The effectiveness of critical time intervention for abused women leaving women's shelters: a randomized controlled trial.
The effectiveness of critical time intervention for abused women leaving women's shelters: a randomized controlled trial.
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DOI：
10.1007/s00038-017-1067-1
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发表时间：
2018-05
影响因子：
4.6
通讯作者：
Wolf JRLM
中科院分区：
文献类型：
--
作者：
Lako DAM;Beijersbergen MD;Jonker IE;de Vet R;Herman DB;van Hemert AM;Wolf JRLM
审查关键时间干预(CTI)--一种基于证据的干预--对从妇女收容所过渡到社区生活的受虐妇女的有效性。在荷兰的九个妇女收容所进行了一项随机对照试验。136名妇女被分配到CTI组(n=70)或照常护理组(n=66)。采用意向处理三水平混合效应模型对数据进行分析。与照常护理组相比，CTI组妇女的创伤后应激症状(次要结果)显著减少(调整后的平均差异−为7.27，95%CI−为14.31，−为0.22)，未满足的护理需求(中间结果)显著减少四倍(95%CI 0.06-0.94)。在生活质量(主要结果)、再虐待、抑郁症状、心理困扰、自尊(次要结果)、家庭支持和社会支持(中间结果)方面没有发现差异。这项研究表明，在受虐妇女群体中，CTI在减少创伤后应激症状和未得到满足的护理需求方面是有效的。由于随访在规定的干预期之后结束，需要进一步的研究来确定CTI在这一人群中的全部长期影响。本文的在线版本(10.1007/s0003810171067-1)包含补充材料，可供授权用户使用。
To examine the effectiveness of critical time intervention (CTI)—an evidence-based intervention—for abused women transitioning from women’s shelters to community living. A randomized controlled trial was conducted in nine women’s shelters across the Netherlands. 136 women were assigned to CTI (n = 70) or care-as-usual (n = 66). Data were analyzed using intention-to-treat three-level mixed-effects models. Women in the CTI group had significant fewer symptoms of post-traumatic stress (secondary outcome) (adjusted mean difference − 7.27, 95% CI − 14.31 to − 0.22) and a significant fourfold reduction in unmet care needs (intermediate outcome) (95% CI 0.06–0.94) compared to women in the care-as-usual group. No differences were found for quality of life (primary outcome), re-abuse, symptoms of depression, psychological distress, self-esteem (secondary outcomes), family support, and social support (intermediate outcomes). This study shows that CTI is effective in a population of abused women in terms of a reduction of post-traumatic stress symptoms and unmet care needs. Because follow-up ended after the prescribed intervention period, further research is needed to determine the full long-term effects of CTI in this population. The online version of this article (10.1007/s00038-017-1067-1) contains supplementary material, which is available to authorized users.
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影响因子：
3.8
作者：
Fukui, Sadaaki;Goscha, Rick;Marty, Doug
通讯作者：
Marty, Doug
DOI：
10.1007/s10488-015-0699-9
发表时间：
2017-01
期刊：
Administration and policy in mental health
影响因子：
--
作者：
de Vet R;Lako DA;Beijersbergen MD;van den Dries L;Conover S;van Hemert AM;Herman DB;Wolf JR
通讯作者：
Wolf JR
影响因子：
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作者：
Lako DA;de Vet R;Beijersbergen MD;Herman DB;van Hemert AM;Wolf JR
通讯作者：
Wolf JR
影响因子：
3.8
作者：
Herman, Daniel B.;Conover, Sarah;Susser, Ezra S.
通讯作者：
Susser, Ezra S.
影响因子：
2
作者：
Maddoux, John A.;Liu, Fuqin;Gilroy, Heidi
通讯作者：
Gilroy, Heidi