Personality characteristics and individual factors associated with PTSD in firefighters one month after extended wildfires

Personality characteristics and individual factors associated with PTSD in firefighters one month after extended wildfires
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持续野火发生一个月后消防员与 PTSD 相关的人格特征和个体因素

DOI:
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发表时间:
2018
影响因子:
1.8
通讯作者:
J. Bergiannaki
J. Bergiannaki
中科院分区:
医学4区
文献类型:
--
作者:
C. Psarros;C. Theleritis;N. Kokras;D. Lyrakos;Angelos Koborozos;Olga Kakabakou;Georgios Tzanoulinos;Panagiota Katsiki;J. Bergiannaki

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摘要背景:消防员参加的活动具有强烈的身体和心理压力,并不断处于发展各种精神病理反应的风险之中。目的:2007年8月,希腊发生毁灭性野火,导致大片地区被毁,43人死亡,其中3人是消防员,调查消防员在野火发生一个月后的心理反应。研究方法:野火发生一个月后,组织了一个心理健康临床医生联合工作队,以提供心理支持,并调查野火对消防员的心理后果。102消防员,生活在火灾灾区,谁是在整个野火期间值班进行了采访和评估,使用几个问卷和库存。结果:18.6%的消防员存在创伤后应激障碍(PTSD)。多元Logistic回归分析发现,消防期间死亡的恐惧,失眠和神经质得分增加,以及在SCL-90的抑郁分量表,存在显着相关的PTSD的可能性更大。此外,长期工作的消防员患PTSD的概率比季节性工作的消防员低70%。结论:精神紧张、抑郁症状以及神经质等人格特征和消防行动中对即将死亡的恐惧感可能会促使消防员患上创伤后应激障碍。在这种情况下,心理健康临床医生应该意识到,这些诱发因素的早期检测可能有助于预防和减轻创伤后应激障碍的消防员,特别是那些谁是季节性就业。
Abstract Background: Firefighters participate in activities with intense physical and psychological stress and are constantly at risk to develop various psychopathological reactions. Aims: To investigate psychological reactions in firefighters one month after devastating wildfires in Greece, during August 2007, which lead to the devastation of large areas and the death of 43 people among whom three were firefighters. Methods: One month after the wildfires, a joint task force of mental health clinicians was organized in order to provide psychological support and to investigate the psychological consequences of wildfires to firefighters. One hundred and two firefighters, living within the fire-devastated area, who were on duty for the whole period of wildfires were interviewed and assessed with the use of several questionnaires and inventories. Results: Post-traumatic stress disorder (PTSD) was detected in 18.6% of firefighters. Multiple logistic regression found that existence of fear of dying during firefighting, insomnia and increased scores in neuroticism, as well as in depression subscale of the SCL-90, were significantly associated with greater likelihood for having PTSD. Additionally those firefighters who worked permanently had 70% lower probability of having PTSD vs. those seasonally employed. Conclusions: Insomnia, depressive symptoms, as well as personality characteristics as neuroticism and the perception of fear of imminent death during firefighting operations may precipitate the development of PTSD in firefighters. Within this context, mental health clinicians should be aware that the early detection of these predisposing factors may facilitate the prevention and mitigation of PTSD in firefighters particularly those who are seasonally employed.
一份计算机化、自我管理的调查问卷,用于评估世贸中心倒塌后消防员的创伤后压力。
DOI: 10.2105/ajph.2008.151605
发表时间: 2009
影响因子: 12.7
作者:
Corrigan,Malachy;McWilliams,Rita;Kelly,KerryJ;Niles,Justin;Cammarata,Claire;Jones,Kristina;Wartenberg,Daniel;Hallman,WilliamK;Kipen,HowardM;Glass,Lara;Schorr,JohnK;Feirstein,Ira;Prezant,DavidJ
通讯作者: Prezant,DavidJ
DOI: 10.1001/archpsyc.1991.01810270028003
发表时间: 1991-03
影响因子: --
作者:
N. Breslau;G. Davis;P. Andreski;E. Peterson
通讯作者: N. Breslau;G. Davis;P. Andreski;E. Peterson
DOI: 10.1176/appi.ajp.2012.12040432
发表时间: 2013-04
期刊: The American journal of psychiatry
影响因子: --
作者:
Germain A
通讯作者: Germain A
DOI: 10.1037//0022-006x.60.3.409
发表时间: 1992-06
影响因子: 5.9
作者:
Frances Norris
通讯作者: Frances Norris
DOI: 10.1037/0735-7044.106.2.274
发表时间: 1992-04-01
影响因子: 1.9
作者:
PHILLIPS, RG;LEDOUX, JE
通讯作者: LEDOUX, JE