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临床教育:在医疗环境中解决既往创伤及其影响。

Clinical Education: Addressing Prior Trauma and Its Impacts in Medical Settings.

机构信息

Departments of Psychiatry and Surgery, College of Medicine, University of Arkansas for Medical Sciences, 4301 W Markham Street, Little Rock, AR, 72205, USA.

Department of Psychology, Palo Alto University, 1791 Arastradero Rd, Palo Alto, CA, 94304, USA.

出版信息

J Clin Psychol Med Settings. 2024 Sep;31(3):501-512. doi: 10.1007/s10880-024-10029-1. Epub 2024 Aug 2.

Abstract

Prior trauma exposure significantly increases the risk of developing PTSD following medical stressors and may contribute to the development of medically induced PTSD. However, healthcare systems often overlook the interaction between prior trauma and current medical stressors, contributing to negative psychosocial and health-related outcomes for patients. Integration of both trauma-informed and trauma-focused practices into psychosocial programming in medical settings may be key to effectively addressing the needs of trauma-exposed patients. Yet, there is a lack of practical guidance on how clinical psychologists in medical settings can respond to trauma's effects in routine clinical practice. This paper aims to provide an overview of trauma-focused theory, assessment, and treatment considerations within medical settings, emphasizing the importance of incorporating trauma-focused intervention into integrated psychosocial programming to address prior trauma and its impacts on care in order to improve patient outcomes.

摘要

先前的创伤暴露显著增加了在经历医疗压力源后发生 PTSD 的风险,并且可能促成了医源性 PTSD 的发展。然而,医疗保健系统常常忽略先前创伤与当前医疗压力源之间的相互作用,导致患者产生负面的心理社会和健康相关后果。将创伤知情和创伤聚焦的实践整合到医疗环境中的心理社会计划中,可能是有效满足创伤暴露患者需求的关键。然而,在医疗环境中,临床心理学家如何在常规临床实践中应对创伤的影响,这方面缺乏实用指导。本文旨在概述医疗环境中的创伤聚焦理论、评估和治疗注意事项,强调将创伤聚焦干预纳入综合心理社会计划的重要性,以解决先前创伤及其对护理的影响,从而改善患者的结局。

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