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Post traumatic stress disorder in first responders: The effectiveness of psychological intervention on stress response and coping styles.

机译:急救人员的创伤后应激障碍:心理干预对应激反应和应对方式的有效性。

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摘要

During emergencies, first responders such as firefighters experience intensely traumatic situations known as critical incidents. Emotional processing theory suggests that improper processing of these incidents may result in posttraumatic stress disorder. Stimulus response theory suggests that psychological interventions available to these responders can improve their coping styles, which in turn affects the stress response. Research with firefighters supports both of these theories; however, specialized responders such as transportation employees often do not have access to these interventions. The impact of traumatic situations on these responders has not been studied systematically. The purpose of this cross-sectional correlational study was to compare critical incident stress response and coping style using a convenience sample of 53 Department of Transportation union members and 41 volunteer firefighters as measured by the Impact of Events Scale Revised and the Brief COPE Inventory. Study hypotheses were assessed using analyses of variance, and the findings indicated that while stress response did not differ by responder classification, the use of reframing coping was significantly different. Secondary analyses demonstrated that regardless of response type, those who actively participated in psychological interventions reported more positive coping style usage than nonparticipants. These findings contribute to positive social change by suggesting that psychological interventions may be beneficial to responder coping after a critical incident and that transportation employees would benefit from similar interventions available to other first responders.
机译:在紧急情况下,诸如消防员之类的第一响应者会遭受严重的创伤,这些事件被称为关键事件。情绪加工理论表明,对这些事件的不当处理可能会导致创伤后应激障碍。刺激反应理论表明,对这些反应者可用的心理干预可以改善他们的应对方式,进而影响压力反应。对消防员的研究支持了这两种理论。但是,运输员工等专业应急人员通常无法获得这些干预措施。尚未系统研究创伤情况对这些反应者的影响。这项横断面相关研究的目的是使用53个交通部工会成员和41个志愿消防员的便利样本,通过修订的“事件影响量表”和“ COPE简要清单”来比较关键事件的应激反应和应对方式。使用方差分析对研究假设进行了评估,研究结果表明,尽管应激反应因应答者分类而无差异,但重塑应对方式的使用却存在显着差异。二级分析表明,无论反应类型如何,积极参加心理干预的人报告的积极应对方式使用率均高于未参加者。这些发现通过暗示心理干预措施可能对应对重大事件后的应对者有所帮助,并且运输人员将从其他急救人员可用的类似干预措施中受益,从而有助于积极的社会变革。

著录项

  • 作者

    Hyler, Arielle.;

  • 作者单位

    Walden University.;

  • 授予单位 Walden University.;
  • 学科 Psychology Clinical.;Psychology Psychometrics.;Psychology Industrial.
  • 学位 Ph.D.
  • 年度 2010
  • 页码 160 p.
  • 总页数 160
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 建筑科学;
  • 关键词

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