Philadelphia Veteran Affairs Medical Center, Philadelphia, PA 19104, USA.
J Trauma Stress. 2010 Jun;23(3):305-12. doi: 10.1002/jts.20531.
Posttraumatic stress disorder (PTSD) psychoeducation is increasingly offered in diverse cultural settings. As the literature offers theoretical arguments for why such information might be normalizing and distress-reducing, or might risk morbid suggestion of greater vulnerability, a two-sided hypothesis was proposed to examine the specific effect of PTSD psychoeducation. Participants of a trauma healing and reconciliation intervention in Burundi were randomized to conditions with and without PTSD psychoeducation, or to a waitlist control. Both interventions reduced symptoms more than the waitlist. Participants in the condition without psychoeducation experienced a greater reduction in PTSD symptoms relative to other conditions. Findings are discussed in relationship to intervention development for traumatic stress in nonindustrialized and culturally diverse settings.
创伤后应激障碍(PTSD)心理教育在不同文化背景下越来越多地被采用。尽管文献中提供了理论依据,说明这种信息可能具有规范化和减轻痛苦的作用,或者可能存在增加脆弱性的病态暗示的风险,但提出了一个两面假设来检验 PTSD 心理教育的具体效果。在布隆迪的一项创伤疗愈与和解干预研究中,参与者被随机分配到接受 PTSD 心理教育和不接受 PTSD 心理教育的条件,或等待名单对照组。这两种干预措施都比等待名单对照组更能减轻症状。与其他条件相比,不接受心理教育的条件下的参与者 PTSD 症状减轻幅度更大。研究结果与非工业化和文化多样化环境中创伤性应激的干预措施发展有关。