Galloucis M, Silverman M S, Francek H M
Illinois Department of Corrections-Juvenile Division, USA.
Int J Emerg Ment Health. 2000 Winter;2(1):5-18.
This study examines disruptions in cognitive schemas (i.e., core beliefs about self, others, and the world) among a sample of paramedics. Two hundred fifty-three paramedics working in non-urban and urban settings completed measures of non-work and work-related negative life event and trauma exposure, perceived social support, and cognitive schemas. Forty percent of the respondents experienced at least one disrupted schema and 18 percent had disrupted beliefs about the meaningfulness of the world. Urban paramedics experienced greater disruption in cognitive schemas, particularly with Other-Safety beliefs. The degree of disruption in schemas was independently associated with the extent of non-work and work-related negative life event and trauma exposure, as well as perceived social support. These findings suggest the importance of investigating disruptions of schemas as a posttraumatic sequela among emergency medical personnel.
本研究调查了护理人员样本中认知模式（即关于自我、他人和世界的核心信念）的紊乱情况。253名在非城市和城市环境中工作的护理人员完成了非工作和与工作相关的负面生活事件及创伤暴露、感知到的社会支持以及认知模式的测量。40%的受访者经历了至少一种紊乱的模式，18%的人对世界的意义持有紊乱的信念。城市护理人员在认知模式上经历了更大的紊乱，尤其是在他人安全信念方面。模式的紊乱程度与非工作和与工作相关的负面生活事件及创伤暴露的程度以及感知到的社会支持独立相关。这些发现表明，调查模式紊乱作为紧急医疗人员创伤后后遗症的重要性。
