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报道难民和移民危机的记者受到的是道德伤害,而非创伤后应激障碍。

Journalists covering the refugee and migration crisis are affected by moral injury not PTSD.

作者信息

Feinstein Anthony, Pavisian Bennis, Storm Hannah

机构信息

Sunnybrook Health Sciences Centre, Toronto, ON M4N 3M5, Canada.

出版信息

JRSM Open. 2018 Mar 8;9(3):2054270418759010. doi: 10.1177/2054270418759010. eCollection 2018 Mar.

Abstract

OBJECTIVE

To explore the emotional health of journalists covering the migrations of refugees across Europe.

DESIGN

Descriptive. A secure website was established and participants were given their unique identifying number and password to access the site.

SETTING

Newsrooms and in the field.

PARTICIPANTS

Responses were received from 80 (70.2%) of 114 journalists from nine news organisations.

MAIN OUTCOME MEASURES

Symptoms of PTSD (Impact of Events Scale-revised), depression (Beck Depression Inventory-Revised) and moral injury (Moral Injury Events Scale-revised).

RESULTS

Symptoms of PTSD were not prominent, but those pertaining to moral injury and guilt were. Moral injury was associated with being a parent ( = .031), working alone ( = .02), a recent increase in workload ( = .017), a belief that organisational support is lacking ( = .046) and poor control over resources needed to report the story ( = .027). A significant association was found between guilt and moral injury ( = .01) with guilt more likely to occur in journalists who reported covering the migrant story close to home ( = .011) and who divulged stepping outside their role as a journalist to assist migrants ( = .014). Effect sizes () ranged from .47 to .71.

CONCLUSIONS

On one level, the relatively low scores on conventional psychometric measures of PTSD and depression are reassuring. However, our data confirm that moral injury is a different construct from DSM-defined trauma response syndromes, one that potentially comes with its own set of long-term maladaptive behaviours and adjustment problems.

摘要

目的

探讨报道难民穿越欧洲迁徙情况的记者的情绪健康状况。

设计

描述性研究。建立了一个安全网站,为参与者提供唯一的识别号码和访问该网站的密码。

地点

新闻编辑室和实地。

参与者

来自9个新闻机构的114名记者中有80名(70.2%)回复。

主要观察指标

创伤后应激障碍症状(事件影响量表修订版)、抑郁(贝克抑郁量表修订版)和道德伤害(道德伤害事件量表修订版)。

结果

创伤后应激障碍症状不突出,但道德伤害和内疚症状较为明显。道德伤害与为人父母(P = 0.031)、独自工作(P = 0.02)、近期工作量增加(P = 0.017)、认为缺乏组织支持(P = 0.046)以及对报道所需资源控制不佳(P = 0.027)有关。内疚与道德伤害之间存在显著关联(P = 0.01),在报道离家较近的移民故事(P = 0.011)以及透露曾超越记者角色去协助移民的记者中,内疚更易发生(P = 0.014)。效应量(r)范围为0.47至0.71。

结论

一方面,创伤后应激障碍和抑郁的传统心理测量指标得分相对较低,这令人安心。然而,我们的数据证实,道德伤害是一种与DSM定义的创伤反应综合征不同的概念,它可能伴随着自身一系列长期的适应不良行为和调整问题。

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