Life Guard: Evaluation of an ACT-Based Workshop To Facilitate Reintegration of OIF/OEF Veterans
Life Guard: Evaluation of an ACT-Based Workshop To Facilitate Reintegration of OIF/OEF Veterans
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DOI：
10.1037/a0022321
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发表时间：
2011-02-01
影响因子：
1.5
通讯作者：
Spencer, Trey
中科院分区：
文献类型：
--
作者：
Blevins, Dean;Roca, J. Vince;Spencer, Trey
自2001年以来，已有200多万士兵被部署到伊拉克和阿富汗。有证据表明，他们在部署后面临重大困难，包括抑郁症、创伤后应激障碍、药物滥用和家庭痛苦等心理社会问题。很少有促进健康重返社会的方案是以证据为基础的，是为那些没有接受正式精神卫生保健的人设计的。为了满足这一需求，为阿肯色州国民警卫队开发了一个2小时的讲习班，救生员。该讲习班以接受和承诺疗法（ACT; Hayes & Strosahl，2004年）为基础，强调技能发展，以促进复原力和成功的部署后重返社会。这项试点研究的目的是介绍法语国家组织/持久自由行动退伍军人的部署经验，并评价讲习班的效果。样本包括144名退伍军人（63名干预和81名对照）在准实验，前后设计（中期2个月）与延迟干预对照组。这两组人大多是年轻的男性，白人，已婚。对照组的参与者年龄较大，受教育程度较高。在基线和随访时评估各种心理障碍和社会适应的症状。参与者报告了高水平的创伤事件，身体伤害和心理社会困扰的症状。与对照组相比，干预组的抑郁、焦虑和创伤后应激障碍症状显著下降，关系满意度增加。只有抑郁和关系满意度的影响在组间比较中仍然显着。需要进一步开展工作，以评估救生员，但结果表明，这是一个有希望的讲习班，以协助重返社会和复原力。
Over 2 million soldiers have been deployed to Iraq and Afghanistan since 2001. Evidence suggests that they confront significant difficulties postdeployment, including psychosocial problems such as depression, PTSD, substance abuse, and family distress. Few programs to promote healthy reintegration exist that are evidence-based and designed for those not in formal mental health care. In response to this need, a 2-hour workshop, Life Guard, was developed for the Arkansas National Guard. The workshop is based upon Acceptance and Commitment Therapy (ACT; Hayes & Strosahl, 2004) and emphasizes skill development to promote resiliency and successful postdeployment reintegration. The purposes of this pilot study were to describe the deployment experiences of OIF/OEF veterans and evaluate the effectiveness of the workshop. The sample included 144 veterans (63 intervention and 81 control) in a quasi-experimental, pre-post design (interim 2 months) with a delayed intervention control group. Both groups were largely young, male, Caucasian, and married. Control participants were significantly older, and more educated. Symptoms of a variety of psychological disorders and social adjustment were assessed at baseline and follow-up. Participants reported high levels of exposure to traumatic events, physical injury, and symptoms of psychosocial distress. In contrast to control participants, intervention participants reported significant declines in symptoms of depression, anxiety, and PTSD, and increases in relationship satisfaction. Only effects for depression and relationship satisfaction remained significant in between-group comparisons. Further work is needed to evaluate Life Guard, but results suggest it is a promising workshop to assist with reintegration and resiliency.