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创伤稳定治疗创伤后应激障碍的治疗价值——东南亚研究。

The therapeutic value of trauma stabilisation in the treatment of post-traumatic stress disorder - A Southeast Asian Study.

机构信息

University of Worcester, Henwick Grove, Worcester WR2 6AJ I, United Kingdom.

University of Worcester, Henwick Grove, Worcester WR2 6AJ I, United Kingdom; Trauma Aid Germany, In den Floragärten 41, 13187, Berlin, Germany.

出版信息

Asian J Psychiatr. 2019 Mar;41:45-49. doi: 10.1016/j.ajp.2018.09.010. Epub 2018 Oct 9.

DOI:10.1016/j.ajp.2018.09.010
PMID:30340966
Abstract

OBJECTIVE

Southeast Asia suffers from various forms of natural disasters and interpersonal violence. This creates a large trauma population, while at the same time mental health services in this area are limited. The humanitarian organisation Trauma Aid Germany established trauma capacity building by training 37 local therapists in psycho-traumatology, including trauma stabilisation, in Cambodia, Indonesia and Thailand. This analysis examines the impact of trauma stabilisation as a sole treatment for traumatized clients.

METHOD

Clients were screened for PTSD using the Harvard Trauma Questionnaire pre- and post-treatment. Analysis only included clients who had received trauma stabilisation, including psychoeducation, but no confrontation with the traumatic event.

RESULTS

Trauma stabilisation was highly effective in reducing PTSD symptoms, with high remission from PTSD post-treatment. Trauma stabilisation affected all subscales of PTSD and was effective in clinical as well as subclinical traumatized clients.

CONCLUSION

The research supports the notion that trauma stabilisation is a treatment effect for PTSD. It was highly effective in its own in reducing PTSD symptoms. Based on the analysis, trauma stabilisation was a safe, language independent treatment for PTSD sufficiently flexible to be sensitive to the client's context. Therapists can adapt the techniques to the individual client and his cultural, spiritual, developmental, cognitive and situational background. Trauma stabilisation is suitable for implementation in crisis areas. The research has also implications to the potential utilisation of para-professionals.

摘要

目的

东南亚地区遭受着各种形式的自然灾害和人际暴力,这导致了大量创伤人群的出现,而该地区的心理健康服务却十分有限。人道主义组织 Trauma Aid Germany 通过在柬埔寨、印度尼西亚和泰国培训 37 名当地的心理创伤治疗师,包括创伤稳定治疗,来建立创伤能力建设。本分析研究了仅使用创伤稳定治疗(包括心理教育,但不与创伤事件对抗)作为创伤患者单一治疗方法的效果。

方法

使用哈佛创伤问卷在治疗前后对 PTSD 患者进行筛查。分析仅包括接受创伤稳定治疗的患者,包括心理教育,但不与创伤事件对抗。

结果

创伤稳定治疗对 PTSD 症状的缓解非常有效,治疗后 PTSD 的缓解率很高。创伤稳定治疗影响 PTSD 的所有子量表,对临床和亚临床创伤患者均有效。

结论

研究支持这样一种观点,即创伤稳定治疗是 PTSD 的一种治疗效果。它在自身减少 PTSD 症状方面非常有效。基于分析,创伤稳定治疗是一种针对 PTSD 的安全、语言独立的治疗方法,足够灵活,可以根据患者的具体情况进行调整。治疗师可以根据个体患者及其文化、精神、发展、认知和情境背景来调整技术。创伤稳定治疗适用于危机地区的实施。该研究还对潜在的非专业人员的利用具有影响。

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