对于患有复杂创伤后应激障碍和物质使用障碍的人来说,寻求安全的实践者培训和用户经验
Luise V Marino1,2,3, Osahon Ogbeiwi2, Melanie Mott4
1School of Health Sciences, University of Huddersfield, Huddersfield, West Yorkshire, United Kingdom.
PeerJ
|September 29, 2025
概括
本范围审查审查审查了寻求安全的证据,这是对复杂创伤后应激障碍 (PTSD) 和物质使用障碍 (SUD) 的干预. 它确定了实施,专业交付,培训需求和患者经验中的知识差距.
科学领域:
- 心理健康 心理健康
- 心理学 心理学 心理学
- 成 药物 药物 药物 药物
背景情况:
- 复杂的创伤后应激障碍 (PTSD) 由严重的创伤引起,通常导致物质使用障碍 (SUD) 和社会退缩.
- 症状包括侵入性思想,情绪障碍,过度警觉和睡眠障碍.
- 患有复杂PTSD和SUD的个体可能表现出风险行为或发展并发性物质使用问题.
研究的目的:
- 在患有复杂PTSD和SUD的个体中进行"寻求安全"治疗模式的证据范围审查.
- 识别有关"寻求安全"实施的知识差距.
- 探索哪些医疗保健专业人员 (HCP) 提供治疗,必要的培训和患者经验.
主要方法:
- 使用了一个范围审查方法.
- 质量,数量和灰色文献被系统地搜索和合成.
- 分析了来自18项纳入研究的数据,以确定总体主题.
主要成果:
- 六个主题出现了:"寻求安全"作为一种治疗,满足各种患者需求,影响成功的因素,患者赋权,测量治疗结果和知识差距.
- 审查发现了理解实施,合适的医疗保健专家,必要的培训和患者观点的具体差距.
- 对431个选记录的分析,包括18项研究,为治疗的应用和有效性提供了洞察力.
结论:
- 审查突出了关键的知识差距,关于医疗保健专业人员最优地提供"寻求安全".
- 了解接受"寻求安全"治疗的个人所需的培训和生活经验对于有效的临床实践至关重要.
- 需要进一步的研究,以解决在复杂的PTSD和SUD人群中"寻求安全"的实施和专业培训中发现的差距.
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