Noreen Tehrani Associates Limited, Twickenham, UK.
Occup Med (Lond). 2019 Dec 31;69(8-9):559-565. doi: 10.1093/occmed/kqz111.
Occupational health practitioners working in emergency services, where employees are exposed to a higher level of physical or psychological trauma, need to be able to access trauma therapy programmes which are economically viable and effective in reducing post-traumatic stress disorder and associated symptoms of anxiety and depression.
The aim of this review is to provide evidence on benefits of a short-term organizational programme of trauma therapy using NICE (2018) [1] recommended interventions.
The review examined the pre- and post-therapy clinical scores from 429 emergency service professionals (ESPs) who were employed in five police forces, two fire and two ambulance services. The ESPs in higher risk roles were in a psychological surveillance programme, with those found to be experiencing clinically significant levels of trauma-related symptoms being referred to a psychologist for an assessment which identified the ESPs requiring trauma therapy. At the end of the therapy, the symptoms of the ESPs were re-assessed, and the scores before and after the therapy were compared.
The results showed a significant improvement in the level of symptoms, with 81% of ESPs no longer exhibiting clinically significant trauma symptoms and 6% showing an increase in symptoms. In addition, the clinical results also showed improvements in ESPs' perceived work capacity and quality of social relationships.
The findings indicate that there are clinical and personal benefits to using an organizationally based short-term model of trauma therapy in an emergency service setting.
在急诊服务部门工作的职业健康从业者经常接触到更高水平的身体或心理创伤，他们需要能够获得经济可行且有效的创伤治疗方案，以减少创伤后应激障碍以及相关的焦虑和抑郁症状。
本综述旨在提供使用 NICE（2018）[1]推荐的干预措施进行短期组织创伤治疗方案的益处的证据。
该综述检查了 429 名从事五家警察部队、两家消防和两家救护车服务的急诊服务专业人员（ESP）的治疗前和治疗后临床评分。处于高风险角色的 ESP 处于心理监测计划中，那些被发现经历与创伤相关的症状具有临床显著水平的人被转介给心理学家进行评估，以确定需要创伤治疗的 ESP。在治疗结束时，重新评估 ESP 的症状，并比较治疗前后的分数。
结果显示症状水平显著改善，81%的 ESP 不再表现出具有临床显著意义的创伤症状，6%的症状增加。此外，临床结果还显示 ESP 的工作能力和社会关系质量有所提高。
这些发现表明，在急诊服务环境中使用基于组织的短期创伤治疗模式具有临床和个人益处。
