在乌干达北部战争和流离失所的青少年中治疗抑郁症状的干预措施:随机对照试验
Paul Bolton1, Judith Bass, Theresa Betancourt
1Applied Mental Health Research Group, Center for International Health and Development, Boston University School of Public Health, Boston, Massachusetts, USA. pbolton@jhsph.edu
JAMA
|August 2, 2007
概括
在乌干达因战争而流离失所的青少年女孩中,群体人际心理治疗显著减少了抑郁症症状. 需要进一步的研究,以找到类似心理健康挑战的青少年男孩的有效治疗方法.
科学领域:
- 全球心理健康全球心理健康
- 心理社会干预 心理社会干预
- 青少年心理学 青少年心理学
背景情况:
- 在受战争影响地区的国内流离失所者 (IDPs) 经历了严重的心理健康问题.
- 乌干达北部战争和流离失所的青少年幸存者面临相当大的心理社会问题.
研究的目的:
- 评估当地可行的干预措施在减少乌干达北部青少年抑郁,焦虑和行为问题的有效性.
- 评估小组人际心理治疗和创造性游戏对青少年战争幸存者的心理健康的影响.
主要方法:
- 一项随机对照试验,涉及314名青少年 (年龄在14-17岁) 在两个境内流离失所者营地.
- 干预包括小组人际心理治疗,创造性游戏和等待控制小组,评估时间超过16周.
- 阿丘利心理社会评估仪器被用来测量抑郁,焦虑,行为问题和功能.
主要成果:
- 群体人际心理治疗显著减少了青少年女孩的抑郁症症状 (12.61点的改善).
- 在接受小组人际心理治疗的男孩中,没有观察到抑郁症的统计学显著改善 (5.72分的改善).
- 创造性游戏干预措施对抑郁,焦虑或行为问题没有显著影响;这两种干预措施都没有改善焦虑或功能评分.
结论:
- 团体人际心理治疗是一种可行的,有效的抑郁症干预措施,在冲突后的环境中,在青少年女孩中.
- 对经历抑郁症状的青少年男孩进行干预的进一步调查是有必要的.
- 当地可行的干预措施可以解决受战争影响的年轻人的心理健康需求.
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