沉默的斗争:创伤性脑损伤和执法中的心理健康
Jaclyn B Caccese1, Carly R Smith, Nathan A Edwards
1Author Affiliations: Chronic Brain Injury Program (Dr Caccese); School of Health and Rehabilitation Sciences (Drs Caccese, Smith, Onate, and Le Flao), Human Performance Collaborative (Dr Edwards, Emerson, Drs Hagen, and Le Flao), and Department of Epidemiology (Dr Wing), The Ohio State University, Columbus, Ohio; and Franklin County Sheriff's Office (Mrs Paur and Walters), Columbus, Ohio.
The Journal of head trauma rehabilitation
|August 6, 2024
概括
在执法人员 (LEO) 中,头部伤害 (HIs) 是常见的,其中很大一部分在工作中经历了这些伤害. 在LEOs中,HIs的病史与PTSD和抑郁症状的增加有关.
科学领域:
- 神经科学是一个神经科学.
- 职业健康 职业健康 职业健康
- 精神病学是一个精神病学.
背景情况:
- 执法人员 (LEO) 面临高职业风险,包括头部伤害 (HIs).
- 在LEO中HIs的长期心理健康后果仍未得到充分研究.
- 了解HI和相关心理健康状况的患病率对于军官的福祉至关重要.
研究的目的:
- 确定执法人员 (LEO) 头部受伤 (HIs),创伤后应激障碍 (PTSD) 和抑郁症状的流行率.
- 调查HIs病史与LEO中PTSD和抑郁症状的存在之间的关联.
主要方法:
- 一项涉及381名执法人员的横截面研究.
- 这些数据是通过俄俄州立大学创伤性脑损伤识别方法,PTSD检查清单-平民 (PCL-C) 和患者健康问卷-9 (PHQ-9) 的县级调查收集的.
- 统计分析包括曼·惠特尼U和千平方测试,以根据HI史来比较心理结果.
主要成果:
- 74%的LEO报告了一次或多次HI的终身病史,其中30%在工作中维持HI.
- 曾经有过高伤口的LEO报告了PTSD (P < .001) 和抑郁症状 (P = .012) 的中位数得分明显更高.
- 在那些有HI病史 (39%) 和没有HI病史 (27%) 的劳动者中,轻度或更严重的抑郁症状的劳动者比例更高.
结论:
- 在执法人员中,头部受伤非常普遍,可能会影响他们的表现,福祉和职业生涯.
- 头部受伤史与LEOs中高水平的创伤后应激障碍和抑郁症状有关.
- 对执法人员来说,需要加强对创伤性脑损伤和心理健康支持的资源.
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