Longitudinal Study of Probable Post-Traumatic Stress Disorder in Firefighters Exposed to the World Trade Center Disaster
Longitudinal Study of Probable Post-Traumatic Stress Disorder in Firefighters Exposed to the World Trade Center Disaster
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DOI：
10.1002/ajim.20894
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发表时间：
2010-12-01
影响因子：
3.5
通讯作者：
Prezant, David J.
中科院分区：
文献类型：
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作者：
Berninger, Amy;Webber, Mayris P.;Prezant, David J.
背景创伤后应激障碍(PTSD)症状在9·11恐怖袭击(9/11)发生数年后才有报道。方法我们使用筛查工具在9/11事件后6个月(基线)和灾后3-4年(随访)两个时间点评估9/11暴露的消防员可能存在创伤后应激障碍(PTSD)的患病率。15.5%的人报告9/11事件后可能存在创伤后应激障碍，8.6%的人在基线时报告，11.1%的人在随访时报告，平均2.9年后(SD 0.5)。分析显示，几乎一半的可能的创伤后应激障碍发生为延迟发病(没有基线，目前的随访)。与恢复力组(两个时间点均无可能的创伤后应激障碍)相比，基线的可能的创伤后应激障碍和随访时的延迟发作分别与伴随的功能损害相关(OR分别为19.5和18.9)。结论相似比例的消防员在多年后的随访中满足基线和延迟发作的可能的创伤后应激障碍的标准。两者都与实质性的功能损害有关。及早识别风险可以在症状危及工作和社会关系之前为心理健康干预提供机会。上午好。J.Ind.地中海医院。2010年，53：1177-1185。(C)2010年Wiley-Liss公司
Background Symptoms of post-traumatic stress disorder (PTSD) have been reported even years after the terrorist attacks of September 11, 2001 (9/11).Methods We used screening tools to assess the prevalence of probable PTSD in 9/11-exposed firefighters at two time points, within 6 months of 9/11 (baseline) and 3-4 years post-disaster (follow-up).Results Five thousand six hundred fifty-six individuals completed assessments at both times. 15.5% reported probable PTSD post-9/11, 8.6% at baseline and 11.1% at follow-up, on average 2.9 (SD 0.5) years later. Analyses revealed that nearly half of all probable PTSD occurred as delayed onset (absent baseline, present follow-up). Compared with the resilient group (no probable PTSD at either time), probable PTSD at baseline, and delayed onset at follow-up were each associated with concomitant functional impairment (OR 19.5 and 18.9), respectively.Conclusion Similar percentages of firefighters met criteria for baseline and delayed onset probable PTSD at follow-up, years later. Both were associated with substantial functional impairment. Early risk identification could provide opportunities for mental health interventions before symptoms compromise work and social relationships. Am. J. Ind. Med. 53: 1177-1185, 2010. (C) 2010 Wiley-Liss, Inc.