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积极的心理因素与卡特里娜飓风过后警察中较低的创伤后应激障碍症状相关。

Positive psychological factors are associated with lower PTSD symptoms among police officers: post Hurricane Katrina.

作者信息

McCanlies Erin C, Mnatsakanova Anna, Andrew Michael E, Burchfiel Cecil M, Violanti John M

机构信息

Biostatistics and Epidemiology Branch, Health Effects Laboratory Division, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, WV, USA.

出版信息

Stress Health. 2014 Dec;30(5):405-15. doi: 10.1002/smi.2615.

Abstract

Following Hurricane Katrina, police officers in the New Orleans geographic area faced a number of challenges. This cross-sectional study examined the association between resilience, satisfaction with life, gratitude, posttraumatic growth, and symptoms of posttraumatic stress disorder in 84 male and 30 female police officers from Louisiana. Protective factors were measured using the Connor-Davidson Resilience scale, Satisfaction with Life Scale, the Gratitude Questionnaire, and the Posttraumatic Growth inventory. Symptoms of posttraumatic stress disorder were measured using the Posttraumatic Stress Disorder Checklist--Civilian (PCL-C). Potential associations were measured using linear regression and analysis of variance. Models were adjusted for age, sex, race, education, and alcohol. Mean PCL-C symptoms were 29.5 ± 14.5 for females and 27.8 ± 12.1 for males. Adjusted mean levels of PCL-C symptoms significantly decreased as quartiles of resilience (p < .001), satisfaction with life (p < .001), and gratitude (p < .001) increased. In contrast, PCL-C symptoms were not associated with posttraumatic growth in this sample. These results indicate that positive factors such as resilience, satisfaction with life, and gratitude may help mitigate symptoms of posttraumatic stress disorder. To further explore these relationships, longitudinal follow-up in a larger population would be of interest.

摘要

卡特里娜飓风过后,新奥尔良地区的警察面临着诸多挑战。这项横断面研究调查了路易斯安那州84名男性和30名女性警察的心理韧性、生活满意度、感恩之情、创伤后成长与创伤后应激障碍症状之间的关联。使用康纳-戴维森心理韧性量表、生活满意度量表、感恩问卷和创伤后成长量表来测量保护因素。使用创伤后应激障碍检查表——民用版(PCL-C)来测量创伤后应激障碍症状。使用线性回归和方差分析来测量潜在关联。模型针对年龄、性别、种族、教育程度和饮酒情况进行了调整。女性的PCL-C症状平均得分为29.5±14.5,男性为27.8±12.1。随着心理韧性(p<.001)、生活满意度(p<.001)和感恩之情(p<.001)四分位数的增加,调整后的PCL-C症状平均水平显著降低。相比之下,在这个样本中,PCL-C症状与创伤后成长无关。这些结果表明,心理韧性、生活满意度和感恩之情等积极因素可能有助于减轻创伤后应激障碍的症状。为了进一步探究这些关系,对更大规模人群进行纵向随访将是有意义的。

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