Effectiveness of a Rational Emotive Behavior Therapy (REBT)-Informed Group for Post-9/11 Veterans with Posttraumatic Stress Disorder (PTSD).

Effectiveness of a Rational Emotive Behavior Therapy (REBT)-Informed Group for Post-9/11 Veterans with Posttraumatic Stress Disorder (PTSD).
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DOI:
10.1080/08995605.2021.1897496
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发表时间:
2021
期刊:
Military psychology : the official journal of the Division of Military Psychology, American Psychological Association
影响因子:
--
通讯作者:
Scott SM
Scott SM
中科院分区:
其他
文献类型:
--
作者:
Grove AB;Kurtz ED;Wallace RE;Sheerin CM;Scott SM

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已经为退伍军人开发了各种针对创伤后应激障碍(PTSD)的治疗方法,但许多治疗方法并不适合用于群体,不解决常见的精神病合并症,并且包括固有的障碍(例如,大量的时间承诺)。该项目评估研究旨在检查五次治疗的有效性,这是一个理性情绪行为疗法(REBT)知情小组,专注于改变非理性信念,以解决9/11后患有PTSD的退伍军人中的抑郁和焦虑(以及愤怒和内疚)共病。完成REBT知情组的参与者(n = 47)在治疗后抑郁和PTSD症状显着减少。与10次常规治疗组(n = 47)的退伍军人相比,尽管治疗次数减少,但PTSD症状改善无显著差异。该研究表明,对9/11后退伍军人中患有抑郁或焦虑的PTSD共病患者进行为期五周的团体治疗-这种治疗可能特别适合军人或退伍军人群体,但也可能推广到平民-可以导致抑郁和PTSD症状的显着减少。未来的发展方向包括编写一本手册,用于将REBT知情小组的发现传播和复制到其他军事或退伍军人事务部医疗中心。
Various treatments aimed for posttraumatic stress disorder (PTSD) have been developed for veterans, but many are not formatted for use in groups, do not address common psychiatric comorbidities, and include inherent barriers (e.g., substantial time commitment). This program evaluation study aimed to examine the effectiveness of a five-session treatment, a Rational Emotive Behavior Therapy (REBT)-Informed Group focused on changing irrational beliefs to address comorbid depression and anxiety (as well as anger and guilt) among post-9/11 veterans with PTSD. Participants (n = 47) completing the REBT-Informed Group demonstrated significant reductions at posttreatment in depression and PTSD symptoms. Compared to veterans in a ten-session treatment-as-usual group (n = 47), there was no significant difference in PTSD symptom improvement despite the reduction in number of sessions. The study demonstrates that a five-week group treatment for PTSD comorbid with depression or anxiety in post-9/11 veterans – a therapy that may be uniquely suited to a military or veteran population, but potentially generalizable to civilians as well – can lead to significant reductions in depression and PTSD symptoms. Future directions include development of a manual for dissemination and replication of findings of the REBT-Informed Group to other military or Veterans Affairs medical centers.
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