对社区灾难的心理健康反应:系统审查
Carol S North1, Betty Pfefferbaum
1VA North Texas Health Care System, Dallas, USA. carol.north@utsouthwestern.edu < &
JAMA
|August 9, 2013
概括
需要一个系统的方法来识别和分类需要灾难心理健康服务的个人. 对于活跃的精神疾病,有基于证据的治疗方法,但心理社会干预措施的有效性需要进一步评估.
科学领域:
- 灾难心理健康响应 灾难心理健康响应
- 紧急医疗 紧急医疗
- 创伤护理的护理人员.
背景情况:
- 遭受灾难的情况很常见,患上创伤后应激障碍 (PTSD) 和其他心理健康状况的风险很大.
- 对心理健康服务的系统方法可以改善整合到紧急医疗响应中.
研究的目的:
- 审查和总结有关识别需要灾难心理健康服务的人的证据.
- 概述最佳实践,以对个体进行适当的治疗.
主要方法:
- 在PsycINFO,PubMed,Cochrane,Academic Search Complete和谷歌学者 (2012年及之前) 的系统文献搜索.
- 包括PILOTS数据库 (2013年2月之前).
- 使用的关键词与灾难,心理健康,分拣和应对有关.
主要成果:
- 灾难造成的不良心理健康结果可能不会立即明显,需要系统的识别和分类.
- 在灾后环境中,痛苦的个人可能出现新发病的疾病,恶化了先前存在的疾病或心理痛苦.
- 虽然有针对活跃精神疾病的基于证据的治疗方法,但心理急救和危机咨询等心理社会干预措施的益处和危害在灾难环境中仍未得到评估.
结论:
- 在灾后环境中,识别,分类和干预心理健康的系统框架至关重要.
- 建议将其整合到紧急医疗和创伤护理响应中.
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