无家可归妇女创伤性压力症状的生物心理社会模型:一种定性描述性研究
Kirsten A Dickins1, Monique Reed1, Olimpia Paun1
1Department of Community, Systems and Mental Health Nursing, Rush University, Chicago, Illinois, USA.
Issues in mental health nursing
|June 2, 2023
概括
经历无家可归 (WEH) 的女性面临高水平的创伤和创伤后应激障碍 (PTSD). 需要量身定制的干预措施来解决影响其健康结果的复杂生物心理社会因素.
科学领域:
- 社会科学 社会科学 社会科学
- 公共卫生 公共卫生
- 心理学 心理学 心理学
背景情况:
- 在经历无家可归 (WEH) 的女性中,创伤非常普遍.
- 与普通人群相比,WEH的创伤后应激障碍 (PTSD) 发生率明显高.
- 未经治疗的PTSD加剧了健康不平等和WEH的不良生物心理社会结果.
研究的目的:
- 了解WEH中创伤风险,暴露和结果的决定因素.
- 确定导致该人口中不成比例的PTSD负担的因素.
- 探索潜在的干预途径,以解决WEH中创伤的问题.
主要方法:
- 使用半结构面试进行的定性描述性研究.
- 采访了10名WEH,6名庇护所工作人员和4名精神卫生专业人员.
- 以生物心理社会模型为指导的分析,确定关键主题和类别.
主要成果:
- 六个由演推导的生物心理社会主题强调了创伤中的生物,心理和社会环境因素的相互作用.
- 创伤对WEH的健康有重大影响,强调了针对性查和治疗的必要性.
- 确定了生物心理社会决定因素和创伤影响之间的递归关系.
结论:
- WEH强调需要针对人群量身定制,共同设计的创伤干预措施,包括解决物质使用问题的干预措施.
- 利用WEH的优势对于有效的干预开发至关重要.
- 解决WEH中严重的创伤负担可以导致显著的生物心理社会健康改善.
相关概念视频
Post-traumatic Stress Disorder
77
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
77
Introduction to Stress and Lifestyle
148
Stress is a multifaceted response to events perceived as challenging or threatening, highlighting physical, emotional, cognitive, and behavioral reactions. Physically, stress can lead to fatigue, sleep disruptions, and various health issues such as frequent colds, chest pains, and nausea. Emotionally, it can manifest as anxiety, depression, irritability, and anger triggered by both minor and major life events. Cognitively, it may result in difficulty in concentration, memory, and...
148
Psychological Responses to Stress
80
Psychological responses to stress encompass the various cognitive and emotional reactions individuals experience when faced with challenging or threatening situations, such as a job loss. Prolonged exposure to stressors can disturb emotional balance, increasing negative emotions (e.g., anxiety and sadness) and diminishing positive emotions (e.g., joy and satisfaction). These persistent emotional shifts are associated with an increased risk of both physical illness and mental health issues, such...
80
Psychoneuroimmunology: Cardiovascular Disease
57
Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
A key area of focus in PNI is the relationship between stress and coronary...
57
Stereotype Content Model
14.8K
The Stereotype Content Model (SCM) was first proposed by Susan Fiske and her colleagues (Fiske, Cuddy, Glick & Xu, 2002; see also Fiske, 2012 and Fiske, 2017). The SCM specifies that when someone encounters a new group, they will stereotype them based on two metrics: warmth—or that group’s perceived intent, and how likely they are to provide help or inflict harm—and competence—or their ability to carry out that objective. Depending on the warmth-competence...
14.8K
Psychological and Sociocultural Causes of Schizophrenia
149
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
149


