The University of Massachusetts Chan Medical School, Worcester, MA, USA.
, Newton, MA, USA.
Psychiatr Q. 2023 Sep;94(3):531-540. doi: 10.1007/s11126-023-10014-1. Epub 2023 Feb 20.
Although not widely known, public works employees in the United States were designated as emergency providers during critical incidents in 2003 and have provided these public works services, when activated. These public works employees may be either employees of a specific government entity or, more recently, privately contracted employees who provide similar services for a government entity. First responders working critical incidents are at risk for psychological trauma and posttraumatic stress disorder (PTSD). It is less clear, however, whether government/contracted public works employees working the same critical incidents are subject to the same risk of onset. This paper reviewed 24 empirical studies assessing this possible association from 1980 to 2020. These studies included 94,302 government/contracted employees. Psychological trauma/PTSD was reported in all 24 manuscripts assessing PTSD. Three of these studies additionally reporting serious somatic health problems. Public works employees are at risk for onset and this is a worldwide issue. Study findings and treatment implications are presented.
尽管并不广为人知，但美国的公共工程员工在 2003 年的重大事件中被指定为紧急救援人员，并在被激活时提供这些公共工程服务。这些公共工程员工可能是特定政府实体的员工，或者是最近为政府实体提供类似服务的私营合同员工。处理重大事件的第一响应者面临心理创伤和创伤后应激障碍（PTSD）的风险。然而，政府/合同公共工程员工在处理相同的重大事件时是否同样面临发病风险尚不清楚。本文回顾了 1980 年至 2020 年期间评估这种可能关联的 24 项实证研究。这些研究包括 94302 名政府/合同员工。评估 PTSD 的 24 篇手稿均报告了心理创伤/创伤后应激障碍。其中三项研究还报告了严重的躯体健康问题。公共工程员工有发病的风险，这是一个全球性问题。本文提出了研究结果和治疗意义。
