评估理性情绪行为疗法对经历过自然灾害的农民创伤后应激反应的影响。

IF 1.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Medicine Pub Date : 2024-10-25 DOI:10.1097/MD.0000000000040244
Clara U Nwankwo, Elizabeth Osita Egbule, Kelechi Ruth Ede, Moses Onyemaechi Ede, Vera Victor-Aigbodion, Paul Ikechukwu Ifere, Celestina Adaeze Nweze, Emmanuel Ifeanyi Obeagu
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引用次数: 0

摘要

背景/目的:在尼日利亚,特别是在阿比亚州,洪水、空气污染、水土流失等自然灾害日益增多,随之而来的心理和健康问题影响着家庭中的个人和整个社会,因此有必要开展这项研究。本研究旨在探讨合理情绪行为疗法对尼日利亚阿比亚州农民创伤后应激反应(PTS)的影响:在阿比亚州开展了一项随机对照试验,样本量为 118 名有自然灾害经历的农民。分别在治疗前、治疗后和 2 个月后进行了两次评估,以评价农民的创伤后应激反应和非理性信念。治疗方法包括自行编制的以创伤后应激反应为重点的理性情绪行为治疗手册,共 12 个疗程,每个疗程 60 分钟,由接受过理性情绪行为和家庭治疗培训的心理咨询师实施。采用卡方、百分比、部分等方差和协方差分析等统计工具分析了前测、后测和随访测试的数据:结果表明,受试者在社会经济地位、就业和债务状况方面没有明显的性别差异。理性情绪行为疗法能有效减轻洪灾对农民造成的创伤后应激障碍。性别对农民的 PTS 体验没有明显的调节作用:研究建议家庭健康专家和理性情绪治疗师与地方当局合作,为农民提供职业咨询服务,并在尼日利亚各州建立以社区为基础的理性情绪研究所。
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Evaluating the impact of rational emotive behavior therapy on post-traumatic stress in farmers with experiences of natural disaster.

Background/objective: This study was necessary due to the increasing number of cases of natural disasters such as flood, air pollution, erosion, etc in Nigeria, particularly in the Abia state, as well as the accompanying psychological and health issues affecting individuals within families and society as a whole. The study aimed to examine the impact of rational emotive behavior therapy on farmers' post-traumatic stress (PTS) in Abia State, Nigeria.

Method: A randomized control trial was conducted in Abia state, with a sample size of 118 farmers with experiences of natural disasters. Two assessments were conducted before the treatment, immediately after the treatment, and 2 months later to evaluate PTS and irrational beliefs among the farmers. The treatment involved a self-developed PTS-focused rational emotive behavior therapy manual, consisting of 12 sessions lasting 60 minutes each, delivered by counseling psychologists trained in rational emotive behavior and family therapies. Data from the pretest, posttest, and follow-up test were analyzed using chi-square, percentage, partial eta squared, and analysis of covariance statistical tools.

Results: The results showed no significant gender differences in the socioeconomic status, employment, and debt status of the participants. The rational emotive behavior therapy was effective in reducing PTS caused by the flood among farmers. Gender did not have a significant moderating effect on farmers' experiences with PTS.

Conclusion: The study suggested that family health specialists and rational-emotive therapists collaborate with local authorities to provide career counseling services to farmers and establish community-based rational emotive institutes in each state of Nigeria.

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来源期刊
Medicine
Medicine 医学-医学:内科
CiteScore
2.80
自引率
0.00%
发文量
4342
审稿时长
>12 weeks
期刊介绍: Medicine is now a fully open access journal, providing authors with a distinctive new service offering continuous publication of original research across a broad spectrum of medical scientific disciplines and sub-specialties. As an open access title, Medicine will continue to provide authors with an established, trusted platform for the publication of their work. To ensure the ongoing quality of Medicine’s content, the peer-review process will only accept content that is scientifically, technically and ethically sound, and in compliance with standard reporting guidelines.
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