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见证疗法:对印度酷刑和有组织暴力幸存者社会参与及情绪健康的影响

Testimonial Therapy: Impact on social participation and emotional wellbeing among Indian survivors of torture and organized violence.

作者信息

Jørgensen Mia Myhre, Modvig Jens, Agger Inger, Raghuvansh Lenin, Shabana Khan Shirin, Polatin Peter

机构信息

University of Copenhagen. Correspondence to:

出版信息

Torture. 2015;25(2):22-33.

PMID:26932128
Abstract

INTRODUCTION

Traumatizing events, such as torture, cause considerable impairments in psycho-social functioning. In developing countries, where torture is often perpetrated, few resources exist for the provision of therapeutic or rehabilitating interventions. The current study investigated the effectiveness of Testimonial Therapy (TT) as a brief psycho-social intervention to ameliorate the distress of Indian survivors of torture and related violence.

METHOD

Three outcome measures (the WHO-5 Well-Being Scale, Social Participation-Scale and Pain and Anger Analogue) were compared before and after receiving TT, and semi structured interviews were conducted with survivors who had previously received TT.

FINDINGS

Participants showed significant improvements in emotional well-being, social participation, and self-perceived pain and anger. Furthermore, three qualitative interviews with survivors indicated that TT had a positive impact at the community level.

DISCUSSION

Although the study was conducted without a control group for comparison, TT appeared to be an effective method for improving well-being and ameliorating distress among survivors of torture. Furthermore, TT can potentially promote community empowerment. However, more research on this aspect is needed.

摘要

引言

诸如酷刑等创伤性事件会对心理社会功能造成严重损害。在经常发生酷刑的发展中国家,用于提供治疗或康复干预的资源很少。本研究调查了见证疗法(TT)作为一种简短的心理社会干预措施,对缓解印度酷刑及相关暴力幸存者的痛苦的有效性。

方法

在接受见证疗法前后,对三项结果指标(世界卫生组织-5幸福量表、社会参与量表以及疼痛和愤怒模拟量表)进行了比较,并对之前接受过见证疗法的幸存者进行了半结构化访谈。

结果

参与者在情绪幸福感、社会参与度以及自我感知的疼痛和愤怒方面有显著改善。此外,对幸存者进行的三次定性访谈表明,见证疗法在社区层面产生了积极影响。

讨论

尽管本研究没有设立对照组进行比较,但见证疗法似乎是一种改善酷刑幸存者幸福感和缓解痛苦的有效方法。此外,见证疗法有可能促进社区赋权。然而,在这方面还需要更多的研究。

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