相关实验视频
针对受印度尼西亚政治暴力影响的儿童的学校精神健康干预:一个集群随机试验
Wietse A Tol1, Ivan H Komproe, Dessy Susanty
1HealthNet TPO, Department of Public Health and Research, Tolstraat 127, 1074 VJ, Amsterdam, The Netherlands. wtol@healthnettpo.org
JAMA
|August 14, 2008
概括
一项以学校为基础的干预措施有效地减少了创伤后应激障碍的症状,并保持了暴露在武装冲突中的儿童的希望. 然而,它没有显著影响焦虑,抑郁或功能障碍在这个脆弱的人群.
科学领域:
- 儿童和青少年精神病学
- 全球心理健康全球心理健康
- 创伤心理学 创伤心理学
背景情况:
- 关于受武装冲突影响的低收入和中等收入国家儿童的心理健康干预措施的证据有限.
- 在贫困和政治不稳定的环境中,儿童心理健康问题是很难解决的.
研究的目的:
- 评估学校干预措施对低收入环境中接触冲突儿童的有效性.
- 评估干预对创伤后应激障碍,焦虑,抑郁和功能障碍的影响.
主要方法:
- 一个集群随机试验与印度尼西亚波索暴力影响社区的495名儿童进行.
- 由训练有素的辅助专业人员在5周内提供了15个会议的手动化,基于学校的小组干预.
- 评估包括儿童创伤后应激量表,焦虑,抑郁和希望量表,在治疗前,治疗后和6个月后进行非盲目的评估.
主要成果:
- 与等待名单对照组相比,干预组在创伤后应激障碍症状上显示出明显的改善.
- 干预组的儿童也表现出保持希望的水平.
- 对于创伤性成语,抑郁症状,焦虑或功能障碍等问题,两组之间没有发现显著差异.
结论:
- 基于学校的干预可以有效地减少创伤后应激障碍的症状,并支持受暴力影响的儿童的希望.
- 在这群人群中,干预并没有显著改善焦虑,抑郁症状或功能障碍.
- 需要进一步的研究来开发针对受冲突影响的低资源环境中的儿童的综合干预措施.
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