Frozen moments: flashback memories of critical incidents in emergency personnel.
Frozen moments: flashback memories of critical incidents in emergency personnel.
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DOI：
10.1002/brb3.325
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发表时间：
2015-07
影响因子：
3.1
通讯作者：
Bingisser R
中科院分区：
文献类型：
--
作者：
Kleim B;Bingisser MB;Westphal M;Bingisser R
急诊科人员经常面临高度紧张的情况或严重事件(CI)，随后可能会被回忆为意外的侵入性记忆。在它们最极端的形式中，这样的记忆被重新体验，就像它们在现在再次发生一样，作为闪回。这项研究考察了(1)哪些顺位与闪回记忆有关；(2)应聘者和与工作相关的特征可以预测闪回记忆；(3)闪回记忆与焦虑、抑郁和情绪衰竭之间的关联。从两所城市教学医院招聘急诊护士(女性80.2%，女性80.2%)，填写自填式问卷。大多数(n=59，65%)经历了侵入性记忆；近一半的样本报告说他们的记忆具有闪回特征。那些在过去一周参与复苏的人有四倍的风险经历闪回。连续工作更多天而没有休息的时间与闪回的发生率略低有关。此外，报告与工作相关的冲突更多的老年人比工作冲突和闪回记忆得分更高的年轻同事经历闪回记忆的风险更大。闪回记忆与焦虑、抑郁和情绪衰竭的高度症状有关。本研究结果对急救人员和其他经常暴露于顺应性疾病的个人的循证健康促进有一定的影响。
Emergency Department personnel regularly face highly stressful situations or critical incidents (CIs) that may subsequently be recalled as unbidden intrusive memories. In their most extreme form, such memories are reexperienced as if they were happening again in the present, as flashbacks. This study examined (1) which CIs are associated with flashback memories; (2) candidate person and work-related features that predict flashback memories; and (3) the association between flashback memories and anxiety, depression, and emotional exhaustion. Emergency nurses (N = 91; 80.2% female) were recruited from two urban teaching hospitals and filled in self-report questionnaires. A majority (n = 59, 65%) experienced intrusive memories; almost half of the sample reported that their memories had flashback character. Those involved in resuscitations in the past week were at a fourfold risk for experiencing flashbacks. Having worked more consecutive days without taking time off was associated with a somewhat lower incidence of flashbacks. Moreover, older individuals who reported more work-related conflicts were at greater risk for experiencing flashback memories than their younger colleagues with heightened work conflict and flashback memory scores, respectively. Flashback memories were associated with heightened symptoms of anxiety, depression, and emotional exhaustion. The present findings have implications for evidence-based health promotion in emergency personnel and other individuals regularly exposed to CIs.