童年不良经历对初级保健提供者的创伤信息护理的影响:一项跨部门研究
Kayla Gardner1, Benjamin Ivins1, Trinity Mathis Peters1
1Brigham Young University, Provo, UT, USA.
Inquiry : a journal of medical care organization, provision and financing
|September 11, 2025
概括
具有较高不良童年经历 (ACE) 评分的初级保健提供者更有可能使用创伤信息化护理 (TIC). 这表明个人创伤史可能会提高在临床实践中对TIC的理解和应用.
科学领域:
- 医学研究 医学研究
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 儿童不良经历 (ACE) 与长期的健康和社会经济问题有关.
- 初级保健提供者 (PCP) 个人创伤史对其提供创伤信息化护理 (TIC) 的影响尚不清楚.
研究的目的:
- 评估PCP的个人创伤史 (ACE分数) 和他们对创伤的个人反应 (倦怠,同情疲劳,代理受害) 以及他们对ICT的实践之间的关系.
主要方法:
- 对167个PCP进行了横截面调查.
- 参与者完成了在线测量,包括ACEs研究问卷,创伤信息化护理提供者评估工具 (TIC-PAT) 和专业生活质量尺度 (ProQLS).
- 使用了描述性统计和多重线性回归分析.
主要成果:
- 具有较高ACE分数的PCP显示其实施ICT的可能性显著增加 (B=0.11,P=.02).
- 在PCP对创伤 (倦怠,同情疲劳,代理受害) 的个人反应与他们提供ICT之间没有发现任何显著的关联.
- 受访者的平均ACE分数为1.4,而受访者的平均ACE分数为1.4.
结论:
- 具有个人创伤历史的PCP可能更适应创伤的影响,这可能会导致更多的ICT实施.
- 调查结果强调了所有PCP,特别是那些ACE分数较低的PCP接受ICT培训的重要性.
- 具有较高ACE分数的PCP可能会从管理个人创伤和优化临床实践的培训中受益.
相关概念视频
Socioemotional Development during Infancy
433
Socio-emotional development in infancy is primarily shaped by early emotional responses and social connections, with temperament playing a central role. Temperament refers to the consistent patterns in an individual's emotional and behavioral responses, observable even in infancy. By examining temperament, researchers can better understand an infant's unique ways of interacting with the world, influencing subsequent personality and socio-emotional growth.
Primary Temperament Types
Primary Temperament Types
433
Factors Affecting Illness
5.1K
When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness,...
For instance, risk factors are connected to illness,...
5.1K
Relationship with Parents: Attachment
226
Parent-child interactions lay the foundation for how we understand relationships throughout life. These interactions are not uniform across families; instead, they are shaped by a range of environmental, emotional, and behavioral factors unique to each caregiver-child dynamic. Social psychologists study these early relationships to understand how patterns formed in infancy influence social functioning and interpersonal behavior in adulthood.Attachment Theory and Early Relational ModelsJohn...
226
Psychological and Sociocultural Causes of Schizophrenia
482
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...
482
Theory of Romantic Attachment in Adulthood
48.6K
Attachment is a long-standing connection or bond with others. While Attachment Theory was conceived in developmental psychology to describe infant-caregiver bonding, it's been extended into adulthood to include romantic relationships.
48.6K
Influence of Parents and Peers on Identity
473
Adolescence is a pivotal period of identity formation, during which individuals begin to answer questions central to their sense of self, such as "Who am I?" and "Who do I hope to become?" Both parents and peers play critical roles in guiding adolescents through this complex developmental phase.
Parental Influence on Identity Development
Parents serve as primary guides and managers in an adolescent's life, offering support instrumental in decision-making and personal growth....
Parental Influence on Identity Development
Parents serve as primary guides and managers in an adolescent's life, offering support instrumental in decision-making and personal growth....
473


