This study examined posttraumatic stress disorder (PTSD), complex PTSD, depression, and anxiety among U.K. rail workers. A cross-sectional survey examining exposure to seven psychosocial hazards (bullying/harassment; verbal abuse; physical and sexual assault; and hearing about, seeing the aftermath of, or witnessing a fatality), working conditions, physical health, and the impact of COVID-19 was administered to 3,912 participants. Outcome measures were the ITQ, PHQ-9, and GAD-7. Among trauma-exposed participants, 24.3% met the criteria for PTSD or CPTSD; 38.6% and 29.2% of all participants scored in the moderate-to-severe range on the PHQ-9 and GAD-7, respectively. Data were analyzed using logistic and linear regression. Bullying/harassment was positively associated with GAD-7 scores, f² = .001, and PTSD and CPTSD, ORs = 1.83–2.02. Hearing about and witnessing a fatality were associated with PTSD and CPTSD, ORs = 1.77–2.10. Poorer ergonomics at work were positively associated with PHQ-9 and GAD-7 scores, f² = .001. Higher job satisfaction was associated with lower odds of PTSD and CPTSD, ORs = 0.87–0.91, and negatively associated with PHQ-9 and GAD-7 scores, f² = .008–.01. Work intensity was associated with PTSD and CPTSD, ORs = 1.79–1.83, and positively associated with PHQ-9 and GAD-7 scores, f² = .02–.03. Reporting more physical health problems was associated with PTSD, OR = 1.07, and positively associated with GAD-7 and PHQ-9 scores, f² = .008–.01. The results suggest bullying/harassment and work intensity are important variables in employee mental health and could drive future research and industry initiatives.

中文翻译：

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英国铁路行业的社会心理危害、创伤后应激障碍、复杂的创伤后应激障碍、抑郁和焦虑：一项横断面研究

这项研究调查了英国铁路工人的创伤后应激障碍 (PTSD)、复杂的 PTSD、抑郁症和焦虑症。一项横断面调查，检查暴露于七种心理社会危害（欺凌/骚扰；辱骂；身体和性侵犯；以及听说、看到死亡后果或目睹死亡）、工作条件、身体健康和 COVID 的影响-19 对 3,912 名参与者进行了管理。结果测量是 ITQ、PHQ-9 和 GAD-7。在遭受创伤的参与者中，24.3% 符合 PTSD 或 CPTSD 的标准；分别有 38.6% 和 29.2% 的参与者在 PHQ-9 和 GAD-7 中得分为中度至重度。使用逻辑回归和线性回归分析数据。欺凌/骚扰与 GAD-7 分数呈正相关，f ²= .001，以及 PTSD 和 CPTSD，或者s = 1.83–2.02。听说和目睹死亡与 PTSD 和 CPTSD 相关，OR s = 1.77–2.10。工作中较差的人体工程学与 PHQ-9 和 GAD-7 分数呈正相关，f ² = .001。较高的工作满意度与较低的 PTSD 和 CPTSD 几率相关，OR s = 0.87–0.91，与 PHQ-9 和 GAD-7 分数呈负相关，f ² = .008–.01。工作强度与 PTSD 和 CPTSD 相关，OR s = 1.79–1.83，并与 PHQ-9 和 GAD-7 分数呈正相关，f ² = .02–.03。报告更多的身体健康问题与 PTSD或= 1.07，并且与 GAD-7 和 PHQ-9 分数呈正相关，f ² = .008–.01。结果表明，欺凌/骚扰和工作强度是影响员工心理健康的重要变量，可能会推动未来的研究和行业举措。