成年人地震相关创伤后应激障碍的心理干预:系统审查和元分析
Cate F Woods1, Ben Beaglehole2, Christopher Frampton2
1School of Psychology, Speech and Hearing, University of Canterbury, Christchurch,New Zealand.
BJPsych open
|June 5, 2025
概括
心理干预有效地治疗与地震相关的PTSD,成年人的抑郁和焦虑. 推认知行为疗法 (CBT),有效的单次会议和小组选择也显示出广泛需求的希望.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 创伤研究 创伤研究
背景情况:
- 地震可以引发创伤后应激障碍 (PTSD),通常伴随着同时发生的抑郁和焦虑.
- 在对患有地震相关PTSD的成年人心理干预的系统审查中存在一个显著的差距.
研究的目的:
- 系统地审查和元分析关于成人地震相关PTSD心理干预的研究.
- 估计这些干预措施对PTSD,抑郁和焦虑症状的整体效果大小.
主要方法:
- 在PsycINFO,MEDLINE,EMBASE,CINAHL和Scopus中搜索到2024年7月之前符合条件的研究.
- 包括随机对照试验 (RCT),非随机和非对照研究的心理干预的成人地震幸存者与PTSD.
- 进行叙事综合和元分析来总结发现,用混合方法评估工具评估研究质量.
主要成果:
- 分析了16项涉及1315名参与者的研究,包括各种干预措施,如CBT,EMDR和人际心理治疗.
- 研究通常表明,在PTSD,抑郁症和焦虑症症状方面,有统计和临床显著的改善.
- 分析显示,PTSD (2.11) 和抑郁症 (1.01) 的整体效应大小显著.
结论:
- 心理干预对于经历地震相关PTSD的成年人来说是有效的.
- 基于认知行为疗法 (CBT) 的干预措施具有最强的证据基础,并被推作为一线治疗.
- 有效的干预措施,如单次会议和以小组为基础的格式,有望解决广泛的治疗需求.
更多相关视频
相关概念视频
Post-traumatic Stress Disorder
126
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
126
Psychological Responses to Stress
116
Psychological responses to stress encompass the various cognitive and emotional reactions individuals experience when faced with challenging or threatening situations, such as a job loss. Prolonged exposure to stressors can disturb emotional balance, increasing negative emotions (e.g., anxiety and sadness) and diminishing positive emotions (e.g., joy and satisfaction). These persistent emotional shifts are associated with an increased risk of both physical illness and mental health issues, such...
116
Coping Strategies: Emotion Focused
158
Emotion-focused coping refers to a set of strategies aimed at managing the emotional impact of stressors, rather than directly addressing their causes. This approach involves altering one's emotional response to stressful situations to reduce their psychological effects. For example, individuals might talk with a friend or engage in activities like journaling to express their feelings. Such actions can help achieve emotional clarity or release, providing the psychological stability needed...
158
Introduction to Stress and Lifestyle
207
Stress is a multifaceted response to events perceived as challenging or threatening, highlighting physical, emotional, cognitive, and behavioral reactions. Physically, stress can lead to fatigue, sleep disruptions, and various health issues such as frequent colds, chest pains, and nausea. Emotionally, it can manifest as anxiety, depression, irritability, and anger triggered by both minor and major life events. Cognitively, it may result in difficulty in concentration, memory, and...
207
Lazarus's Cognitive Appraisal Theory
597
Cognitive psychologist Richard Lazarus proposed the cognitive-mediational theory of emotions, which emphasizes how individuals' assessments of stressors significantly affect their experience of stress. According to Lazarus, the stress response is determined by a two-step appraisal process: primary appraisal and secondary appraisal. These cognitive appraisals help individuals evaluate the potential impact of a stressor and determine the adequacy of their coping resources.
Primary Appraisal:...
Primary Appraisal:...
597
Panic Disorder
184
Panic disorder is an anxiety disorder characterized by recurrent and sudden minutes-long episodes of intense fear, known as panic attacks. These attacks may feel like heart attacks and often happen without warning or a specific cause. They can include symptoms such as rapid heart rate, shortness of breath, chest pain, trembling, sweating, dizziness, and a sense of helplessness. During a panic attack, individuals may feel as though they are experiencing a heart attack or are in a...
184


