CBT for PTSD Among Public-Sector Consumers

公共部门消费者针对创伤后应激障碍 (PTSD) 的 CBT

• 批准号: 6832218
• 负责人: BARTLEY CHRISTOPHER FRUEH
• 金额: $ 25.65万
• 依托单位: MEDICAL UNIVERSITY OF SOUTH CAROLINA
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-01-01 至 2006-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6832218
• 关键词: CBT; PTSD; Among; Public; Sector

EXCEED THE SPACE PROVIDED This is a revision of an R21 proposal to develop a multi-component cognitive behavioral treatment (CBT) program for posttraumatic stress disorder (PTSD) among public sector consumers with PTSD and severe mental illness (SMI) Data show that trauma victimization (up to 98%) and PTSD (up to 43%) are highly prevalent among persons with SMI (e g, schizophrenia) who are treated within the public sector Among the general population PTSD is associated with nearly the highest rate of medical and other service use, and therefore may be one of the costliest mental disorders Evidence also shows that individuals with PTSD tend to receive inadequate mental health services Thus, it is clear that trauma has a prominent impact on the public health Despite a growing awareness of the significant impact of traumatic experiences on persons treated within state-funded mental health systems, there is a striking lack of empirical data regarding effective interventions for these consumers with PTSD and SMI In fact, although effective psychosocial treatments have been developed for other traumatized groups (e g, male combat veterans, female rape victims), little effort has been made to adapt these treatments for persons who are treated within large state-funded mental health systems Thus, there is a pressing need for the development and evaluation of appropriate treatments designed specifically for use with this population in this of practice setting The specific aims of this proposal are to (1) develop a comprehensive treatment program and treatment manual for PTSD among public sector consumers with PTSD and SMI, adapting existing components of CBT interventions (education, exposure therapy, social skills training) for PTSD, (2) train public sector therapists in the use of this treatment manual and evaluate therapist competence and adherence to following the manual, and (3) conduct a pilot study with public sector consumers with PTSD and SM! in order to evaluate outcome variables that fall into four domains-- PTSD symptoms, social functioning, symptoms of other psychiatric conditions (e g, psychosis), and treatment credibility and satisfaction This proposal is responsive to the NIMH objectives described in Healthy People 2010 (Objectives 18 9 and 18 10) and the Bridging Science and Service report recommendation regarding the need for research that characterizes promising interventions and service settings (recommendation #10) PERFORMANCE SITE ========================================Section End===========================================

这是对R21提案的修订，该提案旨在为患有创伤后应激障碍（PTSD）和严重精神疾病（SMI）的公共部门消费者制定多成分认知行为治疗（CBT）计划。（高达98%）和PTSD（高达43%）在重度精神病患者中非常普遍在一般人群中，创伤后应激障碍与医疗和其他服务使用率几乎最高有关，因此可能是最昂贵的精神障碍之一证据还表明患有PTSD的个体倾向于接受不充分的精神健康服务。因此，很明显创伤对公共健康有显著影响尽管越来越多的人意识到创伤经历对在国家资助的精神健康系统内治疗的人的显著影响，对这些患有PTSD和SMI的消费者进行有效干预的经验数据明显缺乏。事实上，尽管已经为其他创伤群体开发了有效的心理社会治疗方法（例如，男性退伍军人，女性强奸受害者），很少努力使这些治疗适应在大型国家资助的精神卫生系统中接受治疗的人。迫切需要开发和评估专门为这一人群设计的适当治疗方法。该提案的具体目标是：（1）在患有PTSD和SMI的公共部门消费者中制定一项全面的PTSD治疗计划和治疗手册，调整CBT干预措施的现有组成部分（教育，暴露疗法，社交技能培训），（2）培训公共部门的治疗师使用本治疗手册，并评估治疗师的能力和遵守手册，以及（3）对患有PTSD和SM的公共部门消费者进行试点研究！为了评估结果变量，分为四个领域--创伤后应激障碍症状，社会功能，其他精神疾病症状，（例如精神病），该提案响应了《健康人群2010》中描述的NIMH目标（目标18 9和18 10）以及“科学与服务的桥梁”报告中关于有必要对有希望的干预措施和服务环境进行研究的建议（建议10）性能现场=

项目成果

Exposure-based cognitive-behavioral treatment of PTSD in adults with schizophrenia or schizoaffective disorder: a pilot study.

• DOI: 10.1016/j.janxdis.2009.02.005
• 发表时间: 2009-06
• 期刊: Journal of anxiety disorders
• 影响因子: 10.3
• 作者: Frueh BC;Grubaugh AL;Cusack KJ;Kimble MO;Elhai JD;Knapp RG
• 通讯作者: Knapp RG

Therapist fidelity with an exposure-based treatment of PTSD in adults with schizophrenia or schizoaffective disorder.

• DOI: 10.1002/jclp.20657
• 发表时间: 2010-04
• 期刊: JOURNAL OF CLINICAL PSYCHOLOGY
• 影响因子: 3
• 作者: Long, Mary E.;Grubaugh, Anouk L.;Elhai, Jon D.;Cusack, Karen J.;Knapp, Rebecca;Frueh, B. Christopher
• 通讯作者: Frueh, B. Christopher