Orkney Hyperbaric Unit, Old Academy, Stromness, Orkney KW16 3AW, UK.
J Psychosom Res. 2010 Mar;68(3):263-8. doi: 10.1016/j.jpsychores.2009.05.005. Epub 2009 Jul 17.
The present study aimed to examine the medium and long term psychological impact of diving accidents on the victims (n=52), compared with the impact on two control groups: the victim's diving "buddy" (n=40) who simply witnessed the accident, and a second control from the same boat who did not dive with the victim (n=38).
This was a prospective cohort study of the impact of an accident on the victims who attended the Hyperbaric Unit, in comparison with the two control groups. Pre-accident psychological morbidity was assessed using the General Health Questionnaire. Trauma symptoms were assessed using the Revised Impact of Events Scale at 3, 6 and 12 months post accident.
The accident victims endorsed more trauma symptoms and experienced them more intensely and for longer, compared with the two control groups.
A significant minority of diving accident victims (between 25% and 50%) continued to suffer from the psychological impact of the accident, some for over a year. This has important implications for their future health care, for their safety on subsequent dives, and for dive training.
本研究旨在比较潜水事故对受害者(n=52)、仅目击事故的受害者潜水“伙伴”(n=40)和与受害者不在同一潜水船上的第二对照组(n=38)的中、长期心理影响。
这是一项对接受高压氧治疗的事故受害者的前瞻性队列研究,与两个对照组进行比较。使用一般健康问卷评估事故前的心理发病率。使用修订后的事件影响量表在事故后 3、6 和 12 个月评估创伤症状。
与两个对照组相比,事故受害者报告的创伤症状更多,且强度更大、持续时间更长。
少数潜水事故受害者(25%至 50%之间)持续遭受事故的心理影响,有些甚至持续一年以上。这对他们未来的医疗保健、后续潜水安全以及潜水培训都有重要影响。