军事海事事故发生后,急性压力障碍的预测因素
Sverre Sanden1,2, Jarle Eid3, Sigurd William Hystad3
1Centre for Crisis Psychology, University of Bergen, Bergen, Norway.
Frontiers in psychiatry
|November 10, 2025
概括
海上事故可以引发军事船员的急性压力障碍 (ASD) 症状. 以前存在的焦虑和抑郁症显著增加了自闭症风险,突出了部署前查的必要性.
科学领域:
- 海上安全的航行.
- 职业健康 职业健康 职业健康
- 心理创伤学 心理创伤学
背景情况:
- 海上事故可能会导致人员严重的心理痛苦.
- 急性压力障碍 (ASD) 是创伤事件的潜在后果.
研究的目的:
- 为了确定在重大海事事故后,机组人员中ASD症状的流行程度.
- 为了确定这一群体中ASD症状的预测因素.
主要方法:
- 在事故发生后三周使用急性压力障碍量表 (ASDS) 评估ASD症状.
- 检查了部署前的心理评分 (GHQ-12,HSCL-25焦虑/抑郁) 和其他因素作为预测因素.
- 其中包括来自挪威护卫舰HNoMS Helge Ingstad的118名船员.
主要成果:
- 28%的参与者报告了临床上显著的ASD症状.
- 部署前的焦虑和抑郁分数 (HSCL-25) 和女性性别预测了更高的ASDS分数.
- 创伤前感知控制与ASDS分数有负相关性.
结论:
- 事件前焦虑和抑郁症状的升高增加了海上事故后军事人员的自闭症风险.
- 部署前的查可以确定患ASD风险较高的个体.
- 在事件期间感知到的控制是防止ASD症状的保护因素.
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