ABSTRACT

Background: Globally, professional firefighters are often exposed to traumatic events and are at high risk of developing posttraumatic stress disorder (PTSD) symptoms.

Objective: With the publication of the 11th edition of the International Classification of Diseases (ICD-11) there arose a need for research based on the new diagnostic criteria, and the associated disorder, Complex PTSD (CPTSD).

Method: Participants were 1300 former or present firefighters from the UK. Prevalence rates of PTSD and CPTSD were estimated using International Trauma Questionnaire in accordance with ICD-11 criteria, and service related and personal trauma exposure were also assessed using an anonymous online questionnaire. Multinomial logistic regression was performed to assess how service and personal trauma exposure predicted PTSD and CPTSD.

Results: CPTSD criteria were met by 18.23% (95% CI 16.13–20.33%) and PTSD criteria were met by 5.62% (95% CI 4.37–6.87%) of the sample. Experiencing higher levels of service-related trauma significantly increased the risk for both PTSD and CPTSD, and nonwork related trauma uniquely predicted CPTSD but not PTSD.

Conclusions: This study provided the first examination of the new ICD-11 criteria for PTSD and CPTSD in a large sample of firefighters, and CPTSD was more common than PTSD. Exposure to multiple different types of trauma increased the odds of PTSD and CPTSD.

摘要

背景：在全球范围内，专业消防员经常暴露于创伤事件中，并且极有可能出现创伤后应激障碍 (PTSD) 症状。

目标：随着第 11 版国际疾病分类 (ICD-11) 的发布，需要基于新的诊断标准和相关疾病复杂 PTSD (CPTSD) 进行研究。

方法：参与者是来自英国的 1300 名前任或现任消防员。根据 ICD-11 标准，使用国际创伤问卷评估 PTSD 和 CPTSD 的患病率，还使用匿名在线问卷评估服务相关和个人创伤暴露。进行多项逻辑回归以评估服务和个人创伤暴露如何预测 PTSD 和 CPTSD。

结果： 18.23% (95% CI 16.13–20.33%) 的样本符合 CPTSD 标准，5.62% (95% CI 4.37–6.87%) 的样本符合 PTSD 标准。经历更高水平的与服务相关的创伤显着增加了 PTSD 和 CPTSD 的风险，非工作相关的创伤唯一地预测了 CPTSD 而不是 PTSD。

结论：本研究首次在大量消防员样本中对新的 ICD-11 PTSD 和 CPTSD 标准进行了检查，CPTSD 比 PTSD 更常见。暴露于多种不同类型的创伤会增加 PTSD 和 CPTSD 的几率。