Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Haidian District Huayuan North Road No. 51, Beijing, 100191, China.
The Third People's Hospital of Mianyang, Mianyang, Sichuan, China.
BMC Public Health. 2021 Apr 9;21(1):702. doi: 10.1186/s12889-021-10726-8.
The current study examined the change in local government staff's emotional distress over 7 years after the 2008 Wenchuan earthquake, and the influence of earthquake exposure and professional quality of life (ProQOL) on emotional distress.
This longitudinal study assessed 250 participants at 1 year after the earthquake; 162 (64.8%) were followed up at 7 years. Emotional distress was assessed with the Self-Reporting Questionnaire (SRQ) at both time points. We assessed ProQOL, including compassion satisfaction, burnout, and secondary traumatic stress, and earthquake exposure at 1 year. Wilcoxon signed-rank tests were performed to test longitudinal changes in emotional distress. Hierarchical multiple regression was conducted to examine the effect of earthquake exposure and ProQOL.
The positive screening rate of emotional distress (SRQ ≥ 8) was 37.6 and 15.4% at one and 7 years, respectively. Emotional distress scores declined over time (p < 0.001). Earthquake exposure and ProQOL predicted one-year (ps < 0.05) but not seven-year emotional distress, whereas burnout predicted both one-year (p = 0.018) and seven-year (p = 0.047) emotional distress.
Although emotional distress can recover over time, it persists even 7 years later. Actions to reduce burnout during the early stage of post-disaster rescue have long-term benefits to staff's psychological outcomes.
本研究考察了 2008 年汶川地震后 7 年内地方政府工作人员情绪困扰的变化，以及地震暴露和专业生活质量（ProQOL）对情绪困扰的影响。
本纵向研究在地震后 1 年评估了 250 名参与者；其中 162 名（64.8%）在 7 年后进行了随访。在两个时间点均使用自报告问卷（SRQ）评估情绪困扰。我们在 1 年时评估了 ProQOL，包括同情满足、倦怠和二次创伤压力，以及地震暴露情况。采用 Wilcoxon 符号秩检验检验情绪困扰的纵向变化。采用分层多元回归分析地震暴露和 ProQOL 的影响。
情绪困扰（SRQ≥8）的阳性检出率在 1 年和 7 年时分别为 37.6%和 15.4%。情绪困扰评分随时间下降（p<0.001）。地震暴露和 ProQOL 预测了 1 年时的情绪困扰（p<0.05），但不能预测 7 年时的情绪困扰，而倦怠则预测了 1 年（p=0.018）和 7 年（p=0.047）时的情绪困扰。
尽管情绪困扰可以随时间恢复，但即使在 7 年后仍持续存在。在灾难救援的早期阶段采取措施减少倦怠，对工作人员的心理结果有长期益处。
