Department of Occupational and Environmental Medicine, Gil Medical Center, Gachon University College of Medicine, Incheon, Republic of Korea.
Department of Occupational and Environmental Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222, Banpo-daero, Seocho-gu, Seoul, 06591, Republic of Korea.
BMC Public Health. 2020 May 24;20(1):768. doi: 10.1186/s12889-020-08903-2.
Although numerous studies on occupational post-traumatic stress disorder (PTSD) have been conducted prior to the 1950-2010 seminal systematic review by Skogstad et al., the prevalence, risk factors, and impact of this disorder following traumatic events in occupational settings remain unclear. This study aims to address this knowledge gap by reviewing the literature published after 2010.
We reviewed literature from databases such as PubMed and Google Scholar using PRISMA guidelines to identify studies that address occupational PTSD and examined the status (prevalence or incidence), the risk factors, and the health effects of PTSD among workers.
In total, 123 articles were identified, and finally, 31 (25.2%) articles were selected after excluding duplicates. Various occupational traumatic physical events were reported such as natural or manmade disaster, explosion, accident, handling refugee corpses, or bullying at work. Risk of PTSD was closely associated with working conditions, severity of injury, history of mental disorder, occurrence of psychiatric symptoms at the time of the event, personality, interpersonal relationships, etc. Workers with PTSD were likely to experience a deterioration of physical and psychological health and impairment of social and occupational functioning.
Our review suggests that many workers remain highly vulnerable to occupational PTSD and its consequences.
尽管在 Skogstad 等人 1950 年至 2010 年的开创性系统综述之前已经进行了许多关于职业创伤后应激障碍（PTSD）的研究，但在职业环境中发生创伤性事件后，这种障碍的患病率、风险因素和影响仍不清楚。本研究旨在通过审查 2010 年后发表的文献来填补这一知识空白。
我们使用 PRISMA 指南审查了来自 PubMed 和 Google Scholar 等数据库的文献，以确定研究职业 PTSD 的研究，并检查了工人 PTSD 的现状（患病率或发病率）、风险因素和健康影响。
共确定了 123 篇文章，最终排除重复后选择了 31 篇（25.2%）文章。报告了各种职业性创伤性身体事件，例如自然灾害或人为灾害、爆炸、事故、处理难民尸体或工作中的欺凌。 PTSD 的风险与工作条件、受伤严重程度、精神障碍史、事件发生时出现精神症状、个性、人际关系等密切相关。患有 PTSD 的工人更有可能经历身心健康恶化以及社会和职业功能受损。
我们的综述表明，许多工人仍然非常容易受到职业 PTSD 及其后果的影响。
