持续群体干预方案(CGIP)的独特干预

O. Levi, Yael Shoval-Zukerman
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引用次数: 0

摘要

本文的目的是详细描述持续群体干预(CGI)的协议,并根据2006年黎巴嫩战争中以色列国防军(IDF)预备役部队所做的干预,展示CGI的一般功效。51名经历过创伤性事件的以色列预备役士兵参加了这项研究。他们被分成5个干预组,由5对指挥官和训练有素的来自战斗相关创伤后应激障碍治疗单位(UTC-PTSD)的治疗师领导。在干预前、干预结束和干预后6个月(随访评估)测量PTSD和抑郁症状及功能水平。分析发现,在干预结束和6个月的随访中,CGI有助于减轻创伤后和抑郁症状。研究还表明,在干预结束时和6个月的随访中,患者的功能有了显著改善。基于这些协议的干预似乎适用于存在层次结构的组织,其中包括管理梯队和执行梯队(消防员,警察等),这些组织包含一个共同的事件,但需要后续随机对照试验来确定CGI效果。
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Continuance Group Intervention Protocol (CGIP) for a Unique Intervention
The Objective of this article was to describe in detail the protocol of continuance group intervention (CGI) and to present general efficacy of CGI based on interventions that were done by the Israeli Defense Forces (IDF) with reserve units that fought in the 2006 Lebanon War. Fifty-one Israeli reserves soldiers exposed to traumatic events participated in the study. They were divided into 5 intervention groups led by five pairs of commanders and trained therapists from the Unit for the Treatment of Combat-related PTSD (UTC-PTSD). PTSD and depression symptoms and levels of functioning were taken at pre-intervention, end of intervention and 6 months after the intervention (follow-up assessment). Analyses found that CGI helped in reducing post-traumatic and depressive symptoms at the end of intervention and 6 months follow-up. It also showed that patients' functioning had significantly improved by the end of intervention and at 6 months followup. It seems that an intervention based on these protocols is suitable for organizations in which there exists a hierarchical structure that includes a managerial echelon and an executive echelon (fire fighters, police, etc.) which embrace a common event but follow-up randomized controlled trials to determine CGI efficacy are needed.
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