Adugna Biruk, Tesfaye Bizuneh, Ali Dawed, Mirkena Yohannes, Getinet Wondale
Department of Psychiatry, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Front Psychiatry. 2024 Sep 3;15:1338833. doi: 10.3389/fpsyt.2024.1338833. eCollection 2024.
Post-traumatic stress disorder (PTSD) is a psychiatric disorder that follows exposure to a traumatic or stressful life event. Police officers are exposed to a number of traumatic events that put them at risk of developing post-traumatic stress disorder. Previous studies have found the prevalence of post-traumatic stress disorder among police officers to be varied and inclusive. However, in Ethiopia, little is known about the prevalence of post-traumatic stress disorder and associated factors among police officers. Therefore, assessing the prevalence and associated factors of post-traumatic stress disorder among police officers might have a plausible role in future investigations.
The aim of this study was to assess the prevalence of post-traumatic stress disorder and associated factors among police officers in Central Gondar Zone, North West Ethiopia, 2023.
An institutional-based cross-sectional study was conducted in Central Gondar Zone by using self-administered and semi-structured questionnaires. A multi-stage cluster sampling technique was employed to select a sample of 634 participants. Post-traumatic stress disorder was assessed using the PTSD Checklist DSM-5. The collected data were coded and entered using Epi data Software version 4.6.02 and then exported to STATA version 14 for analysis. Bivariable and multivariable logistic regression analyses were done to identify factors associated with post-traumatic stress disorder. Statistically significant results were declared at a 95% confidence interval (CI) of a -value less than 0.05.
The prevalence of post-traumatic stress disorder was found to be 15.2%, with a 95% CI of 12.5% to 18.3%. In the multivariate analysis, female (AOR = 3.36, 95% CI 1.95-5.78), being directly exposed to traumatic events (AOR = 2.01, 95% CI 1.16-3.48), current alcohol use (AOR = 2.90, 95% CI 1.65-5.12), and having poor social support (AOR = 4.25, 95% CI 1.58-11.36) were factors significantly associated with post-traumatic stress disorder.
According to this study, police officers suffered from a significant burden of post-traumatic stress disorder. Female sex, police personnel directly exposed to traumatic events, current alcohol users, and those who had poor social support were found to be strongly associated with post-traumatic stress disorder. Therefore, early detection and intervention are crucial to mitigating the overall problem.
创伤后应激障碍（PTSD）是一种在经历创伤性或应激性生活事件后出现的精神障碍。警察会接触到许多创伤性事件，这使他们有患创伤后应激障碍的风险。先前的研究发现警察中创伤后应激障碍的患病率各不相同且范围广泛。然而，在埃塞俄比亚，关于警察中创伤后应激障碍的患病率及其相关因素知之甚少。因此，评估警察中创伤后应激障碍的患病率及其相关因素可能在未来的调查中发挥合理作用。
本研究的目的是评估2023年埃塞俄比亚西北部贡德尔中部地区警察中创伤后应激障碍的患病率及其相关因素。
在贡德尔中部地区开展了一项基于机构的横断面研究，使用自填式和半结构化问卷。采用多阶段整群抽样技术选取了634名参与者作为样本。使用PTSD检查表DSM-5评估创伤后应激障碍。收集的数据使用Epi数据软件4.6.02进行编码和录入，然后导出到STATA 14版本进行分析。进行双变量和多变量逻辑回归分析以确定与创伤后应激障碍相关的因素。在95%置信区间（CI）且P值小于0.05时宣布具有统计学意义的结果。
发现创伤后应激障碍的患病率为15.2%，95%CI为12.5%至18.3%。在多变量分析中，女性（调整后比值比[AOR]=3.36，95%CI 1.95 - 5.78）、直接接触创伤性事件（AOR = 2.01，95%CI 1.16 - 3.48）、当前饮酒（AOR = 2.90，95%CI 1.65 - 5.12）以及社会支持差（AOR = 4.25，95%CI 1.58 - 11.36）是与创伤后应激障碍显著相关的因素。
根据本研究，警察承受着创伤后应激障碍的沉重负担。发现女性、直接接触创伤性事件的警察人员、当前饮酒者以及社会支持差的人与创伤后应激障碍密切相关。因此，早期发现和干预对于缓解整体问题至关重要。
