Lessons from writing sessions: a school-based randomized trial with adolescent orphans in Rwanda
Lessons from writing sessions: a school-based randomized trial with adolescent orphans in Rwanda
复制标题
写作课程的经验教训：一项针对卢旺达青少年孤儿的基于学校的随机试验
DOI：
--
复制
发表时间：
2014
影响因子：
5
通讯作者：
R. Rosner
中科院分区：
文献类型：
--
作者：
J. Unterhitzenberger;R. Rosner
低收入和中等收入国家缺乏对受长期损失影响的青少年的治疗。由于以学校为基础的干预措施具有成本效益，易于传播，因此值得对青少年的这种治疗环境进行评价。目的研究以学校为基础的非结构化情感写作干预（感觉彭尼贝克，组1）的影响，约失去父母，以减少适应问题的损失，相比，写一个爱好（组2），和非写作（组3）。方法我们随机分配14-18岁的卢旺达孤儿的三种条件（n=23每种条件）。在干预前后，受试者完成了青少年长期悲伤问卷和儿童和青少年迷你国际神经精神访谈，A部分，抑郁作为早期失去父母的长期影响的自我报告措施。结果重复测量的方差分析显示，三种情况下的任何一种都没有差异效应，但揭示了一个显着的影响，在后测的时间悲伤的严重程度。悲伤症状的减少在悲伤程度升高的受试者中显着更高。抑郁症状在情绪化写作条件下从前测到后测没有显著变化，而在控制条件下显著减少。结论结果意味着，非结构化，简短的情感写作可能不表明在青少年早期父母的损失，表现出严重和长期的困扰，一个更有条理的方法似乎是可行的。
Background Treatments for adolescents affected by long-term loss in low- and middle-income countries are lacking. As school-based interventions are cost-efficient and easy to disseminate, an evaluation of this treatment setting for adolescents is worthwhile. Objective Examining the effect of a school-based unstructured emotional writing intervention (sensu Pennebaker, group 1) about the loss of a parent to reduce adaptation problems to loss, compared to writing about a hobby (group 2), and non-writing (group 3). Method We randomly assigned 14–18-year-old Rwandan orphans to one of the three conditions (n=23 per condition). Before and after the intervention, subjects completed the Prolonged Grief Questionnaire for Adolescents and the Mini International Neuropsychiatric Interview for Children and Adolescents, Part A, on depression as self-report measures of long-term effects of early parental loss. Results Repeated measures analyses of variance showed no differential effect for any of the three conditions but revealed a significant effect of time at posttest regarding grief severity. Reduction of grief symptoms was significantly higher in subjects with elevated grief. Depressive symptoms showed no significant change from pre- to posttest in the emotional writing condition, whereas they significantly decreased in the control condition. Conclusions Results imply that unstructured, brief emotional writing might not be indicated in adolescents affected by early parental loss who show severe and long-term distress; a more structured approach seems recommendable.
儿童和青少年的悲伤因突然的父母死亡而死。
影响因子：
--
作者：
Melhem, Nadine M.;Porta, Giovanna;Shamseddeen, Wael;Payne, Monica Walker;Brent, David A.
通讯作者：
Brent, David A.