Hansen J S, Simonsen E
Psychotherapeutic Outpatient Clinic, Mental Health Centre Glostrup, Brøndbyøstervej 160, 2605, Brøndby, Denmark.
Psychiatric Research Unit, The Psychiatry Region Zealand, Slagelse, Denmark.
Community Ment Health J. 2018 Aug;54(6):823-830. doi: 10.1007/s10597-017-0180-1. Epub 2017 Nov 14.
The current study screened for post-traumatic stress disorder (PTSD) and self-harming behaviours, often related to borderline personality disorder (BPD), among individuals in a job centre considered unemployable primarily for psychological reasons. Participants (N = 112) filled in questionnaires on PTSD symptoms (n = 62) and self-harming behaviours (n = 59) as part of participating in team-meetings providing the individuals with a return-to-work plan. Differences in demographic variables between individuals with and without valid protocols were small to moderate. Of the individuals filling in the PTSD questionnaire 40% fulfilled criteria for probable PTSD and 31% of the individuals filling in the questionnaire on self-harming behaviours reported five or more types of self-harming behaviours. Only a minority of these individuals had PTSD or BPD respectively mentioned in their case records. Further investigation of the prevalence of PTSD and self-harming behaviour among individuals considered unemployable is warranted as well as an enhanced focus in jobcentres and other institutions supporting employability on detection and treatment of PTSD and early signs of BPD.
当前研究在一个主要因心理原因被认为无法就业的就业中心的人群中，筛查创伤后应激障碍（PTSD）和自我伤害行为，这些行为通常与边缘型人格障碍（BPD）有关。参与者（N = 112）填写了关于PTSD症状（n = 62）和自我伤害行为（n = 59）的问卷，作为参与为个人提供重返工作计划的团队会议的一部分。有有效记录和无有效记录的个体在人口统计学变量上的差异为小到中度。填写PTSD问卷的个体中，40%符合可能患有PTSD的标准，填写自我伤害行为问卷的个体中，31%报告有五种或更多类型的自我伤害行为。这些个体中只有少数在其病例记录中分别被提及患有PTSD或BPD。有必要进一步调查被认为无法就业的个体中PTSD和自我伤害行为的患病率，同时就业中心和其他支持就业能力的机构应更加关注PTSD和BPD早期迹象的检测和治疗。
