计算机辅助跨诊断性CBT干预的可行性,可接受性和初步临床影响,用于患有同时出现焦虑和物质使用障碍的退伍军人
Alan Z Sheinfil1,2,3, Michael A Cucciare4,5,6, Kate Wolitzky-Taylor7,8
1Houston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, Texas, USA.
Journal of dual diagnosis
|October 1, 2025
概括
退伍军人事务协调焦虑学习和管理-物质 (VA CALM-S) 干预对于具有同时出现焦虑和物质使用障碍的退伍军人来说是可行的和可接受的. 这种计算机辅助程序显著减少了焦虑和物质使用症状.
科学领域:
- 心理健康 心理健康
- 行为科学 行为科学
- 临床心理学 临床心理学
背景情况:
- 同时出现的焦虑和物质使用障碍 (SUD) 对退伍军人来说是一个重大挑战.
- 现有的治疗方法可能无法充分满足这一群体的复杂需求.
- 在退伍军人中,需要有效的,可访问的干预措施来治疗伴随性焦虑和SUD.
研究的目的:
- 检查退伍军人事务协调焦虑学习和管理-物质 (VA CALM-S) 干预措施的可行性,可接受性和初步临床影响.
- 评估VA CALM-S与通常护理相比在减少焦虑和物质使用症状方面的有效性.
- 收集资深参与者对干预接待的质量反.
主要方法:
- 一项随机对照试验,涉及退伍军人同时出现焦虑和SUDs.
- 参与者被随机分配到接受VA CALM-S (n=14) 或通常的护理 (n=12).
- 通过治疗完成率和定性反来衡量可行性和可接受性;通过治疗后自我报告的症状来评估临床影响.
主要成果:
- 85%的参与者完成了所有VA CALM-S模块,这表明其可行性很高.
- 质量反证实了干预得到了很好的接待,并被退伍军人认为是有帮助的.
- 在减少焦虑症状 (d=0.64),物质使用 (d=0.69) 和与物质有关的后果 (d=0.34) 方面,VA CALM-S显示了中等到大效果.
结论:
- 退伍军人的VA CALM-S干预是可行的,可以接受的退伍军人与同时发生的焦虑和SUDs.
- 初步发现表明VA CALM-S对减少与这些疾病相关的症状和后果具有积极的临床影响.
- 这种计算机辅助的,跨诊断的认知行为干预表明,它对这种退伍军人群体来说是一个有效的治疗选择.
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