Psychosocial hazards, posttraumatic stress disorder, complex posttraumatic stress disorder, depression, and anxiety in the U.K. rail industry: A cross‐sectional study.

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Title: Psychosocial hazards, posttraumatic stress disorder, complex posttraumatic stress disorder, depression, and anxiety in the U.K. rail industry: A cross‐sectional study.
Authors: Carnall, Laurence A. (AUTHOR), Mason, Oliver (AUTHOR), O'Sullivan, Michelle (AUTHOR), Patton, Robert (AUTHOR)
Source: Journal of Traumatic Stress. Oct2022, Vol. 35 Issue 5, p1460-1471. 12p.
Subjects: Post-traumatic stress disorder, Anxiety, COVID-19 pandemic, Railroads, Mental depression, Bullying, Job stress
Geographic Terms: United Kingdom
Abstract: This study examined posttraumatic stress disorder (PTSD), complex PTSD, depression, and anxiety among U.K. rail workers. A cross‐sectional survey examining exposure to seven psychosocial hazards (bullying/harassment; verbal abuse; physical and sexual assault; and hearing about, seeing the aftermath of, or witnessing a fatality), working conditions, physical health, and the impact of COVID‐19 was administered to 3,912 participants. Outcome measures were the ITQ, PHQ‐9, and GAD‐7. Among trauma‐exposed participants, 24.3% met the criteria for PTSD or CPTSD; 38.6% and 29.2% of all participants scored in the moderate‐to‐severe range on the PHQ‐9 and GAD‐7, respectively. Data were analyzed using logistic and linear regression. Bullying/harassment was positively associated with GAD‐7 scores, f2 =.001, and PTSD and CPTSD, ORs = 1.83–2.02. Hearing about and witnessing a fatality were associated with PTSD and CPTSD, ORs = 1.77–2.10. Poorer ergonomics at work were positively associated with PHQ‐9 and GAD‐7 scores, f2 =.001. Higher job satisfaction was associated with lower odds of PTSD and CPTSD, ORs = 0.87–0.91, and negatively associated with PHQ‐9 and GAD‐7 scores, f2 =.008–.01. Work intensity was associated with PTSD and CPTSD, ORs = 1.79–1.83, and positively associated with PHQ‐9 and GAD‐7 scores, f2 =.02–.03. Reporting more physical health problems was associated with PTSD, OR = 1.07, and positively associated with GAD‐7 and PHQ‐9 scores, f2 =.008–.01. The results suggest bullying/harassment and work intensity are important variables in employee mental health and could drive future research and industry initiatives. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Traumatic Stress is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Psychosocial hazards, posttraumatic stress disorder, complex posttraumatic stress disorder, depression, and anxiety in the U.K. rail industry: A cross‐sectional study.
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  Data: <searchLink fieldCode="AR" term="%22Carnall%2C+Laurence+A%2E%22">Carnall, Laurence A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mason%2C+Oliver%22">Mason, Oliver</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22O'Sullivan%2C+Michelle%22">O'Sullivan, Michelle</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Patton%2C+Robert%22">Patton, Robert</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Traumatic+Stress%22">Journal of Traumatic Stress</searchLink>. Oct2022, Vol. 35 Issue 5, p1460-1471. 12p.
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  Data: <searchLink fieldCode="DE" term="%22United+Kingdom%22">United Kingdom</searchLink>
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  Data: This study examined posttraumatic stress disorder (PTSD), complex PTSD, depression, and anxiety among U.K. rail workers. A cross‐sectional survey examining exposure to seven psychosocial hazards (bullying/harassment; verbal abuse; physical and sexual assault; and hearing about, seeing the aftermath of, or witnessing a fatality), working conditions, physical health, and the impact of COVID‐19 was administered to 3,912 participants. Outcome measures were the ITQ, PHQ‐9, and GAD‐7. Among trauma‐exposed participants, 24.3% met the criteria for PTSD or CPTSD; 38.6% and 29.2% of all participants scored in the moderate‐to‐severe range on the PHQ‐9 and GAD‐7, respectively. Data were analyzed using logistic and linear regression. Bullying/harassment was positively associated with GAD‐7 scores, f2 =.001, and PTSD and CPTSD, ORs = 1.83–2.02. Hearing about and witnessing a fatality were associated with PTSD and CPTSD, ORs = 1.77–2.10. Poorer ergonomics at work were positively associated with PHQ‐9 and GAD‐7 scores, f2 =.001. Higher job satisfaction was associated with lower odds of PTSD and CPTSD, ORs = 0.87–0.91, and negatively associated with PHQ‐9 and GAD‐7 scores, f2 =.008–.01. Work intensity was associated with PTSD and CPTSD, ORs = 1.79–1.83, and positively associated with PHQ‐9 and GAD‐7 scores, f2 =.02–.03. Reporting more physical health problems was associated with PTSD, OR = 1.07, and positively associated with GAD‐7 and PHQ‐9 scores, f2 =.008–.01. The results suggest bullying/harassment and work intensity are important variables in employee mental health and could drive future research and industry initiatives. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of Traumatic Stress is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1002/jts.22846
    Languages:
      – Code: eng
        Text: English
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        PageCount: 12
        StartPage: 1460
    Subjects:
      – SubjectFull: Post-traumatic stress disorder
        Type: general
      – SubjectFull: Anxiety
        Type: general
      – SubjectFull: COVID-19 pandemic
        Type: general
      – SubjectFull: Railroads
        Type: general
      – SubjectFull: Mental depression
        Type: general
      – SubjectFull: Bullying
        Type: general
      – SubjectFull: Job stress
        Type: general
      – SubjectFull: United Kingdom
        Type: general
    Titles:
      – TitleFull: Psychosocial hazards, posttraumatic stress disorder, complex posttraumatic stress disorder, depression, and anxiety in the U.K. rail industry: A cross‐sectional study.
        Type: main
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          Name:
            NameFull: Carnall, Laurence A.
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            NameFull: Mason, Oliver
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            NameFull: O'Sullivan, Michelle
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            NameFull: Patton, Robert
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            – D: 01
              M: 10
              Text: Oct2022
              Type: published
              Y: 2022
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              Value: 35
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