PTSD-Focused Relationship Enhancement Therapy for Returning Veterans & their Part

为退伍军人提供以创伤后应激障碍 (PTSD) 为重点的关系增强疗法

• 批准号: 7363876
• 负责人: CASEY T TAFT
• 金额: $ 27.84万
• 依托单位: BOSTON VA RESEARCH INSTITUTE, INC.
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-30 至 2012-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7363876
• 关键词: PTSD; Focused; Relationship; Enhancement; Therapy

DESCRIPTION (provided by applicant): Five years of support are requested through the RFA entitled Family and Dyadic Focused Interventions to Prevent Intimate Partner Violence (U49). The purpose of the proposed project is to develop and test a couples based relationship enhancement group intervention for married or partnered Operation Enduring Freedom (OEF) / Operation Iraqi Freedom (OIF) veterans to prevent the perpetration of intimate partner aggression (IPA). This intervention will incorporate components of several interventions for PTSD and IPA and will target mechanisms implicated in the PTSD-IPA association. The intervention approach has been labeled PTSD Focused Relationship Enhancement Therapy (PF-RET). Participants will be randomly assigned to receive PFRET for supportive therapy (ST), both in a conjoint group format, and will be followed for 12 months post-intervention. Consistent with recommendations for the prevention of mental health problems (Mrazek & Haggerty, 1994), the intervention will target empirically-supported risk factors implicated in the development of IPA (proximal targets) to prevent IPA (distal targets). Specifically, the proximal targets of PF-RET include PTSD symptoms, anger, social problem solving skills, anger-related cognitive distortions, relationship satisfaction, generalized aggression, and conflicts related to power in relationships. The distal targets of the intervention include reduced incidence and frequency of intimate partner physical assault and psychological aggression. Participants will consist of 400 couples that are at risk for the development of IPA due to the presence of a male in the couple with PTSD, as well as high levels of marital distress. However, consistent with a secondary prevention approach (National Advisory Mental Health Council Workgroup on Mental Disorders Prevention Research, 1998), participants will be excluded on the basis of histories of IPA.

描述（由申请人提供）：通过 RFA 请求五年的支持，题为“预防亲密伴侣暴力的家庭和二元重点干预措施”(U49)。 拟议项目的目的是为已婚或有伴侣的持久自由行动（OEF）/伊拉克自由行动（OIF）退伍军人开发和测试基于夫妻的关系增强团体干预，以防止亲密伴侣攻击（IPA）。 该干预措施将纳入针对 PTSD 和 IPA 的多种干预措施的组成部分，并将针对 PTSD-IPA 关联中涉及的机制。 这种干预方法被称为“创伤后应激障碍聚焦关系增强疗法”(PF-RET)。 参与者将被随机分配接受 PFRET 进行支持性治疗 (ST)，均采用联合小组形式，并将在干预后随访 12 个月。 符合预防心理健康问题的建议（Mrazek 和 Haggerty，1994），干预措施将针对与 IPA（近端目标）发展有关的经验支持的风险因素，以预防 IPA（远端目标）。 具体来说，PF-RET 的近端目标包括 PTSD 症状、愤怒、社会问题解决能力、与愤怒相关的认知扭曲、关系满意度、普遍攻击性以及与关系中权力相关的冲突。 干预的最终目标包括减少亲密伴侣身体攻击和心理攻击的发生率和频率。 参与者将由 400 对夫妇组成，由于患有 PTSD 的夫妇中的男性以及高度的婚姻困扰，这些夫妇面临发生 IPA 的风险。 然而，与二级预防方法一致（国家咨询心理健康委员会心理工作组） 疾病预防研究，1998），参与者将根据 IPA 病史被排除在外。