Barry Courtney, Gundacker Constance
Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, 8701 West Watertown Plank Road, Milwaukee, WI 53226, USA.
Department of Pediatrics, Medical College of Wisconsin, Children's Corporate Center, Suite C730, 999 North 92nd Street, Milwaukee, WI 53226, USA.
Prim Care. 2023 Mar;50(1):71-82. doi: 10.1016/j.pop.2022.10.003.
Trauma is common within the United States. It is important for individuals to understand how trauma may affect their health and how trauma in childhood can have adverse effects on a child's development and health. To reduce retraumatization of patients, it is imperative to use trauma-informed approaches in a clinical encounter. Screening is an effective way to understand a patient's trauma history. When screening for trauma, it is important to take a family-centered approach and provide appropriate referrals if a patient screens positive for trauma. Primary care providers are essential players in addressing and preventing trauma.
创伤在美国很常见。个人了解创伤如何影响自身健康以及童年创伤如何对儿童的发育和健康产生不利影响非常重要。为减少患者再次受到创伤,在临床诊疗中采用创伤知情方法势在必行。筛查是了解患者创伤史的有效方法。在筛查创伤时,采用以家庭为中心的方法并在患者创伤筛查呈阳性时提供适当的转诊建议很重要。初级保健提供者是应对和预防创伤的重要角色。