Negative Emotionality Interacts with Trauma Exposure to Prospectively Predict Posttraumatic Stress Disorder Symptoms During Firefighters' First 3 Years of Service.
Negative Emotionality Interacts with Trauma Exposure to Prospectively Predict Posttraumatic Stress Disorder Symptoms During Firefighters' First 3 Years of Service.
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消极情绪与创伤暴露相互作用，可前瞻性预测消防员服役前三年的创伤后应激障碍症状。
DOI：
10.1002/jts.22632
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发表时间：
2021
影响因子：
3.3
通讯作者：
Gulliver,SuzyB
中科院分区：
文献类型：
--
作者：
Meyer,EricC;Zimering,RoseT;Knight,Jeffrey;Morissette,SandraB;Kamholz,BarbaraW;Coe,Elizabeth;Carpenter,ThomasP;Keane,TerenceM;Kimbrel,NathanA;Gulliver,SuzyB
消防员（FF）保护公众，尽管他们的健康和福祉受到频繁的创伤暴露和其他职业压力的重大风险。少数FF会发展成创伤后应激障碍（PTSD）或相关的心理健康问题，而大多数FF在巨大的压力下仍然保持着惊人的弹性。这表明FF对创伤性应激反应的差异很大。人格，特别是消极情绪性（NEM），已被证明可以预测其他创伤暴露人群中PTSD的发展，但尚未在FF中进行PTSD的前瞻性研究。这项来自更广泛的FF心理健康研究的二次分析的目的是测试就业前NEM是否通过影响FF对创伤经历的反应来预测PTSD症状的严重程度。在这第一次对职业消防员PTSD症状发展的前瞻性研究中，从美国7所城市消防学院招募了322名消防员，并在他们的前3年消防服务中进行了随访。我们评估了消防学院期间的NEM以及创伤暴露以及1年、2年和3年随访时自我报告和临床医生评定的PTSD症状。随着时间的推移，创伤暴露水平和NEM预测了PTSD症状，并且NEM在1年和3年随访时的创伤暴露测量中调节了创伤暴露对临床医生评定的PTSD症状的影响，f2= 0.03 - 0.10，但在2年随访时，也不是自我报告的PTSD症状。这些发现表明，在进入高风险职业时评估的NEM在预测PTSD症状发展方面是有用的。
Firefighters (FFs) protect the public despite significant risks to their health and well‐being stemming from frequent trauma exposure and other occupational stressors. A minority of FFs develop posttraumatic stress disorder (PTSD) or related mental health problems, whereas most remain remarkably resilient despite enormous stress. This points toward substantial variability in responses to traumatic stress among FFs. Personality, particularly negative emotionality (NEM), has been shown to predict the development of PTSD in other trauma‐exposed populations, yet has not been prospectively studied in relation to PTSD in FFs. The aim of this secondary analysis from a broader study of mental health in FFs was to test whether preemployment NEM predicted PTSD symptom severity over time by influencing how FFs respond to traumatic experiences. In this first prospective study of the development of PTSD symptoms in professional FFs, 322 FFs were recruited from seven urban fire academies across the United States and followed over their first 3 years of fire service. We assessed NEM during the fire academy as well as trauma exposure and both self‐reported and clinician‐rated PTSD symptoms at 1‐, 2‐, and 3‐year follow‐ups. Level of trauma exposure and NEM predicted PTSD symptoms over time, and NEM moderated the effect of trauma exposure on clinician‐rated PTSD symptoms across both trauma exposure measures at 1‐ and 3‐year follow‐ups,f2= .03–.10, but not at 2‐year follow‐up nor for self‐reported PTSD symptoms. These findings indicate that NEM, assessed upon entry into a high‐risk occupation, is useful in predicting PTSD symptom development.
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DOI：
10.31234/osf.io/a9rbn
发表时间：
2019
期刊：
The American psychologist
影响因子：
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