PDF(Pubmed)
Abstract：
A substantial number of survivors of disasters, pandemics, and other severe stressors develop persistent distress that impairs mental health and well-being. However, only a few brief psychological interventions target distress or subclinical symptoms. This systematic review aimed to identify and describe brief psychological interventions to reduce distress or subclinical symptoms in survivors of disasters, pandemics, and other severe stressors. Based on a systematic literature search (MEDLINE, PsycINFO, PSYNDEX, PTSDpubs, and Web of Science), we reviewed published studies and study protocols on self-help, psychosocial support, or brief psychotherapeutic interventions to reduce distress and/or subclinical symptoms following natural hazards and man-made disasters, pandemics, or other traumatic events. We included 27 published studies or study protocols (n = 15 RCTs, n = 3 controlled pre-post studies, and n = 9 uncontrolled pre-post studies) describing 22 interventions. We found evidence for reducing psychological distress and/or subclinical symptoms in 9 out of 15 RCTs, 2 out of 3 controlled pre-post studies, and 9 out of 9 uncontrolled pre-post studies. One RCT provided evidence of increasing well-being. Innovative brief interventions have been developed to reduce distress and/or subclinical symptoms that have an emerging evidence base.
摘要：
大量的灾难幸存者，大流行,和其他严重的压力源产生持续的困扰，损害心理健康和福祉。然而,只有少数简短的心理干预针对痛苦或亚临床症状。本系统综述旨在确定和描述简短的心理干预措施，以减少灾难幸存者的痛苦或亚临床症状。大流行,和其他严重的压力。基于系统的文献检索(MEDLINE，PsycINFO,PSYNDEX,PTSDpubs,和WebofScience)，我们回顾了已发表的关于自助的研究和研究协议，社会心理支持,或简短的心理治疗干预措施，以减少自然灾害和人为灾害后的痛苦和/或亚临床症状，大流行,或其他创伤事件。我们纳入了27项已发表的研究或研究方案(n=15项随机对照试验，n=3个对照研究，n=9个不受控制的pre-post研究)描述了22种干预措施。我们在15项随机对照试验中的9项发现了减少心理困扰和/或亚临床症状的证据，3个对照研究中的2个，9个不受控制的pre-post研究。一项RCT提供了幸福感增加的证据。已经开发了创新的简短干预措施，以减少具有新兴证据基础的痛苦和/或亚临床症状。
