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一项针对患有精神疾病的退伍军人的资金管理干预随机临床试验。

A Randomized Clinical Trial of a Money Management Intervention for Veterans With Psychiatric Disabilities.

作者信息

Elbogen Eric B, Hamer Robert M, Swanson Jeffrey W, Swartz Marvin S

机构信息

Dr. Elbogen is with the Durham Veterans Affairs Medical Center, Durham, North Carolina (e-mail:

出版信息

Psychiatr Serv. 2016 Oct 1;67(10):1142-1145. doi: 10.1176/appi.ps.201500203. Epub 2016 May 16.

Abstract

OBJECTIVE

The study evaluated an intervention to help veterans with psychiatric disabilities, who face a unique set of challenges concerning money management.

METHODS

A randomized clinical trial was conducted of a brief (one to three hours) psychoeducational, recovery-oriented money management intervention called $teps for Achieving Financial Empowerment ($AFE).

RESULTS

Analyses revealed no main effects on outcomes of random assignment to $AFE (N=67) or a control condition consisting of usual care (N=77). Veterans who reported using $AFE skills showed significantly lower impulsive buying, more responsible spending, higher rates of engaging in vocational activities, and greater number of work hours compared with veterans in the control condition.

CONCLUSIONS

Findings have clinical implications for case management services involving informal money management assistance. Offering veterans with psychiatric disabilities a one-time money management intervention is unlikely to lead to substantial changes. Results imply that efforts to improve psychosocial outcomes among veterans must not only teach but also increase use of money management skills.

摘要

目的

本研究评估了一项干预措施,以帮助患有精神疾病的退伍军人,他们在资金管理方面面临一系列独特的挑战。

方法

进行了一项随机临床试验,采用一种简短的(一至三小时)以康复为导向的心理教育性资金管理干预措施,称为“实现财务赋权的步骤”($AFE)。

结果

分析显示,随机分配到$AFE组(N = 67)或常规护理对照组(N = 77)对结果没有主要影响。与对照组的退伍军人相比,报告使用$AFE技能的退伍军人冲动购买行为显著减少,支出更具责任感,参与职业活动的比例更高,工作时间更多。

结论

研究结果对涉及非正式资金管理援助的病例管理服务具有临床意义。为患有精神疾病的退伍军人提供一次性资金管理干预不太可能导致实质性变化。结果表明,改善退伍军人心理社会结局的努力不仅要教授资金管理技能,还要增加这些技能的使用。

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