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评估生存和繁荣:苏格兰针对成人人际创伤幸存者的 10 周团体心理教育课程。

An evaluation of survive and thrive: a 10-week group psychoeducational course for adult interpersonal trauma survivors in Scotland.

机构信息

Department of Clinical Psychology, NHS Tayside, Dundee, Scotland.

School of Health in Social Science, University of Edinburgh, Edinburgh, Scotland.

出版信息

Cogn Behav Ther. 2024 Sep;53(5):490-507. doi: 10.1080/16506073.2024.2333961. Epub 2024 Mar 25.

DOI:10.1080/16506073.2024.2333961
PMID:38525889
Abstract

Emerging evidence supports a phased approach to trauma treatment, including manualised group-based interventions, to facilitate symptom reduction resulting from complex trauma sequelae. This study investigates the efficacy of , a 10-week group psychoeducational course for adult survivors of interpersonal trauma. Between August 2019 and February 2022, participants were enrolled on the course. The Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) and Difficulties in Emotion Regulation Scale-Short Form (DERS-SF) were administered pre-intervention and immediately post-intervention. In addition, thematic analysis was applied to qualitative feedback. Results revealed significant reductions in CORE-OM and DERS-SF scores post-intervention, with minimal variability in scores attributed to group delivery (either face-to-face or online). The thematic analysis demonstrated that normalising trauma symptoms and providing coping skills positively impacted participants' experiences. At the same time, the breadth and nature of the content were observed to be an occasional barrier to engagement. In summary, this study proposes that group-based psychoeducational interventions are generally effective for those with mild-to-moderate symptoms of complex trauma. However, further evidence is needed to offer more nuanced recommendations for identifying individuals who may benefit the most from these interventions.

摘要

越来越多的证据支持创伤治疗的分阶段方法,包括基于手册的团体干预措施,以促进复杂创伤后遗症引起的症状减轻。本研究调查了一种针对人际创伤成年幸存者的为期 10 周的团体心理教育课程的疗效。在 2019 年 8 月至 2022 年 2 月期间,参与者参加了该课程。在干预前和干预后立即进行了临床结果常规评估-结果测量 (CORE-OM) 和情绪调节困难量表-短表 (DERS-SF)。此外,还对定性反馈进行了主题分析。结果显示,干预后 CORE-OM 和 DERS-SF 评分显著降低,归因于小组交付(面对面或在线)的评分变化最小。主题分析表明,正常化创伤症状和提供应对技能对参与者的体验产生了积极影响。同时,内容的广度和性质被观察到是偶尔参与的障碍。总之,本研究表明,基于团体的心理教育干预措施对于轻度至中度复杂创伤症状的人通常是有效的。然而,需要进一步的证据来提供更细致的建议,以确定哪些人最可能从这些干预措施中受益。

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