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临床医生在将循证医学应用于儿童创伤复杂病例时的治疗考量。

Treatment considerations for clinicians in applying evidence-based practice to complex presentations in child trauma.

作者信息

Amaya-Jackson Lisa, Derosa Ruth R

机构信息

National Center for Child Traumatic Stress & Center for Child and Family Health, Durham, NC 27710, USA.

出版信息

J Trauma Stress. 2007 Aug;20(4):379-90. doi: 10.1002/jts.20266.

Abstract

Professionals in the child trauma field, eager to bring best practices to children and their families who have suffered from traumatic life events, have developed a number of evidence-based treatments (EBTs) and promising practices available for adoption and implementation into community practice. Clinicians and researchers alike have raised questions about "if, when, and how" these EBTs can be applied to some of the more complex trauma presentations seen in real world practice. The authors take an evidence-based practice approach, including critical appraisal of clients' unique needs and preferences, utilizing applicable trauma treatment core components and current EBTs, and emphasizing monitoring strategies of client progress, particularly when needing to adapt EBTs for select clients.

摘要

儿童创伤领域的专业人士渴望将最佳实践应用于遭受创伤性生活事件的儿童及其家庭,他们开发了一些基于证据的治疗方法(EBTs)以及可供采用并应用于社区实践的有前景的做法。临床医生和研究人员都对这些EBTs “是否、何时以及如何” 应用于现实世界实践中出现的一些更复杂的创伤表现提出了疑问。作者采用基于证据的实践方法,包括对客户独特需求和偏好的批判性评估,利用适用的创伤治疗核心要素和当前的EBTs,并强调对客户进展的监测策略,特别是在需要为特定客户调整EBTs时。

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