在医院早期干预计划中评估枪伤幸存者的心理康复技能。

IF 2.3 3区 医学 Q1 SOCIAL WORK American Journal of Orthopsychiatry Pub Date : 2024-01-01 Epub Date: 2023-11-02 DOI:10.1037/ort0000710
Joah L Williams, Erin P Hambrick, Vivian L Gleason, Madeleine M Hardt, Aisling V Henschel, Salomé A Wilfred, Elizabeth J Wilson, Sally Stratmann, Jasmine R Jamison-Petr, Michael Moncure
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引用次数: 0

摘要

枪支暴力是一个严重的公共卫生问题,使幸存的受害者面临各种心理健康问题的风险增加,包括创伤后应激障碍(PTSD)和抑郁症。认识到许多枪伤幸存者在枪击事件发生后的早期无法获得心理健康护理,人们对使用早期预防性心理健康干预措施来帮助预防创伤后应激障碍等长期心理健康并发症越来越感兴趣,这是在急性医疗环境中为幸存者提供常规护理的一部分,在那里,对幸存者的初步接触可能会更成功。这项研究评估了与一种心理康复早期干预技能(SPR)相关的临床结果,该技能是作为美国中西部一级创伤中心基于医院的早期干预计划的一部分提供给枪伤幸存者的。本研究包括100名接受SPR的幸存者(74.0%为男性,78.0%为黑人/非裔美国人)的临床数据。结果表明,在枪击事件发生后的早期接受SPR与PTSD(F(1,26.77)=22.49,p<.001)和抑郁症(F(1,29.99)=6.49,p=.016)症状的统计学显著降低有关。结果没有因创伤后应激障碍风险状况或干预提供方法(即亲自或远程医疗)而变化。这些发现支持SPR作为枪伤幸存者早期干预的有效性和可接受性,当SPR作为基于医院的早期干预计划的一部分时。(PsycInfo数据库记录(c)2023 APA,保留所有权利)。
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Evaluating skills for psychological recovery with gunshot injury survivors in a hospital-based early intervention program.

Gun violence is a serious public health problem that places surviving victims at increased risk for a variety of mental health problems, including posttraumatic stress disorder (PTSD) and depression. Recognizing that many gunshot injury survivors lack access to mental health care in the early aftermath of a shooting, there has been growing interest in the use of early, preventive mental health interventions to help prevent long-term mental health complications like PTSD as part of routine care for survivors in acute medical settings, where initial outreach to survivors may be more successful. This study evaluates clinical outcomes associated with one such early intervention-Skills for Psychological Recovery (SPR)-provided to gunshot injury survivors as part of a hospital-based early intervention program embedded in a Level 1 trauma center in the Midwestern United States. Clinic data from 100 survivors (74.0% male, 78.0% Black/African American) who received SPR were included in the present study. Results suggest that receiving SPR in the early aftermath of a shooting is associated with statistically significant reductions in both PTSD, F(1, 26.77) = 22.49, p < .001, and depression, F(1, 29.99) = 6.49, p = .016, symptoms. Outcomes did not vary as a function of either PTSD risk status or intervention delivery method (i.e., in-person, telehealth). These findings support the effectiveness and acceptability of SPR as an early intervention for gunshot injury survivors when delivered as part of a hospital-based early intervention program. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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来源期刊
CiteScore
5.70
自引率
3.00%
发文量
74
审稿时长
6-12 weeks
期刊介绍: The American Journal of Orthopsychiatry publishes articles that clarify, challenge, or reshape the prevailing understanding of factors in the prevention and correction of injustice and in the sustainable development of a humane and just society.
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