Cheng Michael Kin-Fun, Joseph Justine, Ferguson Donna
Altum Health, University Health Network, Toronto, Ontario
Department of Psychiatry, University of Toronto, Toronto, Ontario.
J Cogn Psychother. 2018 Aug;32(3):184-191. doi: 10.1891/0889-8391.32.3.184.
First responders face significant risks with respect to their mental health including exposure to traumatic events and subsequent development of posttraumatic stress disorder (PTSD). There are many established psychological treatment guidelines for PTSD, but there are reasons to believe that first responders differ significantly from the general population and would benefit from a targeted approach to treatment planning. The authors present a cognitive behavioral model of first responder PTSD, which integrates important factors related to this population as well as an illustrative case study. This model may be useful in identifying stuck points, maintenance factors, and targets for psychological treatment.
急救人员在心理健康方面面临重大风险，包括接触创伤性事件以及随后发展为创伤后应激障碍（PTSD）。针对PTSD已有许多既定的心理治疗指南，但有理由相信，急救人员与普通人群有显著差异，采用有针对性的治疗计划方法会使其受益。作者提出了一种急救人员PTSD的认知行为模型，该模型整合了与这一群体相关的重要因素以及一个案例研究。该模型可能有助于识别心理治疗中的难点、维持因素和治疗目标。
