Post-traumatic stress symptoms in an elite unit of Brazilian police officers:: Prevalence and impact on psychosocial functioning and on physical and mental health
Post-traumatic stress symptoms in an elite unit of Brazilian police officers:: Prevalence and impact on psychosocial functioning and on physical and mental health
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DOI：
10.1016/j.jad.2006.06.004
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发表时间：
2007-01-01
影响因子：
6.6
通讯作者：
Figueira, Ivan
中科院分区：
文献类型：
--
作者：
Maia, Deborah B.;Marmar, Charles R.;Figueira, Ivan
背景：频繁暴露于创伤情境中会使警察面临更高的患创伤后应激障碍（PTSD）的风险。本研究的目的是确定目前巴西警察中创伤后应激症状（PTSS）的患病率，并就相关发病率对有和没有ptsd的人群进行比较。方法：对某精兵部队157名警官进行社会人口学问卷、12项一般健康问卷和《创伤后应激障碍平民版》问卷调查。后者的分数被用来建立“完全PTSD”和“部分PTSD”的诊断。结果：“完全PTSD”患病率为8.9%，“部分PTSD”患病率为16%。与“无创伤后应激障碍”组相比，“完全创伤后应激障碍”警官离婚的可能性高5倍（21.60倍，对4.3%,p= 0.008），感觉自己的身体健康状况较差（64.3%对6%，p < 0.001），在过去12个月内有更多的医疗咨询[2.00（+/- 1.62）对1.09 (+/- 1.42),p=0.03]，并报告更多的终生自杀意念（35.7%对5.2%,p= 0.002）。局限性：样本量相对较小。采用筛选工具代替半结构化面试。横截面设计不适用于确定因果关系。结论：我们样本中的PTSD患病率与北美和荷兰警察报告的患病率相当。“完全创伤后应激障碍”的存在与相当高的发病率相关。这些发现可能有助于制定有效的政策，旨在预防和治疗执法人员的创伤后应激障碍。(c) 2006 Elsevier B.V.版权所有
Background: Frequent exposure to traumatic situations put police officers under an increased risk for developing post-traumatic stress disorder (PTSD). The goals of this study were to determine the current prevalence of post-traumatic stress symptoms (PTSS) in Brazilian police officers and to compare groups with and without PTSS in terms of associated morbidity.Methods: Police officers from an elite unit (n = 157) were asked to fill out a socio-demographic questionnaire, the 12-item General Health Questionnaire and the Post-Traumatic Stress Disorder Checklist-Civilian Version. The latter's scores were used to establish the diagnoses of "full PTSD" and of "partial PTSD".Results: Prevalence rates of "full PTSD" and "partial PTSD" were 8.9% and 16%, respectively. Compared with the "no PTSD" group, police officers with "full PTSD" were five times more likely to be divorced (21.60X, vs. 4.3%, p = 0.008), felt that their physical health was poorer (64.3% vs. 6%,p < 0.001), had more medical consultations during the last 12 months [2.00 ( +/- 1.62) vs. 1.09 (+/- 1.42), p=0.03] and reported more often lifetime suicidal ideation (35.7% vs. 5.2%, p = 0.002).Limitations: The sample was relatively small. A screening tool was employed instead of a semi-structured interview. The cross-sectional design is unsuitable for ascertaining cause-effect relations.Conclusions: PTSD prevalence in our sample was comparable to those reported for North American and Dutch policemen. The presence of "full PTSD" was associated with evidences of considerable morbidity. These findings may contribute to the development of effective policies aimed at the prevention and treatment of PTSD in law enforcement agents. (c) 2006 Elsevier B.V. All rights reserved.