Systematic Consensus Building on Disaster Mental Health Services After the Great East Japan Earthquake by Phase
Systematic Consensus Building on Disaster Mental Health Services After the Great East Japan Earthquake by Phase
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DOI：
10.1017/dmp.2015.13
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发表时间：
2015-08-01
影响因子：
2.7
通讯作者：
Kim, Yoshiharu
中科院分区：
文献类型：
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作者：
Fukasawa, Maiko;Suzuki, Yuriko;Kim, Yoshiharu
目的：我们希望在东日本大地震灾区工作的专业人员中就适当的灾害心理健康服务达成共识。方法：以灾后前3个月为研究对象，分为灾后初期、急性期和中期3个阶段。我们采用德尔菲法，并要求我们的调查参与者（n = 115）对每个阶段的特定心理健康服务的适当性进行评级，并对其进行评论。我们重复了这个过程3次，让参与者对上一轮的结果进行反馈。通过这个过程，我们确定了每个项目的积极共识标准，即有80%以上的参与者同意。结果：我们发现急性精神病学护理的重要性和对精神病学患者的常规药物治疗在急性期和急性期获得了积极的共识。急性期和中期创伤性事件后的心理咨询和心理教育或信息提供获得共识，中期精神困扰筛查获得共识。结论：应优先考虑立即提供持续的精神病学服务，并在后期开展精神卫生活动。
Objective: We intended to build consensus on appropriate disaster mental health services among professionals working in the area affected by the Great East Japan Earthquake.Methods: We focused on the first 3 months after the disaster, divided into 3 phases: immediate aftermath, acute phase, and midphase. We adopted the Delphi process and asked our survey participants (n = 115) to rate the appropriateness of specific mental health services in each phase and comment on them. We repeated this process 3 times, giving participants feedback on the results of the previous round. Through this process, we determined the criterion for positive consensus for each item as having the agreement of more than 80% of the participants.Results: We found that the importance of acute psychiatric care and prescribing regular medication for psychiatric patients gained positive consensus in the immediate aftermath and acute phase. Counseling and psychoeducation after traumatic events or provision of information gained consensus in the acute phase and midphase, and screening of mental distress gained consensus in the midphase.Conclusions: Higher priority was given to continuous psychiatric services in the immediate aftermath and mental health activities in later phases.