在专业士兵队伍中实施创伤后应激障碍的初级预防计划 (PREPAR):随机对照试验协议
Emmanuelle Le Barbenchon1, Marion Trousselard2, Sonia Pellissier3
1Laboratoire de Psychologie Sociale, Aix Marseille Université, Aix-en-Provence, France.
JMIR research protocols
|January 26, 2024
概括
本研究评估了PREPARE计划,这是一个旨在通过增强性和应对机制来减少军事人员创伤后应激障碍 (PTSD) 的初级预防策略.
科学领域:
- 精神病学和军事健康
- 创伤和弹性研究 创伤和弹性研究
- 预防医学 预防医学
背景情况:
- 创伤后应激障碍 (PTSD) 影响了欧洲人口的0.7-1.9%,由于职业创伤暴露,军事人员的患病率明显更高 (10-45%).
- "剂量反应"模型突出显示,随着对创伤事件的更大暴露,PTSD风险增加,需要在高风险组中进行有针对性的预防.
- 初级预防旨在加强性和减轻PTSD的发展,并改善风险专业人员,特别是军事人员的预后.
研究的目的:
- 设计一个针对军事人员的PTSD初级预防计划 (PREPARE),考虑到操作限制.
- 在一个法国军事单位 (山地步兵旅) 实施和验证PREPARE计划的有效性.
- 评估该计划对弹性和长期PTSD预防的短期影响.
主要方法:
- 一项前性,随机的,受控的队列研究,涉及非干预组和接受PREPARE计划的干预组 (8个研讨会,2个强化会议).
- 四个评估点 (包括,+4,+6,+12个月) 具有心理社会问卷 (15-80分钟) 和生物样本采集 (血液,唾液).
- 在Stroop任务中使用心电图和皮电活动来测量情绪反应.
主要成果:
- 该研究正在进行中,预计结果将于2024年底公布.
- 数据收集包括心理社会评估,生物压力标志物和生理反应性测量.
结论:
- 该研究采用生物心理社会方法预防PTSD,针对个人,生理和社会因素.
- 干预组件侧重于神经生物学应激反应,心理应对策略和社会支持系统,以减少PTSD风险.
- 该计划旨在加强自主神经系统的灵活性,增强压力管理,并减少军事界内的耻辱化.
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