Asmundson G J, Norton G R, Allerdings M D, Norton P J, Larsen D K
Department of Psychology, University of Winnipeg, Manitoba, Canada.
J Anxiety Disord. 1998 Jan-Feb;12(1):57-69. doi: 10.1016/s0887-6185(97)00049-2.
The literature indicates a substantial overlap between chronic pain and posttraumatic stress disorder (PTSD) symptoms in individuals who sustain accidental injury. To date, however, there have been no studies of PTSD symptoms in individuals who experience work-related injury. Consequently, we assessed 139 consecutive injured workers using the Modified PTSD Symptom Scale (Falsetti, Resnick, & Kirkpatrick, 1993), as well as a number of general measures of psychopathology. Most participants reported chronic pain and all were receiving workers compensation. Results indicated that 34.7% and 18.2% of the sample reported symptoms consistent with PTSD and partial PTSD, respectively. When PTSD symptom frequency and severity were considered criterion variables in multiple regression analyses, depression was found to be significantly associated with the former and anxiety sensitivity, social fears, and somatic focus with the later. Finally, these measures of general psychopathology correctly classified 78.6% of individuals with PTSD and 81.3% of those with no PTSD. These results suggest that a considerable proportion of injured workers display symptoms consistent with PTSD and that these symptoms are related to general negative affect. Implications, including the suggestion of clinical intake screening of PTSD in this population, are discussed.
文献表明，在遭受意外伤害的个体中，慢性疼痛与创伤后应激障碍（PTSD）症状存在大量重叠。然而，迄今为止，尚未有针对经历工伤的个体的PTSD症状的研究。因此，我们使用修订后的PTSD症状量表（Falsetti、Resnick和Kirkpatrick，1993年）以及一些精神病理学的常规测量方法，对139名连续受伤的工人进行了评估。大多数参与者报告有慢性疼痛，且所有人都在领取工伤赔偿。结果表明，分别有34.7%和18.2%的样本报告有符合PTSD和部分PTSD的症状。在多元回归分析中将PTSD症状频率和严重程度作为标准变量时，发现抑郁与前者显著相关，而焦虑敏感性、社交恐惧和躯体关注与后者显著相关。最后，这些精神病理学测量方法正确地将78.6%的PTSD个体和81.3%的无PTSD个体进行了分类。这些结果表明，相当一部分受伤工人表现出与PTSD相符的症状，且这些症状与一般负面影响有关。文中讨论了相关影响，包括建议对该人群进行PTSD临床入院筛查。
