Townsend C J, Loughlin J M
Formerly Short Term Overseas Programmes Co-ordinator, Tearfund (UK), Currently AIDS Programme Development Consultant and Trainer, Malaysian CARE (Malaysia).
J Travel Med. 1998 Dec;5(4):226-7. doi: 10.1111/j.1708-8305.1998.tb00514.x.
Missionaries are well known to suffer the effects of stress. Patricia Miersma relates missionary stress to combat related stress. 1 Development workers too are known to be at increased risk of death whilst overseas-mostly due to traumatic incidents. Relief workers voluntarily enter high stress situations. These overseas workers are at real risk of Post Traumatic Stress Disorder (PTSD). The issue of Critical Incident Stress Debriefing (CISD, or Psychological Debriefing) has been critically examined in an editorial in the British Medical Journal.3 The first randomized, controlled study of CISD that we are aware of (for motor vehicle accident survivors) was published in 1996.4 With 54 intervention subjects, it did not demonstrate effectiveness.
众所周知，传教士会承受压力的影响。帕特里夏·米尔斯马将传教士的压力与战斗相关压力联系起来。1 同样，发展工作者在海外时死亡风险也会增加——主要是由于创伤性事件。救援工作者自愿进入高压力环境。这些海外工作者面临创伤后应激障碍（PTSD）的实际风险。《英国医学杂志》的一篇社论对重大事件应激晤谈（CISD，即心理晤谈）问题进行了批判性审视。3 我们所知的第一项关于CISD的随机对照研究（针对机动车事故幸存者）于1996年发表。4 该研究有54名干预对象，并未证明其有效性。
