Thabet Abdel Aziz, Vostanis Panos, Karim Khalid
Al Quds University, School of Public Health, Gaza, Palestine.
Eur Child Adolesc Psychiatry. 2005 Aug;14(5):262-9. doi: 10.1007/s00787-005-0466-7.
The aim of this study was to evaluate the short-term impact of a group crisis intervention for children aged 9-15 years from five refugee camps in the Gaza Strip during ongoing war conflict. Children were selected if they reported moderate to severe posttraumatic stress reactions, and were allocated to group intervention (N=47) encouraging expression of experiences and emotions through storytelling, drawing, free play and role-play; education about symptoms (N=22); or no intervention (N=42). Children completed the CPTSD-RI and the CDI pre- and post-intervention. No significant impact of the group intervention was established on children's posttraumatic or depressive symptoms. Possible explanations of the findings are discussed, including the continuing exposure to trauma and the non-active nature of the intervention.
本研究的目的是评估在持续的战争冲突期间,对加沙地带五个难民营中9至15岁儿童进行的团体危机干预的短期影响。如果儿童报告有中度至重度创伤后应激反应,则被选中,并被分配到团体干预组(N = 47),通过讲故事、绘画、自由玩耍和角色扮演来鼓励表达经历和情感;症状教育组(N = 22);或无干预组(N = 42)。儿童在干预前后完成了复杂创伤后应激障碍反应指数(CPTSD-RI)和儿童抑郁量表(CDI)。未发现团体干预对儿童的创伤后或抑郁症状有显著影响。文中讨论了这些研究结果的可能解释,包括持续接触创伤以及干预的非主动性。