Mental Health Service, Ralph H. Johnson Veterans Affairs Medical Center, Charleston, SC, United States; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, United States.
Psychiatry Res. 2014 Dec 15;220(1-2):275-82. doi: 10.1016/j.psychres.2014.08.018. Epub 2014 Aug 15.
Considerable attention has focused on the growing need for evidence-based psychotherapy for veterans with affective disorders within the Department of Veteran Affairs. Despite, and possibly due to, the large number of evidence-based protocols available, several obstacles remain in their widespread delivery within Veterans Affairs Medical Centers. In part as an effort to address these concerns, newer transdiagnostic approaches to psychotherapy have been developed to provide a single treatment that is capable of addressing several, related disorders. The goal of the present investigation was to develop and evaluate a transdiagnostic psychotherapy, Transdiagnostic Behavior Therapy (TBT), in veterans with affective disorders. Study 1 provided initial support for transdiagnostic presentation of evidence-based psychotherapy components in veterans with principal diagnoses of affective disorders (n=15). These findings were used to inform the development of the TBT protocol. In Study 2, an initial evaluation of TBT was completed in a second sample of veterans with principal diagnoses of affective disorders (n=29). The findings of Study 2 demonstrated significant improvements in symptoms of depression, anxiety, stress, posttraumatic stress, and related impairment across participants with various principal diagnoses. Together, the investigation provided preliminary support for effectiveness of TBT in veterans with affective disorders.
人们越来越关注退伍军人事务部（VA）中情感障碍退伍军人对基于证据的心理治疗的需求。尽管（可能由于）有大量可用的基于证据的治疗方案，但在退伍军人事务医疗中心广泛推广这些方案仍存在一些障碍。作为解决这些问题的努力的一部分，已经开发出了新的跨诊断心理治疗方法，以提供一种能够治疗多种相关疾病的单一治疗方法。本研究的目的是为患有情感障碍的退伍军人开发和评估一种跨诊断心理治疗方法，即跨诊断行为治疗（TBT）。研究 1 为在患有情感障碍主要诊断的退伍军人中呈现基于证据的心理治疗成分的跨诊断方法提供了初步支持（n=15）。这些发现被用于为 TBT 方案的制定提供信息。在研究 2 中，对 TBT 进行了初步评估，评估对象为患有情感障碍主要诊断的第二组退伍军人（n=29）。研究 2 的结果表明，在具有各种主要诊断的参与者中，抑郁、焦虑、压力、创伤后应激和相关障碍的症状都有显著改善。总的来说，这项研究为 TBT 在患有情感障碍的退伍军人中的有效性提供了初步支持。
