使用叙事暴露疗法改善无家可归妇女的创伤后压力症状:单臂,开放的试点研究
Kirsten A Dickins1, Mary Clare Houlihan1, Sara Neely1,2
1Rush University Medical Center, College of Nursing, Chicago, IL, USA.
European journal of psychotraumatology
|February 6, 2026
概括
叙述性暴露疗法 (NET) 在无家可归的女性中减轻PTSD和相关症状方面显示出有前途. 这项试点研究发现NET是可行的和有效的,因此需要在这个弱势群体中进行进一步的研究.
科学领域:
- 心理健康 心理健康
- 创伤研究 创伤研究
- 临床心理学 临床心理学
背景情况:
- 经历过无家可归的女性的创伤暴露和PTSD的比例很高.
- 对此群体的创伤重点干预存在有限的研究.
- 可访问的干预措施对于解决这一群体的心理健康需求至关重要.
研究的目的:
- 评估叙述暴露治疗 (NET) 对无家可归的经验丰富的妇女的可行性.
- 检查NET在减少PTSD和并发症状方面的初步有效性.
- 评估干预和研究方案完成率.
主要方法:
- 一个单臂,开放的试点研究,涉及53名无家可归的经验丰富的妇女.
- 参与者接受了叙述性暴露疗法 (NET).
- 通过完成率评估可行性;使用线性混合效应模型和效应大小 (PCL-5,PHQ-9,GAD-7,SSS-8) 分析症状变化.
主要成果:
- 治疗完成率高 (81%) 和研究方案完成率高 (68%).
- 观察到PTSD,抑郁症,焦虑症和体化症状的显著减少,在NET.NET后一周.
- 对于减轻PTSD症状的影响大小 (d=0.9);对其他影响中等 (d=0.49-0.7).
结论:
- 叙述性暴露疗法 (NET) 似乎是可行的,并且在临床上有效地减少无家可归妇女的PTSD和相关的心理健康症状.
- NET显示了作为对这一群体的务实干预的潜力.
- 建议通过随机对照试验进行进一步的研究,以确认疗效.
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