三个小组干预措施对智利遭受人际暴力的青少年心理社会功能的影响:试点临床试验
Cristóbal Guerra1, Emily P Taylor2, Valeria Arredondo3
1Escuela de Psicología, Facultad de Ciencias Sociales y Comunicaciones, Universidad Santo Tomás, Viña del Mar, Chile.
Child abuse & neglect
|October 9, 2024
概括
群体干预有效地减少了暴露于人际暴力 (IPV) 的年轻人的心理痛苦. 特拉玛集中认知行为疗法 (TF-CBT) 和人际心理疗法 (IPT) 对创伤后应激障碍和抑郁症症状显示出持续的益处.
科学领域:
- 心理健康 心理健康
- 心理学 心理学 心理学
- 创伤研究 创伤研究
背景情况:
- 智利面临着专业心理健康护理能力和对暴露于人际暴力 (IPV) 的年轻人的需求之间的巨大差距.
- 群体干预是改善这一弱势群体获得护理的潜在解决方案.
研究的目的:
- 评估特拉玛集中认知行为疗法 (TF-CBT),人际心理疗法 (IPT) 和基于艺术治疗的支持 (ATBS) 与通常治疗相比的有效性和可接受性.
- 测量创伤后压力症状,抑郁症,人际功能以及影响调节的变化.
主要方法:
- 进行了一项随机对照试验,其中67名智利青年 (年龄在13-17岁) 是IPV的受害者.
- 参与者被随机分配到TF-CBT,IPT或ATBS,结果在基线和干预后八周评估.
- 分析了退学率和出席率,以评估干预措施的可接受性.
主要成果:
- TF-CBT显示显著,持续减少PTSD和抑郁症症状,并影响调节问题.
- IPT显示PTSD症状显著,持续下降,并影响调节问题.
- ATBS导致PTSD和人际关系问题的显著减少,在随访时,PTSD的改善持续.
结论:
- 在高需求的医疗保健系统中,小组干预是一种可行和有效的初始方法,用于减轻IPV暴露的年轻人的心理痛苦.
- 更积极地让家长和照顾者参与,可以进一步提高这些干预措施的有效性.
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