汶川地震后幸存人员心理危机干预方法研究

选取汶川地震中的伤员和陪护家属各40人作为干预对象,采用心理治疗中的心理危机干预方法,对干预对象进行心理危机干预。干预过程分为3个阶段,分别是以构建良性关系为目的的初始阶段、以治疗为核心的干预和稳定阶段、以评估干预效果为目的的评估阶段。干预评估结果显示,心理危机干预前后,伤员和陪护家属评估结果存在显著差异（P<0.001）;与语言方法相比,该研究方法进行心理危机干预后,各量表得分显著下降,症状自评量表各评估方向得分显著低于语言方法的量表得分,前、后侧得分间差异存在统计学意义,说明该方法心理危机干预对震后人员恢复,效果较好。     

云南极端霜冻气候事件的气候特征及环流背景分析

利用云南124个气象站逐日最低气温和天气现象(霜)资料,计算最低气温低于-5℃的站点数占全省总站数的比例,定义站点比例超出25%的霜冻事件为云南极端霜冻气候事件。分析了云南极端霜冻气候事件的气候特征及环流背景。结果表明,云南极端霜冻事件发生前气温偏低,云量偏多;霜冻发生时夜间晴朗,辐射散热强烈,气温再度下降。这种霜冻属于混合霜冻或称为平流辐射霜冻。极端霜冻气候事件发生的主要原因之一是高空冷平流与底层冷高压控制下夜间晴空辐射冷却降温。发生时空气湿度较发生前小,空气相对干燥。     

深入调查研究 把握主要矛盾 努力开创防震减灾工作新局面

在“九五”期间 ,江苏省地震局深入调查研究 ,把握主要矛盾 ,深化各项改革 ,狠抓实事实办 ,强化政府行政职能 ,加强宣传力度 ,加强地方地震机构建设 ,注重规划和计划的制订与实施 ,不断理顺拨款渠道 ,健全地方财政对地震事业投入的预算体制 ,健全行政规章、规范管理行为 ,加强法规建设、强化法制管理。经努力 ,各项工作取得了明显成效 ,1 996～ 1 999年 ,全局各类经费总来源为前 4年的 3 1倍 ;地震监测系统的数字化、通讯系统的计算机网络化、分析预报系统的应急决策指挥系统现代化建设取得明显进展。地震监测预报工作为保障全省经济建设顺利进行 ,维护社会稳定作出重要贡献。全局职工的住房得到明显改善 ,4年中在宁职工人均增加住房面积约 2 0m2 。人均总收入也较从前有大幅度提高。新建园艺绿地面积约 4 0 0 0m2 。工作体会主要是 ,领导班子同心协力是搞好工作的关键 ,广大职工的积极性是搞好工作的基础 ,各级领导坚持“两手抓”是搞好工作的根本 ,领导干部始终不懈地讲学习、讲政治、讲正气是搞好工作的前提     

突发性灾难重大事件后公众对心理服务的认知和需求

为分析突发性灾难重大事件发生后公众对心理服务的认知和需求现状,采用随机抽样的方法在全国范围内抽取458名群众作为被试,使用“突发性灾难重大事件后公众心理服务认知和需求”调查问卷进行调查。结果显示:①不同性别人群、不同年龄阶段人群对“突发性灾难重大事件后心理服务”的认知存在显著差异(X^2=9.82,p<0.05;X^2=33.99,p<0.05)。②不同年龄阶段的人群对民众开展心理服务的必要性态度存在显著差异(X^2=15.84,p<0.05)。不同文化程度人群、不同性别人群对突发性灾难重大事件后心理服务活动的参与意愿存在显著差异(X^2=7.20,p<0.05;X^2=6.78,p<0.05)。③不同文化程度人群对心理服务知识和技能需求存在显著差异(X^2=28.65,p<0.05),在接受心理服务场所的选择上也存在显著差异(X^2=16.44,p<0.05)。不同年龄阶段人群对接受心理服务场所的选择上存在显著差异(X^2=21.52,p<0.05)。分析结果显示:在遭受突发性灾难重大事件时,公众对心理服务的了解程度一般,但参与意愿和需求强烈,因此,国家和社会应加快社会心理服务体系的建设,促进公众的心理健康。     

救援人员的主要心理问题、相关因素与干预策略

救援人员泛指在各种紧急情况中提供救助的个体,其心理健康风险得到越来越多的关注。研究发现救援人员的心理问题主要是应激相关障碍,消极情绪以及倦怠感。不利的救援工作条件、创伤暴露与非适应性的情绪调节策略是救援人员心理健康主要的危险因素;救援工作中的有利条件、社会支持、心理弹性以及适应性情绪调节策略是心理健康的保护因素。对救援人员心理问题的干预还存在较大的不足,需要建立系统化的干预体系。     

Risk factors and the psychological impacts of the COVID-19 outbreak: perspectives and experiences of Iranian healthcare workers on the frontline

Frontline healthcare workers (HCWs) looking after COVID-19 patients are at high risk of developing mental health problems. Both preventive and interventional initiatives are essential, therefore, to maintain and improve the mental health of HCWs and ultimately to enhance the quality of care that they provide. This qualitative content analysis study, conducted in Iran between September 2020 and February 2021, involved the gathering of data on the issue through face-to-face interviews with 22 HCWs working directly with COVID-19 patients. Data analysis led to the generation of 163 codes, 45 categories (16 risk factors and 29 consequences), and 9 themes. Overall, the results suggest that caring for a patient with COVID-19 is associated with positive and negative psychological impacts. Measures such as increasing sensitivity to crisis situations, self-adjustment skills training, and identifying signs of job burnout owing to moral conflicts can reduce or eliminate the risk of negative psychological consequences among HCWs.     

Timing crisis information release via television

When and how often to release information on television are important issues in crisis and emergency risk communication. There is a lot of crisis information, including warnings and news, to which people should have access, but most of it is not significantly urgent to interrupt the broadcasting of television programmes. Hence, the right timing for the release of crisis information should be selected based on the importance of the crisis and any associated communication requirements. Using recursive methods, this paper builds an audience coverage model of crisis information release. Based on 2007 Household Using TV (HUT) data for Hefei City, China, the optimal combination of broadcasting sequence (with frequencies between one and eight times) is obtained using the implicit enumeration method. The developed model is applicable to effective transmission of crisis information, with the aim of reducing interference with the normal television transmission process and decreasing the psychological effect on audiences. The same model can be employed for other purposes, such as news coverage and weather and road information.     

The mental health of expatriate and Kosovar Albanian humanitarian aid workers

The mental health consequences of exposure to traumatic events and the risk factors for psychological morbidity among expatriate and Kosovar Albanian humanitarian aid workers have not been well studied. In June 2000, we used standardised screening tools to survey 285 (69.5%) of 410 expatriate aid workers and 325 (75.8%) of 429 Kosovar Albanian aid workers from 22 humanitarian organizations that were implementing health programmes in Kosovo. The mean number of trauma events experienced by expatriates was 2.8 (standard deviation: 2.7) and by Kosovar staff 3.2 (standard deviation: 2.8). Although only 1.1% of expatriate and 6.2% of Kosovar aid workers reported symptoms consistent with the diagnosis for post-traumatic stress disorder, 17.2% and 16.9%, respectively, reported symptoms satisfying the definition of depression. Regression analysis demonstrated that the number of trauma events experienced was significantly associated with depression for the two sets of workers. Organisational support services may be an important mediating factor and should be targeted at both groups.     

Workplace response of companies exposed to the 9/11 World Trade Center attack: a focus‐group study

The terrorist attacks of 11 September 2001 (9/11) left workplaces in pressing need of a mental health response capability. Unaddressed emotional sequelae may be devastating to the productivity and economic stability of a company's workforce. In the second year after the attacks, 85 employees of five highly affected agencies participated in 12 focus groups to discuss workplace mental health issues. Managers felt ill prepared to manage the magnitude and the intensity of employees' emotional responses. Rapid return to work, provision of workplace mental health services, and peer support were viewed as contributory to emotional recovery. Formal mental health services provided were perceived as insufficient. Drawing on their post‐9/11 workplace experience, members of these groups identified practical measures that they found helpful in promoting healing outside of professional mental health services. These measures, consistent with many principles of psychological first aid, may be applied by workplace leaders who are not mental health professionals.     

A review of poliomyelitis epidemics in Jamaica: The immunization policies and socio-economic implications

The prevalence of communicable diseases in the English speaking Caribbean has declined considerably over the last two decades, creating a false sense of security and complacency in implementing continuous preventive measures such as immunization.
Poliomyelitis is one such case in paint. The last case of paralytic poliomyelitis was reported in Jamaica in 1969. Then twelve years later, in May 1982, the Ministry of Health announced the outbreak of poliomyelitis in the parish of St. James, caused by the Type I virus.
This paper traces the history of epidemics of poliomyelitis in Jamaica from 1954 to 1982, the Government's policies and strategies for immunization and demonstrates that preventive intervention through immunization is cheaper and preferable to crisis management caused by epidemics. The evaluation of the social and economic costs of the 1982 poliomyelitis epidemic in Jamaica provides conclusive evidence in support of preventive intervention.     

重大自然灾害后心理干预行为教育对策

重大灾害对社会经济和生命财产安全都存在严重的影响,而灾区人们的心理变化和行为反应,与社会整体的抗灾救灾效果都具有较大的关联性。该文探讨重大灾害后心理干预行为教育对策,针对灾害对灾区人们产生的心理应激障碍问题,采用叙事疗法按照构建契约、故事重建、制图、探险、结束和复查五步骤,将灾区受灾人群从不良的生活模式中唤醒,并通过体育干预从主体、个体、群体三个角度指引灾区人群,建立正确、积极的人生价值观与社会价值观,采用阅读疗法优化灾区人群的认知结构。     

Health effects of relocation following disaster: a systematic review of the literature

This paper reviews the literature on the effects of post-disaster relocation on physical and mental heath, and develops a conceptual framework to guide future research. Forty articles were selected for full-text review and incorporation into the conceptual framework. Twenty-four articles were reviewed for results and methodology. These overwhelmingly tracked mental health outcomes. Only four (16 per cent) focused on physical health. Eight of ten showed an association between relocation and psychological morbidity. Certain outcomes (such as mortality, injury and cardiovascular disease risk factors) revealed inconsistent results, but these were rarely studied. Despite the frequency of post-disaster relocation and evidence of its effect on psychological morbidity, there is a relative paucity of studies; the few examples in the literature reveal weak study designs, inconsistent results, and inattention to physical health impacts and the challenges facing vulnerable populations. Further research guided by theory is needed to inform emergency preparedness and recovery policy.