马来西亚消防员的创伤后、抑郁、焦虑和压力症状

Huwaida Abdul Azis, Z. A Rahman, M. R. A Rashid, N. Baharom, Hamidin Awang, Nur Hafizah Mohammad Lukman, Mohd Zairi Zainal Abidin
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摘要

简介:包括消防员在内的紧急救援人员在日常生活中经常会遇到危及生命的情况,从而增加了职业压力、焦虑、抑郁和创伤后应激症状(PTSS)的风险。因此,本研究旨在确定马来西亚消防员中创伤后应激症状的发生率以及创伤后应激症状与压力、焦虑和抑郁的相关性。材料与方法:通过有目的的抽样,对驻扎在马来西亚槟城 20 个消防救援站的消防员进行了一项横断面研究,采用的是自填式在线调查。收集的信息包括社会人口学数据、通过创伤后核对表-5(PCL-5)测量创伤后应激障碍的严重程度,以及通过抑郁、焦虑和压力量表(DASS-21)评估抑郁、焦虑和压力。研究分析采用了描述性分析和皮尔逊相关系数分析。结果:在参与研究的 562 名消防员中,PTSS、压力、焦虑和抑郁的发生率分别为 5.0%、2.1%、13.0% 和 8.5%。在患有 PTSS 的消防员中,分别有 28.6%、78.6% 和 67.9%患有压力、焦虑和抑郁。因此,焦虑与 PTSS 高度共存。PTSS 评分与压力评分(r=0.656,P< 0.001)、焦虑评分(r=0.699,P< 0.001)和抑郁评分(r=0.700,P< 0.001)之间存在明显的正相关。结论:我们的研究结果表明,压力、焦虑和抑郁可能与创伤后应激障碍同时存在。因此,消防员应定期进行心理健康评估,因为多种病症的并发影响可能需要综合治疗,以应对每种病症的不同方面。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Post-traumatic, Depression, Anxiety, and Stress Symptoms among Malaysian Firefighters
INTRODUCTION: Emergency responders, including firefighters are frequently exposed to life-threatening situations in their daily lives causing an increased risk for occupational stress, anxiety, depression and post-traumatic stress symptoms (PTSS). Hence, this study aimed to determine the prevalence, and correlation of PTSS with stress, anxiety, and depression among Malaysian firefighters. MATERIALS AND METHODS: A cross-sectional study was conducted among firefighters stationed in 20 fire and rescue stations in Penang, Malaysia using self-administered online survey through a purposive sampling. Information collected were sociodemographic data, measurement of severity of PTSS via Post-Traumatic Checklist-5 (PCL-5), and assessment of depression, anxiety, and stress via Depression, Anxiety, and Stress Scale (DASS-21). A descriptive analysis and Pearson's correlation coefficient analyses were employed in study analysis. RESULTS: Out of 562 firefighters participated in the study, the prevalence of PTSS, stress, anxiety, and depression was 5.0%, 2.1%, 13.0%, and 8.5%, respectively. Among those with PTSS, 28.6%, 78.6%, and 67.9% suffered from stress, anxiety, and depression, respectively. Hence, anxiety was highly coexisted with PTSS. There was significant positive correlation between PTSS score and the score of stress (r=0.656, P< 0.001), anxiety (r=0.699, P< 0.001), and depression (r=0.700, P< 0.001). CONCLUSION: Our study findings suggested that stress, anxiety, and depression can co-occur with PTSS. Hence, firefighters should have regular mental health assessments as the concurrent effect of multiple medical conditions may require comprehensive treatment to address the various aspects of each condition.
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