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A cross-sectional study of mental health-, posttraumatic stress symptoms and post exposure changes in Norwegian ambulance personnel
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine ( IF 3.0 ) Pub Date : 2022-01-11 , DOI: 10.1186/s13049-021-00991-2
Bjørn Ole Reid 1, 2 , Lars Eide Næss-Pleym 1, 3, 4 , Karin Elvenes Bakkelund 1 , Jostein Dale 1 , Oddvar Uleberg 1, 3 , Andreas Espetvedt Nordstrand 2, 5
Affiliation  

Posttraumatic stress disorder (PTSD) has been shown to be elevated among first responders (Emergency Medical Services, fire service, police force) compared to the general population. Examining the prevalence of mental health issues in a work force with an elevated occupational risk is fundamental towards ensuring their wellbeing and implementing safeguard measures. The goal of this study is therefore to report the prevalence of depression, anxiety, posttraumatic development, and PTSD in Norwegian ambulance personnel. This study is a cross-sectional, anonymous, web-based survey (Questback®), performed among operative personnel employed in the Emergency Medical Services in the Regional Health Trust of Central Norway between 18. February and 9. April 2021. The study was sent to 1052 eligible participants. Questions reported demographic data, a traumatic events exposure index, Patient Health Questionnaire-9 (Depression), Generalized Anxiety Disorder-7 scale, Posttraumatic symptom scale (PTSD) and Posttraumatic change scale. The response rate in this study was 45.5% (n = 479/1052). The mean age of respondents was 37.1 years (std. 11.1) and 52.8% (n = 253) were male. Of the respondents, 80.6% (n = 386) were married or had a partner, and 91.6% (n = 439) reported having access to a peer support programme, with 34.9% (n = 167) reporting that they had utilized peer support. In this study, 5% (n = 24) showed a prevalence of manifest posttraumatic stress disorder symptoms, while 8.6% (n = 41) reported moderate to severe depression and 2.9% (n = 14) presented moderate to severe symptoms of general anxiety. Of the respondents, 77.2% (n = 370) reported personal growth because of their work experiences. This study indicates that Norwegian ambulance personnel report a prevalence of posttraumatic stress symptoms and depression, which is slightly higher for men, and lower for the female proportion in this study, when compared to an adult Norwegian population. The vast majority of respondents reported personal growth because of their work experience, and both the degree of peer support and having a partner seem to influence levels of posttraumatic stress and -development.

中文翻译:

挪威救护人员心理健康、创伤后应激症状和暴露后变化的横断面研究

与普通人群相比,急救人员(紧急医疗服务、消防、警察)的创伤后应激障碍 (PTSD) 升高。检查职业风险较高的劳动力中心理健康问题的普遍性对于确保他们的福祉和实施保障措施至关重要。因此,本研究的目的是报告挪威救护人员中抑郁、焦虑、创伤后发展和 PTSD 的患病率。这项研究是一项横断面、匿名、基于网络的调查 (Questback®),在 2021 年 2 月 18 日至 4 月 9 日期间在挪威中部地区卫生信托基金的紧急医疗服务中雇用的操作人员中进行。发送给 1052 名符合条件的参与者。问题报告了人口统计数据,创伤事件暴露指数、患者健康问卷 9(抑郁)、广泛性焦虑障碍 7 量表、创伤后症状量表(PTSD)和创伤后变化量表。本研究的响应率为 45.5% (n = 479/1052)。受访者的平均年龄为 37.1 岁(标准 11.1),52.8%(n = 253)为男性。在受访者中,80.6% (n = 386) 已婚或有伴侣,91.6% (n = 439) 报告有获得同伴支持计划的机会,34.9% (n = 167) 报告他们使用过同伴支持. 在这项研究中,5% (n = 24) 表现出明显的创伤后应激障碍症状的流行,而 8.6% (n = 41) 报告中度至重度抑郁症,2.9% (n = 14) 表现出中度至重度一般焦虑症状. 在受访者中,77 人。2% (n = 370) 报告个人成长是因为他们的工作经历。这项研究表明,挪威救护人员报告了创伤后应激症状和抑郁症的患病率,与挪威成年人口相比,本研究中男性的发病率略高,女性的发病率较低。绝大多数受访者报告说他们的个人成长是因为他们的工作经验,而同伴支持的程度和拥有伴侣的程度似乎都会影响创伤后压力和发展的水平。
更新日期:2022-01-11
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