Problem-Solving Therapy for Gulf War Illness

海湾战争疾病的问题解决疗法

• 批准号: 9894747
• 负责人: Lisa Marie McAndrew
• 金额: --
• 依托单位: VA NEW JERSEY HEALTH CARE SYSTEM
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-05-01 至 2019-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9894747
• 关键词: Adherence; Advisory Committees; Affect; Behavior; Behavior Therapy; Clinical; Clinical Trials; Cognitive Therapy; Coin; Complex; Conduct Clinical Trials; Disease; Effectiveness; Ensure; Equipment and supply inventories; Exercise; Fatigue; Focus Groups; Functional disorder; Future; Goals; Grant; Gulf War; Health; Health Services Research; Health education; Impairment; Intervention; Interview; Knowledge; Malignant Neoplasms; Manuals; Measures; Medical; Methodology; Methods; Neuropsychology; Neurosciences; Pain; Patient Self-Report; Patients; Perception; Persian Gulf; Population; Problem Solving; Provider; Publishing; Qualitative Methods; Randomized Controlled Trials; Report (document); Research; Research Personnel; Risk; Structure; Suggestion; Symptoms; Testing; Time; Training; Training Support; Treatment Protocols; Veterans; Work; World Health Organization Disability Assessment Schedule; Writing; clinical implementation; cognitive ability; cognitive rehabilitation; design; disability; evidence base; gastrointestinal symptom; improved; innovation; interest; mild traumatic brain injury; multitask; patient oriented; problem solving therapy; programs; prospective; skills; social engagement; success

DESCRIPTION (provided by applicant): The purpose of this CDA is to help Dr. Lisa McAndrew become a national leader in developing and improving patientcenteredself-managementinterventionsforVeteranswithcomplexpost-deployment health concerns. Dr.McAndrewhassignificanttrainingintheoreticalmodelsforunderstandingpatientself-managementand evidence based behavioral treatments. This CDA will allow her to obtain additional skills in (1) health services research, particularly clinical trials and implementation methods (2) qualitative and quantitative methods (3) clinical neuroscience, and (4) grant writing. To support her training goals, Dr. McAndrew will adapt, develop and test a promising cognitive rehabilitation treatment, Problem-Solving Therapy for Gulf War Illness (GWI). Problem-solving is considered one of the most complex of cognitive abilities and is related to complicated behaviors such as setting goals, sequencing and multi-tasking. Impairment in problem-solving ability affects over 70% of Gulf War Veterans (GWV) with GWI and is prospectively related to 1.5 times greater risk of disability. Despite published reports documenting these deficits there are no treatments that target the problem- solving deficits associated with GWI in order to reduce disability. Problem-Solving Therapy teaches patients skills to compensate for problem-solving deficits in order to improve disability, defined as deficits in daily activities and social participation. It has been found to be effective among civilians with mild traumatic brain injury. To modify this intervention, Dr. McAndrew will use qualitative methods to better understand GWVs with GWI as well as VA providers' views on GWI and the proposed problem-solving intervention. She will then use this information to modify Problem-Solving Therapy for use with GWVs with GWI. Finally, she will examine the efficacy of this modified Problem-Solving Therapy for reducing the disability associated with GWI in a pilot randomized controlled trial. Dr.

描述（由申请人提供）：

项目成果

Resilience during war: Better unit cohesion and reductions in avoidant coping are associated with better mental health function after combat deployment.

• DOI: 10.1037/tra0000152
• 发表时间: 2017-01
• 期刊: Psychological trauma : theory, research, practice and policy
• 作者: McAndrew LM;Markowitz S;Lu SE;Borders A;Rothman D;Quigley KS
• 通讯作者: Quigley KS

Using the common sense model of self-regulation to understand the relationship between symptom reporting and trait negative affect.

使用自我调节的常识模型来理解症状报告与特质负面情绪之间的关系。

• DOI: 10.1007/s12529-013-9372-4
• 发表时间: 2014
• 期刊: International journal of behavioral medicine
• 影响因子: 2.7
• 作者: McAndrew,LisaM;Mora,PabloA;Quigley,KarenS;Leventhal,ElaineA;Leventhal,Howard
• 通讯作者: Leventhal,Howard

Introducing the System for Observing Medical Alliances (SOMA): A Tool for Studying Concordance in Patient-Physician Relationships.

介绍医疗联盟观察系统 (SOMA)：用于研究医患关系一致性的工具。

• DOI: 10.1177/0011000019891434
• 发表时间: 2019
• 期刊: The Counseling psychologist
• 作者: Friedlander,MyrnaL;Kangos,Kelsey;Maestro,Kieran;Muetzelfeld,Hannah;Wright,ScottT;Silva,NicoleDa;Kimber,Justin;Helmer,DrewA;McAndrew,LisaM
• 通讯作者: McAndrew,LisaM

Cultural incongruity predicts adjustment to college for student veterans.

文化不协调预示着退伍军人学生将适应大学生活。

• DOI: 10.1037/cou0000363
• 发表时间: 2019
• 期刊: Journal of counseling psychology
• 影响因子: 3.9
• 作者: McAndrew,LisaM;Slotkin,Sarah;Kimber,Justin;Maestro,Kieran;Phillips,LAlison;Martin,JessicaL;Credé,Marcus;Eklund,Austin
• 通讯作者: Eklund,Austin

Comparison of the functional health limitations of Iraq or Afghanistan Veterans to Desert Shield/Storm Veterans with chronic fatigue syndrome.

• DOI: 10.1080/21635781.2016.1175980
• 发表时间: 2016-05-06
• 期刊: Military behavioral health
• 作者: McAndrew, Lisa M;Chandler, Helena K;Lange, Gudrun
• 通讯作者: Lange, Gudrun