Acceptance and Commitment Therapy to Improve Social Support for Veterans with PTSD

接受和承诺疗法可改善对患有创伤后应激障碍 (PTSD) 退伍军人的社会支持

• 批准号: 10361183
• 负责人: Megan Marie Kelly
• 金额: --
• 依托单位: EDITH NOURSE ROGERS MEMORIAL VETERANS HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-10-01 至 2024-09-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10361183
• 关键词: Address; Buffers; Child Rearing; Clinical; Communities; Community Integration; Coping Skills; Dangerousness; Data; Distress; Emotional; Equipment and supply inventories; Evidence based practice; Evidence based treatment; Family Relationship; Family member; Feeling; Feeling suicidal; Goals; Impairment; Measures; Mediating; Outcome; Outcome Study; Patient Self-Report; Pattern; Persons; Pilot Projects; Post-Traumatic Stress Disorders; Quality of life; Questionnaires; Randomized Controlled Trials; Reporting; Safety; Site; Social Adjustment; Social Functioning; Social support; Stress; Surveys; Symptoms; Testing; Theoretical model; Value of Life; Veterans; base; behavior change; common treatment; design; efficacious treatment; efficacy evaluation; emotional functioning; family support; flexibility; follow-up; improved; innovation; interpersonal conflict; intimate behavior; member; mindfulness; mortality risk; peer; person centered; physical conditioning; primary outcome; psychologic; research and development; research study; satisfaction; secondary outcome; social; social relationships; social situation; standard care; suicidal behavior; support network; symptom management; therapy design; therapy development

Veterans with PTSD often have substantial interpersonal problems and low perceived social support from family, partners, and peers. Interpersonal problems result in poor social reintegration, which in turn permeates all aspects of their functioning and is associated with greater suicidal ideation. The problems emerge rapidly, with one study showing a fourfold increase in rates of self-reported interpersonal conflict within six months of returning from deployment. Veterans with PTSD report considerable avoidance in relationships, marital stress, intimacy difficulties, and parenting problems. Low social support is a key factor related to poor physical health, emotional functioning, and increased mortality risk. Given the importance of social relationships in buffering against negative outcomes and suicidal ideation for persons with PTSD, there is a strong need for more research and treatment development to improve the social functioning of these Veterans. The proposed project will focus on evaluating an innovative treatment for improving the social relationships and social support among Veterans with PTSD. The goal of this project is to evaluate the efficacy of Acceptance and Commitment Therapy to Improve Social Support for Veterans with PTSD (ACT-SS), a treatment focused on helping Veterans with PTSD to increase social support with family relationships, partners, and peers by targeting maladaptive patterns of interpersonal difficulties, feelings of detachment from others, irritability, and avoidance of social situations. ACT-SS provides Veterans with PTSD with more adaptive coping skills (i.e., acceptance and mindfulness, focus on values-based living) to improve social relationships, social support, and help manage PTSD-related distress. Our pilot data of ACT-SS indicates that ACT-SS results in improved social relationships and reduced PTSD symptoms, with preliminary data showing that ACT-SS results in significantly better improvement in social functioning outcomes compared to Present-Centered Therapy (PCT). The primary aim of this study is to conduct a two-site randomized controlled trial of ACT-SS (n=75) vs. PCT (n=75), a common treatment for social support difficulties. Study outcomes will include measures of social support, social relationships, quality of life, and PTSD symptoms. This proposal, supported by our promising pilot data, represents an important step in examining the potential efficacy of ACT-SS, including social functioning and quality of life in Veterans with PTSD. If positive, results from this study may provide a new treatment approach for improving the social reintegration of Veterans with PTSD.

患有创伤后应激障碍的退伍军人通常有严重的人际关系问题， 家人，伙伴，和同伴人际关系问题导致社会融合不良，而社会融合又渗透到 他们的功能的所有方面，并与更大的自杀意念。问题出现得很快， 一项研究显示，在六个月内，自我报告的人际冲突率增加了四倍， 从部署返回。患有创伤后应激障碍的退伍军人报告在人际关系，婚姻压力， 亲密障碍和养育问题低社会支持是与身体健康状况差有关的一个关键因素， 情绪功能和死亡风险增加。鉴于社会关系在缓冲中的重要性 针对PTSD患者的负面结果和自杀意念，强烈需要更多 研究和治疗开发，以改善这些退伍军人的社会功能。拟建项目 将重点评估一种改善社会关系和社会支持的创新治疗方法 有创伤后应激障碍的退伍军人 本研究的目的是评估接受与承诺疗法的有效性 创伤后应激障碍退伍军人的社会支持（ACT-SS），一种专注于帮助创伤后应激障碍退伍军人的治疗方法， 通过针对适应不良的模式，增加与家庭关系，伙伴和同龄人的社会支持， 人际交往困难、与他人疏远、易怒和回避社交场合。 ACT-SS为患有PTSD的退伍军人提供了更多的适应性应对技能（即，接受和正念， 注重以价值观为基础的生活），以改善社会关系，社会支持，并帮助管理PTSD相关 痛苦我们的ACT-SS试点数据表明，ACT-SS的结果，改善社会关系，减少 PTSD症状，初步数据显示，ACT-SS在改善 社会功能的结果相比，目前为中心的治疗（PCT）。 本研究的主要目的是对ACT-SS（n=75）与PCT进行一项双中心随机对照试验 （n=75），社会支持困难的常见治疗。研究结果将包括社会指标 支持，社会关系，生活质量和PTSD症状。这一提议得到了我们承诺的支持， 试点数据，代表了检查ACT-SS潜在功效的重要一步，包括社会 创伤后应激障碍退伍军人的功能和生活质量。如果是阳性的，这项研究的结果可能会提供一个新的 治疗方法，以改善退伍军人与创伤后应激障碍的社会融合。