移动正念智能手机应用程序对创伤后应激障碍症状和退伍军人使用酒精问题的影响:试点随机对照试验
Jordan P Davis1, Eric R Pedersen2, Brian Borsari3
1RAND.
Journal of consulting and clinical psychology
|February 6, 2025
概括
一个移动的正念干预 (Mind Guide) 有效地减少了退伍军人的创伤后应激障碍 (PTSD) 症状. 虽然它没有显著影响酒精使用,但它显示出支持PTSD治疗的希望.
科学领域:
- 临床心理学 临床心理学
- 行为健康 行为健康
- 数字健康干预措施 数字健康干预措施
背景情况:
- 高率的创伤后应激障碍 (PTSD) 和同时出现的酒精使用障碍 (AUD) 影响退伍军人.
- 现有的PTSD和AUD治疗方法有很高的学率,一些退伍军人使用酒精来应对PTSD症状.
研究的目的:
- 评估一项基于正念的移动干预 (思维指南) 与综合酒精干预内容,用于患有PTSD和AUD的退伍军人.
- 在试点随机对照试验中,将思维指南与积极的压力管理计划的有效性进行比较.
主要方法:
- 一项试点随机对照试验涉及201名9/11后退伍军人,对PTSD和AUD的查结果呈阳性.
- 参与者被随机分配,接受心智指南或压力管理计划.
- 对PTSD症状,酒精使用频率和酒精使用后果的评估每月进行16周.
主要成果:
- 心智指南表现出了很好的参与度,参与者平均有超过31个登录和5个小时的应用程序使用.
- 在16周的随访期间,在思维指南组 (d = -0.36) 中观察到PTSD症状的显著减少.
- 在16周的随访中,在饮酒频率 (d = -0.12) 或后果 (d = -0.12) 方面没有发现群体之间的显著差异.
结论:
- 心智指南显示了潜在的辅助在人体PTSD治疗,提高参与度和潜在的持续改进.
- 进一步开发思维指南可能是必要的,以提高其在减少酒精使用和相关后果的有效性.
- 这种干预可能会促进退伍军人对PTSD和AUD服务的兴趣和融入.
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