社会支持,社区掌握和对美国土著妇女文化适应的认知处理疗法的反应之间的预测关联
Katherine van Stolk-Cooke1, Zoe M F Brier2, Cynthia Pearson3
1Department of Psychology, State University of New York College at Geneseo, Geneseo, New York, USA.
Journal of traumatic stress
|September 17, 2024
概括
社会支持和社区掌握改善了美国印第安人和阿拉斯加土著妇女的创伤治疗结果. 社会支持有利于心理健康,而社区掌握在PTSD治疗中提高了身体健康结果.
科学领域:
- 心理学和精神病学 心理学和精神病学
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 社会支持 (SS) 和社区掌握 (CM) 是美国印第安人和阿拉斯加原住民 (AIAN) 认可的弹性因素.
- 这些因素以前没有被研究为AIAN人群中创伤治疗反应的预测因素.
- AIAN个体经历了不成比例的高创伤和PTSD率.
研究的目的:
- 评估SS和CM与AIAN女性患有PTSD症状的治疗反应之间的关联.
- 确定SS和CM是否预测PTSD症状,心理健康和身体健康的改善.
- 探索SS和CM对各种健康结果的不同影响.
主要方法:
- 73名患有PTSD症状的AIAN女性参与了这项研究.
- 参与者接受了文化适应的认知处理疗法 (CPT).
- 评估包括PTSD症状,CM和SS,使用线性混合效应模型进行分析.
主要成果:
- 社会支持 (SS) 显著预测改善了PTSD症状和心理健康.
- 共同掌握 (CM) 显著预测改善了创伤后应激障碍症状,心理健康和身体健康.
- 在组合模型中,SS预测了心理健康的改善,而CM预测了身体健康的改善.
结论:
- 在AIAN女性中,SS和CM对创伤治疗结果都有好处.
- SS和CM扮演着不同的角色,SS影响心理健康,CM影响身体健康.
- 进一步的研究应该调查关系导向如何影响AIAN社区中社会资源的保护效益.
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