Department of Psychology, Islamic University Gaza, Gaza City, Palestine.
J Trauma Stress. 2012 Jun;25(3):288-98. doi: 10.1002/jts.21707. Epub 2012 May 30.
We examined the effectiveness of a psychosocial intervention in reducing mental health symptoms among war-affected children, and the role of peritraumatic dissociation in moderating the intervention impact on posttraumatic stress symptoms (PTSS). School classes were randomized into intervention (n = 242) and waitlist control (n = 240) conditions in Gaza, Palestine. The intervention group participated in 16 extracurriculum sessions of teaching recovery techniques (TRT) and the controls received normal school-provided support. Participants were 10- to 13-year-old Palestinian girls (49.4%) and boys (50.6%). Data on PTSS, depressive symptoms, and psychological distress were collected at baseline (T1), postintervention (T2), and 6-month follow-up (T3). Peritraumatic dissociation was assessed only at baseline. Regression analyses that took regression to the mean and cluster sampling into account were applied. The results on intervention effectiveness were specific to gender and peritraumatic dissociation. At T2, the intervention significantly reduced the proportion of clinical PTSS among boys, and both the symptom level (R(2) = .24), and proportion of clinical PTSS among girls who had a low level of peritraumatic dissociation. The results have implications for risk-specific tailoring of psychosocial interventions in war conditions.
我们研究了心理社会干预在减少受战争影响儿童心理健康症状方面的效果，以及创伤后分离在调节干预对创伤后应激症状（PTSS）的影响方面的作用。在巴勒斯坦加沙，学校班级被随机分为干预组（n=242）和等待名单对照组（n=240）。干预组参加了 16 节课外课程，教授恢复技术（TRT），对照组接受正常的学校提供的支持。参与者是 10 至 13 岁的巴勒斯坦女童（49.4%）和男童（50.6%）。PTSS、抑郁症状和心理困扰的数据在基线（T1）、干预后（T2）和 6 个月随访（T3）时收集。创伤后分离仅在基线时进行评估。应用考虑回归到平均值和聚类抽样的回归分析。干预效果的结果特定于性别和创伤后分离。在 T2 时，干预显著降低了男孩中临床 PTSS 的比例，以及创伤后分离水平较低的女孩中 PTSS 的症状水平（R²=0.24）和临床 PTSS 的比例。这些结果对战争条件下针对特定风险的心理社会干预的个性化定制具有启示意义。
