School of Psychology, Nanjing Normal University, Nanjing, PR China.
School of Family and Consumer Sciences, Northern Illinois University, DeKalb, Illinois.
J Nerv Ment Dis. 2021 Jan;209(1):23-27. doi: 10.1097/NMD.0000000000001250.
To investigate the prevalence and comorbidity rate of potential posttraumatic stress disorder (PTSD) and depression in frontline firefighters in China, as well as to analyze the related predictive factors for PTSD and depression, our study included 261 firefighters who completed assessments including the Demographic Data Forum, PTSD Checklist for DSM-5, Center for Epidemiological Studies Depression Scale, Chinese version of Perceived Stress Scale, and Perceived Social Support Scale. Among the participants, 1.9% and 11.9% were identified as having potential PTSD and depression, respectively. There was a 9.1% chance of comorbid PTSD among the depressed firefighters and a 60% chance of comorbid depression among the firefighters with PTSD. Perceived stress positively predicted both PTSD and depression; perceived social support negatively predicted both PTSD and depression. Whereas family exogenous support predicted both PTSD and depression, family endogenous support only predicted depression. In addition, PTSD was predicted by rank. Soldiers and sergeants demonstrated higher level of PTSD than officers. Future studies on mental health of firefighters should take factors like perceived stress, social support, and rank into consideration.
为了调查中国一线消防员中潜在创伤后应激障碍（PTSD）和抑郁的患病率和共病率，并分析 PTSD 和抑郁的相关预测因素，我们的研究纳入了 261 名消防员，他们完成了人口统计学数据论坛、DSM-5 创伤后应激障碍检查表、流行病学研究抑郁量表、中文版感知压力量表和感知社会支持量表的评估。在参与者中，分别有 1.9%和 11.9%被确定为患有潜在的 PTSD 和抑郁。抑郁的消防员中有 9.1%的共病 PTSD 风险，而 PTSD 的消防员中有 60%的共病抑郁风险。感知压力正向预测 PTSD 和抑郁；感知社会支持负向预测 PTSD 和抑郁。而家庭外源性支持预测 PTSD 和抑郁，家庭内源性支持仅预测抑郁。此外，PTSD 还受军衔的影响。士兵和中士比军官表现出更高水平的 PTSD。未来关于消防员心理健康的研究应考虑感知压力、社会支持和军衔等因素。
