PTSD and Severe Mental Disorders: A Group Model for Men

创伤后应激障碍（PTSD）和严重精神障碍：男性群体模型

• 批准号: 7256892
• 负责人: ROGER D FALLOT
• 金额: $ 18.36万
• 依托单位: COMMUNITY CONNECTIONS, INC
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-15 至 2009-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7256892
• 关键词: Address; Adherence; Adopted; Agreement; Anxiety; Appendix; Area; Audiotape; Bipolar Disorder; Characteristics; Child Abuse; Chronic; Clinical; Cognitive; Communities; Companions; Condition; Confidence Intervals; Connecticut; Consent; Consult; Coping Skills; Data; Data Sources; Diagnosis; District of Columbia; Doctor of Philosophy; Effectiveness; Elements; Eligibility Determination; Enrollment; Exercise; Feedback; Focus Groups; Gender; Gender Role; Goals; Grant; Health system; High Prevalence; Hostility; Individual; Interpersonal Violence; Intervention; Interview; Lead; Major Depressive Disorder; Manuals; Measures; Mental Health; Mental disorders; Modeling; Monitor; National Institute of Mental Health; New Hampshire; Outcome; Outcome Measure; Participant; Pilot Projects; Population; Post-Traumatic Stress Disorders; Preparation; Process; Quality of life; Randomized; Randomized Controlled Trials; Rate; Recording of previous events; Reporting; Research; Risk; Safety; Schizoaffective Disorders; Schizophrenia; Score; Services; Severities; Sexual abuse; Shapes; Site; Substance abuse problem; Survivors; Symptoms; Testing; Time; Trauma; Trauma recovery; Traumatic Stress Disorders; Universities; Veterans; Victimization; Violence; Woman; Work; base; comparison group; coping; depressive symptoms; expectation; experience; follow-up; information gathering; male; member; men; men' s group; physical abuse; psychoeducation; response; size; skills training; social; statistics; treatment effect

DESCRIPTION (provided by applicant): People with severe mental disorders have a high prevalence of physical and sexual abuse and rates of PTSD in this population are also extremely high. In addition to the hallmark PTSD symptoms of reexperiencing, avoidance, and hyperarousal, these individuals are at increased risk of other problems: mental health symptoms (depression, generalized anxiety, somatization), hostility, interpersonal difficulties, and revictimization. The Men's Trauma Recovery and Empowerment Model (M-TREM) is a preliminary adaptation for men of the women's TREM group treatment, which has been found to be effective in addressing PTSD and closely related consequences of interpersonal violence among women with severe mental disorders. The proposed project has two major aims: (1) to refine the preliminary M-TREM group intervention and to complete the leader's manual and accompanying materials, including a revised Fidelity Scale for assessing leader adherence to the treatment model; and (2) to examine the effectiveness of the MTREM group in a pilot study. In order to accomplish these aims, a research and clinical team from Community Connections in Washington, DC and the New Hampshire-Dartmouth Psychiatric Research Center will carry out the following tasks: (1) revise the existing manual; conduct two M-TREM groups; gather member, leader, and observer feedback; and refine the treatment manual accordingly; (2) enroll and randomly assign 60 men with PTSD and severe mental disorders to either a control condition of Services as Usual (SAU) or to M-TREM plus SAU (the latter condition will use the refined manual); (3) assess at baseline, post-treatment, and 3-month follow-up points the following outcomes: PTSD symptom severity, other mental health symptoms (depression, anxiety, and somatization), hostility, social relations, and revictimization; (4) examine within-group changes over time and conduct preliminary tests of the hypotheses that M-TREM will, in comparison to SAU, lead to decreased symptoms and enhanced social relations.

描述（由申请人提供）：严重精神障碍的人的身体和性虐待患病率很高，而该人群中PTSD的发生率也很高。除了重新经历，回避和高音的标志性PTSD症状外，这些人还会增加其他问题的风险：心理健康症状（抑郁，广泛性焦虑，躯体化），敌意，人际关系困难和重新计算。男性的创伤恢复和赋权模型（M-TREM）是对女性TREM组治疗男性的初步适应，该男性待遇有效地解决PTSD和严重精神疾病女性的人际暴力的紧密相关后果。拟议的项目有两个主要目的：（1）完善初步M-Trem组干预措施并完成领导者的手册和随附​​的材料，包括评估领导者遵守治疗模型的修订的保真度量表； （2）在一项试点研究中检查MTREM组的有效性。为了实现这些目标，华盛顿特区社区联系和新罕布什尔州 - 达特茅斯精神病学研究中心的研究和临床团队将执行以下任务：（1）修改现有手册；进行两个M-Trem组；聚集成员，领导者和观察者反馈；并相应地完善治疗手册； （2）注册并随机分配60名患有PTSD和严重精神障碍的男性，就像往常一样（SAU）或M-Trem Plus SAU（后者的条件将使用精制手册）； （3）在基线，治疗后和3个月的随访中评估以下结果：PTSD症状严重程度，其他心理健康症状（抑郁，焦虑和躯体化），敌意，社会关系和复兴； （4）检查小组内随着时间的变化，并对M-TREM与SAU相比会导致症状减少和增强社会关系的假设进行初步测试。