在情感和人际调节 (BPS webSTAIR) 的简短同行支持的基于网络的技能培训,用于社区中受创伤的退伍军人:随机对照试验
Laura E Ong1, Sarah Speicher2, Diana Villasenor2
1Department of Psychology, Northern Illinois University, DeKalb, IL, United States.
Journal of medical Internet research
|July 16, 2024
概括
简短的同行支持的基于网络的情感和人际调节技能培训 (BPS webSTAIR) 显著改善了退伍军人的PTSD和抑郁症症状. 这种同行支持的移动健康计划提供了一种有效的,低负担的方法来提高心理健康结果.
科学领域:
- 心理健康 心理健康
- 数字健康数字健康
- 精神病学是一个精神病学.
背景情况:
- 同行支持的移动健康 (mHealth) 计划显示出改善心理健康准入和结果的前景.
- 有限的研究存在于同行支持对减轻症状的影响.
- 暴露于创伤的人群经常经历PTSD和抑郁症的同时发生,影响日常功能.
研究的目的:
- 评估同行支持的跨诊断的mHealth计划 (BPS webSTAIR) 在症状结果和功能方面的有效性.
- 为了将BPS webSTAIR与PTSD或抑郁症的退伍军人等候名单对照进行比较.
主要方法:
- 一个随机对照试验,包括178名退伍军人 (117名BPS webSTAIR,61名等候名单).
- 评估PTSD,抑郁症,情绪调节和心理社会功能治疗前,治疗后以及8周的随访.
- 使用混合效应模型和对同行相互作用类型和频率的探索性分析.
主要成果:
- 与等候名单对照组 (中等效果大小) 相比,BPS webSTAIR参与者在PTSD,抑郁症,情绪调节和功能障碍方面表现出显著更大的改善.
- 在8周的随访期内,收益保持不变.
- 更高的模块完成与更大的症状改善相关,而初始队列中的强制性同行参与导致了更多的互动,但完成的模块较少.
结论:
- BPS webSTAIR有效地改善了社区退伍军人的PTSD和抑郁症症状,情绪调节和心理社会功能.
- 同行支持的,跨诊断的mHealth计划代表了创伤暴露人口的高效和有效的低负担的心理健康干预.
- 需要进一步的研究,以优化同行支持的交付和确定最佳的接受者,可能扩大VA工作人员和改善退伍军人护理.
相关概念视频
Modeling in Therapy
65
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
65
Post-traumatic Stress Disorder
31
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.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
31
Self-Help Support Groups
28
Self-help support groups are voluntary, community-based organizations that provide a platform for individuals with shared concerns to exchange support, insights, and practical strategies for coping with life challenges. Typically led by group members or paraprofessionals, these groups form a cornerstone of mental health care, especially in reaching populations that are underserved by traditional healthcare systems.
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
28
Community Based Intervention
38
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
38


