认知性训练以预防护理人员新兵的创伤后应激障碍和严重抑郁症:一项随机临床试验
Jennifer Wild1,2, Gabriella Tyson1, Graham Thew1,2
1Department of Experimental Psychology, University of Oxford, Oxford, United Kingdom.
JAMA network open
|February 9, 2026
概括
通过互联网提供的认知性训练 (iCT-R) 在职业早期的护理人员中显著减少了创伤后应激障碍 (PTSD) 和严重抑郁障碍 (MDD). 这种培训为这种高风险的职业提供了一个有希望的心理健康支持干预措施.
科学领域:
- 心理健康研究 心理健康研究
- 职业健康 职业健康 职业健康
- 临床心理学 临床心理学
背景情况:
- 护理人员面临高水平的创伤后应激障碍 (PTSD) 和严重抑郁症 (MDD).
- 职业生涯早期的护理人员特别容易因为职业压力因素而患上这些疾病.
- 现有的支持策略可能不足以预防PTSD和MDD在这个人群中.
研究的目的:
- 评估通过互联网提供的认知性培训 (iCT-R) 计划的有效性.
- 将iCT-R与心理教育和标准实践进行比较,以预防职业早期护理人员中PTSD和MDD.
- 在12个月的随访期评估干预措施的长期影响.
主要方法:
- 这是一项随机临床试验,涉及英国15所大学的570名学生护理人员.
- 参与者被分配到iCT-R,心理教育或标准实践小组.
- 主要结局是12个月后PTSD或MDD的发生率,通过DSM-5的结构化临床访谈进行评估.
主要成果:
- 与心理教育 (OR,0.20) 和标准实践 (OR,0.25) 相比,iCT-R组的参与者在12个月内满足PTSD或MDD标准的几率明显较低.
- 用iCT-R治疗预防一个PTSD或MDD病例所需的患者数量为18至24名受训者.
- iCT-R参与者患PTSD或MDD的可能性约为4-5倍.
结论:
- 通过互联网提供的认知性培训 (iCT-R) 是一种有效的干预措施,可以减少职业生涯早期护理人员患PTSD和MDD的发生率.
- iCT-R显示出显著的保护作用,这表明它在为这个职业群体提供心理健康支持方面的有用性.
- 这些发现支持将iCT-R整合到护理人员培训计划中,以增强心理性和预防心理健康障碍.
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