INTERVICT, Tilburg University, Tilburg, The Netherlands; Institute for Psychotrauma, Diemen, The Netherlands.
INTERVICT, Tilburg University, Tilburg, The Netherlands.
Psychiatry Res. 2014 Sep 30;219(1):177-82. doi: 10.1016/j.psychres.2014.05.032. Epub 2014 May 28.
Social organizational stressors are well-known predictors of mental health disturbances (MHD). However, to what extent these stressors predict post-disaster MHD among employed victims hardly received scientific attention and is clearly understudied. For this purpose we examined to what extent these stressors independently predict MHD 1.5 years post-disaster over and above well-known risk factors such as disaster exposure, initial MHD and lack of general social support, life-events in the past 12 months and demographics (N=423). Exposure, social organizational stressors and support were significantly associated with almost all examined mental health disturbances on a bi-variate level. Multivariate logistic regression analyses showed that these stressors, i.e. problems with colleagues, independently predicted anxiety (Adj. OR=5.93), depression (Adj. OR=4.21), hostility (Adj. OR=2.85) and having two or more mental health disturbances (Adj. OR=3.39) in contrast to disaster exposure. Disaster exposure independently predicted symptoms of PTSD symptoms (Adj. OR=2.47) and agoraphobia (Adj. OR=2.15) in contrast to social organizational stressors. Importantly, levels of disaster exposure were not associated nor correlated with (levels of) social organizational stressors. Findings suggest that post-disaster mental health care programs aimed at employed affected residents, should target social organizational stressors besides disaster-related stressors and lack of general social support.
社会组织压力源是心理健康障碍（MHD）的已知预测因素。然而，这些压力源在多大程度上预测受灾后就业人群的 MHD 几乎没有受到科学关注，而且研究明显不足。为此，我们研究了在灾难暴露、初始 MHD 和缺乏一般社会支持、过去 12 个月的生活事件以及人口统计学因素之外，这些压力源在灾难后 1.5 年内独立预测 MHD 的程度（N=423）。在双变量水平上，暴露、社会组织压力源和支持与几乎所有检查的心理健康障碍都显著相关。多变量逻辑回归分析表明，这些压力源，即与同事的问题，独立预测焦虑（调整后的 OR=5.93）、抑郁（调整后的 OR=4.21）、敌意（调整后的 OR=2.85）和两种或更多心理健康障碍（调整后的 OR=3.39），与灾难暴露相反。灾难暴露独立预测 PTSD 症状（调整后的 OR=2.47）和广场恐怖症（调整后的 OR=2.15），与社会组织压力源相反。重要的是，灾难暴露水平与社会组织压力源的水平既没有关联也没有相关性。研究结果表明，针对受灾后就业居民的心理健康护理计划，除了灾难相关压力源和缺乏一般社会支持外，还应针对社会组织压力源。
