与酒精有关的问题作为PTSD的调节者 在使用基于网络的危险饮酒和PTSD干预期间,症状发生变化
Craig P Polizzi1,2, Rebecca E Sistad1,3, Nicholas A Livingston1,2,4
1U.S. Department of Veteran Affairs, Veterans Affairs Boston Healthcare System, Boston, Massachusetts.
Journal of studies on alcohol and drugs
|October 5, 2023
概括
与酒精使用相关的人际关系问题的退伍军人在使用在线干预时,在创伤后应激障碍 (PTSD) 症状方面表现出更大的改善. 这些发现强调了为退伍军人定制的数字健康工具的好处.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 数字健康数字健康
背景情况:
- 与酒精有关的问题在治疗期间显著影响创伤后应激障碍 (PTSD) 症状.
- 基于证据的在线自助工具可用于危险的酒精使用和同时出现的PTSD症状.
- 特定的与酒精有关的问题对治疗反应的差异性影响尚未得到充分理解.
研究的目的:
- 评估特定的与酒精有关的问题作为PTSD症状变化的调节者在接受在线干预的退伍军人中.
- 在分析中控制平均每日饮酒量,性别,种族和年龄.
主要方法:
- 一个随机对照试验的二次分析,涉及600名9/11后退伍军人.
- 混合效应回归模型用于分析初始和延迟干预组中的PTSD严重程度.
主要成果:
- 在最初的干预组中,人际关系问题缓和了PTSD症状的减少,更大的问题与更大的症状减少有关.
- 非白人退伍军人在干预期间报告了更高的PTSD症状.
- 具有较高人际关系问题的退伍军人更有可能参与识别高风险饮酒情况和应对策略的内容.
结论:
- 患有与酒精有关的人际关系问题的退伍军人可能从使用危险饮酒和PTSD的在线干预中获得最大的益处,并且更有动力使用在线干预.
- 研究结果表明,基于特定的与酒精有关的问题概况,有个性化的数字心理健康干预的潜力.
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