Fatores associados ao uso de medicamentos ansiolíticos entre bombeiros militares

The Cyclical Battle of Insomnia and Mental Health Impairment in Firefighters: A Narrative Review

The occupational requirements of full-time non-administrative firefighters include shift-work schedules and chronic exposure to alerting emergency alarms, hazardous working conditions, and psychologically traumatic events that they must attend and respond to. These compiling and enduring aspects of the career increase the firefighter's risk for insomnia and mental health conditions compared to the general population. Poor sleep quality and mental health impairments are known to coincide with and contribute to the symptom severity of one another. Thus, it is important to determine approaches that may improve sleep and/or mental health specifically for firefighters, as their occupation varies in many aspects from any other occupation. This review will discuss symptoms of insomnia and mental health conditions such as PTSD, anxiety, depression, substance abuse, and suicide in firefighters. The influencing factors of sleep and mental health will be examined including anxiety sensitivity, emotional regulation, and distress tolerance. Current sleep and mental health interventions specific to full-time firefighters are limited in number; however, the existing experimental studies will be outlined. Lastly, this review will provide support for exploring exercise as a possible intervention that may benefit the sleep and mental health of this population.

Correlation between quality of life and sleep quality of military firefighters

Introduction: Among the professions that are impacted by the work context, the military firefighter is mentioned, who carries out activities with danger, physical and emotional exhaustion, which can have an impact on quality of life. Objective: To analyze the relation between quality of sleep and quality of life of Brazilian Military Firefighters. Methods: Research with a quantitative, transversal, correlational and analytical approach, carried out with 129 military firefighters working in Rio Grande do Sul, Brazil, that had been performing operational and administrative assistance for more than six months. Questionnaires containing socio-occupational and lifestyle data, the Pittsburgh Sleep Quality Index and the World Health Organization Quality of Life to assess quality of life were used. Descriptive and analytical statistics were used. Results: The analysis of quality of life shows a higher average in the physical domain (77.52), a direct correlation between the physical domain and the other quality of life domains, and inverse correlations between global sleep quality and the domains of quality of life. Regarding sleep quality, a higher percentage of poor classification (71.3%) is observed in military firefighters. Conclusion: There was a predominance of workers with poor sleep quality and good perception of general quality of life. An inverse correlation was identified between sleep quality and the domains of quality of life. When comparing quality of life with sleep quality domains, a significant difference was identified.

Predisposición al consumo de sustancias en aspirantes a la carrera militar

El presente estudio tiene como objetivo determinar la relación entre las actitudes o maneras de pensar y los patrones de conducta frente al consumo de sustancias en aspirantes a la Carrera Militar. Comprende un estudio descriptivo y se ha utilizado la metodología cuantitativa para el análisis de poblaciones, se contó con la participación de 1118 sujetos de edades comprendidas entre los 18 y 26, con una media de edad de 20,41 años, a quienes se administró el Cuestionario de Actitudes hacia el Alcohol y Drogas Ilegales (CAADI) y el Autoinforme de Consumo de Sustancias Psicoactivas (AICA). Como resultados, se halló que la conciencia sobre los efectos negativos del consumo de sustancias se relaciona con el rechazo e índice de desagrado de consumo de drogas. Se encontró diferencias estadísticamente significativas entre aspirantes de primer y segundo año. Adicionalmente se identificó relación entre las actitudes y la disposición hacia las drogas, a pesar de tener la conciencia de los efectos nocivos. Por esta razón, concluimos que la conciencia de los efectos negativos sobre el consumo tiene relación significativa con la tendencia actitudinal en los aspirantes y la disposición comportamental. La identificación religiosa es un factor de protección frente al consumo de sustancias.