Randomized Trial of a Self-Management Early Intervention for Combat-Related PTSD

战斗相关创伤后应激障碍自我管理早期干预的随机试验

• 批准号: 7127478
• 负责人: JUESTA M CADDELL
• 金额: $ 39.6万
• 依托单位: RESEARCH TRIANGLE INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-29 至 2009-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7127478
• 关键词: Internet; attitude; behavior therapy; behavioral /social science research tag; career; clinical research; coping; early /brief intervention /therapy; field study; functional ability; human subject; human therapy evaluation; longitudinal human study; mental health counseling; posttraumatic stress disorder; quality of life; self care; sign /symptom; social psychology; stress; telemedicine; therapy compliance; veterans; war /peace

DESCRIPTION (provided by applicant): Accumulating empirical evidence (e.g., Hoge et al., 2004) documents that a significant minority of soldiers returning from Operation Iraqi Freedom report clinically significant levels of PTSD symptoms and associated impairment. Only a minority of the symptomatic receive any formal mental health treatment in the months following redeployment, however, opening the door to chronic PTSD. When symptomatic soldiers are asked about treatment, they identify the stigma associated with mental illness and the potential impact of seeking treatment on their military career (should it become known to the chain of command) as important reasons not to seek care. These facts, combined with empirical evidence documenting that redeployed soldiers who are symptomatic upon return typically remain symptomatic for at least the first year after redeployment, point to a pressing need for evidence-based early interventions that assist service members to help themselves manage and reduce PTSD symptoms at their own pace, on their own terms. In this application, we describe our plans for conducting a randomized field trial of a promising, Internet based, resource-efficient, self-training intervention aimed at reducing PTSD symptomatology and associated functional impairment among combat-exposed soldiers. The intervention is designed to be both efficacious in reducing PTSD symptomatology and attractive to soldiers returning from combat who are experiencing PTSD symptoms, but fear seeking formal mental health treatment because of the stigma and the perceived negative career impact. The intervention combines aspects of both stress inoculation training and cognitive behavioral therapy, and our goals for it include: (1) producing clinically-significant reductions in participants' PTSD symptomatology, (2) increasing their understanding of the benefits of formal treatment, and (3) creating more positive attitudes toward it.

描述（由申请人提供）：累积经验证据（例如Hoge等，2004）的文件显示，伊拉克自由行动返回的大量士兵报告了PTSD症状和相关障碍的临床意义。但是，在重新部署后的几个月中，只有少数有症状的人接受任何正式的心理健康治疗，这为慢性PTSD打开了大门。当询问有症状的士兵有关治疗的情况时，他们确定与精神疾病有关的污名以及寻求治疗对军事职业的潜在影响（如果被命令链被知道）是不寻求护理的重要原因。这些事实与经验证据相结合，记录了重新部署后的重新部署士兵，至少在重新部署后的第一年，至少在第一年的第一年，都有症状，这表明需要基于证据的早期干预措施，以帮助服务成员帮助自己自我管理和减少PTSD症状，并以自己的方式自行减轻PTSD症状。在此应用程序中，我们描述了我们对有前途的，基于互联网的，资源有效的，自我培训的干预措施进行随机现场试验的计划，该试验旨在减少PTSD症状学和相关的功能障碍。该干预措施的设计既可以有效地减少PTSD症状，又对经历PTSD症状的战斗返回的士兵有吸引力，但是由于污名和感知到的负面职业影响而害怕寻求正式的心理健康治疗。干预措施结合了压力接种训练和认知行为疗法的各个方面，我们的目标包括：（1）在参与者的PTSD症状中产生临床意义上的减少，（2）增强对正式治疗益处的理解，以及（3）对其产生更多积极的态度。