Post-disaster psychosocial services across Europe: The TENTS project
Post-disaster psychosocial services across Europe: The TENTS project
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DOI：
10.1016/j.socscimed.2012.06.017
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发表时间：
2012-11-01
影响因子：
5.4
通讯作者：
Olff, Miranda
中科院分区：
文献类型：
--
作者：
Witteveen, Anke B.;Bisson, Jonathan I.;Olff, Miranda
目前，灾后活动和计划似乎差异很大。需要充分估计整个欧洲灾后心理社会服务的可用性，以便将其与最近制定的循证心理社会护理指南进行比较。在这里，我们报告的结果，在2008年完成了一个跨部门的网络调查的286名代表的组织参与心理社会反应的创伤和灾难来自33个不同的国家在欧洲。调查涉及灾后心理社会护理的规划和提供、筛查和诊断方法、所用干预措施的类型以及创伤后心理社会护理的其他方面。调查结果表明，整个欧洲的心理社会护理规划和提供不一致。东欧国家在灾后心理社会反应方面的中央协调似乎较少，纳入具体灾害或应急计划的灾后指导方针也较少。一些形式的心理汇报，至今没有有效的证据，仍然在一些地区使用，特别是在北欧。东欧国家对创伤后应激障碍采取循证干预措施的频率较低，而在南欧和东南欧国家，与其他地区相比，更频繁地为灾难受害者开具苯二氮卓类药物等焦虑抑制药物。欧洲各国目前为灾民提供的心理社会护理并不理想。这份简短的报告表明，一些国家迫切需要放弃无效的干预措施，另一些国家迫切需要开发更多基于证据的有效服务，以促进对未来灾害所涉人员的护理。(C)2012爱思唯尔有限公司版权所有，
At present post-disaster activities and plans seem to vary widely. An adequate estimation of the availability of post-disaster psychosocial services across Europe is needed in order to compare them with recently developed evidence-informed psychosocial care guidelines. Here we report on the results of a cross-sectional web-based survey completed in 2008 by two hundred and eighty-six representatives of organizations involved in psychosocial responses to trauma and disaster from thirty-three different countries across Europe. The survey addressed planning and delivery of psychosocial care after disaster, methods of screening and diagnosis, types of interventions used, and other aspects of psychosocial care after trauma. The findings showed that planning and delivery of psychosocial care was inconsistent across Europe. Countries in East Europe seemed to have less central coordination of the post-disaster psychosocial response and fewer post-disaster guidelines that were integrated into specific disaster or contingency plans. Several forms of psychological debriefing, for which there is no evidence of efficacy to date, were still used in several areas particularly in North Europe. East European countries delivered evidence-based interventions for PTSD less frequently, whilst in South- and South-Eastern European countries anxiety suppressing medication such as benzodiazepines were prescribed more frequently to disaster victims than in other areas. Countries across Europe are currently providing sub-optimal psychosocial care for disaster victims. This short report shows that there is an urgent need for some countries to abandon non-effective interventions and others to develop more evidence based and effective services to facilitate the care of those involved in future disasters. (C) 2012 Elsevier Ltd. All rights reserved,