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引文資料
題名:
九二一地震災區學童心理復健工作模式--以集集地區為例
書刊名:
中華心理衛生學刊
作者:
高淑貞
/
邱南英
出版日期:
2002
卷期:
15:3
頁次:
頁1-30
主題關鍵詞:
災區學童
;
創傷壓力反應
;
心理復健
;
復健工作模式
;
Earthquake pupil
;
PTSD
;
Mental rehabilitation
;
Intervention model
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(
3
) 博士論文(0) 專書(
1
) 專書論文(0)
排除自我引用:
2
共同引用:0
點閱:30
本文整理九二一地震後,一心理復健工作團隊顧集集鎮進行為期一年的國小學童心理復健工作。從實務中,整理出「篩檢-會報-衡鑑-處置-追蹤」的工作模式。本文針對此五階段,分述其工作內容、參與人員與使用工具、實施的結果與討論。對地望災害發生之始與週年之際學童在創傷壓力反應上與生活適應上的改變情形做初探性瞭解,結果顯示地震滿月後有49.7%,而滿週年時有11%學童的創傷壓力反應需進一步評估瞭解。女生、有親人受傷者呈顯著較多症狀反應;創傷反應與憂鬱、焦慮情緒有顯著相關。地震後一學年結束時,有39.9%學童列於生活適應不良狀態。輔佐資料亦含教師評估及回饋。最後針對實施經驗,歸納結論,及試探性評估此模式。並對未來實務工作與研究方向提出建議。
以文找文
A mental rehabilitation team intervened and conducted a one year multiple-scale-survey on pupils in Chi-Chi after the 921 earthquake. From the clinical experience, a five-stage model “screen-debrief-assessment-treatment-follow up” is developed. This study aims to explore the earthquake posttraumatic stress reactions among pupils and the effectiveness of the five-stage intervention model. Different work, participants, instruments and results were described for each of these five stages. The symptoms relate4d to PTSD were reported by 49.7% of 457 pupils, whom had the necessity of further evaluation after one month of the earthquake. Pupils with PTSD symptoms decreased number after one year (11%). Girls and injury of relatives were more vulnerable in presenting the PTSD symptoms. Damage of house and death of family members were not significant predictors of their PTSD features. One year later, children with PTSD symptoms had significant correlation with depressed and anxious mood. Although few students fulfill the diagnosis criteria of PTSD, 39.9% percentage of pupils was assumed in maladjustment status. Teachers, reports and feedbacks were included in analyzing. The applicability and effectiveness of this five-stage model were evaluated. Positive and negative factors were analyzed. Recommendations for further clinical work and study were discussed.
以文找文
期刊論文
1.
Cohen, J.(2010)。Practice parameters for the assessment and treatment of children and adolescents with posttraumatic stress disorder。Journal of the American Academy of Child and Adolescent Psychiatry,49(4),414-430。
2.
Goenjian, A. K.、Steinberg, A. M.、Najarian, L. M.、Fairbanks, L. A.、Tashjian, M.、Pynoos, R. S.(2000)。Prospective study of posttraumatic stress, anxiety, and depressive reactions after earthquake and political violence。The American Journal of Psychiatry,157,911-916。
3.
Kessler, R. C.、Sonnega, A.、Bromet, E.、Hughes, M.、Nelson, C. B.(1995)。Posttraumatic stress disorder in the national comorbidity survey。Archives of General Psychiatry,52(12),1048-1060。
4.
Thabet, A. A.、Vostanis, P.(2000)。Post traumatic stress disorder reactions in children of war: a longitudinal study。Child Abuse & Neglect,24(2),291-298。
5.
Breslau, Naomi、Davis, Glenn C.、Andreski, Patricia、Peterson, Edward(1991)。Traumatic events and posttraumatic stress disorder in an urban population of young adults。Archives of General Psychiatry,48(3),216-222。
6.
Carlson, E.(2001)。Psychometric study of a brief screen for PTSD: Assessing the impact of multiple traumatic events。Psychological Assessment Resources,8(4),431-438。
7.
Brock, S. E.(1998)。Helping classrooms cope with traumatic events。Professional School Counseling,2(2),110-116。
8.
Steinberg, A.、Pynoos, R.、Goenjian, A.(1998)。Children and disasters: A developmental approach to posttraumatic stress disorder in children and adolescents。Psychiatry and Clinical Neurosciences,52(suppl.),S129-138。
9.
Lambert, J.、Balla, J.、Breton, J.(1993)。Industrial Disaster and Mental Health of Children and Their Parents。Journal of the American Academy of Child & Adolescent Psychiatry,32,438-445。
10.
Foa, E.、Davidson, J.、Frances, A.、Ross, R.(1999)。Expert consensus treatment guidelines for posttraumatic stress disorder: A guide for patients and families。The Journal of Clinical Psychiatry,60(16),69-76。
11.
Green, B. L.(1991)。Evaluating the effects of disasters。Psychological Assessment,3,538-546。
12.
Laor, N.、Mayes, L. C.、Wolmer, L.(1996)。Israeli preschoolers under scud missile attacks: a developmental perspective on risk-modifying factors。Archives of General Psychiatry,53,416-423。
13.
Lima, B. R.、Pai, S.、Toledo, V.、Caris, L.、Haro, J.、Lozzano, J.、Santacruz, H.(1993)。Emotional Distress in Disaster Victims: A Follow-up Study。The Journal of Nervous and Mental Disease,181,388-393。
14.
Najarian, L.、Goenjian, A.、Pelcovitz, D.、Mandel, F.、Najarian, B.(1996)。Relocation After a Disaster: Posttraumatic Stress Disorder in Armenia After the Earthquake。Journal of the American Academy of Child & Adolescent Psychiatry,35(3),374-383。
15.
Pfefferbaum, B.(1997)。Posttraumatic Stress Disorder in Children: A Review of the Past 10 Years。Journal of the American Academy of Child & Adolescent Psychiatry,36(11),1503-1511。
16.
Pynoos, R.、Goenjian, A.、Steinberg, A.(1998)。A public mental health approach to the postdisaster treatment of children and adolescents。Child and Adolescent Psychiatric Clinics of North America,7(1),111-126。
17.
Tyano, S.、Iancu, I.、Solomon, Z.(1996)。Seven-year Follow-up of Child Survivors of a Bus-train Collision。Journal of the American Academy of Child & Adolescent Psychiatry,35,365-373。
18.
Wyman, P. A.、Cowen, E. L.、Work, W. C.、Raoof, A.、Gribble, P. A.、Parker, G. R.、Wannon, M.(1992)。Interviews with children who experienced major life stress: Family and child attributes that predict resilient outcomes。Journal of the American Academy of Child & Adolescent Psychiatry,31,904-910。
會議論文
1.
Trotzer, J.(2001)。Helping children cope and recover from natural disasters。沒有紀錄。1-20。
圖書
1.
吳新華(1996)。國小學童生活適應量表。臺北:心理。
延伸查詢
2.
Young, B.、Ford, J.、Ruzek, J.、Friedman, M.、Gusman, F.(1999)。Disaster mental health services: A guidebook for clinicians and administrators。Disaster mental health services: A guidebook for clinicians and administrators。CA:The national center for post-traumatic stress disorder education & clinical laboratory。
3.
Wicks-Nelson, Rita、Israel, Allen C.(2000)。Behavior Disorders of Childhood。Prentice-Hall。
4.
陳錦宏、劉慧卿、林博、鍾明勳、廖定列、劉時寧、巫毓荃、Myers, Diane(2001)。災難與重建--心理衛生實務手冊。臺北:心靈工坊。
延伸查詢
5.
Landreth, Garry L.(1991)。Play therapy: The art of the relationship。Muncie, IN:Accelerated Development Inc.。
6.
American Psychiatric Association(1994)。Diagnostic and Statistical Manual of Mental Disorder: DSM-IV。Washington, D.C.:American Psychiatric Association。
7.
吳新華(1996)。兒童適應問題。臺北市:五南圖書出版股份有限公司。
延伸查詢
8.
危機事件管理工作坊(1999)。危機事件管理工作坊研習手冊。危機事件管理工作坊研習手冊。沒有紀錄。
延伸查詢
9.
教育部(2000)。災後重建計畫-生活重建計畫:學校教學及學生輔導計畫。災後重建計畫-生活重建計畫:學校教學及學生輔導計畫。沒有紀錄。
延伸查詢
10.
Kottman, T.(1995)。Partners in play: An Adlerian approach to play therapy。Partners in play: An Adlerian approach to play therapy。VA。
圖書論文
1.
Fletcher, K. E.(1996)。Childhood posttraumatic stress disorder。Child psychopathology。New York, NY:The Guilford Press。
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