一个医院和社区暴力干预计划,面向黑人和拉丁裔青年及其照顾者
Arturo Zinny1, Judith A Cohen2,3, Randall L Sell1
1Drexel University Dornsife School of Public Health, USA.
Clinical child psychology and psychiatry
|September 16, 2024
概括
这项研究表明,将创伤重点认知行为疗法 (TF-CBT) 与同行支持相结合,在暴露于社区暴力的黑人和拉丁裔青年中显著改善了PTSD和抑郁症症状.
科学领域:
- 公共卫生 公共卫生
- 儿童和青少年精神病学 儿童和青少年精神病学
- 创伤信息化的护理
背景情况:
- 黑人和拉丁裔年轻人经历了更高的社区暴力创伤率.
- 对于这些人群的有效治疗方法和参与策略的数据有限.
- 同行支持可能会增强心理健康服务的参与度.
研究的目的:
- 试点测试一项综合干预措施,将家庭/社区的创伤集中认知行为疗法 (TF-CBT) 与同行服务和病例管理相结合.
- 描述这种新的方法对受社区暴力影响的年轻人的实施.
- 评估这个综合模型的可行性和初始结果.
主要方法:
- 费城的一家医院和社区暴力干预计划实施了试点研究.
- 从该计划的数据库中收集了50名黑人和拉丁裔青年 (平均年龄14岁) 的数据.
- 评估包括儿童创伤后应激症状严重程度尺度 (CPSS-SR-5) 和短情绪和情绪问卷 (SMFQ) 对于PTSD和抑郁症.
主要成果:
- 58%的参与者完成了TF-CBT,82%的人实现了同行和案例管理目标.
- 完成治疗的年轻人显示PTSD和抑郁症症状显著减少.
- 综合模型在参与和治疗这种高风险人群方面显示出前景.
结论:
- 这项研究是第一个描述了基于社区的TF-CBT的实施,包括集成的同行支持和案例管理.
- 研究结果表明,这种综合方法对受社区暴力影响的年轻人具有潜在的有效性.
- 需要进一步的研究来验证这些发现,并探索长期的结果.
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