Woldemariam Solomon, Ashman Dorothy, Carvalho Esly, Wong Sik-Lam, Hoersting Raquel
Hasset Psychotherapy and Training Center, Addis Ababa, Ethiopia.
Retired, Lewisburg, PA, United States.
Front Psychiatry. 2024 Mar 20;15:1351713. doi: 10.3389/fpsyt.2024.1351713. eCollection 2024.
Drawing from the principles of EMDR (Eye Movement Desensitization and Reprocessing) therapy and the AIP model, the Professional Intervention Program for Adversity (PIPA) was developed with the objective of amalgamating low-intensity group exercises into a unified framework, as a comprehensive intervention for group therapy. The PIPA Program integrates various aspects of EMDR therapy-such as stabilization, resourcing, desensitization, reprocessing, and forming beliefs about the self and future-into a cohesive program. The program's structure includes self-regulation exercises, the Pillars of Life, the Flash Technique, and the Quadrants exercise.
The PIPA Program was administered to more than 220 individuals with a high probability of traumatization by the two-year civil war in Ethiopia (2020-2022).
The results of this study show a statistically significant improvement in PTSD symptoms on PCL-5 scores (from M = 38.58 to M = 20.59) after completing the entire PIPA Program and statistically significant lower SUDS scores within the program segments of the Flash Technique and the Quadrants exercises.
Future studies should explore the long-term effects of the PIPA Program and its broader application across different therapeutic contexts. The findings suggest that the PIPA Program is a promising group-based intervention for trauma treatment that is safe and effective, especially in non-clinical settings and for culturally diverse populations.
借鉴眼动脱敏再处理（EMDR）疗法的原则和适应性信息处理（AIP）模型，逆境专业干预计划（PIPA）得以开发，其目的是将低强度团体练习整合到一个统一框架中，作为团体治疗的综合干预措施。PIPA计划将EMDR疗法的各个方面——如稳定化、资源强化、脱敏、再处理以及形成关于自我和未来的信念——整合到一个连贯的计划中。该计划的结构包括自我调节练习、生命支柱、快速眼动技术和象限练习。
PIPA计划应用于220多名极有可能因埃塞俄比亚两年内战（2020 - 2022年）而受创伤的个体。
本研究结果显示，完成整个PIPA计划后，PCL - 5评分中的创伤后应激障碍（PTSD）症状有统计学意义的改善（从M = 38.58降至M = 20.59），并且在快速眼动技术和象限练习的计划阶段内，主观痛苦程度（SUDS）评分有统计学意义的降低。
未来研究应探索PIPA计划的长期效果及其在不同治疗背景下的更广泛应用。研究结果表明，PIPA计划是一种有前景的基于团体的创伤治疗干预措施，安全有效，尤其适用于非临床环境和文化多元的人群。
