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Clinical Education: Addressing Prior Trauma and Its Impacts in Medical Settings

Overview
Publisher Springer
Specialty Psychology
Date 2024 Aug 2
PMID 39095585
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Abstract

Prior trauma exposure significantly increases the risk of developing PTSD following medical stressors and may contribute to the development of medically induced PTSD. However, healthcare systems often overlook the interaction between prior trauma and current medical stressors, contributing to negative psychosocial and health-related outcomes for patients. Integration of both trauma-informed and trauma-focused practices into psychosocial programming in medical settings may be key to effectively addressing the needs of trauma-exposed patients. Yet, there is a lack of practical guidance on how clinical psychologists in medical settings can respond to trauma's effects in routine clinical practice. This paper aims to provide an overview of trauma-focused theory, assessment, and treatment considerations within medical settings, emphasizing the importance of incorporating trauma-focused intervention into integrated psychosocial programming to address prior trauma and its impacts on care in order to improve patient outcomes.

References
1.
Birk J, Sumner J, Haerizadeh M, Heyman-Kantor R, Falzon L, Gonzalez C . Early interventions to prevent posttraumatic stress disorder symptoms in survivors of life-threatening medical events: A systematic review. J Anxiety Disord. 2019; 64:24-39. PMC: 6504609. DOI: 10.1016/j.janxdis.2019.03.003. View

2.
Bohnert K, Sripada R, Mach J, McCarthy J . Same-Day Integrated Mental Health Care and PTSD Diagnosis and Treatment Among VHA Primary Care Patients With Positive PTSD Screens. Psychiatr Serv. 2015; 67(1):94-100. DOI: 10.1176/appi.ps.201500035. View

3.
Brown T, Berman S, McDaniel K, Radford C, Mehta P, Potter J . Trauma-Informed Medical Education (TIME): Advancing Curricular Content and Educational Context. Acad Med. 2020; 96(5):661-667. DOI: 10.1097/ACM.0000000000003587. View

4.
Carlson E, Palmieri P, Field N, Dalenberg C, Macia K, Spain D . Contributions of risk and protective factors to prediction of psychological symptoms after traumatic experiences. Compr Psychiatry. 2016; 69:106-15. PMC: 5381967. DOI: 10.1016/j.comppsych.2016.04.022. View

5.
Cohen B, Neylan T, Yaffe K, Samuelson K, Li Y, Barnes D . Posttraumatic stress disorder and cognitive function: findings from the mind your heart study. J Clin Psychiatry. 2013; 74(11):1063-70. DOI: 10.4088/JCP.12m08291. View