Fichera G P, Fattori A, Neri L, Musti M, Coggiola M, Costa G
Department of Clinical Sciences and Community Health, University of Milan, Via San Barnaba n.8, 20122 Milan, Italy, Istituto di Ricovero e Cura a Carattere Scientifico Maggiore Policlinico Hospital, Ca' Granda Foundation, 20122 Milan, Italy,
Department of Clinical Sciences and Community Health, University of Milan, Via San Barnaba n.8, 20122 Milan, Italy, Istituto di Ricovero e Cura a Carattere Scientifico Maggiore Policlinico Hospital, Ca' Granda Foundation, 20122 Milan, Italy.
Occup Med (Lond). 2015 Jun;65(4):283-9. doi: 10.1093/occmed/kqu180. Epub 2014 Dec 20.
Post-traumatic stress disorder (PTSD) in the occupational context, especially following workplace robbery, is still under-investigated.
To evaluate PTSD incidence and risk factors among bank employee victims of robbery voluntarily joining an employer-sponsored post-robbery support programme.
The programme entailed a structured support interview with robbery victims within 15 days of the robbery and a follow-up psychological assessment 45 days after. A self-reported questionnaire on personal variables and robbery characteristics was administered to participants at the first support session (T1). Interviews on employees' psychophysical health and their opinion about the support programme were administered individually at follow-up (T2). The Impact of Event Scale (IES) was administered both at T1 and T2.
There were 383 participants. At T2, 13% of subjects had an IES score >34, a cut-off suggestive of PTSD. In a multi-variate model, feelings of helplessness and terror during the robbery and the number of previous robberies were associated with a PTSD diagnosis. After including IES score at T1, other variables lost statistical significance.
Our findings showed that PTSD is common among employee victims of workplace robbery. Our results also suggest the importance of subjective variables, such as personal perception of robbery severity and early emotional reaction, in identifying people at higher risk of developing PTSD.
职业环境中的创伤后应激障碍(PTSD),尤其是在 workplace robbery 之后,仍未得到充分研究。
评估自愿参加雇主赞助的抢劫后支持计划的银行抢劫案员工受害者中 PTSD 的发病率和风险因素。
该计划包括在抢劫后 15 天内对抢劫受害者进行结构化支持访谈,并在 45 天后进行后续心理评估。在第一次支持会议(T1)上,向参与者发放了一份关于个人变量和抢劫特征的自我报告问卷。在随访(T2)时,分别对员工的身心健康及其对支持计划的看法进行访谈。在 T1 和 T2 时均使用事件影响量表(IES)。
共有 383 名参与者。在 T2 时,13% 的受试者 IES 得分 >34,这一临界值提示可能患有 PTSD。在多变量模型中,抢劫期间的无助感和恐惧感以及以前抢劫的次数与 PTSD 诊断相关。纳入 T1 时的 IES 得分后,其他变量失去统计学意义。
我们的研究结果表明,PTSD 在工作场所抢劫的员工受害者中很常见。我们的结果还表明,主观变量,如对抢劫严重程度的个人感知和早期情绪反应,在识别患 PTSD 风险较高的人群方面具有重要意义。