The Use of a Brief Family Intervention to Reduce Dropout Among Veterans in Individual Trauma-Focused Treatment: A Randomized Controlled Trial.
The Use of a Brief Family Intervention to Reduce Dropout Among Veterans in Individual Trauma-Focused Treatment: A Randomized Controlled Trial.
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DOI：
10.1002/jts.22680
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发表时间：
2021-08
影响因子：
3.3
通讯作者：
Sloan DM
中科院分区：
文献类型：
--
作者：
Thompson-Hollands J;Lee DJ;Sloan DM
从创伤后应激障碍（PTSD）的创伤为重点的治疗辍学代表了该领域的一个艰巨的挑战，特别是在军事和退伍军人样本。家庭的参与可能有助于提高PTSD治疗的有效性，同时也提高了保留。我们测试了一个两个会话的简短的家庭干预（BFI）协议，作为一个辅助的个人创伤为重点的治疗样本中的20个退伍军人家庭成员二对（N = 40）。参与家庭包容性协议的意愿很高，超过85%的退伍军人和家庭成员同意参加。所有登记的退伍军人都开始了认知加工治疗（CPT）或长期暴露（PE）的过程，在退伍军人事务部门诊提供。家庭成员随机接受或不接受研究临床医生的BFI。在BFI条件下，20.0%的退伍军人在16周的研究结束前退出CPT/PE;其余的人仍然参加协议会议或完成了完整的协议。在对照组中，40.0%的退伍军人在研究结束前退出CPT/PE。随着时间的推移，观察到的PTSD症状的显著、大幅度下降并不因条件而异，ESsg范围= −1.12至−2.04。在两种情况下，调节都没有随着时间的推移而显著下降，ESsg范围为0.18至-0.98。BFI代表了退伍军人，家庭成员和临床医生的一个有前途的选择，他们正在寻求一种简短，可行，狭隘的方法，将家庭纳入退伍军人的个人创伤为重点的治疗，并可能降低辍学率。
Dropout from trauma-focused treatment for posttraumatic stress disorder (PTSD) represents a daunting challenge for the field, particularly among military and veteran samples. Family involvement may help to increase the effectiveness of PTSD treatment while also improving retention. We tested a two-session brief family intervention (BFI) protocol delivered as an adjunct to individual trauma-focused treatment among a sample of 20 veteran–family member dyads (N = 40). Willingness to participate in the family-inclusive protocol was high, with over 85% of veterans and family members who were screened agreeing to take part. All enrolled veterans were beginning a course of either cognitive processing therapy (CPT) or prolonged exposure (PE), delivered in outpatient Veterans Affairs clinics. Family members were randomized to either receive or not receive the BFI from study clinicians. In the BFI condition, 20.0% of veterans dropped out of CPT/PE before the 16-week study end; the remainder were either still attending on-protocol sessions or had completed the full protocol. In the control condition, 40.0% of veterans dropped out of CPT/PE before the end of the study. Observed significant, large magnitude decreases in PTSD symptoms over time did not differ by condition, ESsg range = −1.12 to −2.04. Accommodation did not significantly decrease over time in either condition, ESsg range = 0.18 to −0.98. The BFI represents a promising option for veterans, family members, and clinicians who are seeking a brief, feasible, narrowly focused method for incorporating families into veterans’ individual trauma-focused therapy and potentially reducing the rate of dropout.
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影响因子：
10.3
作者：
Fredman, Steffany J.;Vorstenbosch, Valerie;Monson, Candice M.
通讯作者：
Monson, Candice M.
DOI：
10.1037/tra0000065
发表时间：
2016-01-01
影响因子：
6.3
作者：
Kehle-Forbes, Shannon M.;Meis, Laura A.;Polusny, Melissa A.
通讯作者：
Polusny, Melissa A.
影响因子：
3.7
作者：
Fredman, Steffany J.;Macdonald, Alexandra;Peterson, Alan L.
通讯作者：
Peterson, Alan L.
影响因子：
4.1
作者：
Becker, CB;Zayfert, C;Anderson, E
通讯作者：
Anderson, E
影响因子：
1.5
作者：
Fischer, Ellen P.;Sherman, Michelle D.;Owen, Richard R., Jr.
通讯作者：
Owen, Richard R., Jr.