Altawil Mohamad A S, El Asam Aiman, Khadaroo Ameerah
Clinical Psychologist (Registered by HCPC), in Green Branch Clinic Psychotherapy Practice (GBCPP), Cambridge, Hatfield, London, UK, https://www.gbclinic.com.
Projects Supervisor in Palestine Trauma Centre (UK), 4 Tanners Crescent, Hertford, Hertfordshire, UK, https://www.ptcuk.org.
J Child Adolesc Trauma. 2018 May 22;11(4):473-486. doi: 10.1007/s40653-018-0213-0. eCollection 2018 Dec.
The wars on Gaza (2008, 2012 & 2014) have left thousands of children and adults exposed to traumatic events (UNICEF, 2017). This study seeks to study and compare the usefulness of three different intervention programs, namely Therapeutic, Psycho-social support and Focusing. These interventions have been developed based on a holistic and integrated approach aimed at empowering resilience among Palestinian patients with Posttraumatic Stress Disorder (PTSD). PTSD was assessed through a validated scale developed by Altawil (2016). The aforementioned interventions were found to be successful: a) In the Family Therapy Programme (FTP), PTSD diagnosis reduced from 82% before intervention to 20% after intervention; b) In the Community Wellness Focusing Programme (CWF), PTSD diagnosis reduced from 97% before intervention to 19% after intervention; c) In the Psycho-Social Support Programme (SANID), PTSD diagnosis reduced from 50% before intervention to only 14% after intervention. Establishing the impact of interventions can be difficult without good tools for evaluation or assessment. Therefore, PTSD scales must consider culture, specific needs and the context of trauma exposure using both quantitative and qualitative assessment tools. Future tools should examine On-going Traumatic Stress Disorder (OTSD) so that it reflects on-going conflict and trauma in war-torn environments worldwide.
加沙战争（2008年、2012年和2014年）致使成千上万儿童和成年人暴露于创伤性事件之中（联合国儿童基金会，2017年）。本研究旨在研究和比较三种不同干预方案的效用，即治疗性方案、心理社会支持方案和聚焦方案。这些干预措施是基于一种整体综合方法制定的，旨在增强患有创伤后应激障碍（PTSD）的巴勒斯坦患者的恢复力。PTSD通过由阿尔塔维尔（2016年）编制的经过验证的量表进行评估。结果发现上述干预措施是成功的：a）在家庭治疗方案（FTP）中，PTSD诊断率从干预前的82%降至干预后的20%；b）在社区健康聚焦方案（CWF）中，PTSD诊断率从干预前的97%降至干预后的19%；c）在心理社会支持方案（SANID）中，PTSD诊断率从干预前的50%降至干预后的仅14%。如果没有良好的评估工具，确定干预措施的影响可能会很困难。因此，PTSD量表必须使用定量和定性评估工具来考虑文化、特定需求以及创伤暴露的背景。未来的工具应该研究持续性创伤应激障碍（OTSD），以便反映全球饱受战争蹂躏地区持续存在的冲突和创伤。
