The nature of posttraumatic stress disorder in treatment-seeking first responders.
The nature of posttraumatic stress disorder in treatment-seeking first responders.
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DOI：
10.1080/20008198.2021.2011602
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发表时间：
2022
影响因子：
5
通讯作者：
Bryant RA
中科院分区：
文献类型：
--
作者：
Bryant RA
大约 10% 的急救人员报告患有创伤后应激障碍 (PTSD)。尽管急救人员的报告表明他们有不同的症状表现，但有必要了解急救人员的临床特征与其他寻求 PTSD 治疗的人有何不同。这项研究比较了急救人员和寻求 PTSD 治疗的平民的 PTSD 症状概况。参与者自行转介至创伤应激诊所（悉尼新南威尔士大学）参加 PTSD 门诊治疗试验。参与者的平均年龄为 41.72 岁（SD = 10.71），符合 DSM-IV 的 PTSD 标准。样本由 128 名急救人员和 182 名平民组成。对 PTSD（临床医生管理的 PTSD 量表）和抑郁症进行临床医生管理的访谈，并对抑郁、饮酒、创伤后评估和愤怒的自我报告测量进行测量。与患有创伤后应激障碍 (PTSD) 的平民相比，急救人员报告出现一系列烦躁症状的比例更高，包括兴趣减弱、情绪麻木和社交疏离，以及心理反应和回避情况更少。除了创伤后应激障碍（PTSD）症状外，急救人员还报告了更严重的抑郁症和压抑的愤怒。这些发现表明，寻求治疗的急救人员表现出独特的临床特征，其特征是烦躁症状。这些症状可以预测治疗反应不佳，并且在急救人员治疗 PTSD 时需要特别注意。寻求治疗的急救人员报告说，与平民相比，情绪麻木、回避、抑郁和压抑愤怒的比例更高，这表明急救人员的 PTSD 治疗应适应他们的特定症状特征。
Approximately 10% of first responders report posttraumatic stress disorder (PTSD). Although reports within first responders suggest that they have distinct symptom presentations, there is a need to understand how the clinical profiles of first responders may differ from others seeking treatment for PTSD. This study compared the PTSD symptom profiles of first responder and civilians seeking treatment for PTSD. Participants self-referred to the Traumatic Stress Clinic (University of New South Wales, Sydney) for enrolment in out-patient treatment trials for PTSD. Participants comprised people of mean age 41.72 years (SD = 10.71) who met DSM-IV criteria for PTSD. The sample was composed of 128 first responders and 182 civilians. Clinician-administered interviews of PTSD (Clinician-Administered PTSD Scale) and depression were conducted, as well as measures of self-report measures of depression, alcohol use, posttraumatic appraisals, and anger. First responders reported greater rates of dysphoric cluster of symptoms, including diminished interest, emotional numbing, and social detachment, and less psychological reactivity and avoidance of situations, than civilians with PTSD. Beyond PTSD symptoms, first responders also reported more severe levels of depression and suppressed anger. These findings indicate that treatment-seeking first responders present with a distinct clinical profile that is characterized by dysphoric symptoms. These symptoms can predict poor treatment response and require specific attention in treating PTSD in first responders. Treatment-seeking first responders report greater rates of emotional numbing, avoidance, depression and suppressed anger than civilians, suggesting that treatment of PTSD in first responders should accommodate their specific symptom profiles.
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