Mesure de la prévalence du trouble de stress post-traumatique chez les marins-pompiers de Marseille

Abstract

<jats:p>Objectif : En France, peu d’études ont exploré la prévalence du trouble de stress post-traumatique (TSPT) chez les pompiers. Une étude de 2007 retrouve un taux de 1 %, identique à celui de la population générale. Or, les pompiers sont surexposés aux interventions potentiellement traumatogènes et sont donc à risque de traumatismes vicariants, c’est-à-dire par procuration. L’objectif de notre étude était d’estimer la prévalence du TSPT chez les marins-pompiers du bataillon de marins-pompiers de Marseille.</jats:p> <jats:p>Matériel et méthodes : Durant six mois, les marins-pompiers se présentant à leur visite médicale périodique au service médical d’unité ont rempli un autoquestionnaire comprenant des données sociodémographiques, professionnelles et la Posttraumatic Stress Disorder Checklist Scale (PCLS) avec un seuil à 44.</jats:p> <jats:p>Résultats : Parmi les 356 sauveteurs inclus, soit un taux de réponse de 86 %, 4 % (IC 95 % : [2 ; 7]) avaient un TSPT. Les facteurs associés étaient une fatigue durable, des répercussions négatives sur la vie familiale, professionnelle, sociale et le ressenti d’un manque de soutien institutionnel.</jats:p> <jats:p>Conclusion : Ces résultats confirment que les sauveteurs constituent une population à risque. Afin de comparer avec les études internationales, de nouvelles recherches avec la PCL-5 seraient souhaitables.</jats:p>

Post-Traumatic Stress Disorder among Defence and Security Forces in Northern Benin (2023)

“…Among the subjects with post-traumatic stress disorder, the population was found Open Journal of Psychiatry to be predominantly male (32 (88.9%)) with a sex ratio of 8. This result is near to that of Fraysse et al [7] in 2020 in France, who counted in their work 2 women (14.29%) and 14 men (85.71%), with a sex ratio of 6. However, it differs from that of Bisson Desrochers [6] in 2022 in Canada, who noted 11 women (36.7%) versus 19 men (63.30%), with a sex ratio of 1.7.…”

“…In this study, the average age of respondents was 33.93 ± 6.597 years with extremes of 22 and 57 years. This result is near to that of Långström et al [16] in et al [7] in 2020 in France, who estimated the average age of participants at 36 years, with extremes of 26 and 39 years. This difference could be explained by the fact that the first study took into account only one-armed group returning from missions, whereas the second included an entire armed corps without restriction.…”

“…Agents with PTSD have an average of 3.31 children, with extremes of 0 and 9 children. This is well above the extremes of 0 and 2 children found by Fraysse et al [7] in 2020 in France. This could be explained by the fact that there are many polygamists in the present study.…”

“…The average number of years of service for respondents with post-traumatic stress disorder was 14.17 ± 6.742 years, with extremes of 3 years and 24 years. Fraysse et al [7] in 2020 in France reported similar values. In their study, the average number of years of service was 14 years, with extremes of 6 and 18 years.…”

“…In 2018, this prevalence was estimated at 19.5% among municipal and provincial police officers in the same country [6]. In Marseille in 2019, it was 4% among firefighters [7]. In Senegal, it was 25.7% among Senegalese Blue Helmets [8] and in Benin in 2005, 13.2% among workers of the "Association pour le Développement de la Riziculture en Afrique de l'Ouest", victims of the wars in Côte d'Ivoire in 2002 and 2004 [1].…”