J Consult Clin Psychol. 2021 Jul;89(7):655. doi: 10.1037/ccp0000664.
Reports an error in "A randomized trial of an online, coach-assisted self-management PTSD intervention tailored for women veterans" by Keren Lehavot, Steven P. Millard, Rachel M. Thomas, Konstantina Yantsides, Michelle Upham, Kerry Beckman, Alison B. Hamilton, Anne Sadler, Brett Litz and Tracy Simpson (, 2021[Feb], Vol 89[2], 134-142). In the article "A Randomized Trial of an Online, Coach-Assisted Self-Management PTSD Intervention Tailored for Women Veterans" by Keren Lehavot, Steven P. Millard, Rachel M. Thomas, Konstantina Yantsides, Michelle Upham, Kerry Beckman, Alison B. Hamilton, Anne Sadler, Brett Litz, and Tracy Simpson (Journal of Consulting and Clinical Psychology, 2021, 89(2), 134-141. https://doi.org/10 .1037/ccp0000556), due to production error, Figure 1 was not included. The online version of this article has been corrected. (The following abstract of the original article appeared in record 2021-24184-006.) Objective: Scalable, efficiently delivered treatments are needed to address the needs of women Veterans with PTSD. This randomized clinical trial compared an online, coach-assisted cognitive behavioral intervention tailored for women Veterans with PTSD to phone monitoring only.
Women Veterans who met diagnostic criteria for PTSD were randomized to an 8-week web-based intervention, called DElivery of Self TRaining and Education for Stressful Situations (DESTRESS)-Women Veterans version (WV), or to phone monitoring only (N = 102). DESTRESS-WV consisted of online sessions and 15-min weekly phone calls from a study coach. Phone monitoring included 15-min weekly phone calls from a study coach to offer general support. PTSD symptom severity (PTSD Symptom-Checklist-Version 5 [PCL-5]) was evaluated pre and posttreatment, and at 3 and 6 months posttreatment.
More participants completed phone monitoring than DESTRESS-WV (96% vs. 76%, p = 0.01), although treatment satisfaction was significantly greater in the DESTRESS-WV condition. We failed to confirm the superiority of DESTRESS-WV in intent-to-treat slope changes in PTSD symptom severity. Both treatments were associated with significant reductions in PTSD symptom severity over time. However, post hoc analyses of treatment completers and of those with baseline PCL ≥ 33 revealed that the DESTRESS-WV group had greater improvement in PTSD symptom severity relative to phone monitoring with significant differences at the 3-month follow-up assessment.
Both DESTRESS-WV and phone monitoring resulted in significant improvements in women Veterans' PTSD symptoms. DESTRESS-WV may be an appropriate care model for women Veterans who can engage in the demands of the treatment and have higher baseline symptoms. Future research should explore characteristics of and the methods of reliably identifying women Veterans who are most likely to benefit. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
勘误《为女性退伍军人量身定制的在线、教练辅助自我管理创伤后应激障碍干预的随机试验》一文,作者为凯伦·莱哈沃特、史蒂文·P·米勒德、雷切尔·M·托马斯、康斯坦丁娜·扬齐德斯、米歇尔·厄普姆、克里·贝克曼、艾莉森·B·汉密尔顿、安妮·萨德勒、布雷特·利茨和特蕾西·辛普森(《咨询与临床心理学杂志》,2021年2月,第89卷第2期,134 - 142页)。在凯伦·莱哈沃特、史蒂文·P·米勒德、雷切尔·M·托马斯、康斯坦丁娜·扬齐德斯、米歇尔·厄普姆、克里·贝克曼、艾莉森·B·汉密尔顿、安妮·萨德勒、布雷特·利茨和特蕾西·辛普森撰写的《为女性退伍军人量身定制的在线、教练辅助自我管理创伤后应激障碍干预的随机试验》一文中(《咨询与临床心理学杂志》,2021年,89(2),134 - 141页。https://doi.org/10.1037/ccp0000556),由于制作错误,图1未包含在内。本文的在线版本已修正。(原始文章的以下摘要出现在记录2021 - 24184 - 006中。)目的:需要可扩展、高效提供的治疗方法来满足患有创伤后应激障碍的女性退伍军人的需求。这项随机临床试验将为患有创伤后应激障碍的女性退伍军人量身定制的在线、教练辅助认知行为干预与仅电话监测进行了比较。
符合创伤后应激障碍诊断标准的女性退伍军人被随机分为两组,一组接受为期8周的基于网络的干预,称为应激情境下自我训练与教育交付(DESTRESS) - 女性退伍军人版(WV),另一组仅接受电话监测(N = 102)。DESTRESS - WV包括在线课程和研究教练每周15分钟的电话沟通。电话监测包括研究教练每周15分钟的电话沟通以提供一般支持。在治疗前、治疗后以及治疗后3个月和6个月评估创伤后应激障碍症状严重程度(创伤后应激障碍症状清单第5版[PCL - 5])。
完成电话监测的参与者比完成DESTRESS - WV的参与者更多(96%对76%,p = 0.01),尽管在DESTRESS - WV组中治疗满意度显著更高。我们未能证实在意向性分析中DESTRESS - WV在创伤后应激障碍症状严重程度斜率变化方面的优越性。随着时间的推移,两种治疗方法都与创伤后应激障碍症状严重程度的显著降低相关。然而,对治疗完成者以及基线PCL≥33者的事后分析表明,相对于电话监测,DESTRESS - WV组在创伤后应激障碍症状严重程度方面有更大改善,在3个月随访评估时有显著差异。
DESTRESS - WV和电话监测都使女性退伍军人的创伤后应激障碍症状有显著改善。DESTRESS - WV可能是适合那些能够适应治疗要求且基线症状较高的女性退伍军人的护理模式。未来的研究应探索最有可能受益的女性退伍军人的特征以及可靠识别她们的方法。(PsycInfo数据库记录(c)2021美国心理学会,保留所有权利)