心理创伤预防与干预的公共卫生模型及其启示

Public Health Model of Psychological Trauma Prevention and Intervention and Its Enlightenment

  • 摘要: 新型冠状病毒肺炎疫情肆虐,成为重大的心理创伤事件,不仅给受创个人带来负面的身心反应,同时也给国家和社会带来巨大的医疗、经济损失,对公共卫生造成巨大压力和沉重负担。国际上正在兴起的心理创伤预防与干预的公共卫生模型,包括初级普适性、次级选择性、三级针对性的三级体系和个体、关系、社区、社会四个层次。基于此模型,结合此次新型冠状病毒肺炎的心理服务工作,对未来工作提出以下建议:推动心理创伤预防和干预与公共卫生行动结合,构建针对不同创伤暴露程度的层级式心理创伤干预体系,加强对创伤心理从业人员的规范管理并鼓励协同合作,鼓励国内创伤心理服务与研究体系建设。

     

    Abstract: The epidemic of the COVID-19 pneumonia raged and became a major psychological trauma event,which not only caused the negative physical and mental reactions of the injured individuals,but also brought a lot of medical and economic losses to the society and the country,and caused huge pressure and heavy burden on public health.Based on the psychological service work of the COVID-19 pneumonia in China,this article firstly systematically introduces the public health model of psychological trauma preven-tion and intervention that is emerging in the world.It includes three systems of primary universality,secondary selectivity and tertiary indicative,plus four levels of individual,relationship,community and society.Then the following suggestions are proposed for future work:to promote the combination of psychological trauma prevention and intervention with public health action,to construct a hierar-chical psychological trauma intervention for different degrees of trauma exposure system,to strengthen the standardized management of trauma psychologists and encourage collaborative cooperation,and to encourage the establishment of domestic trauma psychology service and research systems.

     

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