Institute of Occupational Medicine and Industrial Hygiene, School of Public Health, National Taiwan University, Taipei, Taiwan, ROC.
J Occup Rehabil. 2014 Mar;24(1):1-10. doi: 10.1007/s10926-013-9431-3.
This study aimed to examine the prevalence rates of both post-traumatic stress disorder (PTSD) and major depression at 12 months in workers experiencing different types of occupational injury in Taiwan. Demographic and injury-related risk factors for psychological symptoms were also evaluated.
Our study candidates were injured workers in Taiwan who were hospitalized for 3 days or longer and received hospitalization benefits from the Labor Insurance program. A two-staged survey study was conducted. A self-reported questionnaire including the Brief Symptom Rating Scale and Post-traumatic Symptom Checklist was sent to workers at 12 months after injury. Those who met the criteria were recruited for the second-stage phone interview with a psychiatrist using the Mini-international Neuropsychiatric Interview (MINI).
A total of 1,233 workers completed the questionnaire (response rate 28.0 %). Among them, 167 (13.5 %) fulfilled the criteria for the MINI interview and were invited. A total of 106 (63.5 %) completed the phone interview. The estimated rate of either PTSD/PPTSD or major depression was 5.2 %. The risk factors for psychological symptoms were female gender, lower education level, loss of consciousness after occupational injury, injury affecting physical appearance, occupational injury experience before this event, life experience before and after this injury, length of hospital stay, self-rated injury severity, and percentage of income to the family.
These results showed that occupational injury can cause long-term psychological impact in workers. Key demographic and injury characteristics may enhance the identification of at-risk occupational injured workers who would benefit from targeted screening and early intervention efforts.
本研究旨在调查在台湾，经历不同类型职业伤害的工人在 12 个月时患有创伤后应激障碍（PTSD）和重度抑郁症的流行率。还评估了与人口统计学和伤害相关的心理症状风险因素。
我们的研究对象是在台湾因伤住院 3 天或以上并从劳工保险计划中获得住院津贴的受伤工人。进行了两阶段的调查研究。在受伤后 12 个月向工人发送了包括简明症状评定量表和创伤后症状检查表在内的自我报告问卷。符合标准的工人将被招募参加与精神科医生进行的电话访谈，使用迷你国际神经精神访谈（MINI）。
共有 1233 名工人完成了问卷（应答率 28.0%）。其中，167 人（13.5%）符合 MINI 访谈标准并被邀请。共有 106 人（63.5%）完成了电话访谈。心理症状的估计发生率为 PTSD/PPTSD 或重度抑郁症为 5.2%。心理症状的风险因素是女性性别、较低的教育水平、职业伤害后意识丧失、伤害影响外貌、在此事件之前的职业伤害经历、受伤前后的生活经历、住院时间、自我评估的伤害严重程度和家庭收入百分比。
这些结果表明，职业伤害会对工人造成长期的心理影响。关键的人口统计学和伤害特征可能会增强对高危职业受伤工人的识别，使他们受益于有针对性的筛查和早期干预工作。
