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个体和团体创伤焦点干预对亲密伴侣暴力女性受害者有效性的分析。

Analysis of Effectiveness of Individual and Group Trauma-Focused Interventions for Female Victims of Intimate Partner Violence.

机构信息

Department Personality, Assessment and Clinical Psychology, Universidad Complutense de Madrid, 28223 Madrid, Spain.

出版信息

Int J Environ Res Public Health. 2021 Feb 17;18(4):1952. doi: 10.3390/ijerph18041952.

Abstract

Group psychological programs for intimate partner violence (IPV) survivors would seem particularly useful since they contribute to interrupting women's isolation and have cost-effectiveness advantage. This study aims to analyze whether the effectiveness of group interventions for female survivors of IPV is equivalent to that of the individual format. A cognitive-behavioral trauma-focused intervention program was applied in eight weekly sessions in Madrid (Spain) to IPV female survivors with significant posttraumatic symptoms that were randomly assigned to the individual ( = 25) or group ( = 28) intervention format. Measures of posttraumatic stress (Severity of Posttraumatic Stress Disorder Symptoms Scale), depression (Beck Depression Inventory), anxiety (Beck Anxiety Inventory), self-esteem (Rosenberg's Scale) and social support were analyzed at pre-treatment, post-treatment, and 1-, 3-, 6- and 12-months follow-ups. A total of 28.3% of women dropped out, without significant format differences. Intervention (both formats) had significant improvements with large effect sizes in posttraumatic stress (η = 0.56), depression (η = 0.45), anxiety (η = 0.41) and self-esteem (η = 0.26) that maintained in follow-ups ( < 0.001), without significant differences between formats. Both intervention formats had different evolutions for depression and anxiety ( < 0.05), with better effects in the individual format at the first post-test measurements, but the differences tended to disappear over time. Intervention was effective in improving social support, with no significant differences between formats. All in all, both formats showed similar effectiveness. The group format could be an alternative when applying psychological interventions for female IPV survivors, since it would maintain good cost-effectiveness balance, mainly in the long-term.

摘要

团体心理干预方案对亲密伴侣暴力(IPV)幸存者似乎特别有用,因为它有助于打破女性的孤立状态,且具有成本效益优势。本研究旨在分析针对 IPV 女性幸存者的团体干预措施的有效性是否与个体格式相当。在马德里(西班牙),应用了一个为期八周的认知行为创伤焦点干预方案,针对有明显创伤后症状的 IPV 女性幸存者,这些女性幸存者被随机分配到个体(n=25)或团体(n=28)干预格式。在治疗前、治疗后、1、3、6 和 12 个月的随访中,使用创伤后应激障碍严重程度量表(Posttraumatic Stress Disorder Symptoms Scale)、贝克抑郁量表(Beck Depression Inventory)、贝克焦虑量表(Beck Anxiety Inventory)、罗森伯格自尊量表(Rosenberg's Scale)和社会支持量表来评估创伤后应激(PTSD)、抑郁、焦虑、自尊和社会支持。共有 28.3%的女性中途退出,两种格式之间没有显著差异。干预(两种格式)都有显著的改善,且 PTSD(η=0.56)、抑郁(η=0.45)、焦虑(η=0.41)和自尊(η=0.26)的效果量都较大,且在随访中得以维持(<0.001),两种格式之间没有显著差异。两种干预格式对抑郁和焦虑的演变不同(<0.05),个体格式在第一次后测中效果更好,但随着时间的推移,差异趋于消失。干预对改善社会支持有效,两种格式之间没有显著差异。总的来说,两种格式都显示出类似的效果。团体格式可能是针对女性 IPV 幸存者实施心理干预的一种替代方案,因为它可以保持良好的成本效益平衡,特别是在长期。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/479c/7922543/a7226cebe68e/ijerph-18-01952-g001.jpg

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