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首页> 外文期刊>Journal of health communication >The need for trauma-sensitive language use in literacy and health literacy screening instruments
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The need for trauma-sensitive language use in literacy and health literacy screening instruments

机译：在扫盲和健康扫盲筛查工具中需要使用对创伤敏感的语言

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The authors recently began a research study, funded by the National Institute of Mental Health, aimed at increasing the understanding of the ways in which limited literacy affects the lives of people with serious mental illness. In preparing for the study, the authors reviewed many health literacy screens and assessments for their appropriateness in public urban mental health settings. The Rapid Estimate of Adult Literacy in Medicine and the Test of Functional Health Literacy in Adults, perhaps the most frequently used assessments of health literacy, involve assessments that include lists of words that the test-taker must choose from or read. Each of these instruments includes language that is potentially triggering for trauma survivors, particularly those with posttraumatic stress disorder (PTSD). The research participants for the current project are consumers of mental health services, and thus, the authors believe it is essential to remove the problematic language, given that the likelihood of a diagnosis of PTSD and/or a history of abuse is higher than average among this population. However, the authors argue that this issue applies to anyone who administers these instruments, because sexual assault and abuse, as well as PTSD diagnoses, are certainly not confined to those who seek mental health services. The authors' aim is not only to call attention to the use of triggering language in existing literacy and health-related assessments and research instruments, but also to advocate that others take similar steps toward embracing more sensitive language by removing or replacing words that may cause unnecessary stress, anxiety, or pain to those who are at increased risk of retraumatization.
机译：作者最近开始了一项由美国国家心理健康研究所资助的研究，旨在增进对有限识字率影响严重精神疾病患者生活的方式的理解。在准备研究时，作者回顾了许多健康素养筛查和评估，以评估其在城市公共心理健康中的适用性。 《成人医学素养快速估算》和《成人功能性健康素养测试》，可能是最常用的健康素养评估，涉及的评估包括考生必须选择或阅读的单词列表。这些工具中的每一种都包含可能会引起创伤幸存者（尤其是患有创伤后应激障碍（PTSD）的幸存者）的语言。当前项目的研究参与者是心理健康服务的消费者，因此，作者认为删除有问题的语言至关重要，因为诊断出PTSD和/或虐待史的可能性高于平均水平。这个人口。但是，作者认为，这个问题适用于所有使用这些工具的人，因为性侵犯和性虐待以及PTSD诊断肯定不限于那些寻求心理健康服务的人。作者的目的不仅是要引起人们的注意，不仅要注意在现有的与扫盲和健康相关的评估和研究工具中使用触发语言，而且要主张其他人采取类似的步骤，通过删除或替换可能引起歧义的单词来拥抱更敏感的语言。那些增加了再次创伤风险的人不必要的压力，焦虑或痛苦。

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