使用道德伤害和痛苦量表来确定具有临床意义的道德伤害
Shira Maguen1,2, Brandon J Griffin3,4, Robert H Pietrzak5,6
1Mental Health Services, San Francisco VA Health Care System, San Francisco, California, USA.
Journal of traumatic stress
|April 24, 2024
概括
这项研究建立了道德伤害和痛苦量表 (MIDS) 的切割分数,以确定临床上显著的道德伤害. 建议以27分的分数来识别有风险的退伍军人,医疗保健工作者和急救人员.
科学领域:
- 心理学 心理学 心理学
- 心理健康 心理健康
- 创伤研究 创伤研究
背景情况:
- 在潜在的道德伤害事件 (PMIEs) 之后,区分道德伤害和规范性痛苦仍然是一个挑战.
- 现有的研究缺乏临床上显著的道德伤害的标准化措施.
- 精神伤害影响各种高压职业,包括退伍军人,医疗保健工作者和急救人员.
研究的目的:
- 通过使用道德伤害和痛苦量表 (MIDS) 确定具有临床意义和功能损害的道德伤害得分.
- 在MIDS上建立最佳的切割分数,以检测显著的心理痛苦和功能障碍.
- 为了告知基于测量的道德伤害的护理.
主要方法:
- 使用信号检测方法对645名暴露在PME的参与者的数据进行了检测.
- 分析了心理健康 (PTSD,抑郁症,内) 和功能障碍的措施.
- 确定了最有效的MIDS得分值,用于识别具有临床意义的结果的个体.
主要成果:
- 27的MIDS切割得分被确定为检测临床显著的创伤后压力,抑郁症状,创伤相关的内和功能障碍的最佳得分.
- 在MIDS得分为27时,大约70%的人报告了显著的心理健康症状,50%的人报告了严重的内或功能障碍.
- 10.2%的PMIE暴露受访者对道德伤害进行了积极查,少数民族种族/民族群体 (17.9%) 的比例高于白人非西班牙裔个人 (8.0%).
结论:
- 这项研究为临床上有意义和损害道德伤害提供了第一个确定的切割分数.
- 推的MIDS削减得分为27,有助于识别有针对性干预的风险人群.
- 调查结果强调需要了解风险和保护因素,特别是对于少数群体,在道德伤害护理中.
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