Cole Charles L, Waterman Samantha, Hunter Elaine Catherine Margaret, Bell Vaughan, Greenberg Neil, Rubin G James, Beck Alison
South London and Maudsley NHS Foundation Trust, London, UK.
Division of Psychiatry, University College London, London, UK.
Int Rev Psychiatry. 2021 Feb-Mar;33(1-2):189-197. doi: 10.1080/09540261.2020.1750800. Epub 2020 Apr 17.
Following the 2014 Ebola outbreak, South London and Maudsley NHS Foundation Trust (SLAM) were commissioned to provide a 'culturally appropriate, effective and sustainable' intervention to address the psychological needs of the Sierra Leonean Ebola Treatment Centre (ETC) staff. The study evaluated the effectiveness of group Cognitive Behavioural Therapy (CBT) developed to treat anxiety, depression and functional impairment amongst a sample of former ETC staff in Sierra Leone. Group comparisons explored whether the effect of the intervention differed dependent on the facilitators that delivered it, as well as whether it differed between former staff of high- and low-risk ETC roles. A sample of 253 former ETC staff attended the group CBT intervention comprised of eight sessions over six weeks. Outcome measures were administered upon entry and within two weeks after the intervention. At post-intervention, anxiety, depression and functional impairment significantly reduced. Reading ability (RA) was introduced as a covariate having impacted the outcomes. The intervention effect differed by facilitators delivering the sessions but not by ETC role risk. The implications of these results are discussed. Group CBT is a promising psychological intervention for treating the anxiety, depression and functional impairment of former ETC staff in Sierra Leone. Furthermore, as part of a stepped-care approach, it may provide a model for psychological support for staff that have worked on the frontline during future epidemics.
在2014年埃博拉疫情爆发后，伦敦南部和莫兹利国民保健服务基金会信托机构（SLAM）受委托提供一种“文化适宜、有效且可持续”的干预措施，以满足塞拉利昂埃博拉治疗中心（ETC）工作人员的心理需求。该研究评估了为治疗塞拉利昂前ETC工作人员样本中的焦虑、抑郁和功能障碍而开发的团体认知行为疗法（CBT）的有效性。组间比较探讨了干预效果是否因实施干预的促进者不同而有所差异，以及在高风险和低风险ETC岗位的前工作人员之间是否存在差异。253名前ETC工作人员样本参加了为期六周、共八节课程的团体CBT干预。在干预开始时和干预后两周内进行了结果测量。干预后，焦虑、抑郁和功能障碍显著减轻。阅读能力（RA）作为影响结果的协变量被引入。干预效果因授课的促进者不同而有所差异，但不因ETC岗位风险而不同。讨论了这些结果的意义。团体CBT是一种有前景的心理干预措施，可用于治疗塞拉利昂前ETC工作人员的焦虑、抑郁和功能障碍。此外，作为逐步护理方法的一部分，它可能为未来疫情期间在一线工作的工作人员提供心理支持的模式。
