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基于证据的干预措施对创伤后应激管理的阶梯式护理干预模型在比利时警察中的开发。

Development of a stepped care intervention model of evidence-based interventions for the management of posttraumatic stress in the Belgian Police.

机构信息

Psychological Medical Service, Federal Police, Brussels, Belgium.

Center for the Psychology of Learning and Experimental Psychopathology, KU Leuven, Leuven, Belgium.

出版信息

Eur J Psychotraumatol. 2024;15(1):1-12. doi: 10.1080/20008066.2024.2349448. Epub 2024 Jun 3.

DOI:10.1080/20008066.2024.2349448
PMID:38828913
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11149569/
Abstract

Police officers are frequently exposed to a wide variety of potentially traumatic events (PTE) and are therefore at a considerable risk of developing posttraumatic stress disorder (PTSD). Previous research estimated the point prevalence of PTSD in Belgian police officers at 7.4%, significantly higher than in the general population. An effective organisational strategy to manage posttraumatic stress is essential. We aimed to develop a novel organisational approach regarding traumatic stress for Belgian police, combining evidence-based strategies for the prevention and treatment of posttraumatic stress in a stepped care intervention model. In a broad development process, we combined scientific literature, case studies of best practices from other police organisations with insights gathered from a number of expert panels, thematic working groups and feedback groups. A comprehensive stepped care intervention model was developed, consisting of evidence-based interventions for the prevention and treatment of posttraumatic stress. The intervention model is a promising organisational strategy for the management of posttraumatic stress in police organisations based on evidence-based interventions. Its effectiveness will be studied in the coming years.

摘要

警察经常会接触到各种潜在的创伤性事件(PTE),因此他们面临着患上创伤后应激障碍(PTSD)的巨大风险。先前的研究估计,比利时警察中 PTSD 的时点患病率为 7.4%,明显高于普通人群。因此,采取有效的组织策略来管理创伤后应激是至关重要的。我们旨在为比利时警察开发一种关于创伤性应激的新的组织方法,将预防和治疗创伤后应激的循证策略结合到一个递进式护理干预模型中。在一个广泛的发展过程中,我们结合了科学文献、来自其他警察组织的最佳实践案例研究,以及从多个专家小组、专题工作组和反馈小组收集的见解。我们开发了一个全面的递进式护理干预模型,其中包括预防和治疗创伤后应激的循证干预措施。该干预模型是一种基于循证干预措施的有前途的警察组织管理创伤后应激的组织策略。其有效性将在未来几年内进行研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5319/11149569/f31f0055022c/ZEPT_A_2349448_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5319/11149569/f31f0055022c/ZEPT_A_2349448_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5319/11149569/f31f0055022c/ZEPT_A_2349448_F0001_OC.jpg

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Patients' perspectives of barriers and facilitators to accessing support through primary care for common mental health problems in England: A systematic review.英格兰常见精神健康问题患者通过初级保健获取支持的障碍和促进因素的观点:系统评价。
J Affect Disord. 2023 Oct 1;338:329-340. doi: 10.1016/j.jad.2023.06.035. Epub 2023 Jun 20.
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Implementation of Evidence-Based Psychotherapies for Posttraumatic Stress Disorder: A Systematic Review.
基于证据的创伤后应激障碍心理疗法的实施:系统评价。
Adm Policy Ment Health. 2023 Sep;50(5):792-812. doi: 10.1007/s10488-023-01279-6. Epub 2023 Jun 16.
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Evaluating the Effectiveness of Return-to-Work Interventions for Individuals with Work-Related Mental Health Conditions: A Systematic Review and Meta-Analysis.评估针对患有与工作相关心理健康问题的个体的重返工作干预措施的有效性:一项系统评价和荟萃分析。
Healthcare (Basel). 2023 May 12;11(10):1403. doi: 10.3390/healthcare11101403.
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