关于“亲密伴侣暴力”主题的群体干预,(去看一下正文中的讨论部分)#护理SCI文献解读

亲密关系暴力,想必大家都知道。在今天的这篇文献中,有几个比较重要的研究背景,需要大家注意:①亲密伴侣暴力实施者一般存在较高的焦虑、抑郁;②之前的研究较少有关注施暴者的心理健康和情绪调节。③此外,群体干预的长期有效性还有待验证。

Nesset M B, Bjørngaard J H, Whittington R, et al. Does cognitive behavioural therapy or mindfulness-based therapy improve mental health and emotion regulation among men who perpetrate intimate partner violence? A randomised controlled trial[J]. International Journal of Nursing Studies, 2021,113:103795.

认知行为疗法或正念减压疗法能改善亲密伴侣暴力实施者(男性)的心理健康和情绪调节吗?

Abstract摘要

Background Intimate partner violence constitutes a serious health problem worldwide. To date the evidence is sparse on whether intimate partner violence group interventions could improve mental health outcomes among perpetrators and their partners.

研究背景:亲密伴侣暴力在世界范围内都是一个比较严重的健康问题。迄今为止,关于亲密伴侣暴力群体干预是否可以改善施暴者及其伴侣的心理健康结果的证据很少。

Objectives To compare the effectiveness of nurse-led cognitive-behavioural group therapy vs. mindfulness-based stress reduction group therapy in improving reported mental health outcomes and emotion regulation at 12 months’ follow-up amongst perpetrators who voluntarily seek help for violence in intimate partnerships.

研究目的:比较“认知行为疗法”与“正念减压疗法”在改善亲密关系暴力施暴者的心理健康和情绪调节方面的效果。干预实施12个月。

Design A randomised controlled trial.

研究设计:随机对照试验

Participants A total of 125 persons at an outpatient service run by a University Hospital in Norway for men who perpetrate intimate partner violence were enroled in the study.

研究对象:共招募125名对象,来自挪威一家医院(专门为亲密伴侣暴力施暴者-男性)门诊。

Methods The participants were randomly assigned to cognitive-behavioural group therapy (intervention group, N = 67) or mindfulness-based stress reduction group therapy (comparator group, N = 58). The pre-defined outcomes were symptoms of anxiety and depression as reported by the Hopkins Symptom Checklist 25 and general emotion regulation as reported by Difficulties in Emotion Regulation Scale at 12 months’ follow-up.

研究方法:研究对象被随机分配到认知行为组(干预组,N = 67)和正念减压组(比较组,N = 58)。评价指标包括:①霍普金斯症状检查表(测量心理健康情况);②情绪调节困难量表(DERS)

Results A reduction of symptoms of anxiety and depression was reported, with no between-group differences(intervention group:coefficient: -0.17,P = 0.009;comparator group: coefficient: -0.13,P = 0.036). Both groups had a small but statistically significant reduction in the Difficulties in Emotion Regulation Scale scores at 12 months’ follow-up (intervention group:coefficient:-0.47,P = <0.001; comparator group: coefficient: -0. 34,P = <0.001).

研究结果:①焦虑、抑郁症状有所减轻,但组间比较差异无统计学意义;②在情绪调节困难量表得分上,两组比较差异较小,但有统计学意义。

Conclusion Even though there was reduction in symptoms in both groups at 12 months’ follow-up with no between-group differences, the total symptom scores remained high in both groups.

研究结论:尽管在12个月的随访中,两组的症状都有所减轻,组间无差异,但两组的总症状评分仍然很高。

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