Internet-based Coping skills training for PTSD

描述（由申请人提供）：在美国，暴露于创伤是常见的。这些暴露中的很大一部分导致功能严重受损，包括创伤后应激障碍（PTSD）。 虽然有经验支持的治疗（EST）PTSD，许多人没有得到他们需要的治疗。 这项赠款建议利用互联网为创伤后应激障碍患者提供应对技能手册，作为面对面治疗的补充。 技术使这本工作簿能够与多媒体演示格式（例如音频，动画和视频）高度交互，并为每个用户定制反馈。 心理健康专业人员将根据客户的个人需求分配模块。 这本练习册将教授从EST中收集的应对技巧，并将包括症状识别，放松技巧，正念，情绪调节和认知重建方面的培训。 每个模块将包括心理教育，在线练习，自我监控任务和个性化反馈。 伴随的“临床医生指南”将包括患者进展的个性化报告，以及如何促进技能的加强和推广的建议。 我们还将进行临床实用性和可用性研究。 建议的商业应用：创伤后应激障碍是一种常见的和昂贵的精神疾病。 在管理式医疗的时代，临床医生迫切需要找到更有效的方法来有效地治疗他们的病人。 基于互联网的治疗是潜在的有效和节省成本的方式，以补充面对面的心理治疗。 社区心理健康中心、诊所和私人执业心理治疗师都是“基于互联网的创伤后应激障碍应对技能培训”的潜在客户。"

DESCRIPTION (provided by applicant): Exposure to trauma is common in the U.S. A significant proportion of these exposures lead to serious impairment in functioning, including post-traumatic stress disorder (PTSD). Although there are empirically supported treatments (EST's) for PTSD, many do not get the treatment they need. This grant proposes to use the Internet to deliver a coping skills workbook for PTSD patients as a supplement to face-to-face treatment. Technology enables this workbook to be highly interactive with a multimedia presentation format (e.g. audio, animation, and video) and feedback customized for each user. Mental health professionals will assign modules based on their clients' individual needs. The workbook will teach coping skills gathered from EST's and will include training in symptom identification, relaxation skills, mindfulness, affect regulation, and cognitive restructuring. Each module will include psycho education, on-line exercises, self-monitoring assignments, and individualized feedback. An accompanying "clinician guide" will consist of individualized reports of the patient's progress with suggestions about how to facilitate the strengthening and generalization of the skills. We will also conduct a clinical utility and usability study. PROPOSED COMMERCIAL APPLICATION: PTSD is a common and costly psychiatric disorder. In an era of managed care, clinicians are pressed to find more efficient ways of effectively treating their patients. Internet-based treatments are potentially effective and cost saving ways to supplement face to face psychotherapy. Community mental health centers, clinics, and private practice psychotherapists are all potential customers for "Internet-based coping skills training for PTSD."