Cognitive Behavioral Therapy for Homeless Women with PTSD

针对患有创伤后应激障碍（PTSD）的无家可归妇女的认知行为疗法

• 批准号: 7026319
• 负责人: Suzanne L Wenzel
• 金额: $ 25.89万
• 依托单位: RAND CORPORATION
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-05-08 至 2009-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7026319
• 关键词: behavioral /social science research tag; clinical research; clinical trials; cognitive behavior therapy; female; focus groups; group counseling; handbook; health care service availability; health care service planning; health services research tag; homeless; human subject; human therapy evaluation; institutional care facility; interview; mental health services; posttraumatic stress disorder; psychological shock; therapy design /development; women' s health

DESCRIPTION (provided by applicant): Exposure to traumatic events may lead to mental health problems such as posttraumatic stress disorder (PTSD), a debilitating condition with potentially costly implications for the individual and society. Homeless women suffer from traumas and PTSD at rates typically higher than among housed women. Although effective, empirically validated treatments for PTSD are available, homeless women are unlikely to avail themselves of mental health services despite high levels of need. The three-year study proposed here addresses a critical gap in treatment research to meet the mental health service needs of homeless women. The Specific Aims of this study correspond with three phases of activities: Aim 1/Phase 1: Gather and analyze information on the context of PTSD and PTSD treatment for homeless women ages 18 and older through a) focus groups with homeless women having symptoms of PTSD (2 groups, 6-8 persons per group), and b) focus groups with shelter directors, case managers, and providers of mental health and other services to homeless women (2 groups, 6-8 persons per group). Aim 2/Phase 2: Develop an adaptation of an existing cognitive behavioral therapy (CBT)-based PTSD treatment manual to make it relevant for the lives of homeless women based on a) findings from Aim 1/ Phase I focus groups, and b) ongoing advice and feedback from homeless women (2 sets of 2 focus groups, 6-8 women per group), and shelter directors, case managers, and providers of mental health and other services to homeless women (2 sets of 2 focus groups, 6-8 persons per group). Aim 3/Phase 3: Conduct a pilot test of the adapted intervention with homeless women who have symptoms of PTSD. We propose a randomized design in which 32 women, 16 in each of two participating shelters, will be assigned to either the PTSD intervention condition or to an assessment-only control condition during the study intervention period. This study will culminate in Year 3 with several products: 1) a PTSD intervention and manual adapted for use with homeless women in shelter settings, 2) pilot data on intervention implementation and variation in outcomes that allow power analyses for key outcomes, 3) two scholarly journal publications and a conference presentation, and 4) a plan for an R01 application to test the efficacy of the PTSD intervention.

描述（由申请人提供）：暴露于创伤事件可能导致心理健康问题，例如创伤后应激障碍（PTSD），这是一种使人衰弱的疾病，对个人和社会具有潜在昂贵的影响。无家可归的妇女的创伤和PTSD的遭受的速度通常高于住房妇女。尽管有效，经验验证的PTSD治疗方法可供使用，但尽管需要很高的需求，但无家可归的妇女不太可能利用精神卫生服务。此处提出的为期三年的研究解决了治疗研究的关键差距，以满足无家可归妇女的精神卫生服务需求。 The Specific Aims of this study correspond with three phases of activities: Aim 1/Phase 1: Gather and analyze information on the context of PTSD and PTSD treatment for homeless women ages 18 and older through a) focus groups with homeless women having symptoms of PTSD (2 groups, 6-8 persons per group), and b) focus groups with shelter directors, case managers, and providers of mental health and other services to homeless women (2 groups, 6-8 persons per 团体）。 目标2/阶段2：开发现有的认知行为疗法（CBT）基于基于PTSD的PTSD治疗手册，使其与AIM 1/ I期焦点小组的发现与无家可归妇女的生活有关，以及b）持续的建议和反馈。组合2个焦点小组，每组6-8人）。 AIM 3/阶段3：对患有PTSD症状的无家可归妇女进行改编的干预试验测试。我们提出了一种随机设计，其中32名女性在两个参与庇护所的避难所中的每个中有16名被分配给PTSD干预条件，或者在研究干预期间将其分配给PTSD干预条件或仅评估控制条件。 This study will culminate in Year 3 with several products: 1) a PTSD intervention and manual adapted for use with homeless women in shelter settings, 2) pilot data on intervention implementation and variation in outcomes that allow power analyses for key outcomes, 3) two scholarly journal publications and a conference presentation, and 4) a plan for an R01 application to test the efficacy of the PTSD intervention.