Expressive writing treatments to reduce PTSD symptom severity and negative alcohol-related outcomes among trauma-exposed sexual minority women and transgender/nonbinary people: Study protocol for a mixed-method pilot trial.
Expressive writing treatments to reduce PTSD symptom severity and negative alcohol-related outcomes among trauma-exposed sexual minority women and transgender/nonbinary people: Study protocol for a mixed-method pilot trial.
复制标题
DOI：
10.1016/j.conctc.2023.101197
复制
发表时间：
2023-10
影响因子：
1.5
通讯作者：
中科院分区：
文献类型：
--
作者：
性少数女性（SMW）和跨性别和/或非二元（TNB）个体报告与异性恋女性和顺性别人相比，创伤后应激障碍（PTSD）症状和酒精相关的负面结果的患病率升高。SMW和TNB个人在利用治疗方面也面临障碍，这可能导致延迟或错过预约。需要合理、可行和有效的治疗方法，如基于网络的表达性书写（EW）治疗，以解决这些人群中的PTSD和酒精相关的负面结果。我们描述了一项混合方法试点随机对照试验的设计，该试验将比较适用于SMW和TNB人群的EW治疗（耻辱适应EW）和创伤（即，非适应性）EW与活性（中性事件）对照，以确定未来完全把握度随机对照试验的可接受性和可行性。该样本将包括来自美国各地的150名创伤暴露SMW和TNB个体，他们将被随机分配到污名适应EW（n = 50），创伤EW（n = 50）或对照组（n = 50）。参与者将在治疗前、第一次写作会议后一周和第一次写作会议后三个月进行评估。本文确定了评估拟议研究的可接受性和可行性的步骤，并确定了适应性和非适应性EW治疗的结果变化，以告知改进。本文还强调了我们的策略，测试理论驱动的调解人和调解人的治疗结果。这项混合方法的试点试验将为第一个完全有效的、自我管理的、基于网络的简短治疗提供信息，以减少创伤暴露的SMW和TNB个体的PTSD症状严重程度和酒精相关的负面结果。性少数群体妇女和性别扩张的人面临创伤和耻辱的风险。这一人群在使用精神和行为健康治疗方面也面临障碍。我们注意到我们的方法来适应和测试这些群体的表达性写作。我们还讨论了我们的计划测试调解人和主持人的治疗结果。结果可以提高PTSD和酒精在线治疗的临床相关性。
Sexual minority women (SMW) and transgender and/or nonbinary (TNB) individuals report an elevated prevalence of posttraumatic stress disorder (PTSD) symptoms and negative alcohol-related outcomes compared to heterosexual women and cisgender people. SMW and TNB individuals also face barriers to utilizing treatment, which can result in delayed or missed appointments. Accessible, feasible, and effective treatment approaches, such as web-based expressive writing (EW) treatments, are needed to address PTSD and negative alcohol-related outcomes in these populations. We describe the design of a mixed-method pilot randomized controlled trial which will compare an EW treatment adapted for SMW and TNB people (stigma-adapted EW) and trauma (i.e., non-adapted) EW with an active (neutral-event) control to determine acceptability and feasibility of a future fully powered randomized controlled trial. The sample will include 150 trauma-exposed SMW and TNB individuals from across the United States who will be randomly assigned to stigma-adapted EW (n = 50), trauma EW (n = 50), or control (n = 50). Participants will be assessed before treatment, one-week after the first writing session, and three-months after the first writing session. This paper identifies steps for evaluating the acceptability and feasibility of the proposed study and determining changes in outcomes resulting from adapted and non-adapted EW treatments to inform refinements. This paper also highlights our strategy for testing theory-driven mediators and moderators of treatment outcomes. This mixed-method pilot trial will inform the first fully powered, self-administered, brief web-based treatment to reduce PTSD symptom severity and negative alcohol-related outcomes among trauma-exposed SMW and TNB individuals. Sexual minority women and gender expansive people are at risk of trauma and stigma. This population also faces barriers to using mental and behavioral health treatment. We note our approach for adapting and testing expressive writing for these groups. We also discuss our plan for testing mediators and moderators of treatment outcomes. Results can improve clinical relevance of online treatments for PTSD and alcohol.
影响因子：
4.7
作者：
Wells RD;Guastaferro K;Azuero A;Rini C;Hendricks BA;Dosse C;Taylor R;Williams GR;Engler S;Smith C;Sudore R;Rosenberg AR;Bakitas MA;Dionne-Odom JN
通讯作者：
Dionne-Odom JN