Slottje Pauline, Witteveen Anke B, Twisk Jos W R, Smidt Nynke, Huizink Anja C, van Mechelen Willem, Smid Tjabe
EMGO Institute, Department of Public and Occupational Health, VU University Medical Center, Van der Boechorststraat 7, Amsterdam, The Netherlands.
Br J Health Psychol. 2008 May;13(Pt 2):327-42. doi: 10.1348/135910707X198793. Epub 2007 Apr 5.
To examine the relationships between exposure to the air disaster in Amsterdam and multiple physical symptoms among firefighters and police officers, and to explore the role of post-traumatic stress symptoms (PTSS) herein.
Historic cohort study.
On average 8.5 years post-disaster, exposed professional firefighters (N=334) and police officers (N=834) and their nonexposed colleagues (N=194 and N=634, respectively) completed questionnaires on disaster exposure and current symptoms. Logistic regression with adjustment for background characteristics was used to compare exposed and nonexposed workers. PTSS were added to these models, as was the interaction between exposure and PTSS, to explore potential mediating and modifying effects, respectively.
Exposed workers reported multiple physical symptoms significantly more often. Multiple physical symptoms seemed to have particularly affected the exposed firefighters who rescued people, and the exposed police officers who supported injured victims and workers, who were involved in the identification of or search for victims and human remains, who witnessed the immediate disaster scene or had a close one affected by the disaster. These exposure effects were essentially independent of PTSS, and no significant interactions between exposure and PTSS were found.
In conclusion, the excess in post-disaster multiple physical symptoms in exposed workers could not be attributed to PTSS.
研究阿姆斯特丹空难暴露与消防员和警察多种身体症状之间的关系，并探讨创伤后应激症状（PTSS）在此过程中的作用。
历史性队列研究。
在灾难发生平均8.5年后，暴露组的职业消防员（N = 334）和警察（N = 834）以及未暴露组的同事（分别为N = 194和N = 634）完成了关于灾难暴露和当前症状的问卷调查。采用对背景特征进行调整的逻辑回归分析来比较暴露组和未暴露组的工作人员。将PTSS以及暴露与PTSS之间的相互作用添加到这些模型中，分别探讨潜在的中介和调节作用。
暴露组工作人员报告多种身体症状的频率明显更高。多种身体症状似乎对参与救援的暴露组消防员以及支持受伤受害者和工作人员、参与辨认或搜寻受害者及遗体、目睹灾难现场或有亲人受灾难影响的暴露组警察影响尤为明显。这些暴露效应基本上与PTSS无关，且未发现暴露与PTSS之间存在显著的相互作用。
总之，暴露组工作人员灾后多种身体症状的增加不能归因于PTSS。
