Medical traumatic stress: Integrating evidence-based clinical applications from health and trauma psychology

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS
Sacha McBain, Matthew J. Cordova
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引用次数: 0

Abstract

Medical events in both childhood and adulthood, including components of the illness or injury and subsequent medical intervention, recovery, and disability, are increasingly being recognized as potentially traumatic. There has been an increased focus on scholarly work related to medical trauma and medically induced posttraumatic stress disorder (PTSD). Existing evidence suggests that trauma-focused treatment can promote both physical and psychological recovery. However, there continues to be a dearth of clinical guidance on how to (a) best identify and treat prior trauma exposure that complicates adjustment to illness and increases the risk for medically induced PTSD and (b) address medically induced PTSD while concurrently targeting health-related concerns (e.g., pain, adjustment to illness, acquired disability) that may negatively impact recovery. Originally presented as a premeeting institute at the 2023 Annual Meeting of the International Society for Traumatic Stress Studies, this paper describes the biopsychosocial impacts of medical trauma on adults and considerations for assessment and intervention in both traditional trauma and integrated care settings. This includes clinical applications, including assessment, case conceptualization, and health and rehabilitation interventions, that can promote health-related adjustment and coping within the context of trauma-focused treatment.

医疗创伤应激:整合健康心理学和创伤心理学的循证临床应用。
人们越来越认识到,儿童期和成年期的医疗事件,包括疾病或伤害的组成部分以及随后的医疗干预、恢复和残疾,都可能造成创伤。与医疗创伤和医疗诱发的创伤后应激障碍(PTSD)相关的学术研究越来越受到重视。现有证据表明,以创伤为重点的治疗可以促进身心康复。然而,在以下方面仍然缺乏临床指导:(a) 如何最好地识别和治疗先前的创伤暴露,这些创伤暴露会使疾病适应复杂化,并增加医源性创伤后应激障碍的风险;(b) 在解决医源性创伤后应激障碍的同时,如何解决可能对康复产生负面影响的健康相关问题(如疼痛、疾病适应、后天残疾)。本文最初作为国际创伤应激研究学会 2023 年年会的会前研讨会,介绍了医疗创伤对成人的生物心理社会影响,以及在传统创伤和综合护理环境中进行评估和干预的注意事项。其中包括临床应用,包括评估、病例概念化以及健康和康复干预,这些可以在以创伤为重点的治疗中促进与健康相关的调整和应对。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
ACS Applied Bio Materials
ACS Applied Bio Materials Chemistry-Chemistry (all)
CiteScore
9.40
自引率
2.10%
发文量
464
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