创伤类型会影响女性对医疗保健相关的信任和参与
Emma C Lathan1, Hannah Sawyer1, Séba Bakoyema1
1Department of Psychological Sciences, Auburn University.
Psychological trauma : theory, research, practice and policy
|August 7, 2025
概括
特定的创伤类型,包括不必要的性经历,使用武器的攻击和暴露于有毒物质,显著影响女性对医生的信任和医疗保健的利用. 了解创伤史对于改善患者与提供者关系和医疗保健行为至关重要.
科学领域:
- 心理学 心理学 心理学
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 创伤幸存者往往表现出减少的医疗保健参与,可能与提供者不信任有关.
- 不同类型的创伤对医疗保健信任和参与的具体影响仍未得到充分研究.
- 这项研究调查了不同的创伤经历是如何独特地影响女性对医生的信任和医疗保健不足的.
研究的目的:
- 检查各种创伤类型对女性对医生的信任的影响.
- 评估特定创伤类型与医疗保健利用不足之间的关系.
- 了解提供者信任在创伤和医疗保健参与之间的联系中扮演的调解角色.
主要方法:
- 通过在线众包平台招募了150名女性.
- 参与者完成了关于创伤经历,对医生的信任,医疗保健利用不足和PTSD症状的调查.
- 用回归分析来确定信任和不足利用的预测因素,控制其他创伤类型和PTSD.
主要成果:
- 经历其他不必要的性经历,对医生的信任有负面预测.
- 其他不必要的性经历,使用武器的攻击和暴露在有毒物质中,积极预测了医疗保健的不足利用.
- 通过对医生的信任,从不必要的性经历到医疗保健的不足利用,即使在控制其他创伤类型和PTSD之后,也发现了显著的间接效应.
结论:
- 某些类型的创伤,特别是不想要的性经历,使用武器的攻击和暴露在有毒物质中,是减少信任和/或医疗保健不足的重要预测因素.
- 医疗保健提供者应该考虑患者的创伤史,以更好地了解患者与医疗保健提供者之间的关系以及女性寻求医疗保健的行为.
- 这些发现强调了需要创伤信息化的护理,以改善幸存者对医疗保健的参与.
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