预测参与灾后心理健康计划的人数.
David Crompton1,2, Peter Kohleis3, Jane Shakespeare-Finch1
1Queensland University of Technology, Brisbane, Queensland, Australia.
Disaster medicine and public health preparedness
|November 18, 2024
概括
感知到的威胁,财产损失和财务损失等因素预测了灾后的心理健康治疗,为那些有创伤后应激障碍 (PTSD) 风险的人寻求治疗.
科学领域:
- 灾难心理健康 灾难心理健康
- 心理创伤学 心理创伤学
- 公共卫生 公共卫生
背景情况:
- 自然灾害可能导致严重的心理痛苦,包括创伤后应激障碍 (PTSD).
- 识别有风险的个人和预测他们与心理健康服务的接触对于有效的灾后支持至关重要.
- 以前的研究已经探讨了创伤后应激障碍的危险因素,但对受影响人群寻求治疗的预测因素知之甚少.
研究的目的:
- 确定灾前和灾后的因素,这些因素可以预测患有PTSD风险的个体进入临床治疗计划的可能性.
- 了解在自然灾害后寻求治疗的人与不寻求治疗的人之间的区别特征.
主要方法:
- 一项对881人进行的回顾性自然主义评估,在昆士兰,澳大利亚,自然灾害 (2010-11年) 之后,他们被转介到灾后治疗计划.
- 摄入数据包括初级保健PTSD尺度 (得分>2),灾难暴露,人口统计,临床信息,应对和弹性措施.
- 使用分类树分析 (CTA) 来确定参与治疗的预测因素.
主要成果:
- 与未接受治疗组相比,治疗组中的个体更有可能认为他们的生命受到威胁 (85.1%与8.1%相比),无法应对 (67%与25.8%相比),并且不那么有弹性 (4.2%与87.5%相比).
- 治疗参与的关键预测指标包括康纳-戴维森尺度,财产损失,财务损失,感知生命威胁和保险索赔.
结论:
- 灾难前和灾后的具体因素显著区分了参与心理健康治疗的人与不参与心理健康治疗的人.
- 这些发现可以为受自然灾害影响的人群提供有针对性的宣传和支持策略,以改善心理健康服务的参与度.
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