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澳大利亚志愿消防员长期创伤后应激障碍症状与应对方式之间的关系调查

An Investigation Into the Relationship Between Long-term Posttraumatic Stress Disorder Symptoms and Coping in Australian Volunteer Firefighters.

作者信息

Doley Rebekah M, Bell Ryan, Watt Bruce D

机构信息

Australian Centre for Arson Research and Treatment, Bond University, Robina, Queensland, Australia.

出版信息

J Nerv Ment Dis. 2016 Jul;204(7):530-6. doi: 10.1097/NMD.0000000000000525.

DOI:10.1097/NMD.0000000000000525
PMID:27367600
Abstract

This study examined the relationship between coping style and long-term posttraumatic stress symptoms in an Australian sample of volunteer firefighters 84 months following a bushfire disaster. A total of 277 firefighters completed 4 questionnaires to assess patterns of psychiatric morbidity. A 2-way repeated-measures analysis of variance was conducted to investigate the effect of time and disorder on coping. Firefighters evidencing distress were more likely to use both problem- and emotion-focused methods of coping. Based on previous research, it was hypothesized that problem-focused coping strategies would be used after 84 months. The use of both problem- and emotion-focused coping may be due to the length of time following this disaster or unique characteristics of firefighters. These data suggest that present coping theories are not sufficient to account for the onset and pattern of psychiatric morbidity within a firefighter sample. The authors declare no conflicts of interest including financial, consultant, institutional, and other relationships that might lead to bias.

摘要

本研究调查了澳大利亚志愿消防员样本在丛林火灾灾难84个月后应对方式与长期创伤后应激症状之间的关系。共有277名消防员完成了4份问卷,以评估精神疾病发病率模式。进行了双向重复测量方差分析,以研究时间和障碍对应对方式的影响。表现出痛苦的消防员更有可能同时使用以问题为中心和以情绪为中心的应对方法。基于先前的研究,研究假设在84个月后会使用以问题为中心的应对策略。同时使用以问题为中心和以情绪为中心的应对方式可能是由于这场灾难后的时间长度或消防员的独特特征。这些数据表明,现有的应对理论不足以解释消防员样本中精神疾病发病率的发生和模式。作者声明不存在利益冲突,包括可能导致偏见的财务、顾问、机构和其他关系。

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