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Post-traumatic Stress Disorder01:27

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Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
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A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
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Acceptance and Commitment Training for Veterans with Polytrauma: A randomized controlled trial protocol.

Alex Uzdavines1, Raquel D Gonzalez2, Alexandra Price3

  • 1South Central Mental Illness Research, Education, and Clinical Center, Michael E. DeBakey VA Medical Center, Houston, TX, United States of America; Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, United States of America.

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Summary

Acceptance and Commitment Training plus Education, Resources, and Support (ACT+ERS) may improve reintegration for Veterans with mild traumatic brain injury (mTBI) and polytrauma. This study compares ACT+ERS to an active control for Veterans experiencing distress and reintegration challenges.

Keywords:
Acceptance commitment therapyBrief interventionMild traumatic brain injuryPolytraumaRandomized controlled trialVeterans

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Area of Science:

  • Clinical Psychology
  • Traumatology
  • Rehabilitation Medicine

Background:

  • Mild traumatic brain injury (mTBI) is common among Iraq, Afghanistan, and OND Veterans, often co-occurring with depression, PTSD, and chronic pain, collectively termed polytrauma.
  • Polytrauma significantly hinders Veterans' social, occupational, and community reintegration.
  • This study addresses the need for effective interventions to support Veterans with polytrauma.

Purpose of the Study:

  • To compare the efficacy of a one-day Acceptance and Commitment Training plus Education, Resources, and Support (ACT+ERS) workshop against a one-day active control (ERS) workshop.
  • To evaluate the impact of the intervention on symptoms of distress and reintegration.
  • To examine potential mediators and moderators of treatment response in Veterans with polytrauma.

Main Methods:

  • An ongoing randomized clinical trial recruiting 212 OIF/OEF/OND Veterans with polytrauma.
  • Participants are randomized to either a one-day ACT+ERS or ERS workshop, with two booster sessions.
  • Assessments are conducted pre-workshop and at six weeks, three months, and six months post-workshop; workshops were adapted to a virtual format due to COVID-19.

Main Results:

  • Primary outcomes include changes in distress symptoms and reintegration levels.
  • Secondary outcomes focus on post-traumatic stress disorder symptoms and pain interference.
  • Exploratory analyses will investigate whether reduced avoidance mediates treatment effects on distress and reintegration.

Conclusions:

  • Effective interventions are crucial for the psychological adjustment and reintegration of Veterans with polytrauma.
  • This study will offer valuable insights into the effectiveness of a brief intervention for this population.
  • Findings will inform clinical practice and support services for Veterans facing polytrauma challenges.