Schnyder Ulrich, Schäfer Ingo, Aakvaag Helene F, Ajdukovic Dean, Bakker Anne, Bisson Jonathan I, Brewer Douglas, Cloitre Marylène, Dyb Grete A, Frewen Paul, Lanza Juliana, Le Brocque Robyne, Lueger-Schuster Brigitte, Mwiti Gladys K, Oe Misari, Rosner Rita, Schellong Julia, Shigemura Jun, Wu Kitty, Olff Miranda
Department of Psychiatry and Psychotherapy, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Eur J Psychotraumatol. 2017 Nov 30;8(sup7):1403257. doi: 10.1080/20008198.2017.1403257. eCollection 2017.
Trauma is a global issue. The great majority of the global burden of disease arising from mental health conditions occurs in low- and middle-income countries (LMICs), among populations in political, economic, and/or cultural transition and those struck by forced migration. These mental health problems frequently arise as a result of traumatic events that adversely affect adults, children, and families, including war, mass violence, natural disasters, and accidents. In response to this, the International Society for Traumatic Stress Studies (ISTSS) launched the Global Initiative to have a stronger global impact on trauma-related issues. As part of this initiative, the Global Collaboration was established by representatives of eight professional organizations active in the field of traumatic stress. The group decided to focus on childhood abuse and neglect as its first collaboration. They collected guidelines worldwide, providing the basis for a synthesized core guide for prevention and treatment that can be customized for specific cultural contexts. The resulting 'Internet information on Childhood Abuse and Neglect' (iCAN) is a comprehensive guide for adults who have been affected by childhood abuse and neglect, as well as for the survivors' significant others. It is currently provided in eight languages, and is freely available at the homepage of ISTSS and other websites. A second achievement of the Global Collaboration is the validation of the Computerized Childhood Attachment and Relational Trauma Screen (CARTS), a self-report measure designed to measure occurrences of childhood maltreatment, and its translation into multiple languages, including Croatian, Dutch, French, Georgian, German, Italian, Japanese, Norwegian, Russian, and Spanish. A study is currently planned to collect normative responses to the questionnaire, and to conduct cross-cultural comparisons. The Global Collaboration's success may be seen as an encouraging step towards a truly global structure in the field of traumatic stress.
创伤是一个全球性问题。全球因心理健康状况产生的疾病负担，绝大部分发生在低收入和中等收入国家（LMICs），涉及处于政治、经济和/或文化转型期的人群以及遭受被迫迁移影响的人群。这些心理健康问题常常源于对成年人、儿童和家庭产生不利影响的创伤性事件，包括战争、大规模暴力、自然灾害和事故。对此，国际创伤应激研究学会（ISTSS）发起了全球倡议，以便在全球范围内对与创伤相关的问题产生更大影响。作为该倡议的一部分，由活跃于创伤应激领域的八个专业组织的代表成立了全球合作组织。该组织决定将儿童期虐待和忽视作为其首个合作重点。他们收集了全球范围内的指导方针，为一份可针对特定文化背景进行定制的综合预防和治疗核心指南奠定了基础。由此产生的《儿童期虐待和忽视的互联网信息》（iCAN）是一份针对受儿童期虐待和忽视影响的成年人以及幸存者重要他人的综合指南。目前它有八种语言版本，可在ISTSS主页及其他网站免费获取。全球合作组织的第二项成果是对计算机化儿童依恋与关系创伤筛查工具（CARTS）的验证，这是一种旨在测量儿童期虐待发生率的自我报告测量工具，并且已被翻译成多种语言，包括克罗地亚语、荷兰语、法语、格鲁吉亚语、德语、意大利语、日语、挪威语、俄语和西班牙语。目前正在计划开展一项研究，以收集对该问卷的标准化回答，并进行跨文化比较。全球合作组织的成功可被视为朝着创伤应激领域真正的全球架构迈出的鼓舞人心的一步。
