CBT for PTSD in Disaster Relief Workers

认知行为疗法治疗救灾人员的创伤后应激障碍

• 批准号: 6541484
• 负责人: Charles R. Marmar
• 金额: $ 22.24万
• 依托单位: NORTHERN CALIFORNIA INSTITUTE/RES/EDU
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-03-28 至 2005-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6541484
• 关键词: adult human (21+); angers; behavioral /social science research tag; cognitive behavior therapy; emergency health services; handbook; health care personnel; human subject; human therapy evaluation; interview; occupations; patient oriented research; police; posttraumatic stress disorder; psychological adaptation; questionnaires

DESCRIPTION (provided by applicant): This Rapid application proposes to conduct a randomized controlled trial with 42 male or female New York City disaster relief workers exposed to the terrorist attack of September 11, 2001 and its aftermath who carry a primary diagnosis of full or subthreshold PTSD related to the event. One hundred and five workers will be included in the initial assessment for DSM-IV Axis I disorders and PTSD symptom status to allow for a 20 percent non-inclusion and 30 percent dropout rate. Subjects meeting inclusion criteria will be randomized to either a 5-session CBT treatment (CBT; N= 21) or treatment as usual condition (TAU; N= 21). The sites for treatment will be the New York Weill Medical Center of Cornell University, Manhattan and Westchester Campuses. Treatment adherence will be assessed by the study team utilizing instruments developed by the authors of the manual, modified for use with disaster relief workers. Participants assigned to the CBT condition will complete self-report questionnaires at the end of each session. Post-treatment clinical interviews will be administered after the completion of the 5-week trial, and self-report assessments will be administered post-treatment and at 3 months. The aims of this proposed study are: (1) to evaluate the efficacy of a 5 session manualized individual, cognitive behavioral treatment (CBT), adapted for use with disaster workers, compared to a treatment as usual (TAU) contrast group; (2) to prepare for a larger scale three group randomized controlled study of CBT, EMDR, and supportive counseling for emergency services personnel exposed to a variety of critical incidents; (3) to explore potential moderators of treatment response in the CBT group, including baseline anger, reports of dissociation during trauma exposure, and dissociation during prolonged imaginal exposure in treatment.

描述（由申请人提供）：本快速申请建议进行 一项针对 42 名纽约市灾难男性或女性的随机对照试验 2001年9月11日遭受恐怖袭击的救援人员 初步诊断为与以下相关的完全或亚阈值 PTSD 的后果 事件。最初的计划中将包括一百零五名工人 评估 DSM-IV Axis I 障碍和 PTSD 症状状态，以便 20% 的未纳入率和 30% 的辍学率。科目会议 纳入标准将随机分配至 5 次 CBT 治疗（CBT； N= 21）或照常治疗（TAU；N= 21）。治疗部位 将是曼哈顿康奈尔大学纽约威尔医学中心 威彻斯特校区。研究小组将评估治疗依从性 利用手册作者开发的工具，并进行修改以供使用 与救灾人员。分配到 CBT 条件的参与者将 在每次会议结束时完成自我报告调查问卷。后处理 临床访谈将在 5 周结束后进行 试验和自我报告评估将在治疗后和 3 几个月。本研究的目的是：（1）评估 5 节手动个人认知行为治疗 (CBT)，经过调整 用于救灾人员，与常规治疗 (TAU) 对比 团体; (2)为更大规模的三组随机对照做准备 针对紧急服务人员的 CBT、EMDR 和支持咨询研究 遭遇各种重大事件； (3)探索潜在的调节者 CBT 组的治疗反应，包括基线愤怒，报告 创伤暴露期间的解离，以及长时间想象期间的解离 治疗中的暴露。