Secondary prevention for posttraumatic stress and related symptoms among women whohave experienced a recent sexual assault: A systematic review and meta-analysis.
Secondary prevention for posttraumatic stress and related symptoms among women whohave experienced a recent sexual assault: A systematic review and meta-analysis.
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经历过最近性侵犯的女性中创伤后压力和相关症状的次要预防：系统评价和荟萃分析。
DOI：
10.1002/da.23030
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发表时间：
2020-10
影响因子：
7.4
通讯作者：
Gilmore AK
中科院分区：
文献类型：
--
作者：
Short NA;Morabito DM;Gilmore AK
最近经历性侵犯（SA）的女性患创伤后应激障碍（PTSD）和相关疾病的风险很高，大约一半的女性经历SA符合PTSD的标准。没有预防SA后常见心理健康障碍的指南。因此，本系统性综述和荟萃分析的目的是综合SA后PTSD二级预防的研究，确定疗效，是否有任何干预措施是最有希望的，以及何时，如何以及向谁提供干预措施。在电子数据库中搜索最近经历SA的女性的PTSD和相关疾病的二级预防后，对17项研究进行了审查，根据临床试验评估措施对质量进行了评级，并对10项进行了荟萃分析（7项因不是RCT或异质性而被排除）。结果表明，预防对减少创伤后应激障碍和相关症状有小到中度的影响。药物与心理社会干预、时机、治疗方式或有针对性的预防与普遍预防之间没有调节作用。一半的研究是高质量的。PTSD的认知行为二级预防在最近经历SA的女性中似乎是安全有效的。未来的研究应确定最佳做法和治疗机制，一旦确定，就应走向科学实施。
Women experiencing recent sexual assault (SA) are at high risk for posttraumatic stress disorder (PTSD) and related conditions, with approximately half of women experiencing SA meeting criteria for PTSD. There are no guidelines for the prevention of common mental health disorders after SA. Thus, the purpose of this systematic review and meta-analysis is to synthesize research on secondary preventions for PTSD after SA, determine efficacy, whether any intervention is most promising, and when, how, and to whom interventions should be delivered. After searching electronic databases for secondary preventions for PTSD and related conditions among women experiencing recent SA, 17 studies were reviewed, quality was rated on the Clinical Trials Assessment Measure, and 10 were meta-analyzed (7 excluded due to not being RCTs or heterogeneity). Results suggested a small to moderate effect of prevention on reducing PTSD and related symptoms. There was no moderating effect of medication vs. psychosocial interventions, timing, treatment modality, or targeted vs. universal prevention. Half of studies were high quality. Cognitive behavioral secondary preventions for PTSD appear to be safe and effective among women experiencing recent SA. Future research should identify best practices, mechanisms of treatment, and once identified, move towards implementation science.
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影响因子：
5.9
作者：
FOA, EB;ROTHBAUM, BO;MURDOCK, TB
通讯作者：
MURDOCK, TB
影响因子：
1.6
作者：
CHURCH, MA;TRUSS, CV;VELICER, WF
通讯作者：
VELICER, WF
影响因子：
1.9
作者：
Duval, S;Tweedie, R
通讯作者：
Tweedie, R
影响因子：
4.4
作者：
Acierno, R;Resnick, HS;Holmes, M
通讯作者：
Holmes, M
DOI：
10.1177/1524838016669518
发表时间：
2018-10
期刊：
Trauma, violence & abuse
影响因子：
--
作者：
Dworkin ER;Schumacher JA
通讯作者：
Schumacher JA