Centre d'Étude du Trauma, Centre de Recherche Fernand-Seguin, Hôpital Louis-H. Lafontaine, Québec, Montréal, Canada.
J Trauma Stress. 2012 Aug;25(4):465-8. doi: 10.1002/jts.21726. Epub 2012 Jul 25.
Armed robbery is a sudden, life-threatening event affecting the victims' mental health. Posttraumatic stress disorder (PTSD) and major depressive disorder (MDD) in this population have rarely been studied. The objectives of the study were to assess the occurrence of PTSD and MDD in victims of armed robbery, and to evaluate occupational functioning and use of health care services. Eighty-six convenience store employees, victims of armed robbery, were evaluated within days after the robbery, and 1 and 3 months after. A validated diagnostic interview (SCID-I) was used. Data about sick leave, absenteeism, and use of health care services were collected. The total number of individuals who had PTSD, MDD, or both at any time during the 3 months following the robbery was 1 (2%), 4 (6%), and 5 (8%), respectively, showing that comorbid PTSD-MDD is as frequent as or even more frequent than either disorder in isolation. Individuals with PTSD (with or without comorbid MDD) reported more absenteeism (η(2) (p) = .25) and more medical visits (η(2) (p) = .12) following the robbery. Clinicians and management resources personnel must be alert to the possibility that both PTSD and MDD, either alone or comorbid, can develop in victims of armed robbery.
武装抢劫是一种突发的、危及生命的事件，会影响受害者的心理健康。创伤后应激障碍（PTSD）和重度抑郁症（MDD）在这一人群中很少被研究。本研究的目的是评估武装抢劫受害者中 PTSD 和 MDD 的发生情况，并评估职业功能和卫生保健服务的使用情况。在抢劫发生后的几天、1 个月和 3 个月，对 86 名便利店员工（武装抢劫的受害者）进行了评估。使用了经过验证的诊断访谈（SCID-I）。收集了病假、旷工和使用卫生保健服务的数据。在抢劫后的 3 个月内，任何时候患有 PTSD、MDD 或两者兼有 的总人数分别为 1 人（2%）、4 人（6%）和 5 人（8%），这表明 PTSD-MDD 共病与单独存在任何一种障碍一样常见，甚至更为常见。患有 PTSD（无论是否共患 MDD）的个体在抢劫后报告了更多的旷工（η(2)（p）=.25）和更多的就诊次数（η(2)（p）=.12）。临床医生和管理人员必须警惕，在武装抢劫受害者中，无论是单独存在还是共病，都可能会出现 PTSD 和 MDD。
