Trauma exposure, posttraumatic stress disorder and the effect of explanatory variables in paramedic trainees
Trauma exposure, posttraumatic stress disorder and the effect of explanatory variables in paramedic trainees
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DOI：
10.1186/1471-227x-14-11
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发表时间：
2014-01-01
影响因子：
2.5
通讯作者：
Seedat, Soraya
中科院分区：
文献类型：
--
作者：
Fjeldheim, Celine B.;Noethling, Jani;Seedat, Soraya
背景资料：由于与工作相关的压力源，紧急医护人员（包括学员和相关职业的个人）患创伤后应激障碍（PTSD）和抑郁症的风险更高。我们的目的是调查的类型，频率和直接创伤暴露的严重程度，创伤后应激症状和其他精神病理学之间的护理实习生。为了创建一个风险配置文件的个人谁是在较高的职业风险发展PTSD，我们研究的风险和弹性因素，可能有助于创伤后psychology.Methods的存在和严重程度：护理实习生（n = 131）被招募从当地大学。Logistic回归分析进行了解释变量年龄，性别，人口组，创伤暴露，抑郁，酗酒，酒精依赖，复原力和社会supports.Results：94%的护理实习生直接经历过创伤，16%符合PTSD标准。创伤后应激障碍患者的抑郁（28%）、酗酒（23%）、慢性应激（7%）和社会支持水平较低，创伤暴露次数、抑郁、复原力和社会支持对创伤后应激障碍有显著预测作用，抑郁在其中起中介作用。有必要在创伤暴露的高危人群中进行有效的、持续的抑郁和创伤后应激障碍的筛查，以便提供早期的心理支持干预。
Background: Emergency healthcare workers, including trainees and individuals in related occupations are at heightened risk of developing posttraumatic stress disorder (PTSD) and depression owing to work-related stressors. We aimed to investigate the type, frequency, and severity of direct trauma exposure, posttraumatic stress symptoms and other psychopathology amongst paramedic trainees. In order to create a risk profile for individuals who are at higher occupational risk of developing PTSD, we examined risk and resilience factors that possibly contributed to the presence and severity of posttraumatic symptomatology.Methods: Paramedic trainees (n = 131) were recruited from a local university. A logistic regression analysis was conducted using the explanatory variables age, gender, population group, trauma exposure, depression, alcohol abuse, alcohol dependence, resilience and social support.Results: 94% of paramedic trainees had directly experienced trauma, with 16% meeting PTSD criteria. A high rate of depression (28%), alcohol abuse (23%) and chronic perceived stress (7%) and low levels of social support was found. The number of previous trauma exposures, depression, resilience and social support significantly predicted PTSD status and depression had a mediating effect.Conclusion: There is a need for efficient, ongoing screening of depressive and PTSD symptomatology in trauma exposed high risk groups so that early psychological supportive interventions can be offered.