1. Khatoni M, Mollahasan M, Khoeniha S. [Investigation of occupational stress and its related factors among accounting staff of Qazvin University of Medical Sciences]. Iran Occup Health. 2011;8(2):66–75.
2. McKoy KD. The impact of stress on first responders: A phenomenological study [dissertation]. Minneapolis (MN): Capella University; 2010.
3. Schwartz KD, Redekop M, Duffy H, Harris D, Stelnicki A, McElheran M. Perceptions of the impact of operational stress in emergency first responder families: A qualitative analysis. Fam Relat. 2026;75(1):499–516. [
DOI:10.1111/fare.70103]
4. Luthans F, Youssef CM, Avolio BJ. Psychological capital: Developing the human competitive edge. Oxford: Oxford University Press; 2006. [
DOI:10.1093/acprof:oso/9780195187526.001.0001]
5. Gill SK, Lauren RKM. A systematic review of occupational stress and burnout in emergency medical technician and paramedic populations and associated consequences. Int J Qual Health Care. 2025;37(2):mzaf033. [
DOI:10.1093/intqhc /mzaf033]
6. Galindo-Herrera R, Pabón-Carrasco M, Romero-Castillo R, Garrido-Bueno M. Biopsychosocial and occupational health of emergency healthcare professionals: A systematic review and meta-analysis. Nurs Rep.2025;15(12):430. [
DOI:10.3390/nursrep15120430]
7. Andiyana E, Mutiarani DP, Haryoko AE, Lumbantobing IP. Work–life balance in the automotive industry: The effects of job stress, job satisfaction, and organizational commitment. Golden Ratio Hum Resour Manag. 2026;6(2):427–442. [
DOI:10.52970/grhrm.v6i2.20 67]
8. Frazer H, Hansen C, Searle A, Lawrence-Wood E, Van Hooff M. Exploration of potential indicators of burnout, psychological distress and post-traumatic stress disorder among Australian female first responders. Psychiatry Res. 2022;316:114771. [
DOI:10.1016/j.psychres. 2022.114771]
9. Cogan N, Craig A, Milligan L, McCluskey R, Burns T, Ptak W, et al. “I've got no PPE to protect my mind”: Understanding the needs and experiences of first responders exposed to trauma in the workplace. Eur J Psychotraumatol. 2024;15(1):2395113. [
DOI:10.1080/20008066.2024.2395113]
10. Petrie K, Milligan-Saville J, Gayed A, Deady M, Phelps A, Dell L, et al. Prevalence of PTSD and common mental disorders among ambulance personnel: A systematic review and meta-analysis. Soc Psychiatry Psychiatr Epidemiol. 2018;53(9):897–909. [
DOI:10.1007/00127-018-1539-5]
11. Marvin G, Schram B, Orr R, Canetti EF. Occupation-induced fatigue and impacts on emergency first responders: A systematic review. Int J Environ Res Public Health. 2023;20(22):7055. [
DOI:10. 3390/ijerph20227055]
12. Huang G, Lee TY, Banda KJ, Pien LC, Jen HJ, Chen R, et al. Prevalence of sleep disorders among first responders for medical emergencies: A meta-analysis. J Glob Health. 2022;12:04092. [
DOI:10.7189/ jogh.12.04092]
13. Hatami M. [The study of effective factors on stress in personnel and non-personnel maternal (Persian)]. In: Proceedings of the Fourth Congress on Stress; Tehran, Iran: Iran University of Medical Sciences; 1999.
14. Rice PL. Stress and health. Pacific Grove (CA): Brooks/Cole Publishing; 1999.
15. Sharp ML, Solomon N, Harrison V, Gribble R, Cramm H, Pike G, Fear NT. The mental health and wellbeing of spouses, partners and children of emergency responders: A systematic review. PLoS One. 2022;17(6):e0269659. [
DOI:10.1371/journal.pone.0269659]
16. Tham TL, Alfes K, Holland P, Thynne L, Vieceli J. Extreme work in extraordinary times: The impact of COVID-stress on resilience and burnout of frontline paramedic workers—the importance of perceived organizational support. Int J Hum Resour Manag. 2024;35(10):1739–1762. [
DOI:10.1080/09585192. 2023.2237871]
17. Zhong X, Yan Y. Mental health status and influencing factors among firefighters in China. In: Proceedings of the 4th International Conference on Public Relations and Social Sciences (ICPRSS 2024). Paris: Atlantis Press; 2024:52–61. [
DOI:10.2991/978-2-38476-305-4_9]
18. Rashidi MA, Pournajaf A, Kazemy M, Kaikhavani S. [Evaluating general health status using Goldberg’s General Health Questionnaire among staff of Ilam University of Medical Sciences in 2015 (Persian)]. J Ilam Univ Med Sci. 2018;26(3):16–26. [
DOI:10.29252/sjimu.26.3.16]
19. Mollaahmadi G, Karimi M, Haghani S, Gharacheh M. The relationship between job stress and burnout among primary health care workers. Iran J Nurs. 2023;36(141):26–39. [
DOI:10.32598/ijn.36.141 .1773.8]
20. Golshiri P, Pourabdian S, Najimi A, Zadeh HM, Hasheminia J. Job stress and its relationship with salivary IgA: A comparison between emergency nurses and hospital clerks. J Pak Med Assoc. 2012;62(3 Suppl 2): S26–S30.
21. Samadirad B, Nazari J, Hasirchi N, Baybordi F. Occupational stress factors among staff of legal medicine centers in northwest Iran. J Health Saf Work. 2020;10(3):189–200.
22. Bromandan F, Sarlak M, Moogali A, Talaghani GH. [Design and testing of a stress-free work model in IRIB (Persian)]. Public Adm Perspect. 2023;14(1):161–185. [
DOI:10.48308/jpap.2023.103565]
23. Tajnia S, Iranmanesh S, Asadi N, et al. Correction to: Investigating the effect of inquiry-based stress reduction on mortality awareness and interpersonal problems among intensive care unit nurses. BMC Psychiatry. 2022;22:262. [
DOI:10.1186/s12888-022-038 82-7]
24. Meyer C, Chiapponi C, von Kaufmann F, Kanz KG, Hinzmann D. Occupational stress profiles of emergency medical staff. Front Public Health. 2024;12:1480643. [
DOI:10.3389/fpubh.2024.1480643]
25. Hu H, Chang S, Tian G, Li Z, Chang L, Zhang J, et al. Impact of perceived stress on job satisfaction among nurse managers. BMC Nurs. 2025;24(1): 953. [
DOI:10.1186/s12912-025-03607-7]
26. Wang H, Xiao Y, Yao H, Wen Y, Deng M, Yang W, et al. Non-pharmacological interventions for stress in disaster rescue workers. BMC Nurs. 2025;24(1):941. [
DOI:10.1186/s12912-025-03559-y]
27. Mao X, Suo Y, Wei X, Luo Y. Resilience interventions for disaster rescue workers: A systematic review. Scand J Trauma Resusc Emerg Med. 2025;33(1):91. [
DOI:10.1186/s13049-025-01397-0]
28. Hargie O. Skilled interpersonal communication: Research, theory and practice. London: Routledge; 2021. [
DOI:10.4324/9781003182269]