry 41, 969–979.

Van Emmerik, A.A., Kamphuis, J.H., Hulsbosch, A.M., Emmelkamp, P.M., 2002. Single session debriefing after psychological trauma: A meta-analysis. The Lancet 360, 766–771.

Varvel, S.J., He, Y., Shannon, J.K., Tager, D., Bledman, R.A., Chaichanasakul, A., Mendoza, M.M., Mallinckrodt, B., 2007. Multidimensional, threshold effects of social support in firefighters: Is more support invariably better? Journal Of Counselling Psychology 54, 458–465.

Vaulerin, J., d’Arripe-Longueville, F., Emile, M., Colson, S.S., 2016. Physical exercise and burnout facets predict injuries in a population-based sample of French career firefighters. Applied Ergonomics 54, 131–135.

Wagner, S., Pasca, R., Crosina, J., 2016. Hostility in firefighters: Personality and mental health. International Journal of Emergency Services 5, 6–17.

Wagner, S.L., Martin, C.A., 2012. Can firefighters’ mental health be predicted by emotional intelligence and proactive coping? Journal of Loss and Trauma 17, 56–72.

Wild, J., El-Salahi, S., Degli Esposti, M., 2020. The effectiveness of interventions aimed at improving wellbeing and resilience to stress in first responders: A systematic review. In special issue: Toward a better understanding and evidence-based intervention strategies for early responses to trauma. European Psychologist.

Young, P.M., Partington, S., Wetherell, M.A., St. Clair Gibson, A., Partington, E., 2014. Stressors and coping strategies of UK firefighters during on-duty incidents. Stress & Health: Journal of the International Society for the Investigation of Stress 30, 366–376.

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