Acceptance and Commitment Training for Veterans with Polytrauma: A randomized controlled trial protocol.
Acceptance and Commitment Training for Veterans with Polytrauma: A randomized controlled trial protocol.
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DOI：
10.1016/j.cct.2021.106601
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发表时间：
2021-12
影响因子：
2.2
通讯作者：
Dindo L
中科院分区：
文献类型：
--
作者：
Uzdavines A;Gonzalez RD;Price A;Broadway D;Smith TL;Rodrigues M;Woods K;Zimmerman MB;Jorge R;Dindo L
轻度创伤性脑损伤(MTBI)是在伊拉克和阿富汗作战的退伍军人的标志性创伤(即OIF/OEF/OND)。大多数患有mTBI的退伍军人还经历了基于压力的精神病理(例如，抑郁、创伤后应激障碍)和慢性疼痛。这种组合--称为多重创伤--会对重新融入社会、职业和社区产生有害的长期影响。这项研究将比较为期一天的接纳和承诺培训加上教育、资源和支持(ACT+ERS)讲习班和为期一天的关于痛苦症状和重新融入社会、职业和社区的积极控制组(ERS)的效果。我们还将检查治疗反应的调解人和主持人。这是一项正在进行的随机临床试验。212名患有多发性创伤的退伍军人正在招募。退伍军人被随机分配到为期一天的ACT+ERS或为期一天的ERS研讨会，其中包括两个个性化的强化课程，大约两周和四周的研讨会后。退伍军人在研讨会前完成评估，并在研讨会后六周、三个月和六个月再次完成评估。值得注意的是，由于新冠肺炎大流行，讲习班被转换为虚拟形式。主要结果是痛苦和重返社会的症状；次要结果是创伤后应激障碍症状和疼痛干扰。二次分析将评估三个月的回避变化是否会调解六个月的痛苦和重新融入的变化。促进患有多发性创伤的退伍军人的心理调整和重新融入社会至关重要。这项研究的结果将提供关于对有这些担忧的退伍军人进行短暂干预的影响的重要信息。
Mild traumatic brain injury (mTBI) is a signature wound of Veterans of operations in Iraq and Afghanistan (i.e., OIF/OEF/OND). Most Veterans with mTBI also experience stress-based psychopathology (e.g., depression, posttraumatic stress disorder) and chronic pain. This combination – referred to as polytrauma - results in detrimental long-term effects on social, occupational, and community reintegration. This study will compare the efficacy of a one-day Acceptance and Commitment Training plus Education, Resources, and Support (ACT+ERS) workshop to a one-day active control group (ERS) on symptoms of distress and social, occupational, and community reintegration. We will also examine mediators and moderators of treatment response. This is an ongoing randomized clinical trial. 212 OIF/OEF/OND Veterans with polytrauma are being recruited. Veterans are randomly assigned to a one-day ACT+ERS or a one-day ERS workshop with two individualized booster sessions approximately two- and four-weeks post-workshop. Veterans complete assessments prior to the workshop and again at six weeks, three months, and six months post-workshop. Of note, workshops were converted to a virtual format due to the COVID-19 pandemic. The primary outcomes are symptoms of distress and reintegration; secondary outcomes are post-traumatic stress disorder symptoms and pain interference. Secondary analyses will assess whether changes in avoidance at three months mediate changes in distress and reintegration at six months. Facilitating the psychological adjustment and reintegration of Veterans with polytrauma is critical. The results of this study will provide important information about the impact of a brief intervention for Veterans with these concerns.
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3.4
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