Interventions psychotraumatisantes chez les ramasseurs de blessés : déterminants du stress post-traumatique chez les sapeurs-pompiers de Lomé

IF 0.5 4区医学 Q4 PSYCHIATRY

Annales medico-psychologiques Pub Date : 2025-06-01 DOI:10.1016/j.amp.2023.08.008

Kokou Messanh Agbémélé Soedje , Daméga Wenkourama , Guy-Gérard Aza-Gnandji , Komlan Mensah Ketoh , Adjaré-Kamé Fidèle Ahara , Sonia Kanekatoua , Koffi Mawussé Mensah , Tchédié Etdéchié Elvyre Klikpo , Hassimou Bramah , Hamza Dolès Sama , Kolou Simliwa Dassa

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引用次数: 0

Abstract

Purpose

The general objective was to evaluate the factors influencing the onset of Post-Traumatic Stress Disorder (PTSD) in firefighters in Lomé.

Method

This was a cross-sectional, descriptive, and analytical study of the case-control and content analysis of the discourse relating to firefighters and their experience in the face of psychotraumatic interventions in Lomé. This study was carried out from June 1 to 14, 2021. Two groups were formed: one group consisted of firefighters who presented with PTSD defined by a score greater than 51 on the QSPT with the presence of the 8 DSM V criteria; a control group made up of firefighters who did not present with PTSD. One case was matched to a control.

Results

The firefighters were divided into 2 groups depending on whether or not they had presented with PTSD; hence 40 cases were matched to 40 controls. The male gender predominated in the case group at 75%; as in the control group, at 77.5%. The M/F sex ratio was 3/1 in the cases. Overall, the mean age was 32.4 ± 6.1 years. With respect to personal vulnerability, being conscientious, perfectionist, they had probabilities P = 0 each and ORs respectively equal to 21.3 [2.3–10.4] and 6.2 [1.4–5]. Those who demonstrated a reluctance to make requests, fear of being criticized, and excessive submission to others had probabilities P = 0.0003 [1.3–4.9], P = 0.0009 [1.3–5.6] and P = 0 respectively, 0001 [1.4–4.9]. In terms of those experiencing trauma, both the feeling of a loss of control and that of being alone in facing situations constituted a significant risk for the onset of PTSD with P = 0 and OR = 21 [2.3–10.4]; P = 0.0001 and OR = 6.4 [1.4–4.3] respectively. In others, the desire to leave the profession, emotional exhaustion and alcohol consumption after the intervention constituted a significant risk factor in the occurrence of PTSD.

Conclusion

The fact of being conscientious, with a feeling of loss of control during interventions, associated with the desire to leave the profession were the main risk factors linked to the occurrence of PTSD.

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伤员收集者的创伤心理干预：洛美消防员创伤后应激反应的决定因素

目的探讨影响洛麦洛消防员创伤后应激障碍（PTSD）发病的因素。方法本研究是一项横断面、描述性和分析性研究，对lom消防员及其面对精神创伤干预的经历进行病例对照和内容分析。本研究于2021年6月1日至14日进行。分为两组：一组由在QSPT上得分大于51分且存在8个DSM V标准的PTSD消防员组成；控制组由没有PTSD症状的消防员组成。其中一个病例与对照组相匹配。结果消防队员根据是否出现PTSD分为两组；因此，40例病例与40例对照相匹配。病例组中男性占主导地位，占75%；和对照组一样，是77.5%。在这些病例中，男女性别比为3/1。总体而言，平均年龄为32.4±6.1岁。个人脆弱性、责任心、完美主义的概率P = 0， or分别为21.3[2.3-10.4]和6.2[1.4-5]。那些表现出不愿提出要求、害怕被批评和过度服从他人的概率分别为P = 0.0003[1.3-4.9]、P = 0.0009[1.3-5.6]和P = 0, 0001[1.4-4.9]。在经历创伤的人群中，失去控制的感觉和独自面对情境的感觉都是PTSD发病的显著风险，P = 0, OR = 21 [2.3-10.4]；P = 0.0001, OR = 6.4[1.4-4.3]。在其他情况下，干预后离开职业的愿望、情绪疲惫和饮酒是发生创伤后应激障碍的重要危险因素。结论尽职尽责、干预过程中的失控感、离职意愿是PTSD发生的主要危险因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annales medico-psychologiques 医学-精神病学

CiteScore

1.30

自引率

33.30%

发文量

196

审稿时长

4-8 weeks

期刊介绍： The Annales Médico-Psychologiques is a peer-reviewed medical journal covering the field of psychiatry. Articles are published in French or in English. The journal was established in 1843 and is published by Elsevier on behalf of the Société Médico-Psychologique. The journal publishes 10 times a year original articles covering biological, genetic, psychological, forensic and cultural issues relevant to the diagnosis and treatment of mental illness, as well as peer reviewed articles that have been presented and discussed during meetings of the Société Médico-Psychologique.To report on the major currents of thought of contemporary psychiatry, and to publish clinical and biological research of international standard, these are the aims of the Annales Médico-Psychologiques.