Mediators of a culturally-sensitive intervention for suicidal African American women.
Mediators of a culturally-sensitive intervention for suicidal African American women.
复制标题
对有自杀倾向的非洲裔美国妇女进行文化敏感干预的调解人。
DOI：
10.1007/s10880-013-9373-0
复制
发表时间：
2013
影响因子：
2.2
通讯作者：
Kaslow,NadineJ
中科院分区：
文献类型：
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作者：
Zhang,Huaiyu;Neelarambam,Kiranmayi;Schwenke,TominaJ;Rhodes,MieshaN;Pittman,DelishiaM;Kaslow,NadineJ
这项研究探讨了干预结果和机制，有助于解释为什么有亲密伴侣虐待和自杀未遂史的低收入非裔美国女性对文化干预（格雷迪·尼亚项目）的反应有所改善。具体来说，调查检查了干预措施是否对女性产生影响，以及精神健康和应对方式是否介导了干预措施对自杀意念和抑郁症状的影响。在这项随机对照临床试验中，分析了 89 名完成干预前和干预后评估的女性的数据。在干预后随访期间，与随机接受常规治疗组的女性相比，主动干预组的女性自杀意念和抑郁症状水平较低，存在幸福感和适应性应对技能水平较高。然而，只有存在幸福感才能介导对自杀意念和抑郁症状的治疗效果。宗教福祉以及适应性和适应不良的应对方式并没有起到中介作用。这些发现强调了设计和实施文化敏感且基于证据的策略的重要性，以增强该人群的生存福祉。
This study explored intervention outcomes and mechanisms that could help explain why low-income, African American women with a history of intimate partner abuse and suicide attempt improve in response to a culturally-informed intervention, the Grady Nia Project. Specifically, the investigation examined whether or not the intervention had effects on the women and whether or not spiritual well-being and coping mediated the effects of the intervention on suicidal ideation and depressive symptoms. In this randomized controlled clinical trial, data from 89 women who completed both pre- and post-intervention assessments were analyzed. During the post-intervention follow-up, women in the active intervention group reported lower levels of suicidal ideation and depressive symptoms and higher levels of existential well-being and adaptive coping skills than those women randomized to the treatment as usual group. However, only existential well-being was found to mediate treatment effects on suicidal ideation and depressive symptoms. Religious well-being, as well as adaptive and maladaptive coping, did not serve a mediational function. These findings highlight the importance of designing and implementing culturally-sensitive and evidence-based strategies that enhance existential well-being in this population.