全民创伤信息化干预对学生心理健康的积极影响:POWER项目试验
Tamar Mendelson1, Laura K Clary1, Rashelle J Musci1
1Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States of America.
Journal of school psychology
|September 12, 2025
概括
放松,意识,个人评分 (RAP) 俱乐部的干预有效地减少了八年级学生的心理健康问题,包括PTSD,抑郁,焦虑和行为问题. 这些好处随着时间的推移而变得越来越强大,显示出基于学校的心理健康支持的希望.
科学领域:
- 儿童和青少年精神病学
- 学校心理学 学校心理学
- 创伤信息化的护理
背景情况:
- 对于高中学生的心理健康,有效的普遍干预措施很少,特别是对于那些患有慢性逆境的人来说.
- 需要基于创伤的方法来解决脆弱学生群体的心理健康差距.
研究的目的:
- 与健康教育对照 (健康主题) 相比,评估创伤信息的RAP俱乐部干预措施对改善八年级心理健康的有效性.
- 评估干预对PTSD,抑郁,焦虑和行为问题的症状的影响.
主要方法:
- 在一项有效性试验中,在缺乏资源的城市学校中,644名八年级学生被随机分配到RAP俱乐部或健康主题中.
- 这两个项目都由学校的工作人员在学校提供,并由社区的年轻成年人共同促进.
- 多级模型分析了测试后,4个月和12个月的随访期间自我报告的心理健康结果.
主要成果:
- 与对照组相比,RAP俱乐部在4个月后显著减少了PTSD症状,并在12个月后显著减少了PTSD,抑郁,焦虑和行为问题.
- 在4个月后观察到抑郁症状减少的趋势.
- 心理健康福利的范围和强度从4个月增加到12个月.
结论:
- 拉普俱乐部的干预对八年级学生有显著的心理健康益处,特别是在减少与创伤有关的症状和行为问题方面.
- 随着时间的推移,RAP俱乐部的积极影响得到了持续和加强,提供了一个有前途的基于学校的心理健康解决方案.
- 进一步的研究应侧重于实现和可扩展性战略,以实现广泛采用.
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