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A Randomized Controlled Trial Assessing the Efficacy of Group Psychological First Aid
Katie E Despeaux1, Jeffrey M Lating1, George S Everly1,2,3
1Department of Psychology, Loyola University Maryland.
The Journal of Nervous and Mental Disease
|July 16, 2019
Summary
Group psychological first aid (PFA) using the Johns Hopkins RAPID-PFA model effectively reduced anxiety and negative emotions compared to group conversation. This intervention demonstrated significant benefits in mitigating distress and fostering hope.
Area of Science:
- Psychology
- Mental Health
- Trauma Studies
Background:
- Psychological First Aid (PFA) is crucial for mitigating acute distress.
- Evaluating standardized PFA models is essential for effective trauma response.
- Group interventions offer a scalable approach to mental health support.
Purpose of the Study:
- To compare the efficacy of the Johns Hopkins Rapid PFA model against a group conversation control.
- To assess the impact of RAPID-PFA on state anxiety and affect.
- To determine if RAPID-PFA can mitigate acute distress and instill hope.
Main Methods:
- A randomized controlled trial involving 119 participants.
- Comparison between the Johns Hopkins RAPID-PFA model and a group conversation condition.
- Utilized the State-Trait Anxiety Scale and Positive and Negative Affect Schedules.
Main Results:
- Both groups experienced increased anxiety and negative affect after a distressing video.
- The RAPID-PFA group showed significantly lower state anxiety postintervention and at 30-minute delay.
- RAPID-PFA more effectively lowered negative affect and increased positive affect compared to group conversation.
Conclusions:
- The Johns Hopkins RAPID-PFA model is effective in reducing acute distress.
- RAPID-PFA demonstrates a significant capacity to instill hope.
- Standardized PFA models show promise for widespread mental health support.
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