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[基于总体模型的生物反馈与简短情绪调节护理干预相结合对遭受性虐待青少年的影响]

[The Effects of the Combined Biofeedback and Brief Emotion Regulation Nursing Intervention Based on the Gross Model for Sexually Abused Adolescents].

作者信息

Kim Jieun, Park Wanju

机构信息

Daegu Sunflower Center (Child) for Sexually Abused Children, Daegu, Korea.

College of Nursing·Research Institute of Nursing Science, Kyungpook National University, Daegu, Korea.

出版信息

J Korean Acad Nurs. 2022 Dec;52(6):608-623. doi: 10.4040/jkan.22088.

Abstract

PURPOSE

This study aimed to evaluate the effects of a combined biofeedback and brief emotion regulation (C-BABER) program for sexually abused adolescents.

METHODS

This study employed a non-equivalent control group pretest-posttest design. The participants included 26 sexually abused adolescents from eight Sunflower Centers of South Korea-with 13 in the experimental group and 13 in the control group. The experimental group received four sessions of the individual C-BABER program, each lasting 60 minutes.

RESULTS

Compared with the control group, sexually abused adolescents in the experimental group exhibited significant score differences in traumatic symptoms, including depression (Z = -2.24, = .025), dissociation (Z = -2.21, = .027), anxiety (Z = -2.02, = .044), and posttraumatic stress (Z = -2.01 = .045); and impulsivity, including positive urgency (Z = -3.35, = .001) and negative urgency (Z = -2.28, = .023). Additionally, the experimental group exhibited significant score differences in meta-mood, including emotional attention (Z = -2.45, = .014), emotional clarity (Z = -2.30, = .021), and emotional repair (Z = -2.28, = .022); and emotional regulation modes, including emotional suppression (Z = -2.65, = .008) and cognitive reappraisal (Z = -1.98, = .047). Regarding bio-attention, significant changes were identified in the experimental group for the bio-attention rate and attention maintenance time in the posttest compared to the pretest ( = .001).

CONCLUSION

The C-BABER program for sexually abused adolescents is effective in decreasing traumatic symptoms and impulsivity, and in improving meta-mood, emotional regulation mode, and bio-attention. Therefore, we recommend providing sexually abused adolescents the C-BABER program to help them regulate their emotions and effectively adapt to their lives.

摘要

目的

本研究旨在评估生物反馈与简短情绪调节相结合(C-BABER)的方案对遭受性虐待青少年的影响。

方法

本研究采用非等效对照组前后测设计。参与者包括来自韩国八个向日葵中心的26名遭受性虐待的青少年,其中实验组13人,对照组13人。实验组接受了四节时长为60分钟的个体C-BABER方案。

结果

与对照组相比,实验组中遭受性虐待的青少年在创伤症状方面表现出显著的得分差异,包括抑郁(Z = -2.24,p = 0.025)、分离(Z = -2.21,p = 0.027)、焦虑(Z = -2.02,p = 0.044)和创伤后应激(Z = -2.01,p = 0.045);以及冲动性方面,包括积极紧迫性(Z = -3.35,p = 0.001)和消极紧迫性(Z = -2.28,p = 0.023)。此外,实验组在元情绪方面表现出显著的得分差异,包括情绪注意力(Z = -2.45,p = 0.014)、情绪清晰度(Z = -2.30,p = 0.021)和情绪修复(Z = -2.28,p = 0.022);以及情绪调节方式方面,包括情绪抑制(Z = -2.65,p = 0.008)和认知重评(Z = -1.98,p = 0.047)。关于生物注意力,与前测相比,实验组在后测中的生物注意力率和注意力维持时间有显著变化(p = 0.001)。

结论

针对遭受性虐待青少年的C-BABER方案在减轻创伤症状和冲动性、改善元情绪、情绪调节方式及生物注意力方面是有效的。因此,我们建议为遭受性虐待的青少年提供C-BABER方案,以帮助他们调节情绪并有效适应生活。

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