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减少亲密伴侣暴力后创伤应激的干预措施:妈妈赋权项目(MEP)的疗效试验

Intervention to reduce traumatic stress following intimate partner violence: an efficacy trial of the Moms' Empowerment Program (MEP).

作者信息

Graham-Bermann Sandra A, Miller Laura E

机构信息

Department of Psychology, University of Michigan, Ann Arbor 48109-1043, USA.

出版信息

Psychodyn Psychiatry. 2013 Summer;41(2):329-49. doi: 10.1521/pdps.2013.41.2.329.

Abstract

A 10-week, group therapeutic-oriented community-based intervention, the Moms' Empowerment Program (MEP), was tested with 181 children and their mothers exposed to intimate partner violence (IPV) during the past year. Women's experiences of intimate partner violence and traumatic stress were assessed with standardized measures. A sequential assignment procedure allocated participants to three conditions: mother-plus-child intervention (M+C), child-only intervention (CO), and a wait list comparison (CG). The tensession group intervention program was designed to empower women thereby reducing traumatic stress and enhancing their coping in the aftermath of exposure to IPV. Eighty-one percent were diagnosed with PTSD. While women in all three conditions improved over time, those in the M+C condition showed the greatest reduction in traumatic stress as compared to CO or CG conditions. Of those M+C women diagnosed with PTSD, the reliable change rate was 85% no longer diagnosed.

摘要

一项为期10周、以团体治疗为导向的社区干预项目——“母亲赋权计划”(MEP),对去年遭受亲密伴侣暴力(IPV)的181名儿童及其母亲进行了测试。通过标准化测量评估了女性遭受亲密伴侣暴力的经历和创伤应激情况。采用顺序分配程序将参与者分为三组:母子共同干预组(M+C)、仅儿童干预组(CO)和等待名单对照组(CG)。为期10节的团体干预项目旨在增强女性的能力,从而减轻创伤应激,并提高她们在遭受亲密伴侣暴力后的应对能力。81%的人被诊断为创伤后应激障碍(PTSD)。虽然所有三组中的女性随着时间推移都有所改善,但与CO组或CG组相比,M+C组的女性创伤应激减轻幅度最大。在那些被诊断为创伤后应激障碍的M+C组女性中,可靠的变化率为85%,即不再被诊断为创伤后应激障碍。

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