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巴基斯坦地震救援人员创伤后应激障碍、焦虑、抑郁和倦怠的流行情况及其预测因素。

Prevalence and predictors of posttraumatic stress disorder, anxiety, depression, and burnout in Pakistani earthquake recovery workers.

机构信息

Department of Clinical Psychology, University of Amsterdam, Roetersstraat 15, Amsterdam, The Netherlands.

出版信息

Psychiatry Res. 2011 Jan 30;185(1-2):161-6. doi: 10.1016/j.psychres.2009.10.018.

DOI:10.1016/j.psychres.2009.10.018
PMID:20537401
Abstract

Past research has shown a substantial prevalence of emotional disorders in professionals involved in rescue and/or relief operations following natural disasters, including earthquakes. However, no published study to date has investigated whether disaster rehabilitation and reconstruction workers involved in later phases of the earthquake response are also affected by emotional problems. A nearly complete sample of earthquake rehabilitation and reconstruction workers (N=267) involved in the response to the 2005 earthquake in Northern Pakistan filled in a set of self-report questionnaires assessing emotional problems and predictor variables approximately 24 months after the earthquake. Most participants had experienced the disaster themselves and suffered from a number of stressors during and shortly after the acute earthquake phase. A substantial subgroup of participants reported clinically relevant levels of emotional disorders, especially earthquake-related posttraumatic stress disorder (42.6%), as well as depression and anxiety (approx. 20%). Levels of burnout were low. Symptom levels of posttraumatic stress disorder were associated with the severity of the earthquake experience, past traumas, work-related stressors, low social support, and female gender. The results document a high prevalence of emotional problems in earthquake rehabilitation and recovery workers.

摘要

过去的研究表明,在参与自然灾害(包括地震)后的救援和/或救灾行动的专业人员中,情绪障碍的发生率相当高。然而,迄今为止,尚无已发表的研究调查参与地震反应后期的灾害恢复和重建工作者是否也受到情绪问题的影响。参与 2005 年巴基斯坦北部地震救援工作的几乎完整的地震恢复和重建工作者样本(N=267)在地震后约 24 个月填写了一套自我报告问卷,评估情绪问题和预测变量。大多数参与者本人经历过这场灾难,并在急性地震阶段期间和之后不久遭受了许多压力源的困扰。相当一部分参与者报告了临床相关程度的情绪障碍,尤其是与地震相关的创伤后应激障碍(42.6%),以及抑郁和焦虑(约 20%)。倦怠程度较低。创伤后应激障碍的症状水平与地震经历的严重程度、过去的创伤、与工作相关的压力源、低社会支持和女性性别有关。研究结果表明,地震恢复和重建工作者中存在较高的情绪问题发生率。

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