Leibowitz Ruth Q, Jeffreys Matthew D, Copeland Laurel A, Noël Polly H
Research and Development Service, Portland VA Medical Center, Portland, OR 97239, USA.
Gen Hosp Psychiatry. 2008 Mar-Apr;30(2):100-3. doi: 10.1016/j.genhosppsych.2007.11.004.
The purpose of this study is to gain a better understanding of patients' trauma disclosure to health professionals.
A convenience sample of 173 veterans in outpatient treatment for posttraumatic stress disorder (PTSD) in the Veterans Health Administration completed surveys querying trauma history, reasons for trauma disclosure and perceived provider responses.
For half of the participants, a healthcare provider was the first person to whom they disclosed. Reasons were primarily external, such as pressure from others. Although 72% were glad to disclose, 45% perceived at least one negative provider response.
Patients disclose to a wide range of provider types and perceive varied responses. Providers' awareness of the need to be sensitive to trauma disclosure could facilitate treatment for PTSD.
本研究旨在更好地了解患者向医疗专业人员披露创伤经历的情况。
从退伍军人健康管理局接受创伤后应激障碍（PTSD）门诊治疗的173名退伍军人中选取便利样本，完成了关于创伤史、创伤披露原因及对医疗服务提供者反应感知的调查。
对于一半的参与者而言，医疗服务提供者是他们首个披露创伤经历的对象。原因主要是外部因素，比如来自他人的压力。尽管72%的人乐于披露，但45%的人感知到医疗服务提供者至少有一次负面反应。
患者会向多种类型的医疗服务提供者披露创伤经历，并感知到不同的反应。医疗服务提供者意识到需要对创伤披露保持敏感，这有助于PTSD的治疗。
