Department of Family Medicine and Community Health, University of Minnesota, 717 Delaware St SE, Suite166, Minneapolis, MN, 55414, USA.
Division of Epidemiology and Community Health, University of Minnesota, Minneapolis, MN, USA.
Community Ment Health J. 2021 May;57(4):711-719. doi: 10.1007/s10597-020-00738-w. Epub 2020 Oct 30.
This study measured changes in post-traumatic stress symptoms and collective-efficacy in African Americans participating in cohorts of "Choosing Life in the Black Community: Achieving the Dream", an Afrocentricity-based Cognitive Behavioral Therapy curriculum for trauma. Participants were recruited by key leaders in the black community of the Twin Cities, Minnesota Metropolitan Area and completed a 6-week group counselling curriculum led by lay health workers and supervised by professional psychologists. Twenty-six participants provided pre- and post-curriculum responses to validated measures of post-traumatic stress symptoms, collective-efficacy and adverse childhood experiences. Thirteen participants provided semi-structured interviews. Pre- to post-curriculum change score were calculated for post-traumatic stress symptoms and collective-efficacy. Interviews were analyzed using thematic analysis. Post-traumatic stress symptoms decreased and collective-efficacy increased, though neither change achieved statistical significance. Participants with more adverse childhood experiences showed significantly greater decreases in post-traumatic stress symptoms. There is evidence that this program may be particularly effective in participants that have greater past experiences of trauma.
本研究旨在测量参与“在黑人社区选择生活：实现梦想”（一项基于非裔中心主义的认知行为疗法创伤课程）的非裔美国人的创伤后应激症状和集体效能的变化。参与者是由明尼苏达州双子城黑人社区的主要领导人招募的，并完成了由非专业健康工作者领导、专业心理学家监督的为期 6 周的小组咨询课程。26 名参与者提供了创伤后应激症状、集体效能和不良童年经历的有效测量的课前和课后反应。13 名参与者提供了半结构化访谈。对创伤后应激症状和集体效能进行了课前到课后的变化评分。使用主题分析对访谈进行了分析。创伤后应激症状有所减轻，集体效能有所提高，但两者都没有达到统计学意义。有更多不良童年经历的参与者，其创伤后应激症状的减轻幅度明显更大。有证据表明，该方案对于过去经历过更多创伤的参与者可能特别有效。
