Torture victims' perspective on dental treatment: "Every sign you make, every move you take" - A qualitative study.

Autor: Høyvik AC; Dept. of Paediatric Dentistry, Behavioral Science and Forensic Dentistry, Institute of Clinical Dentistry, Faculty of Dentistry, University of Oslo, Oslo, Norway., Willumsen T; Dean of Faculty of Dentistry, University of Oslo, Oslo, Norway., Lie B; Head of Specialized Clinic for Psychosomatics and Trauma, Sørlandet Hospital, Kristiansand, Norway., Hilden PK; Section for Trauma, Catastrophes and Forced Migration - Adults and Elderly, National Centre for Violence and Traumatic Stress Studies (NKVTS), Oslo, Norway.
Jazyk: angličtina
Zdroj: European journal of oral sciences [Eur J Oral Sci] 2024 Oct; Vol. 132 (5), pp. e13007. Date of Electronic Publication: 2024 Jul 17.
DOI: 10.1111/eos.13007
Abstrakt: Torture victims struggling with post-traumatic stress often experience elements in the dental treatment situation that may trigger trauma-related reactions. The aim of the study was to explore intervention strategies that will enable dental health workers to adapt dental treatment to the needs of torture survivors. Exploratory interviews were conducted with 10 torture-exposed resettled refugees with dental treatment experience in Norway. The data was analyzed using qualitative content analysis, which suggested that to minimize trauma-reactions, dental personnel should focus on creating a safe therapeutic space and strengthening the patient's sense of control. Four main categories of clinical advice were proposed: (i) Acquire knowledge about psychology, consequences of torture, cultural differences, trauma-informed care, and the patients' individual needs; (ii) Recognize the trigger-potential of busyness or delays; (iii) Avoid surprises, such as sudden moves or actions and explore triggers individually, but make sure not to evoke images of interrogation, and; (iv) Provide overview both with respect to visibility in the clinical room, and to predictability regarding the dental treatment. Although undergoing dental treatment may be challenging for torture-exposed individuals, it is possible to reduce the predicaments considerably by making feasible adaptions to the treatment and adopting a trauma-informed approach.
(© 2024 The Author(s). European Journal of Oral Sciences published by John Wiley & Sons Ltd on behalf of Scandinavian Division of the International Association for Dental Research.)
Databáze: MEDLINE
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