College of Medicine, University of Garmian, Kalar, Sulaimania, Kurdistan, Iraq; Research Center, University of Garmian, Kalar, Sulaimania, Kurdistan, Iraq.
Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, NC, USA.
Explore (NY). 2021 Jan-Feb;17(1):84-91. doi: 10.1016/j.explore.2020.06.003. Epub 2020 Jun 25.
Mass violence, atrocities, and political upheavals have affected the prosperity and psychological health of the people of Iraq. Those living in the Garmian region of the Kurdistan Region of Iraq are among those most affected. While there is an urgent need for mental health interventions in this region, mental health resources are scarce, and only a small percentage of the population in need receive mental health care. Despite the high burden of mental illness, and the general demand by the community and local authorities for social and psychological services, effective validated cost-effective interventions tailored to address the cultural and social problems are scarce. This retrospective case series study, which is based on the lead author's experiences in the Garmian region, aims to describe the results of using two mental health interventions, cognitive behavioral therapy and thought field therapy.
The files of 31 clients that met criteria of the study were selected using purposive sampling. The results showed that, of the 13 clients who received Cognitive Behavioral Therapy, one improved and others showed either no change in symptoms, deterioration of symptoms, or dropped out of treatment. All 11 clients who received only Thought Field Therapy, showed improvement in their symptoms. Seven clients who received Cognitive Behavioral Therapy and showed no improvement received Thought Field Therapy, and showed improvement finally. While the results of preliminary experience with Thought Field Therapy in the Garmian community is encouraging, conducting randomized controlled trials with follow-ups, and comparing Thought Field Therapy with other therapeutic approaches is needed to substantiate these findings.
We found that Thought Field Therapy had positive results in reducing anxiety disorders and trauma related symptoms, as compared to Cognitive Behavioral Therapy.
大规模暴力、暴行和政治动荡影响了伊拉克人民的繁荣和心理健康。居住在伊拉克库尔德斯坦地区加姆瑞安地区的人们受到的影响最大。虽然该地区急需心理健康干预，但心理健康资源稀缺，只有一小部分有需要的人接受心理健康护理。尽管精神疾病负担沉重，社区和地方当局普遍要求提供社会和心理服务，但针对文化和社会问题的有效、经证实具有成本效益的干预措施却很少。这项基于主要作者在加姆瑞安地区经验的回顾性病例系列研究旨在描述使用两种心理健康干预措施（认知行为疗法和思想场疗法）的结果。
使用目的抽样选择了符合研究标准的 31 名客户的档案。结果表明，在接受认知行为疗法的 13 名患者中，有 1 名患者症状改善，其他患者要么症状无变化，要么症状恶化，或退出治疗。所有接受思想场疗法的 11 名患者症状均有改善。在加姆瑞安社区初步接受思想场疗法的经验令人鼓舞，但需要进行随机对照试验并进行随访，并将思想场疗法与其他治疗方法进行比较，以证实这些发现。
我们发现，与认知行为疗法相比，思想场疗法在减少焦虑症和创伤相关症状方面具有积极的效果。
