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: 10704573
• 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/10704573
• 关键词: Address; Buffers; Child Rearing; Clinical; Communities; Community Integration; Coping Skills; Dangerousness; Data; Dimensions; 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; 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; novel therapeutic intervention; 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和较低的感知社会支持