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警察创伤后应激障碍的预测因素:一项前瞻性研究。

Predictors of posttraumatic stress disorder among police officers: A prospective study.

机构信息

Department of Psychology.

Department of Sexology.

出版信息

Psychol Trauma. 2015 May;7(3):212-21. doi: 10.1037/a0038780. Epub 2015 Mar 16.

Abstract

This prospective study examined risk and protective factors in the development of posttraumatic stress disorder (PTSD) in a sample of 83 police officers. Structured interviews were conducted in order to assess the most recent work-related traumatic event and establish diagnoses of acute stress disorder (ASD) and full or partial PTSD. Police officers were assessed between 5 and 15 days, and at 1 month, 3 months, and 12 months after the event. They also completed self-administered questionnaires assessing several potential predictors. Predictive analyses about the onset of PTSD were based on a 4-step nested random-effect linear regression. Overall, results showed that the modulation of PTSD symptomatology was associated with some pretraumatic (i.e., emotional coping strategies and number of children), peritraumatic (i.e., physical and emotional reactions and dissociation), and posttraumatic factors (i.e., ASD, depression symptoms, and seeking psychological help at the employee assistance program and at the police union between the event and Time 1). Clinical implications of these findings are discussed and key directions for future studies are proposed.

摘要

本前瞻性研究在 83 名警察样本中考察了创伤后应激障碍(PTSD)发展的风险和保护因素。通过结构化访谈来评估最近与工作相关的创伤性事件,并确定急性应激障碍(ASD)和完全或部分 PTSD 的诊断。在事件发生后 5 至 15 天以及 1、3 和 12 个月对警察进行评估。他们还填写了自我评估问卷,评估了几个潜在的预测因素。关于 PTSD 发病的预测分析基于 4 步嵌套随机效应线性回归。总体而言,结果表明,PTSD 症状的调节与一些创伤前(即情绪应对策略和孩子的数量)、创伤时(即身体和情绪反应和分离)和创伤后因素(即 ASD、抑郁症状以及在事件发生和第 1 次评估之间在员工援助计划和警察工会寻求心理帮助)有关。讨论了这些发现的临床意义,并提出了未来研究的重点方向。

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