Helfrich Christine A, Peters Christine Y, Chan Dara V
Boston University, Boston, MA, USA.
Occup Ther Int. 2011 Sep;18(3):115-23. doi: 10.1002/oti.308. Epub 2010 Nov 11.
This study investigated 1) trauma symptom changes following the implementation of a life skills intervention; 2) the relationship between demographic characteristics, cognitive functioning, life skill knowledge and changes in trauma symptoms; and 3) predictive factors of trauma symptoms during housing transitions. Participants (N=72) enrolled in intervention modules to increase residential stability (room and self-care, money management, nutrition management or safe community participation), completed the Impact of Event Scale-Revised, ACLS-2000 and a Practical Skills Test at baseline, post-intervention and 3 and 6 months later to examine differences in trauma symptoms and treatment outcomes. Trauma symptoms were highest at baseline and decreased significantly for most participants over time. For a subgroup of females experiencing abuse and individuals who were homeless less than 1 year, there was an increase in symptoms at 3 months post-intervention (highest rate of housing transition). This small convenience sample represents a limited geographic area. Replication of the study with larger groups for generalization, and further investigation into the specific impact of symptoms on function were recommended for future research.
1）实施生活技能干预后创伤症状的变化；2）人口统计学特征、认知功能、生活技能知识与创伤症状变化之间的关系；3）住房过渡期间创伤症状的预测因素。参与者（N = 72）参加了旨在提高居住稳定性的干预模块（房间与自我护理、资金管理、营养管理或安全社区参与），在基线、干预后、3个月和6个月后完成了事件影响量表修订版、ACLS - 2000和一项实践技能测试，以检查创伤症状和治疗结果的差异。创伤症状在基线时最高，随着时间的推移，大多数参与者的症状显著减轻。对于遭受虐待的女性亚组和无家可归时间少于1年的个体，干预后3个月（住房过渡率最高）症状有所增加。这个小的便利样本代表的地理区域有限。建议未来研究扩大样本量进行重复研究以推广结果，并进一步调查症状对功能的具体影响。
