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评估一项针对老年创伤幸存者的精神焦点干预措施。

Evaluation of a spiritually focused intervention with older trauma survivors.

机构信息

Kent School of Social Work, University of Louisville, Louisville, Kentucky 40292, USA.

出版信息

Soc Work. 2012 Jan;57(1):73-82. doi: 10.1093/sw/swr001.

Abstract

This study evaluated the effectiveness of an 11-session, spiritually focused group intervention with older women survivors (age 55 years and older) of interpersonal trauma (child abuse, sexual assault, or domestic violence) in reducing trauma-related depressive symptoms, posttraumatic stress, and anxiety. Forty-three community-dwelling women survivors of interpersonal trauma were randomized into treatment (n = 21) or control (n = 22) groups. Participants in group psychotherapy discussed spiritual struggles related to abuse and developed spiritual coping resources. The treatment group had significantly lower depressive symptoms, anxiety, and physical symptoms at posttest compared with the control group. In a separate analysis, posttraumatic stress symptoms also dropped significantly in the treatment group. Gains were maintained at three-month follow-up. This study provides strong initial support for the effectiveness of spiritually focused group intervention for older survivors of interpersonal trauma from a Christian background.

摘要

本研究评估了 11 次、以精神为重点的团体干预对老年女性人际创伤幸存者(年龄在 55 岁及以上)的有效性,这些幸存者经历了人际创伤(虐待、性侵犯或家庭暴力),以减少与创伤相关的抑郁症状、创伤后应激和焦虑。43 名居住在社区的人际创伤幸存者随机分为治疗组(n=21)或对照组(n=22)。团体心理治疗中的参与者讨论了与虐待有关的精神斗争,并发展了精神应对资源。与对照组相比,治疗组在测试后抑郁症状、焦虑和身体症状明显减轻。在另一项分析中,治疗组的创伤后应激症状也显著下降。在三个月的随访中,这些收益得以维持。这项研究为基督教背景下的人际创伤老年幸存者的精神为重点的团体干预的有效性提供了强有力的初步支持。

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