School of Psychology, University of Surrey, Guildford, United Kingdom.
Rail Safety and Standards Board, London, United Kingdom.
J Trauma Stress. 2022 Oct;35(5):1460-1471. doi: 10.1002/jts.22846. Epub 2022 Jun 22.
This study examined posttraumatic stress disorder (PTSD), complex PTSD, depression, and anxiety among U.K. rail workers. A cross-sectional survey examining exposure to seven psychosocial hazards (bullying/harassment; verbal abuse; physical and sexual assault; and hearing about, seeing the aftermath of, or witnessing a fatality), working conditions, physical health, and the impact of COVID-19 was administered to 3,912 participants. Outcome measures were the ITQ, PHQ-9, and GAD-7. Among trauma-exposed participants, 24.3% met the criteria for PTSD or CPTSD; 38.6% and 29.2% of all participants scored in the moderate-to-severe range on the PHQ-9 and GAD-7, respectively. Data were analyzed using logistic and linear regression. Bullying/harassment was positively associated with GAD-7 scores, f = .001, and PTSD and CPTSD, ORs = 1.83-2.02. Hearing about and witnessing a fatality were associated with PTSD and CPTSD, ORs = 1.77-2.10. Poorer ergonomics at work were positively associated with PHQ-9 and GAD-7 scores, f = .001. Higher job satisfaction was associated with lower odds of PTSD and CPTSD, ORs = 0.87-0.91, and negatively associated with PHQ-9 and GAD-7 scores, f = .008-.01. Work intensity was associated with PTSD and CPTSD, ORs = 1.79-1.83, and positively associated with PHQ-9 and GAD-7 scores, f = .02-.03. Reporting more physical health problems was associated with PTSD, OR = 1.07, and positively associated with GAD-7 and PHQ-9 scores, f = .008-.01. The results suggest bullying/harassment and work intensity are important variables in employee mental health and could drive future research and industry initiatives.
本研究调查了英国铁路工人的创伤后应激障碍（PTSD）、复杂性 PTSD、抑郁和焦虑。一项横断面调查，调查了 7 种心理社会危害（欺凌/骚扰；言语虐待；身体和性侵犯；以及听说、目睹或目睹死亡事件）、工作条件、身体健康以及 COVID-19 的影响，向 3912 名参与者发放了 ITQ、PHQ-9 和 GAD-7。结果测量为 ITQ、PHQ-9 和 GAD-7。在经历过创伤的参与者中，24.3%符合 PTSD 或 CPTSD 的标准；所有参与者中，38.6%和 29.2%在 PHQ-9 和 GAD-7 上的得分处于中重度范围。使用逻辑和线性回归分析数据。欺凌/骚扰与 GAD-7 评分呈正相关，f =.001，与 PTSD 和 CPTSD 的 ORs = 1.83-2.02。听说和目睹死亡事件与 PTSD 和 CPTSD 相关，ORs = 1.77-2.10。工作时人体工程学较差与 PHQ-9 和 GAD-7 评分呈正相关，f =.001。较高的工作满意度与 PTSD 和 CPTSD 的可能性较低相关，ORs = 0.87-0.91，与 PHQ-9 和 GAD-7 评分呈负相关，f =.008-.01。工作强度与 PTSD 和 CPTSD 相关，ORs = 1.79-1.83，与 PHQ-9 和 GAD-7 评分呈正相关，f =.02-.03。报告更多身体健康问题与 PTSD 相关，OR = 1.07，与 GAD-7 和 PHQ-9 评分呈正相关，f =.008-.01。结果表明，欺凌/骚扰和工作强度是员工心理健康的重要变量，可能推动未来的研究和行业举措。
