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題名：勞工職業傷害三個月發生創傷後壓力症候群之初步研究
書刊名：勞工安全衛生研究季刊
作者：林冠含／胡佩怡／郭乃文／廖士程／郭純雅／黃耀輝／郭育良 引用關係／徐儆暉
作者(外文)：Lin, Kuan-han／Hu, Pei-yi／Guo, Nai-wen／Liao, Shi-cheng／Kuo, Chun-ya／Hwang, Yaw-huei／Guo, Yue-liang／Hsu, Jin-huei
出版日期：2011
卷期：19:3
頁次：頁480-501
主題關鍵詞：職業傷害；創傷後壓力症候群；重鬱症；共病症；Occupational injury；Major depression；Post-traumatic stress disorder；PTSD；Comorbidity
原始連結：連回原系統網址new window
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  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
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  • 點閱點閱:34
職災後所引起之精神方面損傷是造成勞工無法回復正常工作一個很重要的因素，在回到工作後因精神損傷而再度離職的比例也不容忽視。本研究計畫之目標為追蹤發生職業外傷之勞工，以了解他們發生創傷後壓力症候群的發生率。本研究使用之評量工具為簡式精神症狀自陳量表（Brief Symptom Rating Scale, BSRS-50）、中文版簡式創傷後壓力疾患量表（簡稱 SPAN-C）、與中文版迷你國際神經精神會談工具（the Chinese version of the Mini-international Neuropsychiatric Interview, MINI）。本研究分為兩階段評估調查，第一階段在勞工受傷發生之後的三個月以郵寄BSRS-50與SPAN-C問卷方式寄給3143位勞工填答，對未完整填答者，再以電話追蹤以達成完整填答。共完成1424位，回收率為45.3%。第二階段則是針對問卷初篩 SPAN-C大於等於5分，或BSRS-50之綜合嚴重度指數大於2個標準差或其他次分項得分大於3 個標準差者，共有308位（21.6%），再由精神科專科醫師使用MINI作電話訪談，進行診斷。共有139位完成MINI電話訪視，有27位（19.4％）有創傷後壓力症候群（PTSD），有26位（18.7%）有重鬱症。而兩者共病者有15位，因此罹患PTSD或重鬱症者共有38位（27%）。接受MINI電訪的139位與未接受電訪的169位之BSRS及SPAN-C得分無顯著差異。本研究結果顯示職傷對於勞工不僅僅是身體外傷的影響，心理的創傷也需要及時介入，做為預防的依據。
Abstract The workers who have been exposed to a traumatic event may display significant psychiatric disorders that make them unable to return to the workplace. This study aimed to determine the prevalence rates of PTSD and related mental conditions in the workplace after occupational injuries. A two-stage questionnaire investigation was conducted. The first stage of investigation involved a selfreported questionnaire, including the Brief Symptom Rating Scale (BSRS-50) and SPAN (an acronym for four items: startle, physiological arousal, anger, and numbness)-C (Chinese version), which was sent to injured workers at 3 months after injury, for screening of mental conditions. Those who scored at or higher than 2 standard deviations higher than norm were included for the second stage phone interview using a Mini-international Neuropsychiatric Interview (MINI) by psychiatrists. A total of 1424 workers had completed the self-report questionnaire (response rate 45.3%). Among them, 308 (21.6%) scored high in the screening questionnaire and were recruited, and finally 139 were finished the MINI interview. Among these MINI interviews, 27 were PTSD, 26 were major depression, and 15 were comorbid with PTSD and major depression. This study showed that occupational injuries may be related to PTSD and major depression.
Other
1.Goenjian, A. K., Steinberg, A. M.，Najarian, L. M., Fairbanks，L. A., Tashjian, M.， & Pynoos, R. S.(2000)。Prospective study of posttraumatic stress, anxiety, and depressive reactions after earthquake and political violence.。  new window
期刊論文
1.Rubonis, A. V.、Bickman, L.(1991)。Psychological impairment in the wake of disaster: The disaster-psychopathology relationship。Psychological Bulletin，109(3)，384-399。  new window
2.Kessler, R. C.、Sonnega, A.、Bromet, E.、Hughes, M.、Nelson, C. B.(1995)。Post traumatic stress disorder in the national Comorbidity survey。Archives of General Psychiatry，52，1048-1060。  new window
3.Chou, F. H. C.、Wu, H. C.、Chou, P.、Su, C. Y.、Tsai, K. Y.、Chao, S. S.、Ouyang, W. C.(2007)。Epidemiologic Psychiatric Studies on Post-Disaster Impact Among Chi-Chi Earthquake Survivors in Yu-Chi, Taiwan。Psychiatry and Clonical Neuroscience，61(4)，370-378。  new window
4.Goenjian, A. K.、Najarian, L. M.、Pynoos, R. S.、Steinberg, A. M.、Asamow, J. R.、Karayan, L.、Ghurabi, M.、Fairbanks, L. A.、Manoukian, G.、Tavosian, A.(1994)。Posttraumatic stress disorder in elderly and younger adults after the 1988 earthquake in Armenia。American Journal of Psychiatry，151(6)，895-901。  new window
5.Sharan, P.、Chaudhary, G.、Kavathekar, S. A.、Saxena, S.(1996)。Preliminary Report of Psychiatric Disorders in Survivors of a Severe earthquake。American Journal of Psychiatry，153(4)，556-558。  new window
6.Garrison, C. Z.、Bryant, E. S.、Addy, C. L.、Spurrier, P. G.、Freedy, J. R.、Kilpatrick, D. G.(1995)。Posttraumatic Stress Disorder in Adolescents after Hurricane Andrew。Journal of the American Academy of Child & Adolescent Psychiatry，34(9)，1193-1201。  new window
7.Hsu, C. C.、Chong, M. Y.、Yang, P.、Yen, C. F.(2002)。Posttraumatic Stress Disorder Among Adolescent Earthquake Victims in Taiwan。Journal of American Academy of Child and Adolescent Psychiatry，41(7)，875-881。  new window
8.Goenjian, A.(1993)。A Mental Health Relief Programme in Armenia After the 1988 Earthquake: Implementation and Clinical Observations。British Journal of Psychiatry，163，230-239。  new window
9.李明濱、Lee, Y. J.、Yen, L. L.、Lin, M. H.、Lue, B. H.(19901200)。Reliability and Validity of Using a Brief Psychiatric Symptom Rating Scale in Clinical Practice。臺灣醫學會雜誌，89(12)，1081-1087。  new window
10.Compton, W. M. III、Helzer, J. E.、Hwu, H. G.、Yeh, E. K.、McEvoy, L.、Tipp, J. E.、Spitznagel, E. L.(1991)。New methods in cross-cultural Psychiatry: Psychiatric illness in Taiwan and the United States。American Journal of Psychiatry，148(12)，1697-1704。  new window
11.Sheehan, David V.、Lecrubier, Yves、Sheehan, K. Harnett、Amorim, Patricia、Janavs, Juris、Weiller, Emmanuelle、Hergueta, Thierry、Baker, Roxy、Dunbar, Geoffrey C.(1998)。The Mini-International Neuropsychiatric Interview (M.I.N.I.): The development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10。Journal of Clinical Psychiatry，59(suppl 20)，22-33。  new window
其他
1.Executive Yuan Department of Health(2009)。Statistic of General Health。  new window
2.Guo YL.(2008)。An Overview in Occupational Medicine。  new window
3.(1994)。Diagnostic and statistical Manual of mental disorder。  new window
4.Breslau N, Davis GC, Peterson EL, Schultz L.(1997)。Psychiatric sequelae of posttraumatic stress disorder in women。  new window
5.Breslau N, Peterson EL, Poisson LM, Schultz LR, Lucia VC.(2004)。Estimating posttraumatic stress disorder in the community: lifetime perspective and the impact of typical traumatic events。  new window
6.Burkle FM, Jr.(1996)。Acute-phase mental health consequences of disasters: implications for triage and emergency medical services。  new window
7.Kuo HW, Wu SJ, Ma TC, Chiu MC, Chou SY.(2007)。Post-traumatic symptoms were worst among quake victims with injuries following the Chi-chi quake in Taiwan。  new window
8.Yang CH, Hwang JP, Tsai SJ, Liu CM.(2000)。The clinical applications of Mini-Mental State Examination in geropsychiatric inpatients。  new window
9.Donnell MLO, Creamer M, Pattison P.(2004)。Posttraumatic Stress Disorder and Depression Following Trauma: Understanding Comorbidity。  new window
10.Asmundson GJ, Norton GR, Allerdings MD, Norton PJ, Larsen DK.(1998)。Post-traumatic Stress Disorder and Work-Related Injury。  new window
11.MacDonald HA, Colotla V, Flamer S, Karlinsky H.(2003)。Post-traumatic Stress Disorder (PTSD) in the workplace: a descriptive study of workers experiencing PTSD resulting from work injury。  new window
12.Chen CH, Shen WW, Tan HK, Chou JY, Lu ML.(2003)。The validation study and application of stratum-specific likelihood ratios in the Chinese version of SPAN。  new window
13.Blanchard EB, Hickling EJ, Taylor AE, Loos W.(1995)。Psychiatric morbidity associated with motor vehicle accidents。  new window
14.Stein MB, Walker JR, Hazen AL, Forde DR.(1997)。Full and Partial Posttraumatic Stress Disorder: Findings From a Community Survey。  new window
15.O’Donnell ML, Creamer M, Pattison P, Atkin C.(2004)。Psychiatric morbidity following injury。  new window
16.Corneil W, Beaton R, Murphy S, Johnson C, Pike K.(1999)。Exposure to traumatic incidents and prevalence of posttraumatic stress symptomatology in urban firefighters in two countries。  new window
17.Wagner D, Heinrichs M, Ehlert U.(1998)。Prevalence of symptoms of Post-traumatic Stress Disorder in German Professional Firefighters。  new window
18.Cansever A, Uzun O, Yildiz C, Ates A, Atesalp AS.(2003)。Depression in men with traumatic lower part amputation: a comparison to men with surgical lower part amputation。  new window
19.Bleich A, Koslowsky M, Dolev A, Lerer B.(1997)。Post-traumatic stress disorder and depression。  new window
20.Shalev AY, Freedman S, Peri T, Brandes D, Sahar T, Orr SP, Pitman RK.(1998)。Prospective Study of Posttraumatic stress Disorder and Depression Following Trauma。  new window
21.Perkonigg A, Kessler RC, Storz S, Wittchen H-U.(2000)。Traumatic evetns and post-trauamtic stress disorder in the community: prevalence, risk factors and comorbidity。  new window
 
 
 
 
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