预测埃博拉急救人员的心理健康结果

A. Kirby, Merissa V. Hawkins, R. David, D. Eric
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摘要

目的:截至2015年5月6日,2014年埃博拉疫情导致26,683例病例和11022例死亡。随着来自美国的第一响应者被部署到现场,以协助应对面临的许多挑战,他们遇到了一系列新的创伤性事件和情况,无疑使他们面临患上精神障碍的风险。组织必须做好准备,在雇员和志愿者回国后为他们提供心理健康服务。方法:作者质疑PTSD、ASD和抑郁症在返回的第一响应者中的潜在患病率,以及哪种治疗方法对个体的恢复或改善状况最有效。这是通过使用AnyLogic®7.0完成的。使用了一种基于主体的方法来模拟第一响应者在处理埃博拉时可能遇到的压力水平,在这种情况下,所有响应者开始时都处于健康状态,并可能发展为精神健康障碍。测试的治疗方案有认知加工治疗、长时间暴露治疗和群体暴露治疗。结果:GBET对PTSD患者的病情恢复和改善效果最为积极。结论:结果表明,所使用的治疗类型可以显著影响个体的心理健康结果。
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Predicting the mental health outcomes for Ebola first responders
Purpose: The 2014 Ebola epidemic resulted in 26,683 cases and 11,022 deaths by May 6th, 2015. With first responders deploying from the United States to assist with the many challenges being faced in the field, they encountered a new set of traumatic events and situations that undoubtedly put them at risk for developing a mental disorder. Organizations must be prepared to provide mental health services for their employees and volunteers once they return. Approach: The authors questioned the potential prevalence of PTSD, ASD, and depression among returning first responders and which therapy method would be the most effective in terms of an individual’s recovered or improved condition. This was done through the use of AnyLogic® 7.0. An agent-based method to model the stress levels a first responder may experience while dealing with Ebola was used, where all responders begin in the healthy state and can develop mental health disorders. The therapy options tested were Cognitive Processing Therapy, Prolonged Exposure, and Group Based Exposure Therapy. Results: GBET for PTSD patients provided the most positive results in terms of condition recovery and improvement. Conclusion: The results showed evidence that the type of therapy used can drastically affect the individual’s mental health outcome.
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