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目睹他人创伤的影响:法医与法律医学系成员的复原力及应对策略

The impact of witnessing other people's trauma: The resilience and coping strategies of members of the Faculty of Forensic and Legal Medicine.

作者信息

Horvath Miranda A H, Massey Kristina

机构信息

Department of Psychology, Middlesex University, UK.

Law and Criminal Justice Studies, Canterbury Christ Church University, UK.

出版信息

J Forensic Leg Med. 2018 Apr;55:99-104. doi: 10.1016/j.jflm.2018.02.012. Epub 2018 Feb 16.

Abstract

INTRODUCTION

The coping strategies, resilience and psychological distress of members of the Faculty of Forensic and Legal Medicine (FFLM) were measured in an attempt to establish how they are affected by, and accommodate potentially traumatic encounters with patients. Belief in a just world was also measured as it was deemed to be a mediating factor in the psychological distress exhibited in the medical practitioners who participated in this study.

METHODS

120 members of the FFLM (65 females, 54 males and 1 undisclosed) volunteered to complete an online survey. Data was collected using Survey Monkey. Participants filled out the Personal Belief in a Just World Scale and General Belief in a Just World Scale, as well as the Connor-Davidson Resilience Scale 25, the COPE and the Brief Symptom Inventory.

RESULTS

A multiple regression with stepwise entry was carried out. Personal belief in a just world, coping strategies and resilience were all identified as having a significant relationship with psychological distress.

CONCLUSIONS

Although this is only a preliminary study into this phenomenon, findings suggest the personal belief in a just world, coping strategies and resilience are useful predictors of psychological distress amongst forensic medical practitioners. However they did not predict the majority of the variance and as such, more detailed investigations are needed to identify which other factors are important in order to design interventions and support for members of the Faculty of Forensic and Legal Medicine and other forensic medical practitioners.

摘要

引言

对法医与法律医学系(FFLM)成员的应对策略、心理韧性和心理困扰进行了测量,以试图确定他们如何受到与患者潜在创伤性接触的影响以及如何应对这些接触。还测量了对公正世界的信念,因为它被认为是参与本研究的医生所表现出的心理困扰的一个中介因素。

方法

120名FFLM成员(65名女性、54名男性和1名未披露性别者)自愿完成一项在线调查。数据通过Survey Monkey收集。参与者填写了个人公正世界信念量表、一般公正世界信念量表,以及康纳-戴维森心理韧性量表25、应对方式问卷(COPE)和简明症状量表。

结果

进行了逐步进入的多元回归分析。个人公正世界信念、应对策略和心理韧性均被确定与心理困扰存在显著关系。

结论

尽管这只是对这一现象的初步研究,但研究结果表明,个人公正世界信念、应对策略和心理韧性是法医从业者心理困扰的有用预测指标。然而,它们并不能预测大部分的变异情况,因此,需要进行更详细的调查,以确定其他哪些因素很重要,从而为法医与法律医学系成员及其他法医从业者设计干预措施和提供支持。

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