为消防员提供线上叙事曝光疗法的非专业交付
Janine V Olthuis1, Elisa Kaltenbach2, Emma Giberson1
1Department of Psychology, University of New Brunswick, Fredericton, New Brunswick, Canada.
Journal of traumatic stress
|June 9, 2023
概括
训练有素的副专业人员可以为患有创伤后应激障碍 (PTSD) 的消防员提供虚拟叙事暴露疗法 (eNET). 这种创新方法显著减少了创伤后应激障碍症状,改善了心理健康,证明了可行和有效的治疗选择.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 紧急医疗 紧急医疗
背景情况:
- 消防员患上创伤后应激障碍 (PTSD) 的比例很高.
- 获得传统心理健康护理的障碍在第一响应者中很普遍.
- 在这个人群中,需要可访问的,基于证据的PTSD干预措施.
研究的目的:
- 为了测试虚拟叙事暴露疗法 (eNET) 干预PTSD的可接受性,可行性和初步有效性,该干预由副专业人员提供.
- 评估ENET对消防员中PTSD,焦虑和抑郁症状的影响.
- 探索消防员接受eNET的质量经验.
主要方法:
- 一个涉及21名可能患有PTSD的消防员的案例系列设计.
- 由训练有素的辅助专业人员通过视频会议提供10-12个eNet课程.
- 干预前后的评估,包括2个月和6个月的随访,使用自我报告措施和定性访谈.
主要成果:
- 观察到PTSD,焦虑和抑郁症症状严重程度和功能障碍的统计显著减少.
- 平均PTSD症状严重程度从临床切断点上下降,干预后和随访时.
- 定性数据强调了 paraprofessionals在干预成功中的关键作用,没有报告的不良事件.
结论:
- 经过培训和监督的副专业人员可以有效地为患有PTSD的消防员提供虚拟叙事暴露疗法 (eNET).
- 对于这一群体来说,eNet是一种可接受和可行的干预措施,显示出有希望的初步有效性.
- 这项研究支持针对急救人员提供心理健康护理的创新方法.
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