Developing a Brief Early Cognitive Intervention for PTSD and Alcohol Misuse

针对创伤后应激障碍和酒精滥用制定简短的早期认知干预措施

• 批准号: 9037561
• 负责人: MICHELE A BEDARD-Gilligan
• 金额: $ 17.86万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-03-20 至 2018-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9037561
• 关键词: Acute; Address; Alcohol abuse; Alcohol consumption; Alcohols; Area; Behavior Therapy; Belief; Chronic; Clinical; Cognitive; Communities; Consultations; Control Groups; DSM-IV; Data; Development; Diagnosis; Disease; Early Intervention; Enrollment; Evidence based intervention; Feedback; Focus Groups; Goals; Health; Health Care Costs; Impairment; Incidence; Individual; Intervention; Interview; Life; Medical center; Modeling; Monitor; National Institute on Alcohol Abuse and Alcoholism; Outcome; Participant; Pattern; Persons; Phase; Post-Traumatic Stress Disorders; Prevention; Process; Protocols documentation; Provider; Psychopathology; Public Health; Randomized Controlled Trials; Reaction; Recommendation; Recovery; Recruitment Activity; Reporting; Research; Risk; Sampling; Severities; Societies; Survivors; Symptoms; Testing; Time; Trauma; Treatment Efficacy; Treatment Protocols; Universities; Vulnerable Populations; Woman; alcohol misuse; alcohol related consequences; alcohol use disorder; assault; base; brief intervention; cognitive process; coping; design; disorder later incidence prevention; drinking; drinking behavior; effective intervention; efficacy testing; evidence base; group intervention; hazardous drinking; health care service utilization; high risk; meetings; post intervention; prevent; psychoeducation; sexual assault; symptom cluster; symptom treatment; symptomatology

DESCRIPTION (provided by applicant): Following sexual assault a substantial number of victims will go on to develop psychopathology, such as posttraumatic stress disorder (PTSD) or alcohol use disorders (AUD), and development of these disorders is costly to both the victim and society as a whole. Intervening early with victims of assault has the potential to provide individuals with theoretically based coping strategies that could be beneficial in decreasing risk of developing chronic psychopathology. Cognitive approaches for treating symptoms of PTSD and alcohol misuse following sexual assault are targeted at intervening with chronic presentation of symptoms. Less is known about effective strategies for intervening acutely following sexual assault to change maladaptive trauma related and alcohol related beliefs. This project is designed to adapt existing empirically supported cognitive treatment principles for both PTSD and AUD symptoms to be delivered in a brief one session format in the 6 weeks following sexual assault. In the intervention refinement phase we will utilize an iterative process to incorporate (1) expert feedback on cognitive strategies and intervention targets immediately following assault; (2) provider feedback on implementing strategies and feasibility of intervention approaches; and (3) feedback from participants in a small open trial (n = 6) to create and modify a brief cognitive treatment protocol. In the pilot testing phase, we will partner with university ad community agencies to recruit 38 women to complete the one session intervention followed by 4 once per week coaching calls on using the cognitive strategies. This brief intervention group will be compared to a group of 38 women who receive weekly symptom monitoring only to provide information on the efficacy of the intervention compared to the natural recovery process. This research is significant in its potential to use targeted prevention to decrease the development of chronic psychopathology in a high risk group of individuals.

描述（由申请人提供）：性侵犯后，大量受害者将继续发展心理病理学，例如创伤后应激障碍（PTSD）或酒精使用障碍（AUD），而这些疾病的发展对受害者和整个社会来说都是昂贵的。早期与袭击受害者的介入有可能为个人提供基于理论上的应对策略，这些策略可能有益于降低发展慢性心理病理学的风险。治疗性侵犯后PTSD症状和滥用酗酒症状的认知方法针对性地介绍了症状的长期表现。关于性侵犯后急性侵犯以改变适应不良创伤和与酒精相关的信念的有效策略的了解鲜为人知。该项目旨在调整现有的经验支持的认知治疗原则 PTSD和AUD症状将在性侵犯后的6周内以简短的一次会话格式提供。在干预改进阶段，我们将利用一个迭代过程来纳入（1）袭击后立即对认知策略和干预目标的专家反馈； （2）提供者有关实施策略和干预可行性的反馈 方法； （3）参与者进行的小型开放试验（n = 6）的反馈，以创建和修改简短的认知治疗方案。在试点测试阶段，我们将与大学广告社区机构合作，招募38名妇女，以完成一项会议干预，然后每周4次使用认知策略进行一次教练。将将这个简短的干预组与38名接受每周症状监测的妇女组成的小组进行比较，仅提供与自然恢复过程相比提供有关干预措施有效性的信息。这项研究对于使用有针对性的预防来减少高风险人群的慢性心理病理学发展具有重要意义。