A Comparison of the Efficacy of Transdiagnostic Behavior Therapy and Disorder-specific Therapy in Veterans with PTSD, Anxiety, and Depression

跨诊断行为疗法和疾病特异性疗法对患有 PTSD、焦虑和抑郁的退伍军人的疗效比较

基本信息

  • 批准号:
    10657498
  • 负责人:
  • 金额:
    --
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2020
  • 资助国家:
    美国
  • 起止时间:
    2020-04-01 至 2025-03-31
  • 项目状态:
    未结题

项目摘要

Relevance of Research Plan: One priority area for the Department of Veterans Affairs (DVA) is to provide quick, effective, recovery-oriented treatments for depressive/anxiety disorders, representing the most common and impairing psychiatric disorders in Veterans. Cognitive behavioral therapy (CBT) has demonstrated reliable efficacy in treating depressive/anxiety disorders and their related impairments. However, CBT is underutilized due in large part to the complexity and number of disorder-specific treatments (DSTs) protocols across disorders, as well as extensive training needed to apply them to different diagnoses and different combinations of diagnostic comorbidities. Recently, Transdiagnostic Behavior Therapy (TBT) was developed as a transdiagnostic intervention to address each of the depressive/anxiety disorders and their comorbidities in Veterans within a single treatment protocol. Initial studies of TBT, including a funded CSR&D Career Development Award (CDA), demonstrate that the treatment is efficacious in reducing psychiatric symptomatology and related impairments in Veterans presenting with a wide range of diagnoses. Preliminary findings also support the ease of dissemination and implementation of TBT by DVA providers. Although additional study is needed with larger samples and improved comparison groups, the transdiagnostic approach in TBT may address many of the current limitations of the DSTs discussed above. Primary Aims in Research Plan: The proposed study aims to test the non-inferiority of TBT and DSTs in improving psychiatric symptomatology and related impairments. It is hypothesized that TBT will result non-inferior improvements in psychiatric symptomatology and related impairments compared to the DST comparison groups. A secondary aim is to compare the feasibility and acceptability of TBT and DSTs. Participant population: The participants of the proposed study will include 216 Veterans with posttraumatic stress disorder (PTSD), major depressive disorder (MDD), and/or panic disorder and agoraphobia (PD/AG). General inclusion criteria involve: 1) a diagnosis of a PTSD, MDD, or PD/AG; and 2) a willingness and competence to provide informed consent for research participation. Procedures to be used: A randomized controlled trial (RCT) with TBT and DSTs conditions will be completed. Participation in the RCT will involve completion of: 1) consent documentation, 2) intake assessment, 3) random assignment to treatment condition, 4) weekly 45-60-minute appointments of psychotherapy for 12 weeks, and 5) self-report assessments of psychiatric symptomatology and impairment at intake, mid- treatment, post-treatment, and 6-month follow-up. Process variables also will be investigated. Anticipated Impacts on Veterans Health Care: Upon investigation with supported efficacy and non-inferiority as compared to DSTs, TBT will represent an excellent treatment option within the DVA in terms of providing a single protocol that is easy to disseminate to and implement by providers as well as being efficacious in addressing psychiatric symptomatology and related impairments in Veterans with various depressive/anxiety disorders and related comorbidities.
研究计划的相关性:退伍军人事务部(DVA)的一个优先领域是

项目成果

期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)

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Daniel F. Gros其他文献

Erratum to: Influence of Depression on State and Trait Anger in Veterans with Posttraumatic Stress Disorder
  • DOI:
    10.1007/s10608-013-9534-3
  • 发表时间:
    2013-03-22
  • 期刊:
  • 影响因子:
    2.000
  • 作者:
    Phillip A. Raab;Margaret-Anne Mackintosh;Daniel F. Gros;Leslie A. Morland
  • 通讯作者:
    Leslie A. Morland
Role of Atypical Antipsychotics in the Treatment of Generalized Anxiety Disorder
  • DOI:
    10.1007/s40263-014-0162-6
  • 发表时间:
    2014-05-05
  • 期刊:
  • 影响因子:
    7.400
  • 作者:
    Rachel Hershenberg;Daniel F. Gros;Olga Brawman-Mintzer
  • 通讯作者:
    Olga Brawman-Mintzer

Daniel F. Gros的其他文献

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{{ truncateString('Daniel F. Gros', 18)}}的其他基金

A Randomized Clinical Trial Comparing Transdiagnostic Behavior Therapy to Disorder-Specific Psychotherapy in the Recovery of Veterans with Social Anxiety Disorder and Comorbid PTSD Symptomatology
一项随机临床试验,比较跨诊断行为疗法与特定障碍心理疗法在患有社交焦虑症和共病 PTSD 症状的退伍军人康复中的作用
  • 批准号:
    10746930
  • 财政年份:
    2023
  • 资助金额:
    --
  • 项目类别:
A Comparison of the Efficacy of Transdiagnostic Behavior Therapy and Disorder-specific Therapy in Veterans with PTSD, Anxiety, and Depression
跨诊断行为疗法和疾病特异性疗法对患有 PTSD、焦虑和抑郁的退伍军人的疗效比较
  • 批准号:
    10425235
  • 财政年份:
    2020
  • 资助金额:
    --
  • 项目类别:
A Comparison of the Efficacy of Transdiagnostic Behavior Therapy and Disorder-specific Therapy in Veterans with PTSD, Anxiety, and Depression
跨诊断行为疗法和疾病特异性疗法对患有 PTSD、焦虑和抑郁的退伍军人的疗效比较
  • 批准号:
    9884857
  • 财政年份:
    2020
  • 资助金额:
    --
  • 项目类别:
A Comparison of Group Transdiagnostic Behavior Therapy (G-TBT) to Disorder-Specific Group Psychotherapies in the Recovery of Veterans with PTSD, Major Depression, and Related Conditions
团体跨诊断行为疗法 (G-TBT) 与特定障碍团体心理疗法在患有 PTSD、重度抑郁症和相关病症的退伍军人康复中的比较
  • 批准号:
    10237899
  • 财政年份:
    2019
  • 资助金额:
    --
  • 项目类别:
A Comparison of Group Transdiagnostic Behavior Therapy (G-TBT) to Disorder-Specific Group Psychotherapies in the Recovery of Veterans with PTSD, Major Depression, and Related Conditions
团体跨诊断行为疗法 (G-TBT) 与特定障碍团体心理疗法在患有 PTSD、重度抑郁症和相关病症的退伍军人康复中的比较
  • 批准号:
    10000778
  • 财政年份:
    2019
  • 资助金额:
    --
  • 项目类别:
A Comparison of Group Transdiagnostic Behavior Therapy (G-TBT) to Disorder-Specific Group Psychotherapies in the Recovery of Veterans with PTSD, Major Depression, and Related Conditions
团体跨诊断行为疗法 (G-TBT) 与特定障碍团体心理疗法在患有 PTSD、重度抑郁症和相关病症的退伍军人康复中的比较
  • 批准号:
    10844353
  • 财政年份:
    2019
  • 资助金额:
    --
  • 项目类别:
A Comparison of Group Transdiagnostic Behavior Therapy (G-TBT) to Disorder-Specific Group Psychotherapies in the Recovery of Veterans with PTSD, Major Depression, and Related Conditions
团体跨诊断行为疗法 (G-TBT) 与特定障碍团体心理疗法在患有 PTSD、重度抑郁症和相关病症的退伍军人康复中的比较
  • 批准号:
    10508493
  • 财政年份:
    2019
  • 资助金额:
    --
  • 项目类别:
Transdiagnostic Psychotherapy for Veterans with Mood and Anxiety Disorders
对患有情绪和焦虑症的退伍军人进行跨诊断心理治疗
  • 批准号:
    8813485
  • 财政年份:
    2014
  • 资助金额:
    --
  • 项目类别:
Transdiagnostic Psychotherapy for Veterans with Mood and Anxiety Disorders
对患有情绪和焦虑症的退伍军人进行跨诊断心理治疗
  • 批准号:
    8967180
  • 财政年份:
    2014
  • 资助金额:
    --
  • 项目类别:
Transdiagnostic Psychotherapy for Veterans with Mood and Anxiety Disorders
对患有情绪和焦虑症的退伍军人进行跨诊断心理治疗
  • 批准号:
    9242553
  • 财政年份:
    2014
  • 资助金额:
    --
  • 项目类别:

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