Leitch M Laurie, Vanslyke Jan, Allen Marisa
Foundation of Human Enrichment, Boulder, CO 80301, USA.
Soc Work. 2009 Jan;54(1):9-18. doi: 10.1093/sw/54.1.9.
In a disaster, social service workers are often survivors themselves.This study examines whether somatic intervention using a brief (one to two session) stabilization model now called the Trauma Resiliency Model (TRM), which uses the skills of Somatic Experiencing (SE), can reduce the postdisaster symptoms of social service workers involved in postdisaster service delivery.The study was implemented with a nonrandom sample of 142 social service workers who were survivors of Hurricanes Katrina and Rita in New Orleans and Baton Rouge, Louisiana, two to three months after the disasters. Ninety-one participants received SE/TRM and were compared with a matched comparison group of 51 participants through the use of propensity score matching. All participants first received group psychoeducation. Results support the benefits of the brief intervention inspired by SE. The treatment group showed statistically significant gains in resiliency indicators and decreases in posttraumatic stress disorder symptoms. Although psychological symptoms increased in both groups at the three to four month follow-up, the treatment group's psychological symptoms were statistically lower than those of the comparison group.
在灾难中,社会服务工作者自身往往也是幸存者。本研究探讨了使用一种简短(一到两个疗程)的稳定模型(现称为创伤复原模型,即TRM)进行躯体干预,该模型运用了躯体体验疗法(SE)的技巧,是否能够减轻参与灾后服务提供的社会服务工作者的灾后症状。这项研究是对142名社会服务工作者进行的非随机抽样,这些工作者是路易斯安那州新奥尔良市和巴吞鲁日市卡特里娜飓风和丽塔飓风的幸存者,在灾难发生两到三个月后参与研究。91名参与者接受了躯体体验疗法/创伤复原模型干预,并通过倾向得分匹配法与51名参与者组成的匹配对照组进行比较。所有参与者首先接受了团体心理教育。结果支持了受躯体体验疗法启发的简短干预的益处。治疗组在复原力指标上有统计学显著提高,创伤后应激障碍症状有所减轻。尽管在三到四个月的随访中两组的心理症状都有所增加,但治疗组的心理症状在统计学上低于对照组。