关于创伤中的心理健康的临床实践指南建议:系统审查
Mélanie Bérubé1,2, Alexandra Lapierre1, William Panenka3
1Centre hospitalier universitaire Québec-Université Laval Research Center, Population Health and Optimal Practices Research Unit (Trauma-Emergency-Critical Care Medicine), Québec City, Quebec, Canada.
JAMA surgery
|July 16, 2025
概括
这项研究综合了创伤幸存者的心理健康临床实践指南. 它确定了50项实施建议,强调对PTSD和抑郁症等疾病的干预措施,并突出了未来研究的领域.
科学领域:
- 创伤护理的护理人员.
- 心理健康服务 心理健康服务
- 临床实践指南 临床实践指南
背景情况:
- 经历创伤的幸存者经常经历心理健康障碍.
- 临床实践指南 (CPG) 存在,但缺乏对优先级的综合性建议.
- 临床医生需要指导,如何为创伤患者实施基于证据的心理健康护理.
研究的目的:
- 确定和评估CPG建议,以预防和管理创伤患者的精神障碍.
- 综合包括在内的CPG的证据质量和建议的强度.
- 为优先考虑指南实施提供基础,以改善患者护理.
主要方法:
- 对多个数据库和指南存储库进行系统搜索 (2008年1月至2024年9月).
- 对于急性/早期康复阶段 (<3个月) 的成人创伤患者,包括心理健康建议的CPG.
- 使用AGREE II评估指南质量,使用GRADE标准评估证据质量.
主要成果:
- 包括43个CPG;25个 (58%) 是高质量的,并指出了常见的方法缺陷.
- 200个来自高质量的CPG的建议;50个 (25%) 有中等到高的证据支持.
- 干预侧重于创伤后应激障碍,抑郁症,物质使用障碍;减少预防/查的高支持建议.
结论:
- 确定了50个建议,用于在创伤人群中潜在的临床实施,特别是TBI.
- 突出需要临床医师培训,以患者为中心的护理和医疗保健公平.
- 需要进一步的研究来加强对创伤幸存者的心理健康支持.
相关概念视频
01:27Post-traumatic Stress Disorder
117
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,...
117
01:24Treatment Strategies for Psychological Disorders
277
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
277
01:27Diagnostic and Statistical Manual of Mental Disorders (DSM)
156
The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
156
01:30Community Based Intervention
96
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
96
01:28Psychotherapy
175
Psychotherapy is a versatile, nonmedical approach aimed at helping individuals address emotional, behavioral, and interpersonal issues to enhance their overall well-being. It can involve one-on-one sessions, couples counseling, or small group discussions with a therapist. The therapeutic process includes various techniques such as open discussion, interpretation of thoughts and behaviors, active listening, positive reinforcement, and role modeling. Psychotherapy aims to support individuals in...
175
01:30Stress and Mental Health
213
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
213