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将心理恢复技能作为近期性侵犯幸存者创伤后应激障碍、抑郁症和酒精滥用的早期干预措施的新应用:病例系列

Novel Application of Skills for Psychological Recovery as an Early Intervention for Posttraumatic Stress Disorder, Depression, and Alcohol Misuse in Survivors of Recent Sexual Assault: A Case Series.

作者信息

Tilstra-Ferrell Emily L, Rheingold Alyssa A, Mai Katherine, Hahn Christine

机构信息

Medical University of South Carolina.

出版信息

Cogn Behav Pract. 2024 Nov;31(4):498-510. doi: 10.1016/j.cbpra.2023.05.003. Epub 2023 Jul 11.

Abstract

Skills for Psychological Recovery (SPR) is an evidence-informed, early intervention for teaching survivors coping skills in the aftermath of recent disasters. Although SPR has not been tested following recent sexual assault, there is theoretical support for applying SPR to the needs of recent sexual assault survivors. The current study is the first to describe the application of SPR among survivors of recent sexual assault. SPR was administered by two master-level clinicians over the telephone to five people who experienced a sexual assault in the last month. Clients completed up to five SPR sessions. Mean scores of measures of Posttraumatic Stress Disorder (PTSD; PTSD Primary Care Screen), depression (Patient Health Questionnaire-2), and alcohol misuse (Alcohol Use Disorders Identification Test-Concise) were calculated pre- and post-intervention. Clients reported a reduction in PTSD symptoms (pre-intervention mean = 4.4; postintervention mean = 2.8), depression (pre-intervention mean = 3.6; post-intervention mean = 2.2), and alcohol misuse (pre-intervention mean = 4.5; post-intervention mean = 3.2) at post-intervention. Results are presented using a case series approach. Findings suggest that SPR may be an effective strategy for reducing early trauma-related symptoms among recent survivors of sexual assault. Future investigations should explore the feasibility, acceptability, and efficacy of delivering SPR with larger, multiculturally diverse samples of recent sexual assault survivors.

摘要

心理恢复技能(SPR)是一种基于证据的早期干预措施,用于在近期灾难后教导幸存者应对技能。尽管SPR尚未在近期性侵犯事件后进行测试,但有理论支持将SPR应用于近期性侵犯幸存者的需求。本研究是首次描述SPR在近期性侵犯幸存者中的应用。SPR由两名硕士水平的临床医生通过电话对五名在过去一个月内遭受性侵犯的人进行实施。客户完成了多达五次SPR疗程。在干预前后计算创伤后应激障碍(PTSD;PTSD初级保健筛查)、抑郁(患者健康问卷-2)和酒精滥用(酒精使用障碍识别测试-简明版)测量指标的平均得分。客户报告在干预后,创伤后应激障碍症状(干预前平均得分=4.4;干预后平均得分=2.8)、抑郁(干预前平均得分=3.6;干预后平均得分=2.2)和酒精滥用(干预前平均得分=4.5;干预后平均得分=3.2)有所减少。结果采用病例系列方法呈现。研究结果表明,SPR可能是减轻近期性侵犯幸存者早期创伤相关症状的有效策略。未来的调查应探讨对更大规模、具有多元文化背景的近期性侵犯幸存者样本实施SPR的可行性、可接受性和有效性。

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Risk for Mental Disorders Associated With Sexual Assault: A Meta-Analysis.性侵犯相关精神障碍风险:一项荟萃分析。
Trauma Violence Abuse. 2020 Dec;21(5):1011-1028. doi: 10.1177/1524838018813198. Epub 2018 Dec 25.

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