Improving outcomes for a 3-week intensive treatment program for posttraumatic stress disorder in survivors of military sexual trauma
Improving outcomes for a 3-week intensive treatment program for posttraumatic stress disorder in survivors of military sexual trauma
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DOI：
10.1016/j.jad.2020.03.036
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发表时间：
2020-05-15
影响因子：
6.6
通讯作者：
Held, Philip
中科院分区：
文献类型：
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作者：
Lofgreen, Ashton M.;Tirone, Vanessa;Held, Philip
背景以性侵犯和性骚扰的形式出现的军事性创伤(MST)在美国武装部队服役期间很常见，通常会导致包括创伤后应激障碍(PTSD)在内的不良健康后果。在不同环境中改善MST相关创伤后应激障碍的治疗，对于优化幸存者的治疗非常重要。认知加工疗法(CPT)在强化治疗计划(ITP)中的实施表明，退伍军人和服役人员(退伍军人)有望迅速减少创伤后应激障碍症状。然而，最近的一项结果研究表明，与从战斗创伤中恢复的退伍军人相比，这种模式在减少MST幸存者的PTSD症状方面的效果明显不佳。方法-本研究在混合性别样本(N=285)中检查了基于CPT的ITP的修改的效用，该ITP旨在治疗继发于MST的PTSD。治疗修改包括在情绪调节和人际关系领域引入基于技能的小组。还根据需要向与会者提供了个人技能咨询会议。此外，还为临床和非临床人员提供了培训，以增加对MST幸存者独特经历和需求的了解。结果证明，计划的改变被证明是有益的，导致PTSD的治疗结果与MST幸存者和战斗创伤的幸存者相当。限制需要进一步的研究，以确定这些特定计划的改变中，哪些对改善症状结果最有效。结论我们的研究结果表明，通过结合以目前为重点的、基于技能的治疗和工作人员敏感性培训，可以改善对MST幸存者的短期、强化的PTSD治疗。
BackgroundThe experience of Military Sexual Trauma (MST) in the form of sexual assault and sexual harassment is common during service in the U.S. Armed Forces and often leads to adverse health outcomes including posttraumatic stress disorder (PTSD). Improving treatment of MST-related PTSD across settings is important to optimize treatment for survivors. The delivery of Cognitive Processing Therapy (CPT) in an intensive treatment program (ITP) shows promise for rapid reduction of PTSD symptoms for veterans and service members (veterans). However, a recent outcome study suggested that this modality is significantly less effective in reducing symptoms of PTSD for survivors of MST compared to veterans recovering from combat trauma.Methods-The current study examines the utility of modifications made to a CPT-based ITP designed to treat PTSD secondary to MST in a mixedgender sample (N= 285). Treatment modifications included the introduction of skills-based groups in emotion regulation and interpersonal domains. Individual skills-consultation sessions were also offered to participants on an as-needed basis. Further, training was provided to both clinical and non-clinical staff to increase understanding of the unique experiences and needs of MST survivors.ResultsProgram changes proved beneficial, resulting in PTSD treatment outcomes that were comparable for survivors of MST and combat traumas.LimitationsFurther research is needed to determine which of these specific program changes were most impactful in improving symptom outcomes.ConclusionsOur findings suggest that short-term, intensive PTSD treatment for MST survivors may be improved by integrating present-focused, skills-based therapies and staff sensitivity training.