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评估理性情绪行为疗法对经历自然灾害的农民创伤后应激的影响。

Evaluating the impact of rational emotive behavior therapy on post-traumatic stress in farmers with experiences of natural disaster.

机构信息

Department of Agricultural Education, Faculty of Vocational and Technical Education, University of Nigeria, Nsukka, Nigeria.

Department of Guidance and Counselling, Faculty of Education, Delta State University, Abraka, Delta State, Nigeria.

出版信息

Medicine (Baltimore). 2024 Oct 25;103(43):e40244. doi: 10.1097/MD.0000000000040244.

Abstract

BACKGROUND/OBJECTIVE: This study was necessary due to the increasing number of cases of natural disasters such as flood, air pollution, erosion, etc in Nigeria, particularly in the Abia state, as well as the accompanying psychological and health issues affecting individuals within families and society as a whole. The study aimed to examine the impact of rational emotive behavior therapy on farmers' post-traumatic stress (PTS) in Abia State, Nigeria.

METHOD

A randomized control trial was conducted in Abia state, with a sample size of 118 farmers with experiences of natural disasters. Two assessments were conducted before the treatment, immediately after the treatment, and 2 months later to evaluate PTS and irrational beliefs among the farmers. The treatment involved a self-developed PTS-focused rational emotive behavior therapy manual, consisting of 12 sessions lasting 60 minutes each, delivered by counseling psychologists trained in rational emotive behavior and family therapies. Data from the pretest, posttest, and follow-up test were analyzed using chi-square, percentage, partial eta squared, and analysis of covariance statistical tools.

RESULTS

The results showed no significant gender differences in the socioeconomic status, employment, and debt status of the participants. The rational emotive behavior therapy was effective in reducing PTS caused by the flood among farmers. Gender did not have a significant moderating effect on farmers' experiences with PTS.

CONCLUSION

The study suggested that family health specialists and rational-emotive therapists collaborate with local authorities to provide career counseling services to farmers and establish community-based rational emotive institutes in each state of Nigeria.

摘要

背景/目的:由于尼日利亚,特别是阿比亚州洪水、空气污染、侵蚀等自然灾害的案例不断增加,以及随之而来的影响家庭和整个社会个体的心理和健康问题,因此有必要开展这项研究。本研究旨在考察理性情绪行为疗法对尼日利亚阿比亚州农民创伤后应激(PTS)的影响。

方法

在阿比亚州进行了一项随机对照试验,样本量为 118 名经历过自然灾害的农民。在治疗前、治疗后立即和 2 个月后进行了两次评估,以评估农民的 PTS 和非理性信念。治疗包括由接受过理性情绪和家庭疗法培训的咨询心理学家制定的以 PTS 为重点的理性情绪行为疗法手册,共 12 个疗程,每个疗程 60 分钟。使用卡方检验、百分比、偏 eta 平方和协方差分析统计工具分析了预测试、后测试和随访测试的数据。

结果

结果显示,参与者的社会经济地位、就业和债务状况在性别上没有显著差异。理性情绪行为疗法对减轻农民因洪水引起的 PTS 有效。性别对农民 PTS 体验没有显著的调节作用。

结论

该研究表明,家庭健康专家和理性情绪治疗师应与地方当局合作,为农民提供职业咨询服务,并在尼日利亚每个州建立以社区为基础的理性情绪研究所。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/219d/11520993/a1d827529699/medi-103-e40244-g001.jpg

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