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Expressive Writing Intervention for PTSD Prevention

预防创伤后应激障碍的表达性写作干预

基本信息

批准号：
8743274
负责人：
GRANT MARSHALL
金额：
$ 26.62万
依托单位：
RAND CORPORATION
依托单位国家：
美国
项目类别：
财政年份：
2013
资助国家：
美国
起止时间：
2013-09-26 至 2016-12-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8743274
关键词：
Acculturation Address Adult Aftercare Age Caring Caucasians Caucasoid Race Characteristics Cognitive Communities Development Economically Deprived Population Education Effectiveness Evaluation Funding Hispanics Hospitalization Hospitals Incidence Individual Injury Intervention Interview Knowledge Laboratory Research Length Literature Mediating Mediator of activation protein Medical Records Mental Health Mental Health Services Not Hispanic or Latino Outcome Participant Patients Physical Sufferings Physiologic Monitoring Pilot Projects Post-Traumatic Stress Disorders Prevention Provider Psychopathology Randomized Randomized Controlled Trials Reading Recruitment Activity Relative (related person)Research Risk Safety Self Disclosure Services Severities Survivors Translating Trauma Treatment Efficacy Treatment outcome Writing cost emotional disclosure experience expressive writing follow-up health inequalities novel prevent psychologic public health relevance social tool trauma centers

项目摘要

DESCRIPTION (provided by applicant): This R34 pilot intervention application seeks funds to evaluate the feasibility and potential effectiveness of a novel intervention aimed at preventing the development of posttraumatic stress disorder in adult survivors of serious physical injury. The intervention, which involves written self-disclosure, is derived from basic social psychological laboratory research, and will be translated for use as an applied tool in the context of post- trauma hospitalization aftercare. The planned evaluation will recruit patients drawn from a large trauma center that provides services to a predominantly Hispanic and low SES community. The scientific literature suggests that this community may have particular need for novel interventions directed at preventing the development of trauma-related psychopathology. Study participants (N = 106) at risk for developing PTSD would be recruited during hospitalization for treatment of physical injury, and randomly assigned to participate in one of two writing conditions: written emotional disclosure (N = 53) or a control condition in which participants write about mundane topics (N = 53). The overarching objective of the planned research is to collect information needed to determine the feasibility and potential merit of mounting a full-scale study of writing interventions as strategies to prevent the development of PTSD in physical trauma survivors. The specific aims of this study are: (1) to evaluate the feasibility, tolerability, acceptability, and safety of the writing interventions; (2) to provide a preliminary evaluation as to whether the writing intervention possesses promise as strategy for preventing the development of PTSD in physical trauma survivors; (3) to assess the importance of age, education, reading level, and acculturation as possible moderators of the impact of the intervention on mental health outcomes; and (4) to examine possible mechanisms by which the writing interventions may exert their impact on mental health outcomes. If the results of this pilot study and the subsequent full-scale intervention prove successful, then trauma center service providers would have a versatile, low cost, and easily accessible tool to offer to physical injury survivors at risk for trauma-related psychopathology. This tool may be particularly useful for economically- disadvantaged Hispanic survivors who may choose not to avail themselves of formal mental health services. Knowledge derived from this randomized controlled trial regarding possible moderators and mediators of treatment efficacy can contribute to the development of more efficacious interventions.

描述（由申请人提供）：该 R34 试点干预申请寻求资金来评估旨在预防严重身体伤害的成年幸存者发展为创伤后应激障碍的新型干预措施的可行性和潜在有效性。该干预措施涉及书面自我表露，源自基本社会心理学实验室研究，并将被转化为在上下文中用作应用工具外伤后住院后的护理。计划中的评估将招募来自大型创伤中心的患者，该中心为主要是西班牙裔和社会经济地位较低的社区提供服务。科学文献表明，这个社区可能特别需要旨在预防与创伤相关的精神病理学发展的新颖干预措施。将在住院期间招募有患 PTSD 风险的研究参与者 (N = 106)，以治疗身体伤害，并随机分配参加两种写作条件之一：书面情感披露 (N = 53) 或参与者撰写平凡主题的对照条件 (N = 53)。计划研究的总体目标是收集所需信息，以确定对写作干预进行全面研究的可行性和潜在优点，作为预防身体创伤幸存者发生创伤后应激障碍的策略。本研究的具体目的是：（1）评估写作干预的可行性、耐受性、可接受性和安全性； (2) 提供初步评估写作干预是否有望作为预防身体创伤幸存者患上创伤后应激障碍（PTSD）的策略； (3) 评估年龄、教育程度、阅读水平和文化适应作为干预措施对心理健康结果影响的可能调节因素的重要性； (4) 研究写作干预对心理健康结果产生影响的可能机制。如果这项试点研究的结果和随后的全面干预被证明是成功的，那么创伤中心服务提供商将拥有一种多功能、低成本且易于使用的工具，可以为物理治疗师提供帮助。受伤幸存者面临与创伤相关的精神病理学风险。该工具对于经济上处于不利地位的西班牙裔幸存者可能特别有用，他们可能选择不利用正规的心理健康服务。从这项随机对照试验中获得的有关治疗效果的可能调节因素和调节因素的知识有助于制定更有效的干预措施。