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拉丁裔女性的创伤后应激障碍:审视“母亲赋权计划”的成效。

Posttraumatic stress disorder in Latina women: Examining the efficacy of the Moms' Empowerment Program.

作者信息

Galano Maria M, Grogan-Kaylor Andrew C, Stein Sara F, Clark Hannah M, Graham-Bermann Sandra A

机构信息

Department of Psychology, University of Michigan.

University of Michigan School of Social Work.

出版信息

Psychol Trauma. 2017 May;9(3):344-351. doi: 10.1037/tra0000218. Epub 2016 Nov 21.

DOI:10.1037/tra0000218
PMID:27869463
Abstract

OBJECTIVE

Intimate partner violence (IPV) is a serious public health problem, affecting every 1 in 4 women in their lifetime. Latinas have been found to experience IPV at rates equal to or even higher than rates in the general population. The consequences of experiencing such violence can be severe, and result in increased risk for developing both physical and mental health problems, notably, posttraumatic stress disorder (PTSD). Although treatments for PTSD in IPV-exposed women have been developed and evaluated, this is the first study to test the efficacy of a program tailored specifically to meet the needs of Latinas who experience IPV.

METHOD

This study examines the efficacy of a Spanish-language adaptation of the Moms' Empowerment Program, a 10-week group treatment program for IPV-exposed women. A total of 93 low-income, mostly immigrant Latinas were included in this community trial. All women were Spanish-speaking, and information about violence exposure and PTSD symptoms were collected immediately before and after the implementation of the intervention.

RESULTS

Findings show that women who participated in the intervention had a significantly greater reduction in PTSD symptoms than women in the wait-list comparison group. Specific reductions by symptom domains were also analyzed.

CONCLUSIONS

This adaptation of a program designed to reduce problems associated with experiencing IPV addressed several mental health treatment needs for Latinas, particularly the need for services in Spanish. These findings demonstrate that it is possible to tailor current treatment programs for IPV in ways that are both effective and culturally sensitive. (PsycINFO Database Record

摘要

目的

亲密伴侣暴力(IPV)是一个严重的公共卫生问题,每四名女性中就有一人在其一生中会受到影响。研究发现,拉丁裔女性遭受亲密伴侣暴力的比例与普通人群相当,甚至更高。遭受此类暴力的后果可能很严重,会增加出现身心健康问题的风险,尤其是创伤后应激障碍(PTSD)。尽管已经开发并评估了针对遭受亲密伴侣暴力的女性的创伤后应激障碍治疗方法,但这是第一项专门测试为满足遭受亲密伴侣暴力的拉丁裔女性需求而量身定制的项目效果的研究。

方法

本研究考察了针对遭受亲密伴侣暴力的女性的为期10周的团体治疗项目“妈妈赋权计划”的西班牙语改编版的效果。共有93名低收入、大多为移民的拉丁裔女性参与了这项社区试验。所有女性都讲西班牙语,在干预实施前后立即收集了有关暴力暴露和创伤后应激障碍症状的信息。

结果

研究结果表明,参与干预的女性在创伤后应激障碍症状方面的减轻程度明显大于等待名单对照组中的女性。还对症状领域的具体减轻情况进行了分析。

结论

这个旨在减少与遭受亲密伴侣暴力相关问题的项目改编版满足了拉丁裔女性的几个心理健康治疗需求,特别是对西班牙语服务的需求。这些研究结果表明,有可能以有效且对文化敏感的方式为亲密伴侣暴力量身定制当前的治疗项目。(PsycINFO数据库记录)

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