Centre for Research on Employment and Workplace Health, Centre for Addition and Mental Health, Toronto, Canada.
BMC Public Health. 2011 Oct 31;11:838. doi: 10.1186/1471-2458-11-838.
Posttraumatic stress disorder acquired at work can be debilitating both for workers and their employers. The disorder can result in increased sick leave, reduced productivity, and even unemployment. Furthermore, workers are especially unlikely to return to their previous place of employment after a traumatic incident at work because of the traumatic memories and symptoms of avoidance that typically accompany the disorder. Therefore, intervening in work-related PTSD becomes especially important in order to get workers back to the workplace.
A systematic literature search was conducted using Medline, PsycINFO, Embase, and Web of Science. The articles were independently screened based on inclusion and exclusion criteria, followed by a quality assessment of all included articles.
The systematic search identified seven articles for inclusion in the review. These consisted of six research articles and one systematic review. The review focused specifically on interventions using real exposure techniques for anxiety disorders in the workplace. In the research articles addressed in the current review, study populations included police officers, public transportation workers, and employees injured at work. The studies examined the effectiveness of EMDR, cognitive-behavioural techniques, and an integrative therapy approach called brief eclectic psychotherapy. Interestingly, 2 of the 6 research articles addressed add-on treatments for workplace PTSD, which were designed to treat workers with PTSD who failed to respond to traditional evidence-based psychotherapy.
Results of the current review suggest that work-related interventions show promise as effective strategies for promoting return to work in employees who acquired PTSD in the workplace. Further research is needed in this area to determine how different occupational groups with specific types of traumatic exposure might respond differently to work-tailored treatments.
在工作中获得的创伤后应激障碍（PTSD）对工人及其雇主都有很大的影响。这种障碍可能导致病假增加、生产力下降，甚至失业。此外，由于创伤记忆和回避症状通常伴随着这种障碍，工人在工作中遭受创伤事件后，尤其不太可能回到以前的工作场所。因此，干预与工作相关的 PTSD 变得尤为重要，以便让工人重返工作岗位。
使用 Medline、PsycINFO、Embase 和 Web of Science 进行了系统文献检索。根据纳入和排除标准，对文章进行了独立筛选，然后对所有纳入的文章进行了质量评估。
系统搜索确定了七篇文章纳入综述。这些文章包括六篇研究文章和一篇系统综述。综述特别关注在工作场所使用真实暴露技术治疗焦虑障碍的干预措施。在当前综述中涉及的研究文章中，研究人群包括警察、公共交通工作人员和在工作中受伤的员工。这些研究检验了 EMDR、认知行为技术和一种名为简要折衷心理治疗的综合治疗方法的有效性。有趣的是，6 篇研究文章中的 2 篇探讨了针对工作场所 PTSD 的附加治疗，旨在治疗对传统基于证据的心理治疗无反应的 PTSD 患者。
当前综述的结果表明，与工作相关的干预措施显示出作为促进在工作场所获得 PTSD 的员工重返工作岗位的有效策略的潜力。需要在这一领域进行进一步的研究，以确定具有特定创伤暴露类型的不同职业群体可能对工作定制治疗的反应有何不同。
