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针对生活在澳大利亚的受战争影响的年轻移民的团体认知行为疗法的疗效:一项整群随机对照试验。

The Efficacy of a Group Cognitive Behavioral Therapy for War-Affected Young Migrants Living in Australia: A Cluster Randomized Controlled Trial.

作者信息

Ooi Chew S, Rooney Rosanna M, Roberts Clare, Kane Robert T, Wright Bernadette, Chatzisarantis Nikos

机构信息

Faculty of Health Sciences, School of Psychology and Speech Pathology, Curtin University Perth, WA, Australia.

Faculty of Health Sciences, School of Psychology and Speech Pathology, Curtin UniversityPerth, WA, Australia; Faculty of Medicine, Dentistry and Health Sciences, School of Psychiatry and Clinical Neurosciences, University of Western AustraliaPerth, WA, Australia; Faculty of Health, Engineering and Science, School of Nursing and Midwifery, Edith Cowan UniversityPerth, WA, Australia.

出版信息

Front Psychol. 2016 Oct 31;7:1641. doi: 10.3389/fpsyg.2016.01641. eCollection 2016.

Abstract

Preventative and treatment programs for people at risk of developing psychological problems after exposure to war trauma have mushroomed in the last decade. However, there is still much contention about evidence-based and culturally sensitive interventions for children. The aim of this study was to examine the efficacy of the Teaching Recovery Techniques in improving the emotional and behavioral outcomes of war-affected children resettled in Australia. A cluster randomized controlled trial with pre-test, post-test, and 3-month follow-up design was employed. A total of 82 participants (aged 10-17 years) were randomized by school into the 8-week intervention ( = 45) or the waiting list (WL) control condition ( = 37). Study outcomes included symptoms of post-traumatic stress disorder, depression, internalizing and externalizing problems, as well as psychosocial functioning. A medium intervention effect was found for depression symptoms. Participants in the intervention condition experienced a greater symptom reduction than participants in the WL control condition, = 5.20, = 0.024, partial η = 0.07. This improvement was maintained at the 3-month follow-up, = 7.24, = 0.001, partial η = 0.20. These findings suggest the potential benefit of the school and group-based intervention on depression symptoms but not on other outcomes, when compared to a waiting list control group. Australian New Zealand Clinical Trials Registry ACTRN12611000 948998.

摘要

在过去十年中,针对遭受战争创伤后有心理问题风险的人群的预防和治疗项目如雨后春笋般涌现。然而,对于儿童基于证据且具有文化敏感性的干预措施仍存在诸多争议。本研究的目的是检验“教学康复技术”对改善在澳大利亚重新安置的受战争影响儿童的情绪和行为结果的疗效。采用了一项带有前测、后测和3个月随访设计的整群随机对照试验。共有82名参与者(年龄在10至17岁之间)按学校随机分为8周干预组(n = 45)或等待名单(WL)对照组(n = 37)。研究结果包括创伤后应激障碍、抑郁、内化和外化问题的症状,以及心理社会功能。发现抑郁症状有中等程度的干预效果。干预组的参与者比等待名单对照组的参与者症状减轻得更多,t = 5.20,p = 0.024,偏η² = 0.07。这种改善在3个月随访时得以维持,t = 7.24,p = 0.001,偏η² = 0.20。这些发现表明,与等待名单对照组相比,基于学校和团体的干预对抑郁症状有潜在益处,但对其他结果没有益处。澳大利亚新西兰临床试验注册中心ACTRN12611000 948998。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a68/5086861/d582a0ee27c3/fpsyg-07-01641-g0001.jpg

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