Pfefferbaum Betty, Tucker Phebe, North Carol S, Jeon-Slaughter Haekyung, Kent Adrian T, Schorr John K, Wilson Teddy G, Bunch Kenneth
Department of Psychiatry and Behavioral Sciences, College of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA.
J Nerv Ment Dis. 2006 Feb;194(2):128-31. doi: 10.1097/01.nmd.0000199306.13184.c8.
Twenty-four female partners of firefighters participating in recovery efforts associated with the 1995 terrorist bombing in Oklahoma City were assessed 43 to 44 months later. Disaster experiences, psychiatric diagnoses, posttraumatic stress symptoms, and autonomic reactivity in response to an interview about the bombing were examined. Most of the participants with postbombing disorders suffered from pre-existing conditions. The majority found the bombing a "terrible" or "shocking" experience. One participant met all DSM-III-R symptom group criteria for bombing-related posttraumatic stress disorder, and 40% met both B (intrusive re-experiencing) and D (hyperarousal) criteria. More than one half of the sample exhibited autonomic reactivity on at least one measurement. Those who met symptom group criterion D evidenced greater autonomic reactivity than those who did not, suggesting a link between self-reported posttraumatic stress disorder symptoms of arousal and biological manifestations. Thus, it may be important to assess partners of disaster recovery workers for mental health and physiological consequences related to their indirect exposure as these may persist years after the event, even in the absence of a diagnosable mental disorder.
对参与1995年俄克拉何马城恐怖爆炸事件救援工作的24名消防员的女性伴侣在43至44个月后进行了评估。调查了她们的灾难经历、精神诊断、创伤后应激症状以及在关于爆炸事件的访谈中的自主反应。大多数患有爆炸后障碍的参与者都有先前存在的状况。大多数人认为爆炸是一次“可怕”或“令人震惊”的经历。一名参与者符合与爆炸相关的创伤后应激障碍的所有DSM-III-R症状组标准，40%的人符合B（侵入性再体验）和D（过度警觉）标准。超过一半的样本在至少一项测量中表现出自主反应。符合症状组标准D的人比不符合的人表现出更大的自主反应，这表明自我报告的创伤后应激障碍唤醒症状与生物学表现之间存在联系。因此，评估灾难救援人员的伴侣因间接接触而产生的心理健康和生理后果可能很重要，因为即使在没有可诊断的精神障碍的情况下，这些后果也可能在事件发生多年后持续存在。
