通过在COVID-19重症监护人员的图像竞争任务干预来减少创伤后的侵入性记忆:一个随机对照试验
Lalitha Iyadurai1, Julie Highfield2, Marie Kanstrup3
1P1vital Products Ltd, Wallingford, Oxfordshire, UK.
Translational psychiatry
|September 1, 2023
概括
一个与数字图像竞争的任务干预显著减少了在重症监护室 (ICU) 工作人员的侵入性记忆,这些工作人员在COVID-19期间暴露在创伤中. 这种简短的远程干预改善了心理健康和工作功能.
科学领域:
- 心理学 心理学 心理学
- 创伤研究 创伤研究
- 数字健康干预措施 数字健康干预措施
背景情况:
- 侵入性记忆 (IMs) 在创伤后是令人痛苦的,影响心理健康和功能.
- 在COVID-19大流行期间,医疗保健工作者,特别是ICU工作人员,面临着重复的创伤暴露.
- 需要有效的干预措施来减轻对前线工作者的心理影响.
研究的目的:
- 评估短暂的,远程传递的数字图像竞争任务干预对ICU工作人员的IM的影响.
- 评估干预对临床症状,工作功能和福祉的影响.
- 确定数字干预的安全性和可接受性.
主要方法:
- 一个双臂,并行组,单盲随机对照试验与ICU工作人员进行.
- 参与者可以立即或延迟访问与数字图像竞争的任务干预.
- 主要结局是4周内IM的数量;次要结局包括PTSD症状,失眠,焦虑和倦怠.
主要成果:
- 与延迟组相比,即时干预组在第4周报告的侵入性记忆显著减少 (IRR 0.31,p < 0.001).
- 在PTSD的症状,失眠,焦虑,工作参与,倦怠,一般功能和生活质量方面观察到显著的改善.
- 该干预被认为是安全和可接受的,没有与研究相关的不良事件.
结论:
- 一个简短的,远程传递的数字图像竞争任务干预有效地减少了ICU工作人员的侵入性记忆.
- 该干预措施对心理健康,工作功能和整体幸福感有好处.
- 需要进一步的有效性试验与活性对照和更长的随访来证实这些发现.
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