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We recently developed new disaster mental health guidelines in Japan through the Delphi process, a method for building consensus among experts, using as a reference the guidelines developed by The European Network for Traumatic Stress (TENTS) in Europe. We included in our survey 30 items used in the TENTS survey, 20 of which achieved positive consensus in that survey. Here we report on the extent of agreement of 95 Japanese experts on each of these 30 items and examine the reasons for disagreements with the TENTS survey results based on the comments obtained from the participants of our survey. Of the 20 items, 12 also gained consensus in our survey and 1 additional item achieved consensus that did not achieve it in the TENTS survey. Items that did not gain consensus in our survey, but did in the TENTS survey, were recommendations for close collaboration with the media, screening volunteers for their suitability, and withholding formal screening of the affected population. The need for specialist care for specific populations was endorsed in our survey, but not in the TENTS survey. Overall, the opinion of Japanese experts was congruent with that of Western experts, but some guideline amendments would be beneficial.

Traditional and Simplified Chinese Abstracts by AsianSTSS

標題:日本和歐洲專家在災難精神健康服務的系統性共識方面的異同

撮要:參考歐洲創傷壓力網路(TENTS) 發展的指引,我們使用德爾菲法(一種在專家中建立共識的方法) 在日本發展一套新的災難精神健康指引。本調查中包括TENTS調查使用的30個項目,其中有20個項目在該調查取得正面共識。本文報告了95名日本專家在30個項目內每一項的一致性幅度,又從參與者的評論中發掘與TENTS調查結果相異的原因。在20個項目中,有12個項目在本調查取得共識,而另一個項目則在本調查中有共識但TENTS調查中未有共識。TENTS 調查中有共識但未在本調查有共識的項目包括:與傳媒緊密合作的建議,篩選合適的志願者,及對受災人口保留正式篩選。本調查同意(但TENTS調查不同意)對特定人羣有需要提供專家服務。總括而言,日本專家與歐洲專家有大致相同的意見,但亦須對指引作出若干修訂。

标题:日本和欧洲专家在灾难精神健康服务的系统性共识方面的异同

撮要:参考欧洲创伤压力网络(TENTS) 发展的指引,我们使用德尔菲法(一种在专家中建立共识的方法) 在日本发展一套新的灾难精神健康指引。本调查中包括TENTS调查使用的30个项目,其中有20个项目在该调查取得正面共识。本文报告了95名日本专家在30个项目内每一项的一致性幅度,又从参与者的评论中发掘与TENTS调查结果相异的原因。在20个项目中,有12个项目在本调查取得共识,而另一个项目则在本调查中有共识但TENTS调查中未有共识。TENTS 调查中有共识但未在本调查有共识的项目包括:与传媒紧密合作的建议,筛选合适的志愿者,及对受灾人口保留正式筛选。本调查同意(但TENTS调查不同意)对特定人羣有需要提供专家服务。总括而言,日本专家与欧洲专家有大致相同的意见,但亦须对指引作出若干修订。