消防员中差异性PTSD和抑郁症症状轨迹的预测因素:增长混合分析
Miriam J J Lommen1,2, Marcel Näther1, Anita C Keller3
1Department of Clinical Psychology and Experimental Psychopathology, University of Groningen, Groningen, The Netherlands.
European journal of psychotraumatology
|August 12, 2025
概括
消防员的心理健康是复杂的;经验性回避和反复的负面思维预测了更糟糕的创伤后应激障碍 (PTSD) 和抑郁症轨迹,突出了预防计划的关键目标.
科学领域:
- 心理学 心理学 心理学
- 职业健康 职业健康 职业健康
- 创伤研究 创伤研究
背景情况:
- 消防员面临高度的创伤暴露,导致各种心理结果.
- 虽然许多人表现出性,但有些人患上创伤后应激障碍 (PTSD) 或抑郁症.
- 了解这些轨迹的预测因素对于制定有效的预防策略至关重要.
研究的目的:
- 评估风险和保护因素对消防员纵向PTSD和抑郁症状的预测能力.
- 使用生长混合模型来分析随时间推移的症状轨迹.
主要方法:
- 这是一项为期3年的纵向研究,涉及529名消防员.
- 评估了风险因素 (经验性回避,反复的负面思维),保护因素 (生活中的意义,弹性,社会支持),PTSD和基线抑郁症症状.
- 每6-12个月重新评估症状.
- 采用混合增长模型和三步方法来预测潜在的阶级成员资格.
主要成果:
- 对于PTSD和抑郁症状的成长模型表明最适合的2类解决方案.
- 经验性回避显著预测了在PTSD和抑郁症类别中的成员资格.
- 重复的负面思维 (RNT) 仅在抑郁症症状类别中是一个显著的预测因素.
结论:
- 大多数消防员保持稳定,低症状水平.
- 经验性回避和RNT的增加与不太有利的症状轨迹有关.
- 在预防计划中针对这些特定的风险因素可能会增强心理性,并防止高风险职业中创伤后症状的出现.
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