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为患有创伤后应激障碍的退伍军人和军事人员提供服务犬:使用《精神疾病诊断与统计手册》第5版创伤后应激障碍检查表进行复制研究

Service Dogs for Veterans and Military Members With Posttraumatic Stress Disorder: Replication With the PTSD Checklist for DSM-5.

作者信息

Jensen Clare L, Rodriguez Kerri E, O'Haire Marguerite E

机构信息

Purdue University College of Veterinary Medicine, Center for the Human-Animal Bond, Purdue University, West Lafayette, Indiana, USA.

出版信息

J Trauma Stress. 2020 Oct 8. doi: 10.1002/jts.22587.

Abstract

Psychiatric service dogs are an emerging complementary intervention for veterans and military members with posttraumatic stress disorder (PTSD). Recent cross-sectional studies have documented significant, clinically relevant effects regarding service dogs and PTSD symptom severity. However, these studies were conducted using the PTSD Checklist (PCL) for the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM). The present study aimed to replicate and advance these findings using the latest version of the PCL for the fifth edition of the DSM (PCL-5). Participants included 186 military members and veterans who had received a PTSD service dog (n = 112) or who were on the waitlist to receive one in the future (n = 74). A cross-sectional design was used to investigate the association between having a service dog and PCL-5 total and symptom cluster scores. After controlling for demographic variables, there was a significant association between having a service dog and lower PTSD symptom severity both in total, B = -14.52, p < .001, d = -0.96, and with regard to each symptom cluster, ps < .001, ds = -0.78 to -0.94. The results replicated existing findings using the largest sample size to date and the most recent version of the PCL. These findings provide additional preliminary evidence for the efficacy of service dogs as a complementary intervention for military members and veterans with PTSD and add to a growing body of foundational research serving to rationalize investment in the further clinical evaluation of this emerging practice.

摘要

精神科服务犬是一种针对患有创伤后应激障碍(PTSD)的退伍军人和军事人员的新兴辅助干预措施。最近的横断面研究记录了服务犬与PTSD症状严重程度之间显著的、具有临床相关性的影响。然而,这些研究是使用《精神疾病诊断与统计手册》(DSM)第四版的PTSD检查表(PCL)进行的。本研究旨在使用DSM第五版的最新版PCL(PCL-5)来复制并推进这些发现。参与者包括186名军事人员和退伍军人,其中112人已获得PTSD服务犬,74人在未来的等候名单上。采用横断面设计来研究拥有服务犬与PCL-5总分及症状群分数之间的关联。在控制人口统计学变量后,拥有服务犬与较低的PTSD症状严重程度之间存在显著关联,总体上,B = -14.52,p <.001,d = -0.96,在每个症状群方面,p <.001,d = -0.78至-0.94。研究结果使用了迄今为止最大的样本量和最新版的PCL复制了现有发现。这些发现为服务犬作为对患有PTSD的军事人员和退伍军人的辅助干预措施的有效性提供了额外的初步证据,并为越来越多的基础研究增添了内容,这些研究有助于为对这一新兴实践进行进一步临床评估的投资提供合理性依据。

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