Becker Susan M
College of Public Health, University of South Florida, Tampa 20057, USA.
Am J Public Health. 2009 Apr;99(4):654-8. doi: 10.2105/AJPH.2008.146571. Epub 2009 Jan 15.
I investigated the effectiveness of Psychosocial Care, a community-based mental health initiative for survivors of the 2004 tsunami disaster in India.
Mental health teams from the National Institute of Mental Health and Neurosciences (NIMHANS) in India implemented a train-the-trainer model of psychosocial care in one of the worst tsunami-affected areas of south India. Three months of psychosocial care was provided for an intervention group of women, but not for a control group recruited from an exposed neighboring village. Impact of Event Scale (IES) scores--both total scores and scores for subscales on hypervigilance, avoidance, and intrusion--were compiled for both the intervention and control groups and used as outcome measures.
For the intervention group, posttest total IES and subscale scores were significantly lower than pretest scores (P < .001), indicating improvement in symptoms. Posttest total IES and subscale scores were significantly lower for the intervention group than for the control group (P < .001).
Psychosocial care is an effective mental health strategy for women survivors of disasters and should be an integral component of disaster response in resource-poor countries.
我调查了心理社会关怀的有效性，这是一项针对2004年印度海啸灾难幸存者的社区心理健康倡议。
印度国家心理健康和神经科学研究所（NIMHANS）的心理健康团队在印度南部受海啸影响最严重的地区之一实施了心理社会关怀的培训师培训模式。为一个女性干预组提供了三个月的心理社会关怀，但未为从受影响的邻近村庄招募的对照组提供。为干预组和对照组编制了事件影响量表（IES）分数——总分以及关于过度警觉、回避和侵入的子量表分数，并将其用作结果指标。
对于干预组，测试后IES总分和子量表分数显著低于测试前分数（P < .001），表明症状有所改善。干预组测试后IES总分和子量表分数显著低于对照组（P < .001）。
心理社会关怀是灾难女性幸存者有效的心理健康策略，应成为资源匮乏国家灾难应对的一个组成部分。
