通过虚拟现实模拟来研究创伤后应激症状与急救人员决策之间的关系。

IF 2.3 3区 医学 Q2 PSYCHIATRY
Journal of Trauma & Dissociation Pub Date : 2024-10-01 Epub Date: 2024-07-08 DOI:10.1080/15299732.2024.2374370
Ricardo Pinto, Sara Albuquerque, Maria Vieira de Castro, Alytia A Levendosky, Micaela Fonseca, Inês Jongenelen, Ângela Maia, Pedro Gamito
{"title":"通过虚拟现实模拟来研究创伤后应激症状与急救人员决策之间的关系。","authors":"Ricardo Pinto, Sara Albuquerque, Maria Vieira de Castro, Alytia A Levendosky, Micaela Fonseca, Inês Jongenelen, Ângela Maia, Pedro Gamito","doi":"10.1080/15299732.2024.2374370","DOIUrl":null,"url":null,"abstract":"<p><p>First responders (FRs) are continuously exposed to critical incidents, considered traumatic events (TEs). This cumulative exposure increases the risk for post-traumatic stress disorder (PTSD). However, there is no evidence about the relationship between PTSD symptoms and emergency decision-making (EDM). The objective of this study was to examine the EDM of FRs during a virtual reality through the simulation of two emergency scenarios to collect data on the reaction time and the number of incorrect decisions. We also assessed PTSD symptoms, TE, and sociodemographics. The sample included 368 Portuguese FRs, were 295 (80.20%) males and 73 (19.80%) females, with a mean age of 33.96 (<i>SD</i>  = 9.38). Considering the probable PTSD diagnosis according to the DSM-5, 85 (23.10%) of the FRs met the criteria. These individuals who meet the criteria exhibited higher EDM scores (<i>M</i>  = 19.60, <i>SD</i>  = 5.99) compared to those without probable PTSD (<i>M</i>  = 17.87, <i>SD</i> = .5.66) (<i>F</i>(1, 360) = 5.32, <i>p</i> = .02, partial <i>η</i><sup><i>2</i></sup> = .015). We found that TEs had a direct effect on EDM, <i>β</i> = -.16, <i>Z</i> = -3.74, <i>p</i> < .001), and the pathway of trauma-PTSD symptoms-decision-making an indirect effect, β = .02, <i>Z</i>  = 3.10, <i>p</i> = .002). Individuals exposed to more TEs demonstrated faster and more accurate decision-making in the context of EDM. However, when these individuals developed PTSD symptoms, their decision-making became slower and less accurate. The inclusion of a trauma-informed approach for FRs to prevent individual and job-related consequences is discussed.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":null,"pages":null},"PeriodicalIF":2.3000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A Virtual Reality Simulation to Examine the Relationship Between Post-Traumatic Stress Symptoms and Decision-Making in First Responders.\",\"authors\":\"Ricardo Pinto, Sara Albuquerque, Maria Vieira de Castro, Alytia A Levendosky, Micaela Fonseca, Inês Jongenelen, Ângela Maia, Pedro Gamito\",\"doi\":\"10.1080/15299732.2024.2374370\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>First responders (FRs) are continuously exposed to critical incidents, considered traumatic events (TEs). This cumulative exposure increases the risk for post-traumatic stress disorder (PTSD). However, there is no evidence about the relationship between PTSD symptoms and emergency decision-making (EDM). The objective of this study was to examine the EDM of FRs during a virtual reality through the simulation of two emergency scenarios to collect data on the reaction time and the number of incorrect decisions. We also assessed PTSD symptoms, TE, and sociodemographics. The sample included 368 Portuguese FRs, were 295 (80.20%) males and 73 (19.80%) females, with a mean age of 33.96 (<i>SD</i>  = 9.38). Considering the probable PTSD diagnosis according to the DSM-5, 85 (23.10%) of the FRs met the criteria. These individuals who meet the criteria exhibited higher EDM scores (<i>M</i>  = 19.60, <i>SD</i>  = 5.99) compared to those without probable PTSD (<i>M</i>  = 17.87, <i>SD</i> = .5.66) (<i>F</i>(1, 360) = 5.32, <i>p</i> = .02, partial <i>η</i><sup><i>2</i></sup> = .015). We found that TEs had a direct effect on EDM, <i>β</i> = -.16, <i>Z</i> = -3.74, <i>p</i> < .001), and the pathway of trauma-PTSD symptoms-decision-making an indirect effect, β = .02, <i>Z</i>  = 3.10, <i>p</i> = .002). Individuals exposed to more TEs demonstrated faster and more accurate decision-making in the context of EDM. However, when these individuals developed PTSD symptoms, their decision-making became slower and less accurate. The inclusion of a trauma-informed approach for FRs to prevent individual and job-related consequences is discussed.</p>\",\"PeriodicalId\":47476,\"journal\":{\"name\":\"Journal of Trauma & Dissociation\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2024-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Trauma & Dissociation\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/15299732.2024.2374370\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/7/8 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Trauma & Dissociation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/15299732.2024.2374370","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/7/8 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0

摘要

第一响应人员(FRs)持续暴露于被视为创伤事件(TEs)的重大事件中。这种累积性暴露增加了创伤后应激障碍(PTSD)的风险。然而,目前还没有证据表明创伤后应激障碍症状与应急决策(EDM)之间存在关系。本研究的目的是通过模拟两个紧急事件场景,收集反应时间和错误决策次数的数据,在虚拟现实中检查创伤后应激障碍患者的应急决策能力。我们还对创伤后应激障碍症状、TE 和社会人口统计学进行了评估。样本包括 368 名葡萄牙创伤后应激障碍患者,其中男性 295 人(80.20%),女性 73 人(19.80%),平均年龄 33.96 岁(SD = 9.38)。根据《创伤后应激障碍诊断标准》(DSM-5),有 85 人(23.10%)符合创伤后应激障碍的诊断标准。与没有可能患有创伤后应激障碍的人相比,这些符合标准的人表现出更高的 EDM 分数(M = 19.60,SD = 5.99)(M = 17.87,SD = .5.66)(F(1, 360) = 5.32,P = .02,部分 η2 = .015)。我们发现,TEs 对 EDM 有直接影响,β = -.16, Z = -3.74, p Z = 3.10, p = .002)。暴露于更多 TEs 的个体在 EDM 情况下表现出更快更准确的决策。然而,当这些人出现创伤后应激障碍症状时,他们的决策速度就会变慢,准确性也会降低。本文讨论了将创伤知情方法纳入联邦共和国部队以防止个人和工作相关后果的问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Virtual Reality Simulation to Examine the Relationship Between Post-Traumatic Stress Symptoms and Decision-Making in First Responders.

First responders (FRs) are continuously exposed to critical incidents, considered traumatic events (TEs). This cumulative exposure increases the risk for post-traumatic stress disorder (PTSD). However, there is no evidence about the relationship between PTSD symptoms and emergency decision-making (EDM). The objective of this study was to examine the EDM of FRs during a virtual reality through the simulation of two emergency scenarios to collect data on the reaction time and the number of incorrect decisions. We also assessed PTSD symptoms, TE, and sociodemographics. The sample included 368 Portuguese FRs, were 295 (80.20%) males and 73 (19.80%) females, with a mean age of 33.96 (SD  = 9.38). Considering the probable PTSD diagnosis according to the DSM-5, 85 (23.10%) of the FRs met the criteria. These individuals who meet the criteria exhibited higher EDM scores (M  = 19.60, SD  = 5.99) compared to those without probable PTSD (M  = 17.87, SD = .5.66) (F(1, 360) = 5.32, p = .02, partial η2 = .015). We found that TEs had a direct effect on EDM, β = -.16, Z = -3.74, p < .001), and the pathway of trauma-PTSD symptoms-decision-making an indirect effect, β = .02, Z  = 3.10, p = .002). Individuals exposed to more TEs demonstrated faster and more accurate decision-making in the context of EDM. However, when these individuals developed PTSD symptoms, their decision-making became slower and less accurate. The inclusion of a trauma-informed approach for FRs to prevent individual and job-related consequences is discussed.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
6.00
自引率
6.10%
发文量
39
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信