Matthews Lynda R
School of Behavioural and Community Health Sciences, The University of Sydney, P.O. Box 170, Lidcombe 1825 NSW, Australia.
Behav Res Ther. 2005 Apr;43(4):475-83. doi: 10.1016/j.brat.2004.03.008.
Work potential in adult survivors of road accidents with and without post-traumatic stress disorder (PTSD) was examined at a mean of 8.6 months (SD = 3.77) post-accident. All participants were working prior to their accident. Results showed that survivors with PTSD had significantly less work potential post-accident than survivors without PTSD. Specific barriers to employability for survivors with PTSD identified by this study included high levels of depression, reduced time-management ability, and an over-concern or anxiety with physical injuries. Respondents with PTSD, however, reported significantly greater extrinsic motivation to work than those without PTSD. Early intervention and referral to occupational rehabilitation programs that: (1) help address these barriers to employability and stimulate the existing motivation to return to work, and (2) work alongside clinical treatment programs, may assist in the reduction of poor work outcomes that people with PTSD following road accidents often experience.
在事故发生后平均8.6个月(标准差=3.77)时,对有和没有创伤后应激障碍(PTSD)的成年道路事故幸存者的工作潜能进行了检查。所有参与者在事故发生前都有工作。结果显示,患有PTSD的幸存者在事故后的工作潜能明显低于没有PTSD的幸存者。本研究确定的患有PTSD的幸存者就业的具体障碍包括高度抑郁、时间管理能力下降以及对身体损伤过度关注或焦虑。然而,患有PTSD的受访者报告说,他们工作的外在动机明显高于没有PTSD的受访者。早期干预并转介至职业康复计划,该计划:(1)有助于克服这些就业障碍并激发现有的重返工作岗位的动机,以及(2)与临床治疗计划并行开展工作,可能有助于减少道路事故后患有PTSD的人经常经历的不良工作结果。