A home-based telehealth randomized controlled trial of skills training in affective and interpersonal regulation versus present-centered therapy for women veterans who have experienced military sexual trauma.
A home-based telehealth randomized controlled trial of skills training in affective and interpersonal regulation versus present-centered therapy for women veterans who have experienced military sexual trauma.
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一项以家庭为基础的远程医疗随机对照试验，针对经历过军事性创伤的女退伍军人进行情感和人际调节技能培训与以当下为中心的治疗。
DOI：
10.1037/ccp0000872
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发表时间：
2024
影响因子：
5.9
通讯作者：
Morland,Leslie
中科院分区：
文献类型：
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作者：
Cloitre,Marylene;Morabito,Danielle;Macia,Kathryn;Speicher,Sarah;Froelich,Jessilyn;Webster,Katelyn;Prins,Annabel;Villasenor,Diana;Bauer,Asha;Jackson,Christie;Fabricant,Laura;Wiltsey-Stirman,Shannon;Morland,Leslie
目的：通过对经历过军性创伤（MST）且创伤后应激障碍（PTSD）筛查呈阳性的女退伍军人进行情感与人际调节技能训练（STAIR）与以现在为中心的虚拟治疗（PCT）的比较，研究情感与人际调节技能训练的有效性。方法将161名符合条件的女性退伍军人随机纳入研究。主要结果是临床医生评估的PTSD严重程度（临床医生管理的PTSD量表- 5），而次要结果包括治疗后2- 4个月的社会支持和其他一些症状测量。结果治疗后两组患者的创伤后应激障碍严重程度均有所降低，但差异有统计学意义(p=。028, d= 0.39)，与PCT相比（d= 1.12[0.87, 1.37]）。[0.54, 1.02])。STAIR在改善社会支持和情绪调节、减少抑郁和消极认知方面也有优势。心理社会功能的改善是中度的，在不同的情况下没有差异。所有的变化在2个月和4个月的随访中保持不变。辍学率低且无差异（分别为19.0%和12.2%）。结论在创伤后应激障碍（PTSD）、社会支持和多种心理健康问题方面，stair治疗优于PCT治疗。对其他有社会支持和有关问题的人口适用STAIR的情况值得调查。两种疗法对创伤后应激障碍症状的显著影响表明，对于那些不希望参加以创伤为重点的治疗的人来说，它们是实用的选择，可能会增加对心理健康服务的参与。（PsycInfo数据库记录(c) 2024 APA，版权所有）
ObjectiveThis randomized trial tested the effectiveness of Skills Training in Affective and Interpersonal Regulation (STAIR) compared to present-centered therapy (PCT) delivered virtually to women veterans who had experienced military sexual trauma (MST) and screened positive for posttraumatic stress disorder (PTSD).MethodOne hundred sixty-one eligible women veterans were randomized into the study. The primary outcome was clinician-assessed PTSD severity (Clinician-Administered PTSD Scale–5), while secondary outcomes included social support and several other symptom measures at posttreatment through 2-and 4-month follow-up.ResultsPTSD severity decreased in both conditions by posttreatment but significantly more (p=. 028, d= 0.39) in STAIR (d= 1.12 [0.87, 1.37]) than PCT (d=. 78 [0.54, 1.02]). STAIR was also superior in improving social support and emotion regulation and reducing depression and negative cognitions. Improvement in psychosocial functioning was moderate and did not differ between conditions. All changes were maintained through 2-and 4-month follow-ups. Dropout rates were low and did not differ (19.0% and 12.2%, respectively).ConclusionSTAIR provided superior outcomes compared to PCT regarding PTSD, social support, and multiple types of mental health problems among women veterans with MST. The application of STAIR to other populations with social support and related concerns warrants investigation. The substantial effect sizes for PTSD symptoms in both treatments suggest that they are practical alternatives for individuals who do not wish to participate in trauma-focused therapy and may increase engagement in mental health services.(PsycInfo Database Record (c) 2024 APA, all rights reserved)