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: 7497859
• 负责人: CASEY T TAFT
• 金额: $ 38.29万
• 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/7497859
• 关键词: PTSD; Focused; Relationship; Enhancement; Therapy; 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的题为家庭和以二元为中心的干预措施要求提供五年的支持，以防止亲密的伴侣暴力（U49）。 拟议项目的目的是开发和测试基于夫妻的关系增强群体干预措施，用于已婚或合作的持久自由（OEF） /伊拉克自由行动（OIF）退伍军人，以防止亲密伴侣侵略（IPA）的实施。 该干预措施将结合PTSD和IPA的几种干预措施的组成部分，并将针对PTSD-IPA关联的机制。 干预方法已标记为PTSD浓度增强的增强疗法（PF-RET）。 参与者将被随机分配接受支持治疗（ST）的PFRET，均以联合组格式进行，并在干预后12个月遵循。 与预防心理健康问题的建议一致（Mrazek＆ Haggerty，1994年），该干预措施将针对IPA（近端目标）开发的经验支持的风险因素，以防止IPA（远端目标）。 具体而言，PF-RET的近端目标包括PTSD症状，愤怒，社会问题解决技能，与愤怒有关的认知扭曲，关系满意度，广泛的侵略以及与人际关系中的权力有关的冲突。 干预的远端目标包括降低亲密伴侣身体攻击和心理攻击的频率。 参与者将由400对夫妇组成，这些夫妇因患有PTSD的夫妇的存在以及高水平的婚姻困扰而面临IPA的风险。 但是，与二级预防方法一致（国家咨询心理健康委员会的精神工作组 预防疾病预防研究，1998年），将根据IPA历史来排除参与者。