Maintenance of intervention effects: long-term outcomes for participants in a group talk-therapy trial in the Democratic Republic of Congo.
Maintenance of intervention effects: long-term outcomes for participants in a group talk-therapy trial in the Democratic Republic of Congo.
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DOI：
10.1017/gmh.2022.39
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发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Bolton, Paul A.
中科院分区：
文献类型：
--
作者：
Bass, Judith K.;Murray, Sarah M.;Lakin, Daniel P.;Kaysen, Debra;Annan, Jeannie;Matabaro, Amani;Bolton, Paul A.
尽管低收入和中等收入国家的心理治疗试验有所增长，但两年以上的随访研究有限。这项研究随访女性性暴力幸存者约6年后，完成了12届小组认知加工治疗（CPT）计划在东部的刚果。基线试验数据于2010年12月从随机分配至CPT的7个研究村庄的134名妇女中收集。研究中的女性年龄超过18岁，报告亲身经历或目睹性暴力，并报告抑郁，焦虑和/或创伤后应激症状升高。对女性进行了随访（1）治疗后（基线后6个月）;（2）6个月后;（3）12个月后;（4）2017年3月（基线后6.3年）。在长期后续行动中，对7个防止酷刑和其他残忍、不人道或有辱人格的待遇或处罚委员会村庄中的6个村庄的103名妇女（77%）进行了重新评估;有一个村庄由于持续的不安全状况而没有访问。我们发现了强有力的持续干预效果;几乎所有的女性在头两年都保持了治疗效果;在长期随访中，大约一半的女性继续保持低症状评分。可能的PTSD和可能的抑郁和焦虑的复发率为20%。这项研究扩展了先前的研究，表明尽管经历了持续的创伤，但治疗效果可以维持数年。这些妇女描述了继续与她们治疗小组中的妇女见面，并使用她们在心理治疗中学到的技能，提供了这些计划提供宝贵的社会支持和技能的潜力的证据，人们在继续面对逆境时使用这些支持和技能。
Despite the growth of psychotherapy trials in low- and middle-income countries, there have been limited follow-up studies of more than 2 years. This study follows up female sexual violence survivors approximately 6 years after completing a 12-session group cognitive processing therapy (CPT) program in the eastern Democratic Republic of Congo. Baseline trial data were collected in December 2010 from 134 women in 7 study villages randomly allocated to CPT. Study women were over 18 years, reported personally experiencing or witnessing sexual violence, and reported elevated depression, anxiety and/or posttraumatic stress symptoms. Women were followed up (1) post-treatment (6-months after baseline); (2) 6 months later; (3) 12 months later; and (4) in March 2017 (6.3 years after baseline). At the long-term follow-up, 103 women (77%) in 6 of 7 CPT villages were re-assessed; one village was not visited due to ongoing insecurity. We found strong continued intervention effects; nearly all women maintained treatment impacts over the first two years; at long-term follow-up, approximately half continued to maintain low symptom scores. Relapse rates for probable PTSD and probable depression and anxiety were 20%. This study extends prior research to show that treatment impacts can be maintained for several years despite experiences of ongoing trauma. The women described continuing to meet with the women in their therapy group and using the skills they learned in the psychotherapy, providing evidence of the potential for these programs to provide valuable social supports and skills that people use as they continue to face adversity.
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影响因子：
5.9
作者：
Resick, Patricia A.;Williams, Lauren F.;Suvak, Michael K.;Monson, Candice M.;Gradus, Jairnie L.
通讯作者：
Gradus, Jairnie L.
影响因子：
4.1
作者：
Iverson, Katherine. M.;King, Matthew W.;Resick, Patricia A.
通讯作者：
Resick, Patricia A.
影响因子：
64.3
作者：
Maselko, Joanna;Sikander, Siham;Rahman, Atif
通讯作者：
Rahman, Atif
影响因子：
4.1
作者：
DiMauro, Jennifer;Domingues, Janine;Tolin, David F.
通讯作者：
Tolin, David F.
影响因子：
3.3
作者：
Sobel, Ana A.;Resick, Patricia A.;Rabalais, Aline E.
通讯作者：
Rabalais, Aline E.