对暴露于暴力的学童进行心理健康干预:一个随机对照试验
Bradley D Stein1, Lisa H Jaycox, Sheryl H Kataoka
1RAND, Santa Monica, Calif 90407, USA. stein@rand.org
JAMA
|August 7, 2003
概括
一项以学校为基础的认知行为干预显著减少了暴露于暴力的儿童中创伤后应激障碍 (PTSD) 和抑郁症的症状. 这项为期10个会议的课程在学校环境中由经过培训的临床医生进行时,被证明是有效的.
科学领域:
- 儿童和青少年心理学 儿童和青少年心理学
- 创伤信息化的护理
- 基于学校的心理健康
背景情况:
- 对于因目睹或经历暴力而患有创伤后应激障碍 (PTSD) 的儿童进行心理干预的研究有限.
- 需要基于证据的干预措施,以解决受暴力影响的学龄儿童的创伤症状.
研究的目的:
- 评估以学校为基础的干预措施在减少暴露于暴力的儿童中PTSD和抑郁症症状的有效性.
- 为了评估一个协作设计的,在学校环境中交付的10个会话的认知行为疗法计划.
主要方法:
- 一个随机对照试验,涉及六年级学生与暴力暴露和临床PTSD症状.
- 参与者被分配到早期干预组 (学校创伤认知行为干预) 或等待名单对照组.
- 评估包括儿童报告的PTSD和抑郁症,父母报告的心理社会功能障碍以及教师报告的课堂行为.
主要成果:
- 早期干预组的PTSD,抑郁症和心理社会功能障碍得分明显低于等待列表组的3个月后.
- 在3个月后的组之间,没有发现教师报告的课堂问题 (表现,害羞,学习) 的显著差异.
- 在6个月后,两组接受干预后,在PTSD,抑郁或心理社会功能方面没有显著差异.
结论:
- 一个标准化的10次认知行为小组干预有效地减少了暴露于暴力的学生的PTSD和抑郁症症状.
- 这种干预是可行的,并且可以在受过培训的心理健康临床医生在学校校园中成功实施.
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