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131.
Although single-session individual debriefing is contraindicated, the efficacy of group psychological debriefing remains unresolved. We conducted the first randomized controlled trial of critical incident stress debriefing (CISD) with emergency workers (67 volunteer fire-fighters) following shared exposure to an occupational potentially traumatic event (PTE). The goals of group CISD are to prevent post-traumatic stress and promote return to normal functioning following a PTE. To assess both goals we measured four outcomes, before and after the intervention: post-traumatic stress, psychological distress, quality of life, and alcohol use. Fire brigades were randomly assigned to one of three treatment conditions: (1) CISD, (2) Screening (i.e., no-treatment), or (3) stress management Education. Controlling for pre-intervention scores, CISD was associated with significantly less alcohol use post-intervention relative to Screening, and significantly greater post-intervention quality of life relative to Education. There were no significant effects on post-traumatic stress or psychological distress. Overall, CISD may benefit broader functioning following exposure to work-related PTEs. Future research should focus on individual, group, and organizational factors and processes that can promote recovery from operational stressors. Ultimately, an occupational health (rather than victim-based) approach will provide the best framework for understanding and combating potential threats to the health and well-being of workers at high risk for PTE exposure. 相似文献
132.
Elder mistreatment is now recognized as a worldwide social problem occurring in all racial and ethnic groups. The research on elder mistreatment started in the late 1970s and expanded its focus to ethnic elderly groups including Asian elders in the mid-1980s. Many researchers have explored the issues of elder mistreatment in conjunction with Asian elders’ culture and immigration backgrounds. This article reviews the state of the literature on elder mistreatment among Asians living in Asia or abroad to identify future directions of research, prevention, intervention, and policy. This research indicates that prevention, education, and intervention must take into account the cultural backgrounds of Asian elders and their family members. There is clearly a need for greater research into appropriate elder mistreatment prevention and intervention with Asian elders and their family members. 相似文献
133.
李润生 《医学与哲学(人文社会医学版)》2024,45(11):62-66, 71
互联网医疗具有独特的功能定位,应用前景广阔。但是,依据现行规则,我国互联网医疗实践面临着合法性困境。我国应当遵循“三角法则”,在立法层面对特殊时期和特殊地域的互联网医疗规则的灵活调整进行明确授权,允许对以下规则进行针对性调整:第一,调整复诊规则,允许通过互联网进行初诊,但要求医患双方使用实时同步通信技术进行沟通,并要求医生及时进行随访;第二,调整常见病、慢性病规则,采用“负面清单”模式,明确列举并尽量压缩不得线上诊疗的疾病范围;第三,以互联网情境下的平均诊疗水平设定注意义务基准,为医生在线诊疗创造合理空间。
相似文献134.
高职院校教师职业压力的初步研究 总被引:2,自引:0,他引:2
本研究采用自编压力问卷和SCL-90问卷对397名高职院校教师进行测验,发现高职院校男女教师在总体职业压力方面并无显著差异,中青年组教师压力最大,各项压力因子与心理健康状况存在显著相关。根据调查结果,本文探讨了高职院校教师压力的原因与对策。 相似文献
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136.
《Journal of aggression, maltreatment & trauma》2013,22(2):105-140
Summary This article explores the reasons for victim recantation in child sexual abuse cases, problems that surface with a recantation, and practical steps multidisciplinary professionals can take to prevent the recantation of truthful allegations. Secondly, the article discusses the roles of investigative team members in the investigation and evaluation of a victim's recantation and in the trial which may follow. Finally, the article addresses possible final outcomes of criminal court intervention and the team's role in continued support for the child. 相似文献
137.
《Journal of aggression, maltreatment & trauma》2013,22(1-2):165-184
Abstract This study documents recovery status and symptom changes in a one-year follow-up of sexually abused adolescent girls in child protection services in the province of Québec, Canada. Sixteen French-speaking participants completed questionnaires assessing symptoms, types of maltreatment endured, and services received and were interviewed using the Multidimensional Trauma Recovery and Resiliency Interview (MTRR-I), which was in turn rated by interviewers using the companion rating scale, the MTRR. Analyses of one-year follow-up data revealed statistically significant changes towards better functioning on multiple domains and less symptomatology for a majority of the girls interviewed. The recovery status of a minority of research participants seems to have worsened in the interval. The discussion considers these findings and addresses relevancy of the MTRR measures in cases of sexually abused adolescents. 相似文献
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以344名幼儿师范学校的学生为被试,检验了自编《幼师生职业决策自我效能感问卷》的信效度,同时考察了幼师生职业决策自我效能感的特点。结果显示:(1)《幼师生职业决策自我效能感问卷》具有良好的结构效度和效标效度;(2)对幼师生职业决策自我效能感的方差分析发现,生源地与年级的主效应不显著;(3)喜欢幼师专业与否的主效应显著,平均数比较发现,喜欢幼师专业的学生在职业决策自我效能感及其五个维度上的得分都显著地高于不喜欢幼师专业的学生;(4)生源地与年级、生源地与对幼师专业的兴趣以及年级与对幼师专业的兴趣的交互作用均不显著。 相似文献