适应基于正念的干预创伤暴露,无家可归的妇女与物质使用障碍的干预
Dana Rose Garfin1, Alexandra Amador2, Jessica Osorio3
1Department of Community Health Sciences, Fielding School of Public Health, University of California, Los Angeles.
概括
基于正念的压力减轻 (MBSR) 是可接受的,可行的妇女经历无家可归的创伤和物质使用障碍. 社区反改进了MBSR,以更好地参与和完成这些脆弱人群.
科学领域:
- 心理健康 心理健康
- 创伤信息化的护理
- 药物成治疗 药物成治疗
背景情况:
- 经历无家可归 (WEH) 的女性面临高水平的创伤暴露,PTSD和SUD.
- 基于正念的压力减轻 (MBSR) 显示出减轻症状的潜力,但在这个人群中没有充分研究.
- 基于社区的干预对于解决WEH复杂需求至关重要.
研究的目的:
- 通过社区参与的方法,适应和完善WEH的MBSR与PTSD和SUD症状.
- 评估MBSR在暴露于创伤的WEH中的可行性和可接受性.
- 收集关于在社区环境中优化MBSR实施的建议.
主要方法:
- 一种混合方法,社区参与的方法,利用ADAPT-ITT框架.
- 社区咨询委员会的参与以及在药物治疗场所受创伤暴露的WEH (N=28) 的反.
- 定量问卷和定性焦点小组,以收集有关MBSR演示的观点.
主要成果:
- 由WEH报告的MBSR活动 (,冥想,身体扫描) 的高可接受性和可行性.
- 定量数据显示,71.43%至89.29%的人认为活动"非常有帮助".
- 定性发现确定了招聘,留住和培训人员特征的关键主题,与定量结果保持一致.
结论:
- 焦点小组的建议可以提高MBSR和类似计划的合规性,参与度和完成率.
- 在向暴露于创伤的WEH提供MBSR时,实施创伤敏感的方法至关重要.
- 研究结果为为弱势群体服务的社区干预提供了实际建议.
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