Improving Effectiveness: Treatment Outcome Research

提高疗效：治疗结果研究

基本信息

批准号：
7617114
负责人：
TARA E GALOVSKI
金额：
$ 20.39万
依托单位：
UNIVERSITY OF MISSOURI-ST. LOUIS
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-08-01 至 2011-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7617114
关键词：
Aftercare Applied Research Attention Beck depression inventory Behavior Therapy Client Clinical Clinical Trials Cognitive Cognitive Therapy Community Practice Complex Crime Victims DSM-IV Data Diagnosis Diagnostic Disease Dose Drops Effectiveness Emotional Equipment and supply inventories Event Evidence based practice Female Genetic Crossing Over Goals Grant Guilt Impairment Individual Interpersonal Violence Intervention Interview Length Literature Measures Missouri Modification Monitor Outcome Outcome Measure Outcomes Research Participant Pathology Patient Self-Report Population Post-Traumatic Stress Disorders Process Protocols documentation Psychopathology Psychosocial Factor Randomized Research Sampling Scientist Sex Characteristics Site Speed Structure Symptoms Testing Therapeutic Effect Time Trauma Treatment Protocols Treatment outcome Universities Variant active method clinical practice design diaries efficacy trial flexibility follow-up improved male primary outcome programs psychosocial remediation success treatment duration treatment strategy

项目摘要

DESCRIPTION (provided by applicant): This application seeks to increase the effectiveness of an existing treatment strategy, cognitive processing therapy (CPT), for the remediation of Posttraumatic Stress Disorder among crime victims by varying the duration and content of the intervention in accordance with participants' needs. A secondary goal is to identify predictors of duration of treatment necessary to achieve good end state functioning, including individual and trauma variables, cognitive and emotional variables, and Axis II pathology. Finally, by including a sample of male participants, the generalizability of CPT will be tested. It is anticipated that these modifications will speed the dissemination of CPT to community practice thus benefiting more trauma victims. Fifty subjects will be randomly assigned to either the modified CPT condition or to a symptom-monitoring, minimal attention condition designed to control for the effects of the daily monitoring and the passage of time. Utilizing a semicrossover design, the control condition will be crossed over to the active treatment, allowing for a replication within the study. The entire treated sample (N = 50) will be compared to a sample (N = 50) receiving strict 12- session protocol-driven CPT through the course of a recent study conducted at the same site using the same primary outcome measures. Participants in the study will be administered a battery of interviews and self-report measures which include 1.) Clinician Administered PTSD Scale, 2.) Structured Clinical Interview for DSM-IV Axis I & II Disorders, 3.) Standardized Trauma Interview, 4.) PTSD Diagnostic Scale, 5.) Beck Depression Inventory - II, 6.) Trauma-Related Guilt Inventory, 7.) Pennebaker Inventory of Limbic Languidness. Subjects will monitor progress through use of daily diaries as well as undergo formal assessments at pre-treatment, at three status checkpoints during therapy, at post-treatment, and at a three month follow-up point. Conducting the proposed study will have important implications on advancing the ecological validity and effectiveness of applied research on PTSD.

描述（由申请人提供）：本申请旨在通过根据参与者改变干预的持续时间和内容，提高现有治疗策略认知处理疗法（CPT）的有效性，以治疗犯罪受害者的创伤后应激障碍' 的需要。第二个目标是确定实现良好最终状态功能所需的治疗持续时间的预测因素，包括个体和创伤变量、认知和情绪变量以及轴 II 病理学。最后，通过纳入男性参与者样本，将测试 CPT 的普遍性。预计这些修改将加速 CPT 向社区实践的传播，从而使更多的创伤受害者受益。五十名受试者将被随机分配到改良的 CPT 条件或症状监测、最低限度注意力条件，旨在控制日常监测和时间流逝的影响。利用半交叉设计，对照条件将交叉到活性治疗，从而允许在研究中进行复制。整个治疗样本 (N = 50) 将与最近在同一地点使用相同主要结果指标进行的一项研究过程中接受严格的 12 次方案驱动的 CPT 的样本 (N = 50) 进行比较。研究参与者将接受一系列访谈和自我报告措施，其中包括 1.) 临床医生管理的 PTSD 量表，2.) DSM-IV 轴 I 和 II 疾病的结构化临床访谈，3.) 标准化创伤访谈，4 .) PTSD 诊断量表，5.) 贝克抑郁量表 - II，6.) 创伤相关内疚量表，7.) 彭尼贝克边缘系统无力清单。受试者将通过使用每日日记来监测进展，并在治疗前、治疗期间的三个状态检查点、治疗后以及三个月的随访点接受正式评估。进行拟议的研究将对提高 PTSD 应用研究的生态有效性和有效性产生重要影响。

项目成果

期刊论文数量（6）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Change in Trauma Narratives and Perceived Recall Ability over a Course of Cognitive Processing Therapy for PTSD.

PTSD 认知加工治疗过程中创伤叙事和感知回忆能力的变化。

DOI：
10.1037/trm0000012
发表时间：
2015
期刊：
Traumatology
影响因子：
3.2
作者：
Mott,JulietteM;Galovski,TaraE;Walsh,RyanM;Elwood,LisaS
通讯作者：
Elwood,LisaS

Leveraging observational data to identify in-session patient and therapist predictors of cognitive processing therapy response and completion.

DOI：
10.1002/jts.22924
发表时间：
2023-03
期刊：
Journal of traumatic stress
影响因子：
3.3
作者：
Elizabeth Alpert;Joseph K. Carpenter;Brian N Smith;Mercedes G. Woolley;Chelsea Raterman;Courtney C Farmer;S. Kehle-Forbes;T. Galovski
通讯作者：
Elizabeth Alpert;Joseph K. Carpenter;Brian N Smith;Mercedes G. Woolley;Chelsea Raterman;Courtney C Farmer;S. Kehle-Forbes;T. Galovski

Female sexual self-schema after interpersonal trauma: relationship to psychiatric and cognitive functioning in a clinical treatment-seeking sample.

人际创伤后的女性性自我图式：与临床寻求治疗样本中的精神和认知功能的关系。