A randomized-controlled trial of community-based transdiagnostic psychotherapy for veterans and internally displaced persons in Ukraine.
A randomized-controlled trial of community-based transdiagnostic psychotherapy for veterans and internally displaced persons in Ukraine.
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DOI：
10.1017/gmh.2021.27
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发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Bolton P
中科院分区：
文献类型：
--
作者：
Bogdanov S;Augustinavicius J;Bass JK;Metz K;Skavenski S;Singh NS;Moore Q;Haroz EE;Kane J;Doty B;Murray L;Bolton P
有有限的研究，以社区为基础的心理健康干预措施，在前苏联国家，尽管不同的背景因素，其中大多数研究已经进行。持续不断的军事冲突导致许多流离失所者和退伍军人及其家庭承受着沉重的心理健康问题负担。缺乏基于社区的服务和对现有精神病服务的不良吸收导致目前的试验，以确定共同元素治疗方法（CETA）对乌克兰受冲突影响的成年人中焦虑，抑郁和创伤后应激症状（PTS）的有效性。我们进行了一项三组随机对照试验，CETA以标准形式（8-12次）、简短形式（5次）和等待对照条件进行。合格的参与者是流离失所的成年人，退伍军人及其成年家庭成员与抑郁症和/或PTS和功能受损。治疗由接受过标准和简短的CETA培训的社区提供者提供。每月收集结果数据。共有302名试验参与者（n = 117名简短CETA，n = 129名标准CETA，n = 56名等待对照）。与等待对照组相比，标准和简短CETA组的参与者在抑郁、焦虑、PTS和功能障碍方面经历了临床和统计学上的显著降低（效应量d = 0.46-1.0-6）。标准CETA组与短期CETA组比较，前者症状少，功能障碍少，疗效中等（d = 0.20-0.55）。标准CETA比简短CETA更有效，但与等待控制相比，简短CETA也有显着效果。鉴于已证明的有效性，社区经济援助可作为一种有效的社区办法加以推广。
There is limited research on community-based mental health interventions in former Soviet countries despite different contextual factors from where most research has been conducted. Ongoing military conflict has resulted in many displaced persons and veterans and their families with high burdens of mental health problems. Lack of community-based services and poor uptake of existing psychiatric services led to the current trial to determine the effectiveness of the common elements treatment approach (CETA) on anxiety, depression, and posttraumatic stress symptoms (PTS) among conflict affected adults in Ukraine. We conducted a three-armed randomized-controlled trial of CETA delivered in its standard form (8–12 sessions), a brief form (five-sessions), and a wait-control condition. Eligible participants were displaced adults, army veterans and their adult family members with elevated depression and/or PTS and impaired functioning. Treatment was delivered by community-based providers trained in both standard and brief CETA. Outcome data were collected monthly. There were 302 trial participants (n = 117 brief CETA, n = 129 standard CETA, n = 56 wait-controls). Compared with wait-controls, participants in standard and brief CETA experienced clinically and statistically significant reductions in depression, anxiety, and PTS and dysfunction (effect sizes d = 0.46–1.0–6). Comparing those who received standard CETA with brief CETA, the former reported fewer symptoms and less dysfunction with small-to-medium effect sized (d = 0.20–0.55). Standard CETA is more effective than brief CETA, but brief CETA also had significant effects compared with wait-controls. Given demonstrated effectiveness, CETA could be scaled up as an effective community-based approach.
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影响因子：
10.8
作者：
Romaniuk, Piotr;Semigina, Tetyana
通讯作者：
Semigina, Tetyana
DOI：
10.1111/j.1530-0277.2007.00487.x
发表时间：
2007-10-01
影响因子：
3.2
作者：
Huebner, Robert B.;Tonigan, Jeffery Scott
通讯作者：
Tonigan, Jeffery Scott
影响因子：
3.7
作者：
Bonilla-Escobar, Francisco J.;Fandino-Losada, Andres;Bolton, Paul
通讯作者：
Bolton, Paul
影响因子：
1.7
作者：
Singh, Narinderjeet Kaur Dadar;Loo, Jiann Lin;Rahim, Syed Sharizman Syed Abdul
通讯作者：
Rahim, Syed Sharizman Syed Abdul
影响因子：
3.1
作者：
Azur, Melissa J.;Stuart, Elizabeth A.;Frangakis, Constantine;Leaf, Philip J.
通讯作者：
Leaf, Philip J.