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A longitudinal study of the impact of cumulative violence victimization on comorbid posttraumatic stress and depression among female nurses and nursing personnel

机译:对女护士和护理人员中累积暴力受害对合并症创伤后压力和抑郁影响的纵向研究

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摘要

This study examined the impact of cumulative violence victimization on health care workers' subsequent posttraumatic stress-depression comorbidity. Female nurses and nursing personnel (N = 1,044) answered questions about lifetime violence victimization (e.g., childhood abuse, intimate partner violence, and workplace violence) at baseline and completed the Primary Care Posttraumatic Stress (PTS) Disorder screen and Center for Epidemiologic Studies Depression Scale 6 months later. Seven percent screened positive for comorbid posttraumatic stress-depression at 6-month monitoring. Workers who reported one, two, or three or more types of violence victimization at baseline had 2.41 (p < .10), 2.35 (p > .05), and 6.44 (p < .01) greater odds, respectively, of subsequently screening positive for comorbid PTS-depression compared to their counterparts who reported no violence victimization at baseline. These results suggest the need to provide female nurses and nursing personnel with information about (1) the risk cumulative violence victimization poses for poorer mental health and functioning, and (2) evidence-based trauma informed treatment options outside their place of employment for those affected by violence victimization who develop mental health symptoms.
机译:这项研究检查了暴力侵害累积对医护人员随后的创伤后应激抑郁合并症的影响。女护士和护理人员(N = 1,044)在基线时回答了有关终身暴力受害的问题(例如,儿童虐待,亲密伴侣暴力和工作场所暴力),并完成了初级保健创伤后应激障碍(PTS)疾病筛查和流行病学研究中心抑郁症规模在6个月后。在6个月的监测中,有7%的人筛查了合并症后创伤后抑郁的阳性。在基线时报告一种,两种或三种或更多类型的暴力受害的工人,随后进行筛查的几率分别为2.41(p <.10),2.35(p> .05)和6.44(p <.01)与基线时没有暴力侵害的同行相比,合并PTS抑郁症呈阳性。这些结果表明,有必要向女护士和护理人员提供以下信息:(1)受暴力侵害造成的心理健康和机能下降的风险;(2)受雇者在其工作地点以外的基于证据的创伤知情治疗方案遭受暴力侵害的人会出现心理健康症状。

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