Risk Factors for Long-Term Post-Traumatic Stress Disorder among Medical Rescue Workers Appointed to the 2008 Wenchuan Earthquake Response in China 公开

Schenk, Ellen Jean (2011)

Permanent URL: https://etd.library.emory.edu/concern/etds/qf85nb82z?locale=zh
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Abstract

Post-Traumatic Stress Disorder (PTSD) is a psychological consequence experienced by many disaster survivors. Risk factors for PTSD among this population have been extensively documented. Most recently, studies have acknowledged the psychological impact disasters also have on responders. Common consequences for this population also include PTSD but few studies have examined the risk factors associated with PTSD in this population. This study aims to determine the prevalence of as well as risk factors for PTSD among Chinese medical rescue workers one year after their response to the 2008 Wenchuan earthquake in China.
A sample of 337 medical rescue workers who had performed response work within the first three months after the earthquake completed a website questionnaire 14- 17 months after their response work. The questionnaire included questions on rescue
work experience, pressure management strategies, general health, the impact of the events, coping style, personality traits and demographic factors. Presence of PTSD was determined by a score greater than 33 on the Impact of Event Revised-Scale.
Seventeen percent (95% CI: 13%-21%) of the responders tested positive for clinical PTSD after an average of 14 months. Similar to the survivors of disasters, responders' PTSD is associated with getting injured or sick and a lack of social support. The multivariate regression showed that neurotic personality, passive coping style, communication with relief headquarters, and having been injured while performing response work were significantly associated with PTSD.
Future research should further examine the relationship between these variables and PTSD and identify preventive measures that could mitigate their impact. For example, additional logistical measures could ensure that the rescue workers have regular contact with headquarters during the response. Similarly, the number of injuries might be reduced with safety training and equipment.

Table of Contents

Acknowledgements 6

Chapter 1 9

Introduction and Rationale 9

Problem Statement 11

Purpose Statement 11

Research Hypothesis 11

Significance Statement 12

Chapter 2 14

Literature Review 14

Prevalence of and Risk Factors for PTSD among Earthquake Survivors 14

Prevalence of and Risk Factors for PTSD among Earthquake Rescue Workers 15

Risk Factors for PTSD among Different Types of Earthquake Response Workers 17

Time since Response Work and Risk Factors for PTSD 17

Mental Health Implications of the Wenchuan Earthquake in China 18

Prevalence of and Risk Factors for PTSD among Survivors 18

Prevalence of and Risk Factors for PTSD among Rescue Workers 19

Summary of Current Problem and Study Relevance 19

Chapter 3 21

Student Contributions: 22

Abstract 23

Introduction 24

Methods 25

Participants 25

Instrument 26

Rescue work experience 26

Pressure management strategies 26

PTSD assessment 26

Coping style 27

Personality trait 27

Statistical Analysis 27

Results 28

Discussion 29

Acknowledgements 33

References 34

Appendix of Tables 39

Chapter 4 43

Discussion 43

Limitations 46

Conclusion and Future Directions for Public Health 47

References 49

Letter of Exemption from Emory IRB Review 58

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