Academic Centre for Defence Mental Health (ACDMH), King's College London, UK.
Psychol Med. 2011 Apr;41(4):673-86. doi: 10.1017/S003329171000125X. Epub 2010 Jun 16.
Employers such as the Armed Forces (AF) and emergency services, who predictably expose their staff to potentially traumatic events (PTEs), often provide psycho-educational briefings in an attempt to mitigate possible adverse psychological sequelae. Within the military, psycho-educational briefings are widely used, particularly following exposure to PTEs on operations. The aim of this review was to evaluate the efficacy of these interventions and make appropriate recommendations.
A search of Medline, PsycINFO and EMBASE was conducted, bibliographies of retrieved articles were searched and experts in the field were consulted.
Two surveys and seven intervention studies were identified for inclusion in the review. Only three studies were randomized controlled trials (RCTs). Overall, the review found some evidence of benefit of psycho-educational interventions but it was not consistent across studies or outcomes and effects were small. However, there was also little evidence to suggest that they caused harm. There was some evidence that the beneficial effects may be greater for those who have been exposed to a higher number of PTEs.
Given the high operational tempo currently faced by coalition forces personnel, there remains a pressing need to identify the most effective way of minimizing the impact of exposure to potentially traumatic deployment incidents. To date, few psycho-educational interventions designed to prevent deployment-related psychological ill-health have been evaluated systematically in methodologically robust studies. The review recommends that future interventions are theoretically based and evaluated in cluster RCTs that examine both process and outcome variables.
军队和应急服务等雇主经常会预测到员工可能会接触创伤性事件，并提供心理教育简报，以减轻可能的不良心理后果。在军队中，心理教育简报被广泛使用，特别是在行动中暴露于创伤性事件之后。本综述的目的是评估这些干预措施的效果并提出适当的建议。
对 Medline、PsycINFO 和 EMBASE 进行了检索，检索了已获取文章的参考文献，并咨询了该领域的专家。
共确定了两项调查和七项干预研究纳入本综述。只有三项研究是随机对照试验（RCT）。总的来说，本综述发现心理教育干预有一定的益处，但在研究或结果上并不一致，效果也很小。然而，也没有证据表明它们会造成伤害。有一些证据表明，对于那些接触过更多创伤性事件的人来说，其有益效果可能更大。
鉴于联军目前面临的高作战节奏，仍迫切需要确定减轻接触潜在创伤性部署事件影响的最有效方法。迄今为止，很少有针对预防与部署相关的心理健康问题的心理教育干预措施在方法上稳健的研究中进行系统评估。本综述建议未来的干预措施基于理论，并在检查过程和结果变量的集群 RCT 中进行评估。
