医学实践中的精神创伤学——一项调查。

U Schnyder, L Valach
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引用次数: 0

摘要

在一项有代表性的全国调查中,全科医生和精神科医生被问及他们在创伤性生活事件的心理后遗症方面的经验和知识。一份涉及10个创伤应激相关问题的调查问卷邮寄给瑞士每五分之一的全科医生和私人诊所的精神科医生(N = 1284)。回报率为37%。每两个医生中就有一个报告有治疗创伤后精神障碍的经历。被提及最多的创伤是性虐待和意外事故。全科医生经常面临急性应激障碍,而精神科医生更经常不得不处理创伤后应激障碍。精神科医生比全科医生更了解具体的治疗方法。只有少数人对现有的创伤受害者治疗服务感到满意。很少有医生(精神病医生多于全科医生)计划继续深造。大多数人建议采用跨学科治疗方法。在规划继续教育时,应优先考虑跨学科方法,同时考虑到不同专业群体的具体需要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Psychotraumatology in medical practice--a survey].

In a representative national survey, general practitioners and psychiatrists were asked about their experience and knowledge with regard to psychological sequelae of traumatic life events. A questionnaire addressing 10 traumatic stress related issues was mailed to every fifth general practitioner and psychiatrist in private practice in Switzerland (N = 1284). The return rate was 37%. Every second doctor reported having experiences in treating posttraumatic disorders. Sexual abuse and accidents were the mostly mentioned traumas. General practitioners are frequently confronted with acute stress disorders, while psychiatrists more often have to deal with PTSD. Psychiatrists knew more about specific treatment possibilities than general practitioners. Only a minority was satisfied with the existing therapeutic services for trauma victims. Few doctors (more psychiatrists than GPs) had plans for further education. A majority suggested interdisciplinary treatment approaches. When planning further education, preference should be given to interdisciplinary approaches, taking into consideration at the same time the specific needs of different professional groups.

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