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首页> 美国卫生研究院文献>Behavioral Sciences >A Critical Review of Effective Child Mass Trauma Interventions: What We Know and Do Not Know from the Evidence
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A Critical Review of Effective Child Mass Trauma Interventions: What We Know and Do Not Know from the Evidence

机译：对有效儿童群众创伤干预的批判性审查：我们所知道的并不知道证据

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Over the last 20 years, numerous interventions have been developed and evaluated for use with children exposed to mass trauma with six publications reporting meta-analyses of randomized controlled trials of child mass trauma interventions using inactive controls to examine intervention effects on posttraumatic stress, depression, anxiety, and functional impairment. The current report reviews the results of these meta-analytic studies to examine the status of the evidence for child mass trauma mental health interventions and to evaluate potential moderators of intervention effect and implications for practice. The meta-analyses reviewed for the current report revealed a small to medium overall effect of interventions on posttraumatic stress, a non-statistically significant to small overall effect on depression, a non-statistically significant overall effect on anxiety, and a small overall effect on functional impairment. The subgroup analyses suggest that interventions should be matched to the populations being served and to the context. Additional research is needed to tailor future interventions to further address outcomes other than posttraumatic stress including depression, anxiety, and functional impairment.
机译：在过去的20年中，已经开发了许多干预措施，并评估了暴露于大规模创伤的儿童，其中六个出版物报告了使用无活性对照对儿童质量创伤干预的随机对照试验的荟萃分析进行了使用无活性对照，以检查对错误抑郁症的干预效果，抑郁症焦虑和功能障碍。目前的报告审查了这些元分析研究的结果，以检查儿童群众创伤精神健康干预措施的证据的状态，并评估干预效果的潜在主持人和对实践的影响。对目前报告审查的荟萃分析表明，介入的患者对情绪压力的总体效果小，对抑郁症的整体效果的非统计学意义，对焦虑的非统计学显着的总体影响以及小的总体影响功能损伤。亚组分析表明，干预措施应与正在送达的人群和上下文匹配。需要额外的研究来定制未来的干预措施，以进一步解决除抑郁，焦虑和功能损伤等前后强调之外的进一步解决。

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