Posttraumatic distress and coping strategies among rescue workers after an earthquake
Posttraumatic distress and coping strategies among rescue workers after an earthquake
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DOI：
10.1097/01.nmd.0000071588.73571.3d
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发表时间：
2003-06-01
影响因子：
1.9
通讯作者：
Lai, TJ
中科院分区：
文献类型：
--
作者：
Chang, CM;Lee, LC;Lai, TJ
灾难工作人员罹患精神疾病的风险很高。本研究探讨了1999年9月21日台湾大地震后救援人员的精神及创伤后痛苦的患病率，以及精神与创伤后的发病率与应对策略之间的关系。84名参加过地震救援工作的男消防员在地震发生5个月后接受了评估。采用中国人健康问卷(CHQ)、事件影响量表(IES)和应对方式问卷(WCQ)评估精神疾病发病率、创伤后发病率和应对策略。一般精神疾病患病率为16.7%，创伤后患病率为21.4%。多因素Logistic回归分析结果显示，工作经历和对抗性应对是精神疾病发生率的显著预测因素，而工作经验、距离、逃避和积极重评是创伤后精神疾病发生率的显著预测因素。工作经验较长的救援人员患精神疾病和创伤后痛苦的风险最高。
Disaster workers are at high risk for developing psychiatric morbidity. This study examined the prevalence rates of psychiatric and posttraumatic distress and the relationship between psychiatric and posttraumatic morbidity and coping strategies among rescue workers following an earthquake in Taiwan on September 21, 1999. Eighty-four male firefighters who had been exposed to earthquake rescue work were assessed 5 months after the event. The Chinese Health Questionnaire (CHQ), the Impact of Event Scale (IES), and the Ways of Coping Questionnaire (WCQ) were used to assess psychiatric morbidity, posttraumatic morbidity, and coping strategies. The observed prevalence rates were 16.7% and 21.4% for general psychiatric morbidity and posttraumatic morbidity, respectively. Results from multivariate logistic regression indicated that job experience and confrontive coping were significant predictors of psychiatric morbidity, while job experience, distancing, escape-avoidance, and positive reappraisal were significant predictors of posttraumatic morbidity. Rescue workers with longer job experience were at the highest risk for developing psychiatric and posttraumatic distress.