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Work-related post-traumatic stress disorder: report of five cases.
Industrial Health ( IF 2 ) Pub Date : 2020-12-04 , DOI: 10.2486/indhealth.2020-0079
Stefano M Candura 1, 2 , Emanuela Pettenuzzo 1 , Claudia Negri 3 , Alessia Gallozzi 1 , Fabrizio Scafa 2
Affiliation  

Post-traumatic stress disorder (PTSD) may arise after events involving a risk to physical integrity or to life, one’s own or that of others. It is characterized by intrusive symptoms, avoidance behaviors, and hyper-excitability. Outside certain categories (e.g., military and police), the syndrome is rarely described in the occupational setting. We report here five unusual cases of work-related PTSD, diagnosed with an interdisciplinary protocol (occupational health visit, psychiatric interview, psychological counselling and testing): (1) a 51-yr-old woman who had undergone three armed robbery attempts while working in a peripheral post office; (2) a 53-yr-old maintenance workman who had suffered serious burns on the job; (3) a 33-yr-old beauty center receptionist after sexual harassment and stalking by her male employer; (4) a 57-yr-old male psychiatrist assaulted by a psychotic outpatient; (5) a 40-yr-old woman, sales manager in a shoe store, after physical aggression by a thief. All patients required psychiatric help and pharmacological treatment, with difficulty of varying degrees in resuming work. We conclude that PTSD can develop even in professional categories generally considered to be at low risk. In such cases, a correct interdisciplinary diagnostic approach is fundamental for addressing therapy and for medico-legal actions.



中文翻译:

与工作有关的创伤后应激障碍:5例报告。

创伤后应激障碍(PTSD)可能会在发生涉及身体完整性或生命危险,自身或他人危险的事件后发生。它的特点是侵入性症状,回避行为和过度兴奋。在某些类别(例如,军事和警察)以外,该综合征很少在职业环境中描述。我们在此报告了五例与工作有关的创伤后应激障碍的异常病例,这些病例经诊断为跨学科协议(职业健康就诊,精神病学访谈,心理咨询和测试):(1)一名51岁的妇女在工作时经历了三次持械抢劫在外围邮局;(2)一名53岁的维修工人在工作中遭受严重烧伤;(3)一位33岁的美容中心接待员在遭到男老板的性骚扰和缠扰后,被其收养;(4)一名精神病门诊病人殴打的一名57岁男性精神科医生;(5)一名40岁的女人,在一家小偷的身体攻击之后,在一家鞋店里担任销售经理。所有患者均需要精神科帮助和药物治疗,但恢复工作的难度不同。我们得出的结论是,PTSD甚至可以在通常被认为处于低风险的专业类别中发展。在这种情况下,正确的跨学科诊断方法对于解决治疗和法医学行为至关重要。我们得出的结论是,PTSD甚至可以在通常被认为处于低风险的专业类别中发展。在这种情况下,正确的跨学科诊断方法对于解决治疗和法医学行为至关重要。我们得出的结论是,PTSD甚至可以在通常被认为处于低风险的专业类别中发展。在这种情况下,正确的跨学科诊断方法对于解决治疗和法医学行为至关重要。

更新日期:2020-12-28
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