School of Psychology, Nanjing Normal University, Nanjing, China.
CAS Key Laboratory of Mental Health, Institute of Psychology, Beijing, China.
J Clin Psychol. 2022 Jul;78(7):1436-1450. doi: 10.1002/jclp.23305. Epub 2022 Jan 7.
The purpose of this study was to explore the core and driving symptoms of posttraumatic stress disorder (PTSD) of firefighters before and after rescue. Identifying core symptoms of PTSD can help clinicians to understand what may be relevant targets for treatment.
The study recruited 334 firefighters in a firefighter military school in September 2017 (T1). They were followed up 3 months later (T2), during which time they participated in real rescue activities. The network structure of DSM-5 PTSD was using regularized partial correlation models and a Bayesian approach computing directed acyclic graphs.
The most central symptom both in T1 and T2 was negative emotional state. Irritable or anger emerged as a key driver of other symptoms in traumatized firefighters.
Negative emotional state and irritable or anger might represent important symptoms within PTSD symptomatology and may offer key targets in PTSD treatment for firefighters.
本研究旨在探讨救援前后消防员创伤后应激障碍（PTSD）的核心症状和驱动症状。确定 PTSD 的核心症状有助于临床医生了解哪些可能是治疗的相关目标。
本研究于 2017 年 9 月在一所消防军事学校招募了 334 名消防员（T1）。3 个月后（T2）对他们进行了随访，在此期间他们参加了真实的救援活动。采用正则化偏相关模型和贝叶斯方法计算有向无环图对 DSM-5 PTSD 的网络结构进行分析。
T1 和 T2 时最核心的症状均为负性情绪状态。创伤后消防员的易激惹或愤怒是其他症状的关键驱动因素。
负性情绪状态和易激惹或愤怒可能代表 PTSD 症状学中的重要症状，可能为消防员 PTSD 治疗提供关键靶点。
