Lenglet Annick, Lopes-Cardozo Barbara, Shanks Leslie, Blanton Curtis, Feo Concetta, Tsatsaeva Zalina, Idrisov Kyuri, Bolton Paul A, Pintaldi Giovanni
Médecins Sans Frontières, Operational Centre Amsterdam, Amsterdam, The Netherlands.
Emergency Response and Recovery Branch, Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
BMJ Open. 2018 Aug 23;8(8):e019794. doi: 10.1136/bmjopen-2017-019794.
To evaluate the effectiveness of individual counselling on functioning of clients participating in a mental health intervention in a humanitarian setting.
Randomised controlled trial.
Mental health programme implemented by Médecins Sans Frontières in Grozny, Republic of Chechnya.
168 eligible clients were randomly assigned to the intervention and waitlisted (2 months) arms between November 2014 and February 2015.
Individual counselling sessions.
Change in functioning was measured using the Short Form 6 (SF6) and gender-specific locally adapted Chechen functioning instruments in the intervention group at the end of counselling and the waitlisted group after their waitlisted period. Unadjusted differences in gain scores (DGSs) between intervention and waitlisted groups were calculated with effect size (Cohen's ) for both tools. Linear regression compared the mean DGS in both groups.
The intervention group (n=78) improved compared with waitlisted controls (n=80) on the SF6 measures with moderate to large effect sizes: general health (DGS 12.14, =0.52), body pain (DGS 10.26, =0.35), social support (DGS 16.07, =0.69) and emotional functioning (DGS 16.87, =0.91). Similar improvement was seen using the Chechen functioning instrument score (female DGS -0.33, =0.55; male DGS -0.40, =0.99). Adjusted analysis showed significant improvement (p<0.05) in the intervention group for all SF6 measures and for the Chechen functioning instrument score in women but not men (p=0.07).
Individual counselling significantly improved participants' ability to function in the intervention group compared with the waitlisted group. Further research is needed to determine whether similar positive results can be shown in other settings and further exploring the impact in male clients' population.
NTR4689.
评估在人道主义环境中，个体咨询对参与心理健康干预的服务对象功能状况的有效性。
随机对照试验。
无国界医生组织在车臣共和国格罗兹尼实施的心理健康项目。
2014年11月至2015年2月期间，168名符合条件的服务对象被随机分配至干预组和候补组（为期2个月）。
个体咨询 sessions。
在咨询结束时，使用简短健康调查问卷6项版（SF6）和特定性别的、经当地改编的车臣功能状况工具，测量干预组的功能状况变化；在候补期结束后，测量候补组的功能状况变化。使用两种工具计算干预组和候补组之间增益分数（DGSs）的未调整差异及效应量（科恩d值）。线性回归比较两组的平均DGS。
在SF6测量指标方面，干预组（n = 78）与候补对照组（n = 80）相比有改善，效应量为中度至大：总体健康（DGS 12.14，d = 0.52）、身体疼痛（DGS 10.26，d = 0.35）、社会支持（DGS 16.07，d = 0.69）和情绪功能（DGS 16.87，d = 0.91）。使用车臣功能状况工具评分也观察到类似改善（女性DGS -0.33，d = 0.55；男性DGS -0.40，d = 0.99）。调整分析显示，干预组在所有SF6测量指标以及女性的车臣功能状况工具评分方面有显著改善（p < 0.05），但男性未显示显著改善（p = 0.07）。
与候补组相比，个体咨询显著改善了干预组参与者的功能状况。需要进一步研究以确定在其他环境中是否能显示出类似的积极结果，并进一步探讨对男性服务对象群体的影响。
NTR4689。
