同伴传递创伤后应激障碍的简短认知行为治疗：混合有效性-实施试点研究。
Peer delivery of a brief cognitive-behavioral treatment for posttraumatic stress disorder: A hybrid effectiveness-implementation pilot study.
机构信息
Department of Psychiatry, Boston Medical Center, Boston, Massachusetts, USA.
Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts, USA.
出版信息
J Clin Psychol. 2020 Dec;76(12):2133-2154. doi: 10.1002/jclp.23020. Epub 2020 Jul 6.
Abstract
OBJECTIVE
Posttraumatic stress disorder (PTSD) treatment delivery by peer specialist providers could increase access to and engagement with PTSD treatment in low resource settings. The current pilot study tested the feasibility, acceptability, and initial effectiveness of a peer-delivered, brief cognitive-behavioral therapy for PTSD.
METHOD
Four certified peer specialists delivered the intervention to 18 participants with probable PTSD. We assessed PTSD symptoms weekly and administered surveys and interviews at baseline and posttreatment.
RESULTS
Our mixed-methods approach suggests that the intervention was feasible and acceptable, demonstrating high client satisfaction. We also found significant improvements in PTSD, depressive, anxiety, and general stress symptoms.
CONCLUSIONS
Peer-delivered interventions may be a good fit for addressing posttraumatic stress symptoms for people accessing care in low resource settings. Future research should evaluate peer-delivered PTSD treatment as a strategy for both reducing symptoms and improving access and engagement in professional care.
摘要
目的
同伴专家提供的创伤后应激障碍（PTSD）治疗可能会增加在资源匮乏环境中获得 PTSD 治疗的机会并提高其参与度。本初步研究测试了一种由同伴提供的简短认知行为疗法治疗 PTSD 的可行性、可接受性和初步效果。
方法
四名认证的同伴专家为 18 名可能患有 PTSD 的参与者提供了干预措施。我们每周评估 PTSD 症状，并在基线和治疗后进行调查和访谈。
结果
我们的混合方法表明该干预措施是可行且可接受的，具有很高的客户满意度。我们还发现 PTSD、抑郁、焦虑和一般压力症状有显著改善。
结论
同伴提供的干预措施可能非常适合解决在资源匮乏环境中寻求护理的人出现的创伤后应激症状。未来的研究应评估同伴提供的 PTSD 治疗作为减轻症状以及改善获得和参与专业护理的策略。
相似文献
1
Peer delivery of a brief cognitive-behavioral treatment for posttraumatic stress disorder: A hybrid effectiveness-implementation pilot study.
J Clin Psychol. 2020 Dec;76(12):2133-2154. doi: 10.1002/jclp.23020. Epub 2020 Jul 6.
2
Intensive weekend group treatment for panic disorder and its impact on co-occurring PTSD: A pilot study.
J Anxiety Disord. 2015 Jun;33:1-7. doi: 10.1016/j.janxdis.2015.04.002. Epub 2015 Apr 21.
3
Psychological and pharmacological interventions for posttraumatic stress disorder and comorbid mental health problems following complex traumatic events: Systematic review and component network meta-analysis.
PLoS Med. 2020 Aug 19;17(8):e1003262. doi: 10.1371/journal.pmed.1003262. eCollection 2020 Aug.
4
Pilot study comparing telephone to in-person delivery of cognitive-behavioural therapy for trauma-related insomnia for rural veterans.
J Telemed Telecare. 2018 Oct;24(9):629-635. doi: 10.1177/1357633X17732366. Epub 2017 Sep 26.
5
A pilot study comparing peer supported web-based CBT to self-managed web CBT for primary care veterans with PTSD and hazardous alcohol use.
Psychiatr Rehabil J. 2019 Sep;42(3):305-313. doi: 10.1037/prj0000334. Epub 2018 Nov 29.
6
A pilot study of group mindfulness-based cognitive therapy (MBCT) for combat veterans with posttraumatic stress disorder (PTSD).
Depress Anxiety. 2013 Jul;30(7):638-45. doi: 10.1002/da.22104. Epub 2013 Apr 17.
7
A randomized controlled trial of 7-day intensive and standard weekly cognitive therapy for PTSD and emotion-focused supportive therapy.
Am J Psychiatry. 2014 Mar;171(3):294-304. doi: 10.1176/appi.ajp.2013.13040552.
8
Psychological interventions for post-traumatic stress disorder (PTSD) in people with severe mental illness.
Cochrane Database Syst Rev. 2017 Jan 24;1(1):CD011464. doi: 10.1002/14651858.CD011464.pub2.
9
Enhancing the Reach of Cognitive-Behavioral Therapy Targeting Posttraumatic Stress in Acute Care Medical Settings.
Psychiatr Serv. 2017 Mar 1;68(3):258-263. doi: 10.1176/appi.ps.201500458. Epub 2016 Oct 17.
10
Zonisamide as an Adjunctive Treatment to Cognitive Processing Therapy for Veterans With Posttraumatic Stress Disorder and Comorbid Alcohol Use Disorder: A Pilot Study.
Am J Addict. 2020 Nov;29(6):515-524. doi: 10.1111/ajad.13061. Epub 2020 May 27.
引用本文的文献
1
Assessing implementation and health equity determinants to develop a facilitation plan for varied intensity posttraumatic stress disorder (PTSD) treatments in minority-serving institutions.
Psychol Serv. 2025 Aug;22(3):546-558. doi: 10.1037/ser0000941. Epub 2025 Mar 27.
2
Brief Peer-Supported Web-Based Skills Training in Affective and Interpersonal Regulation (BPS webSTAIR) for Trauma-Exposed Veterans in the Community: Randomized Controlled Trial.
J Med Internet Res. 2024 Oct 2;26:e52130. doi: 10.2196/52130.
3
Study protocol for a hybrid 1 effectiveness-implementation trial of Brief Skills Training in Affective and Interpersonal Regulation (Brief STAIR) and web-administered STAIR (webSTAIR) for posttraumatic stress disorder in integrated primary care.
Contemp Clin Trials. 2023 Aug;131:107241. doi: 10.1016/j.cct.2023.107241. Epub 2023 May 25.
4
Formative evaluation prior to implementation of a brief treatment for posttraumatic stress disorder in primary care.
Implement Sci Commun. 2023 May 4;4(1):48. doi: 10.1186/s43058-023-00426-2.
5
A consultation with feedback approach to supporting fidelity to a peer-delivered intervention for posttraumatic stress disorder.
Implement Res Pract. 2021 May 31;2:26334895211017280. doi: 10.1177/26334895211017280. eCollection 2021 Jan-Dec.
6
Consideration of racism experiences in the implementation of trauma-focused therapy in primary care.
Health Serv Res. 2022 Dec;57 Suppl 2(Suppl 2):235-248. doi: 10.1111/1475-6773.13998. Epub 2022 May 20.
7
Feasibility and Acceptability of Prolonged Exposure in Primary Care (PE-PC) for Posttraumatic Stress Disorder in Federally Qualified Health Centers: A Pilot Study.
Adm Policy Ment Health. 2022 Sep;49(5):722-734. doi: 10.1007/s10488-022-01195-1. Epub 2022 Apr 20.
8
Redesign of a brief PTSD treatment in safety net integrated primary care: Supporting implementation in the context of the COVID-19 pandemic.
Gen Hosp Psychiatry. 2022 Jan-Feb;74:94-101. doi: 10.1016/j.genhosppsych.2021.12.004. Epub 2021 Dec 10.
9
Leveraging multistakeholder engagement to develop an implementation blueprint for a brief trauma-focused cognitive behavioral therapy in primary care.
Psychol Trauma. 2022 Sep;14(6):914-923. doi: 10.1037/tra0001145. Epub 2021 Oct 18.
10
A Stakeholder-Engaged Process for Adapting an Evidence-Based Intervention for Posttraumatic Stress Disorder for Peer Delivery.
Adm Policy Ment Health. 2021 Sep;48(5):793-809. doi: 10.1007/s10488-021-01129-3. Epub 2021 Apr 4.
本文引用的文献
1
A Randomized Controlled Trial of Brief Skills Training in Affective and Interpersonal Regulation (STAIR) for Veterans in Primary Care.
J Trauma Stress. 2020 Aug;33(4):401-409. doi: 10.1002/jts.22523. Epub 2020 Jun 7.
2
Effect of a Lay Counselor Intervention on Prevention of Major Depression in Older Adults Living in Low- and Middle-Income Countries: A Randomized Clinical Trial.
JAMA Psychiatry. 2019 Jan 1;76(1):13-20. doi: 10.1001/jamapsychiatry.2018.3048.
3
Perceived helpfulness of peer-delivered trauma specific treatment: A randomized controlled trial.
Psychol Serv. 2019 Aug;16(3):425-432. doi: 10.1037/ser0000281. Epub 2018 Nov 8.
4
Development and pilot study of a suicide prevention intervention delivered by peer support specialists.
Psychol Serv. 2019 Aug;16(3):360-371. doi: 10.1037/ser0000257. Epub 2018 Nov 1.
5
To go or not go: Patient preference in seeking specialty mental health versus behavioral consultation within the primary care behavioral health consultation model.
Fam Syst Health. 2018 Dec;36(4):513-517. doi: 10.1037/fsh0000374. Epub 2018 Oct 11.
6
Personal wellbeing in posttraumatic stress disorder (PTSD): association with PTSD symptoms during and following treatment.
BMC Psychol. 2018 Mar 2;6(1):7. doi: 10.1186/s40359-018-0219-2.
7
A Brief Exposure-Based Treatment vs Cognitive Processing Therapy for Posttraumatic Stress Disorder: A Randomized Noninferiority Clinical Trial.
JAMA Psychiatry. 2018 Mar 1;75(3):233-239. doi: 10.1001/jamapsychiatry.2017.4249.
8
The mechanisms underpinning peer support: a literature review.
J Ment Health. 2019 Dec;28(6):677-688. doi: 10.1080/09638237.2017.1417559. Epub 2017 Dec 20.
9
Effectiveness of Cognitive Processing Therapy and Prolonged Exposure in the Department of Veterans Affairs.
Psychol Rep. 2018 Apr;121(2):282-302. doi: 10.1177/0033294117727746. Epub 2017 Sep 8.
10
The Clinician-Administered PTSD Scale for DSM-5 (CAPS-5): Development and initial psychometric evaluation in military veterans.
Psychol Assess. 2018 Mar;30(3):383-395. doi: 10.1037/pas0000486. Epub 2017 May 11.
Zotero 插件