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创伤后应激障碍在一线记者中的症状:对 18 年战争和冲突的回顾性研究。

Symptoms of PTSD in Frontline Journalists: A Retrospective Examination of 18 Years of War and Conflict.

机构信息

1 Department of Psychiatry, Sunnybrook Health Sciences Center, Toronto, Ontario.

2 University of Toronto, Ontario.

出版信息

Can J Psychiatry. 2018 Sep;63(9):629-635. doi: 10.1177/0706743718777396. Epub 2018 May 23.

Abstract

OBJECTIVE

The objective of the current study was to determine the frequency and severity of symptoms of posttraumatic stress disorder (PTSD) in journalists covering conflict.

METHODS

PTSD data (Impact of Event Scale-Revised) collected over an 18-year period from 684 conflict journalists were analyzed retrospectively for frequency and severity of reexperiencing, avoidance, and arousal symptoms. Conflicts covered were civil wars in the Balkans ( n = 140 journalists), 9/11 attack in New York City ( n = 46), Iraq war ( n = 84), Mexico drug wars ( n = 104), civil war in Syria ( n = 59), Kenya election violence/Al-Shabab terror ( n = 57), state-sanctioned media intimidation in Iran ( n = 114), and the current migration crisis in Europe ( n = 80).

RESULTS

The mean age of the sample was 38.59 (SD = 8.35) years, 461 (67%) journalists were men, and the mean duration of conflict work was 13.42 (SD = 7.74) years. The 5 most frequently endorsed symptoms were in the reexperiencing/intrusion category. Mean intrusion (1.31, SD = 0.97), avoidance (1.08, SD = 0.89), and arousal (1.07, SD = 0.96) scores for the entire sample were in the mild range. Being female and less educated independently predicted PTSD symptoms.

CONCLUSIONS

PTSD phenomenology in a group of conflict journalists with well over a decade of frontline experience is dominated by reexperiencing symptoms. While symptom severity is for the most part mild, group means can obscure those individuals with significantly more severe difficulties.

摘要

目的

本研究旨在确定报道冲突的记者创伤后应激障碍(PTSD)症状的频率和严重程度。

方法

回顾性分析了 684 名冲突记者在 18 年期间收集的 PTSD 数据(修订后的事件影响量表),以分析再体验、回避和唤醒症状的频率和严重程度。报道的冲突包括巴尔干半岛的内战(n = 140 名记者)、纽约市的 9/11 袭击(n = 46 名记者)、伊拉克战争(n = 84 名记者)、墨西哥毒品战争(n = 104 名记者)、叙利亚内战(n = 59 名记者)、肯尼亚选举暴力/青年党恐怖主义(n = 57 名记者)、伊朗国家媒体恐吓(n = 114 名记者)以及欧洲当前的移民危机(n = 80 名记者)。

结果

样本的平均年龄为 38.59 岁(标准差= 8.35),461 名(67%)记者为男性,冲突工作的平均持续时间为 13.42 年(标准差= 7.74)。最常被认可的症状是再体验/入侵类别。整个样本的平均入侵(1.31,标准差= 0.97)、回避(1.08,标准差= 0.89)和唤醒(1.07,标准差= 0.96)得分均处于轻度范围。女性和受教育程度较低独立预测 PTSD 症状。

结论

在一组具有超过十年前线经验的冲突记者中,PTSD 现象学以再体验症状为主。虽然症状严重程度在大多数情况下较轻,但群体平均值可能会掩盖那些症状明显更严重的个体。

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