Efficacy, Benefits, and Harms of a Self-management App in a Swedish Trauma-Exposed Community Sample (PTSD Coach): Randomized Controlled Trial.
Efficacy, Benefits, and Harms of a Self-management App in a Swedish Trauma-Exposed Community Sample (PTSD Coach): Randomized Controlled Trial.
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DOI：
10.2196/31419
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发表时间：
2022-03-30
影响因子：
7.4
通讯作者：
Arnberg, Filip K.
中科院分区：
文献类型：
--
作者：
Hensler, Ida;Sveen, Josefin;Cernvall, Martin;Arnberg, Filip K.
自我指导的干预措施可以补充和克服面对面治疗选择的障碍。针对创伤后应激障碍（PTSD）的应用程序干预措施的有效性尚不清楚，并且先前对PTSD Coach（一种用于管理创伤相关痛苦的应用程序）的研究结果不一致。本研究调查是否获得瑞典版的创伤后应激障碍教练影响创伤后应激，抑郁和躯体症状。此外，我们的目标是评估感知的有益性，满意度，负面影响，反应和缓解相关的创伤后应激障碍教练。在过去2年中经历过潜在创伤事件的成年人被随机（1：1）分配到PTSD教练（n=89）或候补名单（n=90）。我们评估了基线（半结构化访谈和自评量表）和3个月后（自评量表）的临床特征。我们使用线性混合效应模型、卡方检验和Fisher精确检验在R软件中分析了数据。意向治疗分析表明，获得创伤后应激障碍教练减少创伤后应激障碍和抑郁症状，但不是躯体症状。与等待名单对照组相比，更多接受PTSD教练的参与者在3个月后临床上有显着改善，可能的PTSD病例较少。总体而言，参与者发现PTSD教练是轻微到中度的帮助和中等满意度。一半的干预组（36/71，51%）报告了至少一个与使用PTSD教练相关的负面反应（例如，对应用程序或其结果感到失望，压力的唤醒或痛苦的记忆）。使用PTSD教练可能会在少数用户中引发症状;然而，他们中的大多数人认为PTSD教练是有帮助的和令人满意的。这项研究表明，获得PTSD教练有助于改善心理创伤相关症状。此外，我们还讨论了对未来研究和临床实践的影响。ClinicalTrials.gov NCT 04094922; https://clinicaltrials.gov/ct2/show/NCT04094922
Self-guided interventions may complement and overcome obstacles to in-person treatment options. The efficacy of app interventions targeting posttraumatic stress disorder (PTSD) is unclear, and results from previous studies on PTSD Coach—an app for managing trauma-related distress—are inconsistent. This study investigates whether access to the Swedish version of the PTSD Coach affects posttraumatic stress, depressive, and somatic symptoms. In addition, we aim to assess the perceived helpfulness, satisfaction, negative effects, response, and remission related to PTSD Coach. Adults who had experienced potentially traumatic events in the past 2 years were randomized (1:1) to have access to PTSD Coach (n=89) or be on the waitlist (n=90). We assessed clinical characteristics at baseline (semistructured interviews and self-rating scales) and after 3 months (self-rating scales). We analyzed the data in R software using linear mixed effects models, chi-square tests, and Fisher exact test. Intention-to-treat analyses indicated that access to PTSD Coach decreased posttraumatic stress and depressive symptoms but not somatic symptoms. More participants who had access to PTSD Coach responded with clinically significant improvement and fewer instances of probable PTSD after 3 months compared with waitlist controls. Overall, participants found that PTSD Coach was slightly to moderately helpful and moderately satisfactory. Half of the intervention group (36/71, 51%) reported at least one negative reaction related to using PTSD Coach (eg, disappointment with the app or its results, arousal of stress, or distressing memories). Using PTSD Coach may trigger symptoms among a few users; however, most of them perceived PTSD Coach as helpful and satisfactory. This study showed that having access to PTSD Coach helped improve psychological trauma-related symptoms. In addition, we have discussed implications for future research and clinical practice. ClinicalTrials.gov NCT04094922; https://clinicaltrials.gov/ct2/show/NCT04094922
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影响因子：
4.4
作者：
Pacella-LaBarbara, Maria L.;Suffoletto, Brian P.;Kuhn, Eric;Germain, Anne;Jaramillo, Stephany;Repine, Melissa;Callaway, Clifton W.
通讯作者：
Callaway, Clifton W.
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通讯作者：
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通讯作者：
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