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梅厄姆项目在以稳定为重点的创伤幸存者心理干预中的有效性。

Effectiveness of the Maeum Program in a Stabilization-Focused Psychological Intervention for Trauma Survivors.

作者信息

Oh In Mok, Yoon Jeongmi, Kwak Euihyun, Kim Kyungae, Sim Minyoung

机构信息

Armed Forces Guri Hospital, Armed Forces Medical Command, Guri, Republic of Korea.

Seoul Women's University Child-Adolescents Psychology Research Center, Seoul, Republic of Korea.

出版信息

Psychiatry Investig. 2025 Jul;22(7):741-747. doi: 10.30773/pi.2024.0324. Epub 2025 Jul 16.

DOI:10.30773/pi.2024.0324
PMID:40708475
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12301679/
Abstract

OBJECTIVE

Although stabilization-centered interventions alleviating posttraumatic symptoms are well known, scant scientific evidence exists examining interventions on individuals who have experienced various traumatic events in South Korea. This study examined the effectiveness of a Maeum Program, developed by the National Center for Disaster and Trauma, based on the principles of stabilization and psychoeducation for trauma survivors.

METHODS

The Maeum Program for trauma survivors consists of psychoeducation and stabilization and imagery techniques conducted in a modular manner. From April 2018 to August 2023, 45 trauma survivors participated in the program. Trained mental health professionals conducted the program over 4-10 sessions. The Posttraumatic Diagnostic Scale, Patient Health Questionnaire-9, Generalized Anxiety Disorder-7, Patient Health Questionnaire-15, Insomnia Severity Index, and Posttraumatic Growth Inventory were used at pre- and post-intervention. Paired t-tests were performed to test the effectiveness of the Maeum Program. Repeated-measures analysis of variance was conducted to identify differences in psychiatric symptoms before and after the Maeum Program, after controlling for demographic factors.

RESULTS

After the Maeum Program, psychiatric symptoms showed significant reductions in the post-intervention test, while post-traumatic growth increased. Compared with personal trauma, participants who experienced natural and man-made disasters showed a sharp decrease in somatic symptoms after the program.

CONCLUSION

This study examined the effectiveness of a stabilization-centered intervention program for individuals who had experienced both disasters and personal trauma, for the first time in South Korea. We suggest that this evidence-based program should be delivered across the country and contribute to reducing mental suffering from trauma.

摘要

目的

尽管以稳定为中心的减轻创伤后症状的干预措施广为人知,但在韩国,针对经历过各种创伤事件的个体的干预措施的科学证据却很少。本研究考察了由国家灾难与创伤中心根据创伤幸存者的稳定和心理教育原则制定的“Maeum计划”的有效性。

方法

针对创伤幸存者的“Maeum计划”包括以模块化方式开展的心理教育、稳定和意象技术。2018年4月至2023年8月,45名创伤幸存者参加了该计划。训练有素的心理健康专业人员开展了4至10节课程。在干预前后使用创伤后诊断量表、患者健康问卷-9、广泛性焦虑障碍-7、患者健康问卷-15、失眠严重程度指数和创伤后成长量表。进行配对t检验以检验“Maeum计划”的有效性。在控制人口统计学因素后,进行重复测量方差分析以确定“Maeum计划”前后精神症状的差异。

结果

“Maeum计划”实施后,干预后测试中精神症状显著减轻,而创伤后成长有所增加。与个人创伤相比,经历自然和人为灾害的参与者在该计划实施后躯体症状急剧下降。

结论

本研究首次在韩国考察了以稳定为中心的干预计划对经历过灾害和个人创伤的个体的有效性。我们建议在全国推广这一循证计划,以减轻创伤带来的精神痛苦。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d4e/12301679/ee4461dc4055/pi-2024-0324f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d4e/12301679/777765884ae0/pi-2024-0324f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d4e/12301679/ee4461dc4055/pi-2024-0324f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d4e/12301679/777765884ae0/pi-2024-0324f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d4e/12301679/ee4461dc4055/pi-2024-0324f2.jpg

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本文引用的文献

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Reliability and Validity of the Korean Version of the Somatic Symptom Disorder-B Criteria Scale in a Clinical Population.临床人群中《躯体症状障碍-B标准量表》韩文版的信效度
Psychiatry Investig. 2024 Feb;21(2):165-173. doi: 10.30773/pi.2023.0352. Epub 2024 Feb 22.
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