Fan Yunge, Guan Lili, Xiang Hu, Yang Xianmei, Huang Guoping, Cheng Wenhong, Xie Yongbiao, Wang Xiuzhen, Liang Guangming, He Ming, Wang Ruiru, Hu Jia, Liu Menglin, Mou Xiaojie, Wu Baoming, Ma Hong, Yu Xin
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), Beijing, China.
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), Beijing, China.
Asian J Psychiatr. 2021 Jul;61:102689. doi: 10.1016/j.ajp.2021.102689. Epub 2021 May 10.
Although local government staff are crucial in post-quake reconstruction, their long-term psychological and professional consequences remain unclear. This longitudinal study investigated changes of posttraumatic stress disorder (PTSD) and professional burnout over seven years, and their underlying relationship. The study assessed 250 staff at one year (T) after the earthquake, and 162 (64.8 %) were followed up at seven years (T). PTSD and professional burnout were assessed with the Short Screening Scale for DSM-IV PTSD and the burnout subscale of Professional Quality of Life Scale (ProQOL), respectively, at both time points. Longitudinal changes in PTSD and burnout were examined and cross-lagged panel analyses were conducted to test the relationship between PTSD and burnout. The rates of positive cases of PTSD screening were 23.2 % at T and 11.1 % at T. The percentages of moderate burnout were 61.7 % at T and 23.5 % at T. Scores of PTSD (z = -5.70, p < 0.001) and burnout (t = 10.07, p < 0.001) from T to T decreased. The cross-lagged analysis indicated that burnout at T predicted PTSD at T (β = 0.19, p = 0.025). In conclusion, the Wenchuan earthquake has long-lasting negative effects on local government staff, although they can recover over time. Interventions to reduce professional burnout after disaster may does be beneficial to decrease the risk of PTSD in the long run.
尽管当地政府工作人员在震后重建中至关重要，但其长期的心理和职业影响仍不明确。这项纵向研究调查了七年间创伤后应激障碍（PTSD）和职业倦怠的变化及其潜在关系。该研究在地震发生一年后（T1）对250名工作人员进行了评估，七年后（T2）对162名（64.8%）工作人员进行了随访。在两个时间点分别使用DSM-IV创伤后应激障碍简短筛查量表和职业生活质量量表（ProQOL）的倦怠分量表对PTSD和职业倦怠进行评估。研究了PTSD和倦怠的纵向变化，并进行了交叉滞后面板分析以检验PTSD与倦怠之间的关系。PTSD筛查阳性率在T1为23.2%，在T2为11.1%。中度倦怠的比例在T1为61.7%，在T2为23.5%。从T1到T2，PTSD得分（z = -5.70，p < 0.001）和倦怠得分（t = 10.07，p < 0.001）均下降。交叉滞后分析表明，T1时的倦怠可预测T2时的PTSD（β = 0.19，p = 0.025）。总之，汶川地震对当地政府工作人员有长期的负面影响，尽管他们会随着时间推移而恢复。灾后减少职业倦怠的干预措施可能从长远来看有利于降低患PTSD的风险。
