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对应自然和生物灾害的创伤告知儿科干预措施的范围审查

Kimberly Burkhart¹, Neel Agarwal², Sehyun Kim²

¹Rainbow Babies and Children's Hospital, Case Western Reserve University School of Medicine, 10524 Euclid Ave., Cleveland, OH 44106, USA.

Children (Basel, Switzerland)

|June 28, 2023

概括

以创伤为基础的心理干预,如CBT,TF-CBT和EMDR有效地减少了灾难后年轻人的焦虑,抑郁和PTSD. 其他方法的影响有限,突出了进一步研究的必要性.

科学领域:

心理学心理学心理学
公共卫生公共卫生
灾难心理健康灾难心理健康

背景情况:

暴露在自然或生物灾害中的年轻人经常经历焦虑,抑郁和创伤后压力症状.
受创伤影响的心理干预对于应对受灾青年的这些心理健康挑战至关重要.

研究的目的:

对受自然/生物灾害影响的青少年进行创伤信息化心理干预的范围审查.
确定有效的干预措施,评估它们对焦虑,抑郁和PTSD的影响,并概述限制和未来研究方向.

主要方法:

一项对45项研究的范围审查 (28项自然灾害,17项生物灾害,许多与COVID-19相关).
确定了包括认知行为疗法 (CBT),创伤集中认知行为疗法 (TF-CBT) 和眼动脱敏化和再处理 (EMDR) 的干预措施.
使用了UCLA创伤后应激障碍反应指数 (UCLA PTSD-RI) 和优势和困难问卷 (SDQ) 等措施.

主要成果:

CBT,TF-CBT和EMDR显著减少了青年的创伤后压力症状,痛苦,焦虑和抑郁.
诸如,认知恐惧减轻,基于情感的绘画和社区健康教育等干预措施没有显示出焦虑和抑郁症的显著下降.
方法严谨性各不相同,60%的研究是随机对照试验.

结论:

认知行为疗法 (CBT),以创伤为重点的认知行为疗法 (TF-CBT) 和眼动脱敏和再处理 (EMDR) 是对青年心理健康灾难后的有效创伤信息干预措施.
未来的研究应该专注于更大规模的研究,包括小组和在线干预,并探索按性别和种族/族裔的适度.

关键词:

灾难的发生灾难.流行病是一种流行病.儿科儿科儿科心理社会治疗心理社会治疗审查审查审查审查审查审查

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