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在治疗人口贩运受害者创伤后的心理后遗症时,哪些疗法更受青睐?

What Therapies are Favored in the Treatment of the Psychological Sequelae of Trauma in Human Trafficking Victims?

作者信息

Salami Temilola, Gordon Mollie, Coverdale John, Nguyen Phuong T

机构信息

SALAMI, GORDON, COVERDALE, NGUYEN: Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX SALAMI: Department of Psychology, Sam Houston State University, Huntsville, TX.

出版信息

J Psychiatr Pract. 2018 Mar;24(2):87-96. doi: 10.1097/PRA.0000000000000288.

Abstract

Human trafficking is a major public health concern that brings about deleterious psychological consequences and sequelae. Although a number of risk and protective factors for the health consequences of human trafficking victims have been identified, there is a dearth of information in the area of treatment. Specifically, we found no articles comparing the different components of prevailing trauma treatment strategies, and the potential usefulness of these strategies in the treatment of human trafficking victims. To this end, we compared and contrasted the different therapeutic treatments typically implemented with victims of trauma (including domestic violence victims and torture victims), and discussed how the different components of these treatments may or may not be helpful for human trafficking victims. We assessed the impact of these treatments on the psychological consequences of trauma and, in particular on posttraumatic stress disorder. We also assessed the potential usefulness of these treatments with co-occurring problems such as substance use, psychosis, dissociation, and other mood and anxiety disorders. On the basis of the prevailing research, we highlighted cognitive therapies as being preferred in addressing the needs of human trafficking victims. Mental health providers who work with human trafficking victims should become aware of and practiced in the use of cognitive therapeutic approaches in treating this population. Efficacy and effectiveness studies are needed to validate our recommendations.

摘要

人口贩运是一个重大的公共卫生问题,会带来有害的心理后果和后遗症。尽管已经确定了一些与人口贩运受害者健康后果相关的风险和保护因素,但在治疗领域却缺乏信息。具体而言,我们没有找到比较现行创伤治疗策略不同组成部分以及这些策略在治疗人口贩运受害者方面潜在效用的文章。为此,我们比较并对比了通常用于创伤受害者(包括家庭暴力受害者和酷刑受害者)的不同治疗方法,并讨论了这些治疗方法的不同组成部分对人口贩运受害者可能有帮助或没有帮助的情况。我们评估了这些治疗方法对创伤心理后果的影响,特别是对创伤后应激障碍的影响。我们还评估了这些治疗方法对同时出现的问题(如物质使用、精神病、解离以及其他情绪和焦虑障碍)的潜在效用。基于现有研究,我们强调认知疗法在满足人口贩运受害者需求方面更为可取。与人口贩运受害者打交道的心理健康服务提供者应了解并熟练运用认知治疗方法来治疗这一人群。需要进行疗效和有效性研究来验证我们的建议。

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