持续的创伤性压力暴露:重新考虑前线工作人员的PTSD
1Department of Psychological Sciences and Health, Graham Hills Building, University of Strathclyde, Glasgow G11XQ, UK.
Healthcare (Basel, Switzerland)
|January 28, 2026
概括
前线工作者面临来自职业压力因素的累积创伤. 一个新的框架,持续创伤性压力暴露 (PTSE),将其重新定义为组织问题,而不是个人障碍,倡导系统性支持和预防.
科学领域:
- 职业健康 职业健康 职业健康
- 心理创伤学 心理创伤学
- 系统理论系统理论
背景情况:
- 卫生,紧急和社会护理的前线工作者经历了对痛苦事件和慢性压力因素的反复暴露.
- 传统的PTSD框架不足以解决职业创伤的累积和持续性质.
- 现有的模型往往侧重于个体病理,而不是系统和组织因素.
研究的目的:
- 介绍持续创伤性压力暴露 (PTSE) 作为了解前线工作者的职业创伤的新框架.
- 从个人障碍转向组织和系统状况,导致心理压力.
- 倡导将责任和干预重定向到组织的关怀职责.
主要方法:
- 概念框架开发,整合创伤理论,道德伤害,组织压力和创伤信息系统.
- 从健康,紧急情况和社会护理环境中综合证据.
- 分析重复暴露,道德冲突和机构压力如何导致累积伤害.
主要成果:
- PTSE认为,心理伤害会在班次,职业和一生中积累,需要持续的预防性干预.
- 有效的支持取决于组织的准备 (结构条件) 和准备 (安全响应的实际能力).
- PTSE将创伤重新定义为职业危险,挑战耻辱并促进心理安全.
结论:
- 采用PTSE框架鼓励从反应性治疗转向前线工作者积极的文化和结构保护.
- 组织必须优先考虑心理安全,领导力和可访问的支持系统.
- 通过承认职业创伤的实践现实,PTSE促进了长期的福祉和弹性.
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