A, hazardous profession: War, journalists, and psychopathology
A, hazardous profession: War, journalists, and psychopathology
复制标题
DOI：
10.1176/appi.ajp.159.9.1570
复制
发表时间：
2002-09-01
影响因子：
17.7
通讯作者：
Blair, N
中科院分区：
文献类型：
--
作者：
Feinstein, A;Owen, J;Blair, N
目标：战地记者在工作中经常面临极端危险的情况。尽管如此，关于他们心理健康的信息仍然缺乏。作者使用自我报告问卷对140名战地记者进行了评估，他们记录了创伤后应激障碍（PTSD）的症状（使用事件影响量表-修订版），抑郁症（与贝克抑郁量表-II），和心理困扰（用28项一般健康问卷），为了控制所有新闻业普遍存在的压力，作者使用同样的工具对107名从未报道过战争的记者进行了评估，研究的第二阶段涉及对两组中五分之一的记者进行采访，使用轴I DSM-IV疾病的结构化临床采访。结果：两组对自我报告问卷的回答率约为80%。男女战地记者每周饮酒量均显著高于对照组，战地记者在事件影响量表和Beck抑郁量表上的得分均高于对照组，其PTSD的终生患病率为28.6%，其中重度抑郁的患病率为21.4%，物质滥用的患病率为14.3%。然而，战地记者却没有。更有可能接受治疗这些disorders.Conclusions：战争记者有显着更多的精神疾病比记者谁不报道战争。特别是，创伤后应激障碍的终生患病率与退伍军人报告的患病率相似，而重度抑郁症的患病率超过了一般人群。这些需要复制的结果应该提醒新闻机构，许多战地记者可能会出现严重的心理困扰，而且往往得不到治疗。
Objective: War journalists often confront situations of extreme danger in their work. Despite this, information on their psychological well-being is lacking.Method. The authors used self-report questionnaires to assess 140 war journalists, who recorded symptoms of posttraumatic stress disorder (PTSD) (with the Impact of Event Scale-Revised), depression (with the Beck Depression Inventory-II), and psychological distress (with the 28-item General Health Questionnaire), To control for stresses generic to all journalism, the authors used the same instruments to assess 107 journalists who had never covered war, A second phase of the study involved interviews with one in five journalists from both groups, using the Structured Clinical interview for Axis I DSM-IV Disorders.Results: The rates of response to the self-report questionnaires were approximately 80% for both groups. There were no demographic differences between groups, Both male and female war journalists had significantly higher weekly alcohol consumption, The war journalists had higher scores on the Impact of Event Scale and the Beck Depression Inventory, Their lifetime prevalence of PTSD was 28.6%, and the rates were 21.4% for major depression and 14.3% for substance abuse. War journalists were not, however. more likely to receive treatment for these disorders.Conclusions: War journalists have significantly more psychiatric difficulties than journalists who do not report on war. In particular, the lifetime prevalence of PTSD is similar to rates reported for combat veterans, while the rate of major depression exceeds that of the general population. These results, which need replicating, should alert news organizations that significant psychological distress may occur in many war journalists and often goes untreated.