PTSD symptoms, response to intrusive memories and coping in ambulance service workers.

OBJECTIVES: To examine the relationship of coping strategies and responses to intrusive memories with post-traumatic stress disorder (PTSD) and other psychiatric symptoms in ambulance service workers. METHOD: Fifty-six ambulance service workers describe the most distressing aspects of their work and...

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Главные авторы: Clohessy, S, Ehlers, A
Формат: Journal article
Язык:English
Опубликовано: 1999
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author Clohessy, S
Ehlers, A
author_facet Clohessy, S
Ehlers, A
author_sort Clohessy, S
collection OXFORD
description OBJECTIVES: To examine the relationship of coping strategies and responses to intrusive memories with post-traumatic stress disorder (PTSD) and other psychiatric symptoms in ambulance service workers. METHOD: Fifty-six ambulance service workers describe the most distressing aspects of their work and completed questionnaires designed to measure their coping strategies in dealing with distressing incidents. They also described their intrusive memories of particularly distressing incidents and completed a questionnaire designed to measure their interpretation of these intrusions and their responses to them. In addition, they completed the Post-traumatic Stress Symptom Scale (PSS; Foa, Riggs, Dancu and Rothbaum, 1993) and the General Health Questionnaire (GHQ; Goldberg and Hiller, 1979). RESULTS: Of the participants, 21% met DSM-III-R criteria for PTSD, and 22% met GHQ screening criteria for psychiatric symptoms. Wishful thinking and mental disengagement when confronted with critical incidents at work, negative interpretations of intrusive memories, and maladaptive responses to these memories (rumination, suppression and dissociation) correlated with PTSD severity. CONCLUSION: The results are consistent with the hypothesis that coping strategies and responses to intrusive memories that prevent emotional processing of the distressing event maintain PTSD. They also support Ehlers and Steil's (1995) hypotheses about the role of negative interpretations of post-traumatic intrusions in PTSD. A substantial subgroup of emergency service personnel may need support in processing distressing incidents at work and may benefit from information that normalizes post-traumatic symptoms such as intrusions.
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spelling oxford-uuid:44a9b443-79e7-4d8a-8d10-7ddf8e20806d2022-03-26T15:03:05ZPTSD symptoms, response to intrusive memories and coping in ambulance service workers.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:44a9b443-79e7-4d8a-8d10-7ddf8e20806dEnglishSymplectic Elements at Oxford1999Clohessy, SEhlers, AOBJECTIVES: To examine the relationship of coping strategies and responses to intrusive memories with post-traumatic stress disorder (PTSD) and other psychiatric symptoms in ambulance service workers. METHOD: Fifty-six ambulance service workers describe the most distressing aspects of their work and completed questionnaires designed to measure their coping strategies in dealing with distressing incidents. They also described their intrusive memories of particularly distressing incidents and completed a questionnaire designed to measure their interpretation of these intrusions and their responses to them. In addition, they completed the Post-traumatic Stress Symptom Scale (PSS; Foa, Riggs, Dancu and Rothbaum, 1993) and the General Health Questionnaire (GHQ; Goldberg and Hiller, 1979). RESULTS: Of the participants, 21% met DSM-III-R criteria for PTSD, and 22% met GHQ screening criteria for psychiatric symptoms. Wishful thinking and mental disengagement when confronted with critical incidents at work, negative interpretations of intrusive memories, and maladaptive responses to these memories (rumination, suppression and dissociation) correlated with PTSD severity. CONCLUSION: The results are consistent with the hypothesis that coping strategies and responses to intrusive memories that prevent emotional processing of the distressing event maintain PTSD. They also support Ehlers and Steil's (1995) hypotheses about the role of negative interpretations of post-traumatic intrusions in PTSD. A substantial subgroup of emergency service personnel may need support in processing distressing incidents at work and may benefit from information that normalizes post-traumatic symptoms such as intrusions.
spellingShingle Clohessy, S
Ehlers, A
PTSD symptoms, response to intrusive memories and coping in ambulance service workers.
title PTSD symptoms, response to intrusive memories and coping in ambulance service workers.
title_full PTSD symptoms, response to intrusive memories and coping in ambulance service workers.
title_fullStr PTSD symptoms, response to intrusive memories and coping in ambulance service workers.
title_full_unstemmed PTSD symptoms, response to intrusive memories and coping in ambulance service workers.
title_short PTSD symptoms, response to intrusive memories and coping in ambulance service workers.
title_sort ptsd symptoms response to intrusive memories and coping in ambulance service workers
work_keys_str_mv AT clohessys ptsdsymptomsresponsetointrusivememoriesandcopinginambulanceserviceworkers
AT ehlersa ptsdsymptomsresponsetointrusivememoriesandcopinginambulanceserviceworkers