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Factors associated with PTSD and partial PTSD among first responders following the Paris terror attacks in November 2015.
Journal of Psychiatric Research ( IF 4.8 ) Pub Date : 2019-11-30 , DOI: 10.1016/j.jpsychires.2019.11.018
Yvon Motreff 1 , Thierry Baubet 2 , Philippe Pirard 3 , Gabrielle Rabet 4 , Matthieu Petitclerc 5 , Lise Eilin Stene 6 , Cécile Vuillermoz 7 , Pierre Chauvin 8 , Stéphanie Vandentorren 9
Affiliation  

During the evening of 13 November 2015, the deadliest terror attacks in France in recent times occurred in the Paris area. Overall, 130 people were killed, 643 were physically injured and several thousands were psychologically impacted. Thousands of first responders, including health professionals, firefighters, affiliated volunteers and police officers were mobilized that night and during the subsequent weeks. The aims of our study were to measure the psychological impact on first responders in terms of post-traumatic stress disorder (PTSD) and partial PTSD as well as associated factors 12 months after the 13 November 2015 terrorist attacks. First responders who had intervened during the night and/or the aftermath of the terror attacks had the possibility of answering a web-based study 8-12 months after the attacks. They satisfied criterion A of the DSM 5 definition of PTSD. PTSD and partial PTSD were measured using the PCL-5. Gender, age, educational level, exposure, first responder category, mental health and traumatic event history, training and social support were all analysed as potential factors associated with PTSD and partial PTSD, using multinomial logistic regression. Overall, 663 participants were included in this analysis. Prevalence of PTSD in our sample went from 3.4% among firefighters to 9.5% among police officers and prevalence of partial PTSD from 10.4% among health professionals to 23.2% among police officers. Low educational level and social isolation were associated with PTSD and partial PTSD. Intervention on unsecured crime scenes and lack of training were associated with PTSD. Special attention should be given to first responders living in social isolation, those with low educational levels and those who intervene in unsecured crime scenes. Education and training about the potential mental health consequences of mass trauma intervention should be developed.

中文翻译:

2015年11月巴黎恐怖袭击后,第一响应者中与PTSD和部分PTSD相关的因素。

在2015年11月13日晚上,法国最近发生的最致命的恐怖袭击发生在巴黎地区。总体而言,有130人丧生,643人受伤,数千人受到了心理影响。当晚及随后几周动员了成千上万的第一响应者,包括卫生专业人员,消防员,附属志愿者和警察。我们研究的目的是在创伤后应激障碍(PTSD)和部分PTSD以及相关因素在2015年11月13日恐怖袭击发生12个月后,评估对第一反应者的心理影响。在夜间和/或恐怖袭击发生后进行干预的急救人员有可能在袭击发生后8至12个月回答基于网络的研究。他们满足PTSD的DSM 5定义的标准A。使用PCL-5测量PTSD和部分PTSD。性别,年龄,受教育程度,接触程度,第一反应者类别,心理健康和创伤事件史,培训和社会支持都使用多项逻辑回归分析作为与PTSD和部分PTSD相关的潜在因素。总体而言,该分析包括663名参与者。在我们的样本中,PTSD的患病率从消防员中的3.4%上升到警务人员中的9.5%,部分PTSD的患病率从卫生专业人员中的10.4%上升到警务人员中的23.2%。受教育程度低和社会孤立与PTSD和部分PTSD相关。对无担保犯罪现场的干预和缺乏培训与创伤后应激障碍有关。应特别关注生活在社会隔离中的急救人员,文化程度较低的人和干预无保障犯罪现场的人。应开展有关大规模创伤干预可能对心理健康造成影响的教育和培训。
更新日期:2019-11-30
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