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International Journal of Police Science & Management Volume 2 Number 4

Is my stress greater than yours?


A comparison of policemen and firemen

David A. Alexander* and Leslie G. Walker


'Centre for Trauma Research, Bennachie, Royal Cornhill Hospital, Aberdeen AB25 2ZH;
tel: 01224 681818; fax: 01224 403642; e-mail: mental.health.FH@abdn.ac.uk
Received: 16th November, 1997

David Alexander is Professor in Mental Health firf!fighting generate sources of stress for those
at the Medical School, University of Aberdeen involved in such work, but that policemen more
and is Director of the Centre for Trauma Re- commonly report health problems and identify
search, Royal Cornhill Hospital. He is honorary such factors as shift work and long hours as
consultant to the police and fire services of the being damaging to their personal life. Firemen,
north-east of Scotland. Regularly he is a visiting on the other hand, reported more job satisfac-
lecturer at the Scottish Police College, and he tion than did the policemen.
has been on several occasions a guest lecturer
at the FBI Academy, Virginia, USA. Also, he has
been a consultant to the State Militia in Arkhan- INTRODUCTION
gelsk and Chelyabinsk in Russia. He is a director Investigation of the impact of police work
of the British Section of the International Police on police officers and their families has
Association. been relatively slow to develop in the
Leslie Walker is Reader in Mental Health and UK, although the pioneering efforts of
Director of the Behavioural Oncology Unit, Aber- Cooper et al. (1982) and Gudjonsson and
deen Royal Infirmary. He is a consultant clinical Adlam (1985) suggested that police do
psychologist with extensive experience in the have a particularly demanding occupation.
UK and abroad of the identification and treat- Further interest in the effects of police
ment of stress-related conditions. work was fuelled by a series of national
catastrophes such as the Bradford Stadium
fire (Duckworth, 1986), the Piper Al-
ABSTRACT pha oil platform disaster (Alexander and
Previous research has suggested that police work Wells, 1991; Alexander, 1993) and the
is stressiul both because of the nature <if Hillsborough Stadium disaster (Duck-
operational duties and because <if the organisa- worth, 1991).
tional climate in which police officers fulfil these Police work is not exclusively associated
duties. Few studies have compared, however, with trauma, however, and more recent
the views of police officers with those <if other attempts have been made to assess the
emergency personnel. impact of police work from an or-
This paper compares large samples of ganisational and managerial perspective
policemen and firemen in relation to many (Alexander et al., 1993; Brown and
aspects <if their work, job satisfaction and Campbell, 1994). These efforts identify International Journal of Police
Science and Management,
several health indices. other stressors associated with police work Vol. 2 No.4. 2000, pp. 303-312.
Henry Stewart Publications.
The results confirm that police work and in relation to, for example, shift work, 1461-3557

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Is my stress greater than yours? A comparison of policemen and firemen

paperwork, deadlines and specific opera- The aims of the comparison are to
tional duties. identify to what extent police officers and
Although much has been written about firefighters
stress in the police as reflected in, for
example, marital problems (Alexander and (i) are exposed to the same occupational
Walker, 1996), alcohol problems (Kroes, stressors (beyond occupation-specific
1976) and suicide rates (Cooper et al., types of 'critical incident')
1982), there are many unchallenged as- (ii) report any similar impact of these
sumptions about the levels of stress among stressors on their marital and social
police officers compared to other occupa- lives
tional groups. As Brown and Campbell (iii) have similar health problems
(1994) recently emphasised, comparative (iv) display comparable levels of job satis-
studies are required in order that some of faction.
the findings from police research are put
in perspective.
Firefighters have been studied less fre- METHOD
quently than police officers in relation
to the impact of their work. Most re- Staff questionnaire
search has tended to focus on the ef- Based on a literature search, on extensive
fects on firefighters of major disasters consultation with emergency personnel
(eg Stuhlmiller, 1994; McFarlane, 1998) and on a pilot study, a questionnaire was
and the unpleasant 'critical incidents' of designed for a survey of the police and
more routine frrefighting (Robinson et al., fire services of the north-east of Scotland.
1997). Another popular research focus has These two services are responsible for a
been on the physical health of these population of approximately half a mil-
personnel in relation to, for example, their lion, and they cover rural and urban
pulmonary function (Serra et al., 1996), areas.
back problems (Finkelstein, 1995) and The composition of the questionnaire
their exposure to carcinogenic hazards was as follows:
(Golden et al., 1995).
Less effort has been dedicated to - five general aspects of work, VIZ
identifying the more routine stressors in work overload, work underload, ex-
the work of a firefighter. Murphy et al. posure to physical danger, personal
(1994), however, highlighted the stressful recognition (by the organisation of
nature of disrupted sleep, and concerns work achievement) and frustration
about safety, technical competence and due to (perceived) obstacles at work.
wages. In a later study Beaton et al. (1997) The response options were 'not at
emphasised the deleterious effects of all', 'slightly', 'considerably' and 'ex-
conflict with the organisation in terms of tremely'. The reference period was 'in
low job satisfaction and morale. the previous four weeks'
This report provides information on a - a series of questions identifying the
comparison between police officers and impact of six factors on marital and
firefighters; occupational groups which social life. (Here 'marital' refers to
have much in common because they any enduring stable relationship.) The
represent two of the emergency services; factors were: working shifts, working
they are generally uniformed services, and long hours, having rostered shifts al-
they are disciplinary in their organisation. tered, having leave cancelled, work-

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Alexander and Walker

mg with members of the opposite RESULTS


sex, and having to move home (for Since all the firefighters were male, the
work-related reasons). The response following comparisons are confmed to
options were the same as for the first those with the male police officers
section, but there was also a 'not (n = 688).
relevant' option for those respondents
for whom an item did not pertain. The Personal data
reference period was 'within the last The median ages for the firemen and the
eight weeks' policemen were 36 years and 26 years
- respondents were also asked to answer respectively. A comparison by Mann Whit-
a number of questions about their ney U test indicated firemen were sig-
physical health, alcohol consumption nificantly older (z = -5.254, P = 0.001).
and job satisfaction. Similarly, their years of experience in their
occupations were significantly different
In addition, each individual completed (z = -13.079, P = 0.0001) with firemen
the Hospital Anxiety and Depression being more experienced. The median
Scale (Zigmond and Snaith, 1983), which years of experience were 12 and 22
is a standardised, valid and reliable years for policemen and firemen respec-
measure of anxiety and depression used in tively. Eighty per cent (355/445) of the
non-psychiatric samples. policemen were in a stable enduring
relationship (ie 'married'); 122 out of 154
Subjects (79 per cent) of firemen lived in such a
Of the questionnaires distributed through relationship. There was, however, no
the internal mailing system of the Gram- statistical difference between the occupa-
pian Police Force to all 1,014 full-time tional groups in terms of the proportion
police officers, 772 were returned. On who were 'married' (Fisher Exact Test,
examination, however, 14 of the respon- 0.258, ns).
dents were considered to be ineligible for
various reasons (eg they had been out of General work stressors
the Grampian region on extended attach- Table 1 displays the frequency of
ments). Thus 758 questionnaires (repre- responses to the specific stressors
senting a response rate of 76 per cent) encountered by police and fire service
remained for analysis. The questionnaire personnel. The figures in the right-hand
was also sent to the 265 firefighters columns are the raw frequencies,
employed by the regional fire service. representing the numbers of respondents;
One hundred and forty-six (55 per cent) those in parentheses are the percentages of
questionnaires were returned. the respective sample.
All police officers and firefighters were The only factor which was associated
operational staff; administrative staff were with a statistically significant difference
not included in this comparison. between the two occupational groups was
overwork (X2 = 17.20, df, P < 0.001).
Analysis Over half the firemen (56 per cent)
Data were analysed using appropriate compared to just over a third of the
non-parametric statistics (X2 for categori- policemen (39 per cent) reported that
cal variables and the Mann Whitney U they had not been overworked during the
test for ordinal variables). All probability previous four weeks. On the other hand,
values are two-tailed. a quarter of the police officers but only 15

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Is my stress greater than yours? A comparison of policemen and firemen

Table 1: Comparison of policemen (PM) and firemen (FF) in relation to


general work stressors in the previous four weeks

Not at all Slightly Considerably Extremely

PM FF PM FF PM FF PM FF
General work stressor n (%) n (%) n (%) n (%) n (%) n (%) n (%) YI (%)

1. Being overworked* 266 (39) 82 (56) 249 (36) 42 (29) 148 (22) 17 (11) 19 (3) 6 (4)
2. Being underworked 522 (77) 112 (77) 107 (16) 23 (16) 37 (6) 11 (7) 10 (1) 0(0)
3. Being exposed to 383 (56) 78 (53) 239 (35) 57 (39) 56 (8) 9 (6) 5 (1) 2 (2)
danger
4. Lack of recognition 355 (52) 83 (64) 143 (21) 23 (16) 137 (20) 20 (13) 47 (7) 10 (7)
at work
5. Frustrated by 229 (33) 64 (44) 234 (42) 49 (33) 136 (20) 26 (18) 34 (5) 7 (5)
perceived unnecessary
obstacles

*X 2 = 17.20, df 3, p < 0.001

per cent of the firemen claimed that they squared analysis produced a non-
had been 'considerably' or 'extremely' significant result (X 2 = 5.82, df3, ns).
overworked during that period. The two
groups had identical figures (77 per cent) Effect of work on marital and social
in relation to being underworked. Seven life
per cent of the firemen and 1 per cent of
the policemen claimed, however, they Shift work
had been 'considerably' or 'extremely' Policemen were much more likely than
underworked. The difference however firemen to report that shift work adversely
was not statistically significant (X 2 = 3,04, affected their marriage (X 2 = 28.228, df 3,
df3, ns). P < 0.00001). Eight per cent of policemen
The number of policemena and firemen and only 1 per cent of firefighters
who had been exposed to danger was reported the effect as a 'considerable' or
quite high (44 per cent and 47 per cent an 'extreme' one. Similarly, the effect of
respectively), but the difference between shift work on social life was reported to
the two groups was not statistically sig- be worse for policemen than for firemen
nificant (X 2 = 1.92, df3, ns). (X2 = 45.627, df 3, P < 0.00001). Over a
Although there was no statistically sig- third (37 per cent) of the policemen
nificant difference between the groups reported a 'considerable' or an 'extreme'
(X2 = 7.23, df3, ns), at least a fifth of effect; only 12 per cent of firemen did
each group felt that there was a marked so,
lack of recognition of their efforts at
work shown by their respective organisa- Altered roster shifts
tions. The marriages (X 2 = 11,798, dfl, P
Twenty-three per cent of firemen and < 0.0006) and the social lives (X2 =
policemen claimed that they felt 14.634, df3, P < 0.0002) of policemen
considerably or extremely frustrated by were more likely than those of firemen to
what they regarded as unnecessary be adversely affected by this factor.
obstacles at work; however, the chi- (The first chi-squared analysis had to

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Alexander and Walker

be conducted on collapsed response parisons collapsed categories were used


categories because of the small cell because of small cell values.
values.)
Self-reported health record
Working long hours
Policemen were more likely than firemen Do you have a current health problem?
to report that working long hours To this question, 20 per cent and 10
affected their marriages (X2 = 26.005, per cent respectively of policemen and
df 3, p < 0.00001) and their social lives firemen answered in the affirmative, but a
(X 2 = 46.194, df 3, P < 0.00001). 2 X 2 chi-squared analysis failed to iden-
tify a statistically significant difference be-
Cancelled leave tween the groups (X 2 = 6.49, dfl, ns).
Although 46 per cent of policemen and
33 per cent of firemen reported that How many visits have you made to your
cancellation of leave affected their marital family doctor in the last 12 months?
relationship, this difference was not statis- The median number of visits and the
tically significant (X 2 = 3.604, cf3, ns). standard deviations for the policemen
Similarly, this aspect of work did not were 1.00 and 2.01 visits respectively. The
identify a difference between the two figures for the firemen were 1.00 and 2.03
groups in terms of its effect on their social visits respectively. The range for the
lives (X 2 = 2.901, df3, ns). It is to be policemen was 0-20 visits and that for the
noted, however, that 70 per cent of the firemen was 0-10 visits. A Mann Whitney
policemen and 57 per cent of the firemen U test did not obtain a statistically
reported that cancelled leave did affect significant difference between the two
their social lives. groups (z = -1.0848, ns).

Having to move house Have you been admitted to hospital


There was no difference between the two within the last 12 months?
occupational groups in terms of the effect Although there was no difference be-
of having to move house (for work- tween policemen and fIremen in terms of
related reasons) on marital or social life the numbers who had had a hospital
(X2 = 7.274, dfl, ns; X 2 = 0.009, cfl, ns admission (X 2 = 3.36, dfl, ns), 18 per
respectively). The small cell values re- cent of the former group and 25 per cent
quired analyses to be conducted on col- of the latter group had had an admission
lapsed categories. during this period.

Working with the opposite sex What was your approximate alcohol
Nine per cent of policemen and 4 per consumption in the previous week?
cent of firemen reported that their marital (converted into units)
relationships were adversely affected by For policemen the median was eight units
their having to work with colleagues of with a range of 0-150 units. The respec-
the opposite sex, but this difference was tive fIgures for firemen were ten units,
not statistically significant (X 2 = 1.41 7, and 0-110 units.
df 1, ns). Similarly, this variable did not There was a statistically significant dif-
distinguish between the two groups in ference between the two occupational
terms of its effect on their social lives groups in terms of their alcohol con-
(X 2 = 4.413, df 1, ns). In both com- sumption when compared by the Mann

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Is my stress greater than yours? A comparison of policemen and firemen

Table 2: The anxiety and depression scores from the Hospital Anxiety and
Depression Scale obtained from policemen and firemen

Anxiety Depression

mean sd median mean sd median

Policemen 6.55 3.65 6.00 3.32 2.93 3.00


Firemen 5.54 3.23 5.00 3.02 2.61 2.00

Table 3: The categorical distribution of anxiety and depression scores from the
Hospital Anxiety and Depression Scale for policemen and firemen

Anxiety Depression

Normal Borderline Pathological Normal Borderline Pathological


n (%) n (%) n (%) n (%) n (%) n (%)

Policemen 441 (64) 149 (22) 98 (14) 621 (90) 50 (7) 17 (3)
Firemen 110 (76) 26 (18) 9 (6) 137 (95) 6 (4) 2 (1)

X 2 = 9.32, df2, P < 0.01 X 2 = 2.60, df2, ns

Whitney U test (z = -1.9903, P < 0.05), cally in terms of the distribution of the
confirming the higher unitary consump- scores according to the scheme recom-
tion of the firemen. (The range of con- mended by Zigmond and Snaith (1983).
sumption in both groups is also worthy of These data are shown in Table 3. The
note.) chi-squared analysis confirms that there
are more policemen than firemen in the
The Hospital Anxiety and Depression categories associated with high levels of
Scale anxiety. This relationship, however, does
The mean scores, medians and standard not hold for the depression scores.
deviations for the two employment
groups are displayed in Table 2. A Job satisfaction
Mann Whitney U test confmned The extent to which policemen and
that the policemen have significantly firemen were satisfied with their most
higher anxiety levels than firemen recent posting can be seen in Table 4. A
(z = -2.8428, P < 0.01) but there was no chi-squared analysis identified a highly
significant difference between them with significant difference between the two
respect to their depression scores groups (X2 = 15.73, df3, P < 0.002).
(z = -0.8350, ns). Overall, fireman are clearly more satisfied
The data were also analysed categori- with their work than are policemen.

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Alexander and Walker

Table 4: Job satisfaction among policemen and firemen

Very satisfied Satisfied Dissatisfied Very dissatisfied


n (%) n (%) n (%) n (%)

Policemen 208 (31) 337 (50) 104 (15) 30 (4)


Firemen 68 (46) 63 (43) 14 (10) 2 (1)

DISCUSSION fore, to any service to ensure that its


This study reports on comparisons be- employees' efforts are appreciated. Unfor-
tween large samples of male police of- tunately, it is traditional (certainly within
ficers and male firefighters in relation to the police service) that feedback tends to
a number of occupational and health be provided according to the principles of
Issues. the servo-mechanism; nothing happens
Out of the five general occupational until something goes wrong and then
stressors only work overload produced a punitive action tends to be taken. It is
significant difference between these two widely recognised that it is stressful when
groups of emergency service personnel. employees feel that their efforts are being
This study confirms the fmdings of Brown frustrated by what they regard as un-
and Campbell (1994) that work overload necessary impediments. This study cannot
is a greater issue within the police service. identity what these impediments were,
While jobs which are demanding are but policemen and firemen (about 20 per
no doubt rewarding, overwork is likely cent in each case) reported feeling con-
to lead eventually to negative conse- siderably or extremely frustrated. It would
quences. About a quarter of individuals appear therefore that both services subject
in both services reported being under- their employees to the experience of a
worked at some stage during the sur- lack of appreciation and a sense of frustra-
vey period. Fluctuating workload is of tion; neither circumstance is conducive to
course a perennial problem in occupations a healthy and happy workforce.
which are essentially 'reactive' to usually There is a growing awareness of a
unforeseen events. (It is acknowledged 'ripple effect' in relation to the implica-
that no operational defmitions of 'over- tions of an adverse working environment.
load' and 'underload' were given in the These implications extend beyond the
questionnaire as the concepts will always individual employees to their families and
reflect a subjective appraisal by the in- to their lives outside work. There is a
dividual. Moreover, since the duties both persistently held view that the effects on
between and within these two organisa- marriages of police work is particularly
tions are so complex and variable, there deleterious although this view has been
could be no way of effecting an objective challenged (Terry, 1981). A common
comparison of workload.) source of this alleged impact is shift work,
Fairly high numbers of both groups although some have argued (eg Davidson
reported that they experienced a lack and Veno, 1980) that one can adjust
of recognition for their efforts by their successfully one's personal life to this
respective services. It is a challenge, there- factor. Policemen more frequently than

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Is my stress greater than yours? A comparison of policemen and firemen

the firemen reported that shift work in interpreted with caution, there are also
general, and alterations to their rostered differences between these two groups.
shifts in particular, did adversely affect Although historically the misuse of al-
their marital and social lives. In an earlier cohol has been associated with policemen
report (Alexander and Walker, 1996), (eg Bonifacio, 1991), in this survey
spouses of policemen described shift work the weekly unitary intake of firemen
as the second most damaging aspect of was significantly higher than that of
police work to family life, after 'long policemen. (One must also view with
hours'. In the present report it should also some concern the extreme end of the
be noted that long hours are more likely consumption range for both groups, viz
to be regarded by policemen than by 110 and 150 units for firemen and
firemen as markedly disruptive to their policemen respectively.) In terms of their
marital and social lives. depression scores there was no difference
Not surprisingly, cancelled leave was between the services, but there was a
described by both groups as adversely af- significantly higher level of anxiety among
fecting their personal lives, although the the policemen irrespective of whether
extent to which this was the case was the the data were analysed categorically or
same for both occupational groups. In dimensionally.
an earlier study (Alexander and Walker, Job satisfaction is probably multi-deter-
1996) about a third of police spouses had mined, and this survey cannot comment
stated that the threat of having to move upon which factors underlie it. It can,
house for work-related reasons was a potent however, be seen that firemen are much
source of stress, but there was no evidence more satisfied than are their police col-
from the present figures that the impact leagues. Just under half the firemen, but
of this factor was specific to policemen. less than a third of the policemen, were
Similarly, although there have been as- 'very satisfied' with their jobs. It should
sertions (eg Casey, 1992) that policemen also be noted that 30 policemen and only
find working with colleagues of the op- two firemen were 'very dissatisfied'.
posite sex is threatening to or disruptive of There may of course be other stressors
their relationships at home, relatively few which have a pervasive influence, but this
policemen reported any marked effect of study was not designed to identity their
this circumstance on their marriages, and possible effect. Other factors which might
there was no difference between policemen contribute to the higher levels of stress
and firemen in terms oftheir reporting such and the lower levels of job satisfaction
an effect. reported by policemen might include
The health of the workforce is an societal perceptions of their roles com-
important consideration for any organisa- pared to those of firemen. Firefighters
tion, even if this concern is motivated more common enjoy a good public
more by practical considerations (such as image; what they do is almost universally
lost man-hours) than by humanitarian perceived to be in society's interest. On
motives. In a survey conducted by the the other hand, police officers have more
Office of Population Census and Survey, conflicting roles; they may shield us from
it was noted that police officers have a the nefarious predations of criminals but
higher (unexplained) death rate than do they are also likely to give us a parking
fire service personnel (reported in Brown ticket. Crowe and Stradling (1993) have
and Campbell, 1994). Although the illuminated the complex conflicts as-
present self-report data need to be sociated with being a police officer.

Page 310
Alexander and Walker

Moreover, the police service has had to and network conflict in firefighters and
endure episodes of adverse publicity (eg in paramedics', VVestern Journal of Nursing
relation to unjustifiable convictions) and Research, Vol. 19, pp. 297-313.
organisational review (eg the Sheehy Bonifacio, P (1991) 'The psychological
effects of police work: A psychodynamic
Conunittee Report).
approach', Plenum Press, New York.
Brown, J. M. and Campbell, E. A. (1994)
'Stress and policing', John Wiley and
CONCLUSIONS
Sons, Chichester.
That police work and firefighting are Casey, C. (1992) 'Internal affairs', Police
demanding and pressured occupations Review, Vol. 100, pp. 1672-1674.
cannot be denied; indeed, it may be these Cooper, C. L., Davidson, M. J. and
features which at least in part underlie Robinson, P (1982) 'Stress among police
their attractiveness to some personnel. detectives', Journal of Occupational Medicine,
This study provides, however, some Vol. 25, pp. 30-36.
evidence that policemen and their per- Crowe, G. and Stradling, S. G. (1993)
sonal lives are more likely to be com- 'Dimensions of perceived stress in a
British police force', Policing and Society,
promised by their work than is the case
Vol. 3, pp. 137-150.
for firemen. Male police officers in this
Davidson, M. J. and Veno, A. (1980) 'Stress
study reported themselves to be more
and the policeman', in Cooper, C. L. and
overworked, more anxious and more Marshall, J. (eds) 'White collar and
likely to have a current health problem. In professional stress', John Wiley and Sons,
addition, the police were more likely to Chichester.
describe the adverse effects of shift work Duckworth, D. H. (1986) 'Psychological
and altered shifts and long hours on their problems arising from disaster work',
marital and social lives. Finally, their job Stress Medicine, Vol. 2, pp. 313-323.
satisfaction was lower than that of their Duckworth, D. H. (1991) 'Facilitating
colleagues in the fire service. recovery from disaster-work experiences',
British Journal of Guidance and Counselling,
Vol. 19, pp. 13-22.
REFERENCES Finkelstein, M. M. (1995) 'Back pain and
Alexander, D. A. (1993) 'Stress among police parenthood', Occupational and
body-handlers: A long term followup', Environmental Medicine, Vol. 52, pp. 51-53.
British Journal of Psychiatry, Vol. 163, Golden, A. L., Markowitz, S. B. and
pp. 806-808. Landrigan, P J. (1995) 'The risk of cancer
Alexander, D. A. and Wells, A. (1991) in firefighters', Occupational Medicine: State
'Reactions of police officers to body of the Art Reviews, Vol. 10, pp. 803-820.
handling after a major disaster: A before Gudjonsson, G. H. and Adlam, K. R. C.
and after comparison', British Journal of (1985) 'Occupational stressors among
Psychiatry, Vol. 159, pp. 547-555. British police officers', The PoliceJournal,
Alexander, D. A., Walker, L. G., Innes, G. January, pp. 73-80.
and Irving, B. L. (1993) 'Police stress at Kroes, W H. (1976) 'The policeman - An
work', Police Foundation, London. analysis of job stress in policing', Thomas,
Alexander, D. A. and Walker, L. G. (1996) Springfield.
'The perceived impact of police work on McFarlane, A. C. (1988) 'The longitudinal
police officers' spouses and families', Stress course of posttraumatic morbidity: The
Medicine, Vol. 12, pp. 238-246. range of outcomes and their predictors',
Beaton, R. D., Murphy, S. A., Pike, K. C. Journal of Nervous and Mental Disease,
and Corneil, W (1997) 'Social support Vol. 176, pp. 30-39.

Page 311
Is my stress greater than yours? A comparison of policemen and firemen

Murphy, S. A., Beaton, R. 0., Cain, K. and Stuhlmiller, C. M. (1994) 'Occupational


Pike, K. (1994) 'Gender differences in meanings and coping practices of rescue
firefighter job stressors and symptoms of workers in an earthquake disaster',
stress', Women and Health, Vol. 22, U1estern Journal of Nursing Research, Vol.
pp. 55-69. 16, pp. 268-287.
Robinson, H. M., Sigman, M. R. and Terry, W C. (1981) 'Police stress - the
Wilson, J. P. (1997) 'Duty-related stressors empirical evidence', Journal of Police
and PTSD symptoms in suburban police Science and Administration, Vol. 9, pp.
officers', Psychological Reports, Vol. 81, 61-75.
pp. 835-845. Zigmond, A. S. and Snaith, R. P. (1983)
Serra, A., Mocci, F. and Randaccio, F. S. 'The Hospital Anxiety and Depression
(1996) 'Pulmonary function in Sardinian Scale', Acta Psychiatarica Scandinavica,
firefighters', American Journal of Industrial Vol. 67, pp. 361-370.
Medicine, Vol. 30, pp. 78-82.

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