PTSD symptoms, response to intrusive memories and coping in ambulance service workers
PTSD symptoms, response to intrusive memories and coping in ambulance service workers
复制标题
DOI：
10.1348/014466599162836
复制
发表时间：
1999-09-01
影响因子：
3.1
通讯作者：
Ehlers, A
中科院分区：
文献类型：
--
作者：
Clohessy, S;Ehlers, A
目标.探讨救护人员的应对策略和对侵入性记忆的反应与创伤后应激障碍（PTSD）及其他精神症状的关系。五十六救护服务人员描述了他们的工作中最令人痛苦的方面，并完成了问卷调查，旨在衡量他们在处理令人痛苦的事件的应对策略。他们还描述了他们对特别令人痛苦的事件的侵入性记忆，并完成了一份问卷，旨在衡量他们对这些侵入的解释和他们对这些事件的反应。此外，他们完成了创伤后应激症状量表（PSS; Foa，Riggs，Dancu & Rothbaum，1993）和一般健康问卷（GHQ; Goldberg & Hiller，1979）。在参与者中，21%符合DSM-III-R的PTSD标准，22%符合GHQ精神症状筛查标准。当工作中遇到关键事件时，一厢情愿的想法和精神脱离，对侵入性记忆的负面解释，以及对这些记忆的适应不良反应（沉思，抑制和解离）与PTSD的严重程度相关。结果是一致的假设，即应对策略和反应的侵入性记忆，防止情绪处理的痛苦事件维持创伤后应激障碍。他们也支持Ehlers & Steil（1995）关于创伤后侵入的负面解释在PTSD中的作用的假设。大量的紧急服务人员可能需要在处理工作中的痛苦事件方面得到支持，并可能从使创伤后症状（如入侵）正常化的信息中受益。
Objectives. To examine the relationship of coping strategies and responses to intrusive memories with post-traumatic stress disorder (PTSD) and other psychiatric symptoms in ambulance service workers.Method. Fifty-six ambulance service workers described the most distressing aspects of their work and completed questionnaires designed to measure their coping strategies in dealing with distressing incidents. They also described their intrusive memories of particularly distressing incidents and completed a questionnaire designed to measure their interpretation of these intrusions and their responses to them. In addition, they completed the Post-traumatic Stress Symptom Scale (PSS; Foa, Riggs, Dancu & Rothbaum, 1993) and the General Health Questionnaire (GHQ; Goldberg & Hiller, 1979).Results. Of the participants, 21 % met DSM-III-R criteria for PTSD, and 22 % met GHQ screening criteria for psychiatric symptoms. Wishful thinking and mental disengagement when confronted with critical incidents at work, negative interpretations of intrusive memories, and maladaptive responses to these memories (rumination, suppression and dissociation) correlated with PTSD severity.Conclusion. The results are consistent with the hypothesis that coping strategies and responses to intrusive memories that prevent emotional processing of the distressing event maintain PTSD. They also support Ehlers & Steil's (1995) hypotheses about the role of negative interpretations of post-traumatic intrusions in PTSD. A substantial subgroup of emergency service personnel may need support in processing distressing incidents at work and may benefit from information that normalizes post-traumatic symptoms such as intrusions.