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法医科学专业人员职业性接触创伤性证据与创伤后应激症状:发生率与模式。

Occupational exposure to traumatic evidence and posttraumatic stress symptoms in forensic science professionals: Prevalence and patterns.

机构信息

United States Air Force, Shepard AFB, Texas, USA.

Ponce Health Sciences University, St. Louis, Missouri, USA.

出版信息

J Forensic Sci. 2023 Jul;68(4):1259-1267. doi: 10.1111/1556-4029.15292. Epub 2023 May 26.

Abstract

Forensic science professionals are routinely exposed to potentially traumatizing evidence. This study aimed to estimate the prevalence of occupational posttraumatic stress disorder (PTSD) among forensic science professionals, identify job-related correlates of PTSD symptoms, and examine the role of social support in mitigating PTSD symptomology. In response to recruitment through the American Academy of Forensic Sciences, the American Society of Crime Laboratory Directors, and Evidence Technology Magazine, 449 forensic science professionals participated in the current study. Results found that 73.5% (n = 330) of the overall sample experienced at least one work-related traumatic event consistent with meeting Criterion A for PTSD, and these rates were higher for field-based respondents (n = 203, 87.9%). The prevalence of past-month provisional PTSD was 21.6% for the full sample. Disaggregated PTSD rates were 29.0% and 14.5% for field-based and non-field-based respondents, respectively. These rates were 6- to 8-fold higher than the past-year prevalence of PTSD in the general US population, estimated to be 3.5%, and were found to be at least as high as those observed in prior epidemiological research with non-treatment seeking members of the US military deployed to war zones in Iraq and Afghanistan. Results further showed that social support was protective against PTSD symptomology. The high rates of occupational exposure to trauma and consequent PTSD symptomology observed in this large sample of forensic science professionals highlight the under-acknowledged psychological risks of these occupations and the need for enhanced attention to mental health resources for these professionals.

摘要

法医科学专业人员经常接触潜在创伤性的证据。本研究旨在估计法医科学专业人员职业性创伤后应激障碍(PTSD)的患病率,确定与 PTSD 症状相关的职业因素,并探讨社会支持在减轻 PTSD 症状中的作用。通过美国法医学科学院、美国犯罪实验室主任协会和证据技术杂志的招募,共有 449 名法医科学专业人员参与了本研究。结果发现,73.5%(n=330)的总体样本经历了至少一次与 PTSD 标准 A 相符的与工作相关的创伤性事件,而现场调查人员(n=203,87.9%)的这一比例更高。全样本中过去一个月临时 PTSD 的患病率为 21.6%。细分 PTSD 率分别为现场调查人员和非现场调查人员的 29.0%和 14.5%。这些比率是美国普通人群过去一年 PTSD 患病率(估计为 3.5%)的 6-8 倍,与之前在伊拉克和阿富汗战区部署的非治疗性寻求美国军人的流行病学研究中观察到的比率至少一样高。结果还表明,社会支持对 PTSD 症状具有保护作用。在这个大型法医科学专业人员样本中观察到的职业性创伤暴露和随之而来的 PTSD 症状发生率很高,突出了这些职业中被忽视的心理风险,需要加强对这些专业人员的心理健康资源的关注。

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