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验尸官与创伤后应激障碍:治疗意义。

Coroners and PTSD: Treatment Implications.

机构信息

Harvard Medical School, Boston, MA, USA.

Cambridge Health Alliance, Department of Psychiatry, 1493 Cambridge Street, Cambridge, MA, 02139, USA.

出版信息

Psychiatr Q. 2018 Dec;89(4):765-770. doi: 10.1007/s11126-018-9580-9.

DOI:10.1007/s11126-018-9580-9
PMID:29651735
Abstract

Experimental studies have documented the development of posttraumatic stress disorder (PTSD) in first responders. These studies have routinely included police, firefighters, and paramedics. However, there is another group of first responders that are at risk for PTSD but that has received less research attention. This group is comprised of coroners. This paper reviewed the published data concerning coroners and PTSD and outlined various treatments for addressing coronial PTSD. The findings, the differing treatments, and a detailed methodological inquiry are presented. The need for a conceptual framework for the various other professional groups responding to critical incidents and a crisis intervention approach to address the psychological needs of both family survivors and coronial personnel are noted.

摘要

实验研究已经记录了创伤后应激障碍(PTSD)在急救人员中的发展。这些研究通常包括警察、消防员和护理人员。然而,还有另一组急救人员也有 PTSD 的风险,但受到的研究关注较少。这个群体由验尸官组成。本文回顾了关于验尸官和 PTSD 的已发表数据,并概述了各种治疗方法来处理验尸官 PTSD。介绍了研究结果、不同的治疗方法和详细的方法学调查。指出了需要为应对重大事件的其他各种专业群体建立一个概念框架,并需要采取危机干预方法来满足家属幸存者和验尸官人员的心理需求。

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本文引用的文献

1
Work-related trauma, alienation, and posttraumatic and depressive symptoms in medical examiner employees.法医员工的工作相关创伤、疏离感以及创伤后和抑郁症状。
Psychol Trauma. 2018 Nov;10(6):689-697. doi: 10.1037/tra0000323. Epub 2017 Oct 5.
2
The nature and burden of occupational injury among first responder occupations: A retrospective cohort study in Australian workers.急救人员职业中的职业伤害性质与负担:一项针对澳大利亚工人的回顾性队列研究。
Injury. 2017 Nov;48(11):2470-2477. doi: 10.1016/j.injury.2017.09.019. Epub 2017 Sep 23.
3
Suicide among emergency and protective service workers: A retrospective mortality study in Australia, 2001 to 2012.
法医学从业者所表现出的创伤与应对机制:一项文献综述。
Forensic Sci Int Synerg. 2020 Oct 13;2:310-316. doi: 10.1016/j.fsisyn.2020.10.001. eCollection 2020.
应急和保护服务工作者中的自杀现象:2001年至2012年澳大利亚的一项回顾性死亡率研究。
Work. 2017;57(2):281-287. doi: 10.3233/WOR-172554.
4
Effectiveness of suicide prevention programs for emergency and protective services employees: A systematic review and meta-analysis.针对应急和保护服务人员的自杀预防项目的有效性:一项系统评价与荟萃分析。
Am J Ind Med. 2017 Apr;60(4):394-407. doi: 10.1002/ajim.22676. Epub 2017 Mar 6.
5
Negotiating grief and trauma in the coronial jurisdiction.在死因裁判管辖权范围内应对悲伤与创伤。
J Law Med. 2016 Mar;23(3):582-94.
6
Decision-making in a death investigation: Emotion, families and the coroner.死因调查中的决策:情感、家属与验尸官。
J Law Med. 2016 Mar;23(3):571-81.
7
The moderating impact of interacting with distressed families of decedents on trauma exposure in medical examiner personnel.与死者家属互动对法医人员创伤暴露的调节作用。
Psychol Trauma. 2016 Nov;8(6):668-675. doi: 10.1037/tra0000097. Epub 2016 Mar 28.
8
Posttraumatic stress symptoms in police staff 12-18 months after the Canterbury earthquakes.坎特伯雷地震发生12至18个月后警察的创伤后应激症状
J Trauma Stress. 2015 Apr;28(2):162-6. doi: 10.1002/jts.21991. Epub 2015 Apr 2.
9
Treating psychological trauma in first responders: a multi-modal paradigm.急救人员心理创伤的治疗:一种多模式范式。
Psychiatr Q. 2015 Jun;86(2):261-7. doi: 10.1007/s11126-014-9329-z.
10
PTSD in psychiatric nurses and other mental health providers: a review of the literature.精神科护士及其他心理健康服务提供者中的创伤后应激障碍:文献综述
Issues Ment Health Nurs. 2013 Nov;34(11):787-95. doi: 10.3109/01612840.2013.824053.