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DOI: 10.1055/a-0822-7712
Zusammenhang zwischen beruflichen Traumata, posttraumatischer Belastungsstörung und Depression – eine Beurteilung von systematischen Reviews
Relationship Between Occupational Trauma, Posttraumatic Stress Disorder and Depression – An Assessment of Systematic ReviewsPublikationsverlauf
Publikationsdatum:
14. Januar 2019 (online)
![](https://www.thieme-connect.de/media/psychiat-praxis/201904/lookinside/thumbnails/815_10-1055-a-0822-7712-1.jpg)
Zusammenfassung
In einem Meta-Review wurden 35 systematische Reviews zum Thema mit AMSTAR, ein Instrument zur Qualitätsbewertung von systematischen Reviews, beurteilt. 31 Reviews wiesen eine niedrige Qualität auf und hatten überwiegend Studien ohne eigene Kontrollgruppe einbezogen. Die 4 systematischen Reviews mit zumindest mittelgradiger Qualität zeigten ein signifikant erhöhtes Risiko von Soldaten nach Entsendung in einen Krieg für die Entwicklung einer posttraumatischen Belastungsstörung (PTBS) und einer Depression. Ferner zeigten sich Hinweise für ein deutlich erhöhtes PTBS-Risiko von Feuerwehrleuten und Rettungssanitätern.
Abstract
In a meta-review systematic reviews were assessed with AMSTAR, a validated instrument for the quality judgement. In a systematic search in Pubmed and PsycINFO during the period 2006 – 2016 8,223 hits were found. The assessment of titles and abstracts and the total publications were done by two authors.
35 systematic reviews were included in the study. Most systematic reviews showed a low quality according to the AMSTAR criteria and included frequently primary studies without own control group. The four systematic reviews with at least moderate quality showed a significantly increased risk of soldiers after war deployment for the development of posttraumatic stress disorder (PTSD) and depression. Furthermore we found a clearly increased PTSD-risk in firefighters and paramedics.
Because of the at most moderate quality of the included studies the authors came to the conclusion that a systematic review with high quality with inclusion of primary studies with own control group should be done. This paper shows despite the limited quality of the included studies for soldiers, firefighters and paramedics a high occupational PTSD-risk. Soldiers have also an increased depression-risk.
Schlüsselwörter
berufliches Trauma - posttraumatische Belastungsstörung - Depression - Arbeitsunfall - BerufskrankheitKeywords
occupational trauma - posttraumatic stress disorder - depression - occupational accident - occupational diseaseDie Boxen 1 und 2 sowie die Tab. 3 – 6 finden Sie online
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Literatur
- 1 Magruder KM, Yeager DE. The prevalence of PTSD across war eras and the effect of deployment of PTSD. A systematic review and meta-analysis. Psychiatr Ann 2009; 39: 778-788
- 2 Bonde JP, Utzon-Frank N, Bertelsen M. et al. Risk of depressive disorder following disasters and military deployment: systematic review with meta-analysis. Br J Psychiatry 2016; 208: 330-336
- 3 Jacobi F, Höfler M, Strehle J. et al. Psychische Störungen in der Allgemeinbevölkerung, Studie zur Gesundheit Erwachsener in Deutschland und ihr Zusatzmodul Psychische Gesundheit (DEGS1-MH). Nervenarzt 2014; 85: 77-87
- 4 Kieffer C. What recognition of work-related mental disorders? A study on 10 European countries. Eurogip – Study report 81/E 2013. Im Internet: http://www.europeanforum.org/documents/24/eurogip_81en_recognition_wr_mental_disorders_europe.pdf Stand: 4.10.2018
- 5 Nienhaus A, Drechsel-Schlund C, Schambortski H. et al. Gewalt und Diskriminierung am Arbeitsplatz. Gesundheitliche Folgen und settingbezogene Ansätze zur Prävention und Rehabilitation. Bundesgesundheitsblatt 2016; 59: 88-97
- 6 Mehrtens G, Brandenburg S. Die Berufskrankheiten-Verordnung (BKV) Kommentar. Berlin: Erich Schmidt-Verlag; nach § 9 Absatz 2 SGB VII als Versicherungsfall anerkannte Krankheitsfälle, P0020, Loseblattsammlung, Lieferung 2/2015 1-13
- 7 PEROSH Clearinghouse of Systematic Reviews. 2014. Im Internet: http://www.perosh.eu/wp-content/uploads/2013/06/PEROSH-Clearinghouse-Methods_Last-update-June-2014.pdf Stand: 4.10.2018
- 8 Shea BJ, Grimshaw JM, Wells GA. et al. Development of AMSTAR: a measurement tool to assess the methodological quality of systematic reviews. BMC Med Res Methodol 2007; 7: 10
- 9 Shea BJ, Hamel C, Wells GA. et al. AMSTAR is a reliable and valid measurement tool to assess the methodological quality of systematic reviews. J Clin Epidemiol 2009; 62: 1013-1020
- 10 AMSTAR-Checklist. 2010. Im Internet: http://www.ncbi.nlm.nih.gov/books/NBK350129/bin/appd-fm3.pdf Stand 4.10.2018
- 11 Bolm-Audorff U, Petereit-Haack G, Seidler A. Occupational risk factors for posttraumatic stress disorder (PTDS) and depression: an AMSTAR-assessment (meta-review) of systematic reviews. Prospero, International prospective register of systematic review (28.8.2017). Im Internet: https://www.crd.york.ac.uk/PROSPERO/display_record.php?recordID=75061 Stand 4.10.2018
- 12 Utzon-Frank N, Breinegaard N, Bertelsen M. et al. Occurrence of delayed-onset post-traumatic stress disorder: a systematic review and meta-analysis of prospective studies. Scand J Work Environ Health 2014; 40: 215-229
- 13 Xue C, Ge Y, Tang B. et al. A meta analysis of risk factors for combat-related PTSD among military personnel and veterans. Plos One DOI: 10.1371/journal.pone0120270.
- 14 Berger W, Coutinho ESF, Figueira I. et al. Rescuers at risk: a systematic review and meta-regression analysis of the worldwide current prevalence and correlates of PTSD in rescue workers. Soc Psychiatry Psychiatr Epidemiol 2012; 47: 1001-1011
- 15 Hegg-Deloye S, Brassard P, Jauvin N. et al. Current state of knowledge of post-traumatic stress, sleeping problems, obesity and cardiovascular disease in paramedics. Emerg Med J 2014; 31: 242-247
- 16 Liu B, Tarigan LH, Bromet EJ. et al. World trade center disaster exposure-related probable posttraumatic stress disorder among responders and civilians: a meta-analysis. Plos One 2014; 9: e101491
- 17 Shea BJ, Barany C, Wells G. et al. AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both. BMJ 2017; 358: j4008
- 18 Kessler RC, Chiu WT, Demler O. et al. Prevalence, severity, and comorbidity of twelfe-month DSM-IV disorders in the national comorbidity survey replication (NCS-R). Arch Gen Psychiatry 2005; 62: 617-627