Clinical Education: Addressing Prior Trauma and Its Impacts in Medical Settings.

IF 1.6 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Journal of Clinical Psychology in Medical Settings Pub Date : 2024-09-01 Epub Date: 2024-08-02 DOI:10.1007/s10880-024-10029-1
Sacha A McBain, Matthew J Cordova
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Abstract

Prior trauma exposure significantly increases the risk of developing PTSD following medical stressors and may contribute to the development of medically induced PTSD. However, healthcare systems often overlook the interaction between prior trauma and current medical stressors, contributing to negative psychosocial and health-related outcomes for patients. Integration of both trauma-informed and trauma-focused practices into psychosocial programming in medical settings may be key to effectively addressing the needs of trauma-exposed patients. Yet, there is a lack of practical guidance on how clinical psychologists in medical settings can respond to trauma's effects in routine clinical practice. This paper aims to provide an overview of trauma-focused theory, assessment, and treatment considerations within medical settings, emphasizing the importance of incorporating trauma-focused intervention into integrated psychosocial programming to address prior trauma and its impacts on care in order to improve patient outcomes.

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临床教育:在医疗环境中处理先前的创伤及其影响。
先前遭受的创伤会大大增加在医疗压力下罹患创伤后应激障碍的风险,并可能导致医疗诱发创伤后应激障碍的发展。然而,医疗保健系统往往忽视了之前的创伤与当前医疗压力之间的相互作用,从而导致患者在心理社会和健康相关方面出现负面结果。在医疗机构的心理社会计划中融入创伤知情和以创伤为重点的实践,可能是有效解决创伤暴露患者需求的关键。然而,对于医疗机构中的临床心理学家如何在常规临床实践中应对创伤的影响,目前还缺乏实用的指导。本文旨在概述医疗机构中以创伤为重点的理论、评估和治疗注意事项,强调将以创伤为重点的干预措施纳入综合心理社会计划的重要性,以解决先前的创伤及其对护理的影响,从而改善患者的治疗效果。
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来源期刊
CiteScore
4.00
自引率
4.50%
发文量
93
期刊介绍: Journal of Clinical Psychology in Medical Settings is an international forum for the publication of peer-reviewed original papers related to all areas of the science and practice of psychologists in medical settings. Manuscripts are chosen that have a broad appeal across psychology as well as other health care disciplines, reflecting varying backgrounds, interests, and specializations. The journal publishes original research, treatment outcome trials, meta-analyses, literature reviews, conceptual papers, brief scientific reports, and scholarly case studies. Papers accepted address clinical matters in medical settings; integrated care; health disparities; education and training of the future psychology workforce; interdisciplinary collaboration, training, and professionalism; licensing, credentialing, and privileging in hospital practice; research and practice ethics; professional development of psychologists in academic health centers; professional practice matters in medical settings; and cultural, economic, political, regulatory, and systems factors in health care. In summary, the journal provides a forum for papers predicted to have significant theoretical or practical importance for the application of psychology in medical settings.
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