TWO PHASE TREATMENT FOR CSA RELATED PTSD

描述(改编自申请人的摘要)：本报告的总体目标 研究建议是开发一种有效的治疗干预措施 符合创伤后应激障碍相关标准的个人 儿童期性虐待。具体目标是测试和改进两个阶段 环孢素A相关创伤后应激障碍的治疗方案。初步数据显示， 治疗在减少创伤后应激障碍、述情障碍、愤怒、抑郁和 人际关系敏感。第一个治疗阶段包括8个疗程 提供情感和人际调节方面的技能培训(楼梯)。 第二阶段包括8个会话的修改版本的Extended 暴露(PE)改编自Foa对强奸相关创伤后应激障碍的治疗。至 为了实现这些目标，调查人员计划举行一次为期16次的会议 对大约40名参与者进行的治疗结果研究，他们将 随机分配到楼梯/PE或最小关注等待名单 积极治疗的随访时间分别为3个月和9个月。结果 有针对性的测量将包括创伤后应激障碍症状的频率和严重程度 以及增强影响情绪、承受痛苦和人际关系的技能 功能正常。健康问题与卫生服务利用对策 也将包括在内。对治疗疗程的评估(通过音频 录音)、每周一次的案例咨询会议和持续评估 用于监测和记录治疗交付，并在必要时 对治疗和遵从性/能力方案的更改。

DESCRIPTION (Adapted from applicant's abstract): The general aim of this research proposal is to develop an effective treatment intervention for individuals who meet criteria for post-traumatic stress disorder related to childhood sexual abuse. Specific aims are to test and refine a two phase treatment program for CSA-related PTSD. Preliminary data indicate the treatment is effective in reducing PTSD, alexithymia, anger, depression, and interpersonal sensitivity. The first treatment phase consists of 8 sessions providing skills training in affective and interpersonal regulation (STAIR). The second phase consists of 8 sessions of a modified version of Prolonged Exposure (PE) adapted from Foa's treatment for rape-related PTSD. To accomplish these objectives, the investigators plan to conduct a 16-session treatment outcome study with approximately 40 participants who will be randomly assigned to either STAIR/PE or a Minimal Attention Wait List with follow-up periods for the active treatment at 3 and 9 months. Outcomes targeted and measured will include frequency and severity of PTSD symptoms and enhanced skills affecting mood, distress tolerance, and interpersonal functioning. Measures of health problems and health service utilization will also be included. Assessment of treatment sessions (by audio recordings), weekly case consultation meetings, and ongoing assessments will be used to monitor and document treatment delivery and make necessary changes to the treatment and adherence/competency protocols.