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《御岳山喷发灾难支援任务部队警察的与职务相关的创伤后应激障碍的风险因素》

Risk Factors for Duty-Related Posttraumatic Stress Disorder among Police Officers in the Mt. Ontake Eruption Disaster-Support Task Force.

机构信息

Department of Preventive Medicine and Public Health, School of Medicine, Shinshu University, 3-1-1 Asahi, Matsumoto-shi, Nagano 390-8621, Japan.

Department of Occupational Medicine, School of Medicine, Shinshu University, 3-1-1 Asahi, Matsumoto-shi, Nagano 390-8621, Japan.

出版信息

Int J Environ Res Public Health. 2020 Apr 30;17(9):3134. doi: 10.3390/ijerph17093134.

Abstract

Mount Ontake in Nagano Prefecture, Japan erupted on 27 September 2014. Many police officers were called in for duty as a disaster-support task force. We investigated the association between the peritraumatic situation and posttraumatic stress disorder (PTSD) symptoms in these police officers. In January 2015, a health survey (OHS) on disaster stress related to the Mt. Ontake eruption disaster support work was distributed to all of the police officers and staff involved in the disaster support. We analyzed the 213 participants who had PTSD symptoms following the eruption and no missing OHS data. Logistic regression analyses were conducted to clarify the relationship between the participants' symptom severity and their peritraumatic situation (i.e., stressors and daily support prior to the eruption, disaster-support work duties, and postdisaster stress relief). The symptom severity was associated with 'more than seven cumulative days at work' (odds ratio [OR] = 2.47, 1.21-5.06), 'selecting drinking and/or smoking as stress relief after disaster-support work' (OR = 2.35, 1.09-5.04), and 'female' (OR = 3.58, 1.19-10.77). As disaster-support work, 'supporting the victims' families' (OR = 1.99, 0.95-4.21) tended to be associated with symptom severity. The number of days of disaster-support work, stress-relief behavior, and gender were associated with the severity of PTSD symptoms.

摘要

日本长野县的御岳山于 2014 年 9 月 27 日爆发。许多警察被召集来执行灾难支援任务。我们调查了这些警察在创伤前情境与创伤后应激障碍(PTSD)症状之间的关联。2015 年 1 月,对与御岳山喷发灾难支援工作相关的灾难应激的健康调查(OHS)分发给所有参与灾难支援的警察和工作人员。我们分析了 213 名在喷发后出现 PTSD 症状且 OHS 数据无缺失的参与者。进行逻辑回归分析以阐明参与者症状严重程度与其创伤前情境(即喷发前的压力源和日常支持、灾难支援工作职责以及灾后缓解压力)之间的关系。症状严重程度与“工作超过七天”(比值比[OR] = 2.47,1.21-5.06)、“选择饮酒和/或吸烟作为灾难支援工作后的缓解压力方式”(OR = 2.35,1.09-5.04)和“女性”(OR = 3.58,1.19-10.77)有关。作为灾难支援工作,“支援受害者家属”(OR = 1.99,0.95-4.21)倾向于与症状严重程度相关。灾难支援工作的天数、缓解压力的行为以及性别与 PTSD 症状的严重程度有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/672e/7246637/a241fb7e4c3a/ijerph-17-03134-g001.jpg

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