Carmassi Claudia, Bertelloni Carlo Antonio, Avella Maria Teresa, Cremone Ivan, Massimetti Enrico, Corsi Martina, Dell'Osso Liliana
Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
ASST, Bergamo Ovest, SSD Servizio Psichiatrico diagnosi e cura, Treviglio, Italy.
Clin Pract Epidemiol Ment Health. 2020 Jul 30;16:165-173. doi: 10.2174/1745017902016010165. eCollection 2020.
PTSD and burnout are frequent conditions among emergency healthcare personnel because exposed to repeated traumatic working experiences. Increasing evidence suggests high comorbidity between PTSD and mood symptoms, particularly depression, although the real nature of this relationship still remains unclear. The purpose of this study was to investigate the relationship between PTSD, burnout and lifetime mood spectrum, assessed by a specific scale, among health-care professionals of a major University Hospital in Italy.
N=110 Emergency Unit workers of the Azienda Ospedaliero-Universitaria Pisana (Pisa, Italy) were assessed by the TALS-SR, MOODS-SR lifetime version and the ProQOL R-IV.
Approximately 60% of participants met at least one PTSD symptom criterion (criterion B, 63.4%; criterion C, 40.2%; criterion D 29.3%; criterion E, 26.8%), according to DSM-5 diagnosis. Almost sixteen percent of the sample reported a full symptomatic DSM-5 PTSD (work-related) diagnosis, and these showed significantly higher scores in all MOODS-SR depressive domains, as well as in the rhythmicity domain, compared with workers without PTSD. Further, mood-depressive and cognition-depressive MOODS-SR domains resulted to be predictive for PTSD. Significant correlations emerged between either PTSD diagnosis and criteria or ProQOL subscales and all the MOOD-SR domains.
A significant association emerged among PTSD, burnout and lifetime MOOD Spectrum, particularly the depressive component, in emergency health care operators, suggesting this population should be considered at-risk and undergo regular screenings for depression and PTSD.
创伤后应激障碍（PTSD）和职业倦怠在紧急医疗救护人员中很常见，因为他们会反复经历创伤性工作经历。越来越多的证据表明，PTSD与情绪症状，尤其是抑郁症之间存在高度共病性，尽管这种关系的真正本质仍不清楚。本研究的目的是调查意大利一家大型大学医院的医护人员中，PTSD、职业倦怠与通过特定量表评估的终生情绪谱之间的关系。
对比萨大学医院（意大利比萨）急诊科的110名工作人员进行了创伤后应激障碍自评量表简版（TALS-SR）、终生版情绪自评量表（MOODS-SR）和职业生活质量量表第四版（ProQOL R-IV）评估。
根据《精神疾病诊断与统计手册》第5版（DSM-5）的诊断标准，约60%的参与者至少符合一项PTSD症状标准（标准B，63.4%；标准C，40.2%；标准D，29.3%；标准E，26.8%）。近16%的样本报告了符合DSM-5全部症状标准的PTSD（与工作相关）诊断，与没有PTSD的工作人员相比，这些人在所有MOODS-SR抑郁领域以及节律领域的得分显著更高。此外，MOODS-SR的情绪抑郁和认知抑郁领域对PTSD具有预测作用。PTSD诊断及标准与ProQOL各分量表和所有MOOD-SR领域之间均存在显著相关性。
在紧急医疗救护人员中，PTSD、职业倦怠与终生情绪谱之间存在显著关联，尤其是抑郁成分，这表明该人群应被视为高危人群，并定期接受抑郁症和PTSD筛查。
