Challenges for providing health care in traumatized populations: barriers for PTSD treatments and the need for new developments
Challenges for providing health care in traumatized populations: barriers for PTSD treatments and the need for new developments
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DOI：
10.1080/16549716.2017.1322399
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发表时间：
2017-05-31
影响因子：
2.6
通讯作者：
Kazlauskas, Evaldas
中科院分区：
文献类型：
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作者：
Kazlauskas, Evaldas
人们越来越认识到创伤经历对全世界心理健康的影响。由于持续不断的冲突、自然灾害、人际暴力和其他创伤性事件，据估计，全球大约 70% 的人口一生中至少经历过一次创伤性经历。研究表明，很大一部分幸存者，特别是在低收入和中等收入国家，都患有创伤后应激障碍（PTSD）。近几十年来，针对创伤后应激障碍（PTSD）的有效循证治疗方法已经被开发出来。然而，心理健康服务存在重大障碍，创伤幸存者不容易获得创伤知情治疗。从社会心理创伤学的角度来看，确定了创伤治疗的几个核心障碍，包括缺乏承认和避免披露。创伤后应激障碍（PTSD）治疗中对文化敏感性的需求、替代治疗方式的潜力以及非专业志愿者的参与被提议作为该领域未来发展的方向。
There is a growing recognition about the effects of traumatic experiences on mental health worldwide. With ongoing conflicts, natural disasters, interpersonal violence, and other traumatic events it is estimated that approximately 70% of the global population have been exposed to at least one lifetime traumatic experience. Research shows a substantial proportion of survivors, especially in low-and middle-income countries, would have a posttraumatic stress disorder (PTSD). During recent decades effective evidence-based treatments for PTSD have been developed. However, there are significant barriers to mental health services and trauma-informed treatments are not easily available for trauma survivors. From the perspective of social psychotraumatology several core barriers to trauma treatments were identified, including the lack of acknowledgment, and avoidance of disclosure. The need for cultural sensitivity in PTSD treatments, the potential of alternative ways of treatment delivery, and the involvement of nonprofessional volunteers are proposed as directions for future developments in the field.