对急救人员心理干预的系统文献综述

IF 5.6 2区 心理学 Q1 PSYCHOLOGY, APPLIED Work and Stress Pub Date : 2020-05-04 DOI:10.1080/02678373.2020.1758833
L. Alden, L. Matthews, Shannon L. Wagner, T. Fyfe, Christine Randall, C. Regehr, Marc White, N. Buys, Mary G. Carey, W. Corneil, Nicole White, Alex Fraess-Phillips, E. Krutop
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引用次数: 15

摘要

摘要:我们对实证文献进行了系统回顾,以检验心理干预对警察、消防员和护理人员创伤后症状的有效性。评审过程以PRISMA声明为指导(Moher等[2009])。系统评价和荟萃分析首选报告项目:PRISMA声明。公共医学杂志,6(7),e1000097。https://doi.org/10.1371/journal.pmed.1000097)和医学研究所的系统评价标准(IOM[2011])。找出在医疗保健中有效的方法:系统评价的标准。nihlibrary.nih.gov /网站/违约/文件/ Finding_What_Works_in_Health_Care_StandardsforSystematic_Reviews_IOM_2011.pdf)。在审查的每个阶段都有一个跨学科的多国研究小组参与,该小组在高风险职业的心理健康创伤和职业压力方面具有专门知识。两名团队成员根据质量和对研究问题的贡献对每个研究进行评分。共确定了21项研究:9项案例研究、2项单组研究、8项随机对照试验和2项关于工作休假的研究。大多数研究受到样本量小和缺乏有效控制条件的限制。研究的局限性降低了得出明确最佳做法建议的能力;然而,随机对照试验的增加提供了令人鼓舞的迹象,表明以创伤为重点的心理治疗对急救人员是有效的。
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Systematic literature review of psychological interventions for first responders
ABSTRACT We conducted a systematic review of the empirical literature examining the effectiveness of psychological interventions for post-traumatic symptomatology in police, firefighters, and paramedic personnel. The review process was guided by the PRISMA statement (Moher et al. [2009]. Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Medicine, 6(7), e1000097. https://doi.org/10.1371/journal.pmed.1000097) and Institute of Medicine’s Standards for Systematic Reviews (IOM [2011]. Finding what works in health care: Standards for systematic reviews. nihlibrary.nih.gov/sites/default/files/Finding_What_Works_in_Health_Care_StandardsforSystematic_Reviews_IOM_2011.pdf). An inter-disciplinary, multi-national research team with expertise in mental health trauma and occupational stress in high risk professions was engaged at each stage of the review. Two team members rated each study in terms of quality and contribution to the research question. Twenty-one studies were identified: 9 case studies, 2 single-group studies, 8 randomised controlled trials, and 2 studies examining work leave. Most of the studies were limited by small sample sizes and absence of active control conditions. Research limitations reduce the ability to draw definitive best practices recommendations; however, the increase in randomised controlled trials provides encouraging signs that trauma-focused psychotherapies can be effective for first responders.
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来源期刊
Work and Stress
Work and Stress PSYCHOLOGY, APPLIED-
CiteScore
11.70
自引率
3.30%
发文量
21
期刊介绍: Work & Stress is an international, multidisciplinary quarterly presenting high-quality papers concerned with the psychological, social and organizational aspects of occupational health and well-being, and stress and safety management. It is published in association with the European Academy of Occupational Health Psychology. The journal publishes empirical reports, scholarly reviews and theoretical papers. It is directed at occupational health psychologists, work and organizational psychologists, those involved with organizational development, and all concerned with the interplay of work, health and organisations. Research published in Work & Stress relates psychologically salient features of the work environment to their psychological, behavioural and health consequences, focusing on the underlying psychological processes. The journal has become a natural home for research on the work-family interface, social relations at work (including topics such as bullying and conflict at work, leadership and organizational support), workplace interventions and reorganizations, and dimensions and outcomes of worker stress and well-being. Such dimensions and outcomes, both positive and negative, include stress, burnout, sickness absence, work motivation, work engagement and work performance. Of course, submissions addressing other topics in occupational health psychology are also welcomed.
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