对性创伤幸存者的性和性别少数群体的同伴在线动机访谈和积极护理:一项随机临床试验。

IF 2.4 3区 医学 Q2 PSYCHIATRY
Joan M Cook, Amy E Ellis, Vanessa Simiola, Steve Martino, Chyrell Bellamy, Maria O'Connell, Nicholas A Livingston
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引用次数: 0

摘要

进行了一项随机临床试验,比较动机性访谈(MI)与创伤知情积极护理(AC;(即MI+AC),以减少不良精神症状,并便利经历过性创伤的性少数和性别少数男子进入正式的精神卫生服务。样本包括性创伤幸存者的SGM男性(N = 354,年龄= 35,年龄范围:18-75岁,41.8%的种族/少数民族),抑郁症筛查阳性,未积极参与心理健康治疗。参与者被随机分配到两种情况(MI或MI+AC)中的一种,每一种情况由六个在线小组会议组成,由受过训练的有过性创伤经历的同龄人提供。经过培训的同伴按预期提供了两种版本的MI,具有高保真度和能力(独立评定),并在基线、治疗后以及2个月和4个月的随访中进行了评估。两种情况下的SGM男性都报告抑郁减少,心理健康服务利用率增加,但随着时间的推移,这些结果在组间没有差异。然而,结果显示MI+AC在减轻创伤后应激障碍症状方面的疗效优于MI, B = -1.13, ΔR2 = 0.001, p = 0.039,以及寻求医疗保健的障碍,B = -2.00, ΔR2 = 0.002, p = 0.009。这些数据支持在治疗中以创伤和少数民族压力为中心的增强AC的价值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Peer online motivational interviewing and affirmative care for sexual and gender minority men who are survivors of sexual trauma: A randomized clinical trial.

A randomized clinical trial was conducted comparing the effectiveness of motivational interviewing (MI) versus MI with trauma-informed affirmative care (AC; i.e., MI+AC) to reduce adverse psychiatric symptoms and facilitate entry into formal mental health services for sexual and gender minority (SGM) men who experienced sexual trauma. The sample consisted of SGM men who were survivors of sexual trauma (N = 354, Mage = 35 years, range: 18-75 years, 41.8% racial/ethnic minority), screened positive for depression, and were not actively engaged in mental health treatment. Participants were randomly assigned to one of two conditions (MI or MI+AC), each consisting of six online group sessions delivered by trained peers with lived experience of sexual trauma. Trained peers delivered both versions of MI as intended, with high fidelity and competence (independently rated), and assessments occurred at baseline, posttreatment, and 2- and 4-month follow-ups. SGM men in both conditions reported decreases in depression and increases in mental health service utilization, but there were no between-group differences in these outcomes over time. However, the results demonstrated superior efficacy of MI+AC regarding reducing posttraumatic stress disorder symptoms, B = -1.13, ΔR2 = .001, p = .039, and barriers to health care seeking compared to MI, B = -2.00, ΔR2 = .002, p = .009. These data support the value of enhanced AC that centers trauma and minority stress in treatment.

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来源期刊
CiteScore
5.80
自引率
6.10%
发文量
125
期刊介绍: Journal of Traumatic Stress (JTS) is published for the International Society for Traumatic Stress Studies. Journal of Traumatic Stress , the official publication for the International Society for Traumatic Stress Studies, is an interdisciplinary forum for the publication of peer-reviewed original papers on biopsychosocial aspects of trauma. Papers focus on theoretical formulations, research, treatment, prevention education/training, and legal and policy concerns. Journal of Traumatic Stress serves as a primary reference for professionals who study and treat people exposed to highly stressful and traumatic events (directly or through their occupational roles), such as war, disaster, accident, violence or abuse (criminal or familial), hostage-taking, or life-threatening illness. The journal publishes original articles, brief reports, review papers, commentaries, and, from time to time, special issues devoted to a single topic.
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