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通过“一起”网络研讨会项目满足军人配偶的心理健康需求:试点随机对照试验

Supporting the Mental Health Needs of Military Partners Through the Together Webinar Program: Pilot Randomized Controlled Trial.

作者信息

Hendrikx Laura Josephine, Murphy Dominic

机构信息

Combat Stress, Leatherhead, United Kingdom.

King's Centre for Military Health Research, King's College London, London, United Kingdom.

出版信息

JMIR Ment Health. 2021 Oct 12;8(10):e25622. doi: 10.2196/25622.

Abstract

BACKGROUND

Despite an increased risk of psychological difficulties, there remains a lack of evidence-based support for the mental health needs of military partners.

OBJECTIVE

This study aims to investigate whether the Together Webinar Programme (TTP-Webinar), a 6-week structured, remote access group intervention would reduce military partners' experience of common mental health difficulties and secondary trauma symptoms.

METHODS

A pilot randomized controlled trial was used to compare the TTP-Webinar intervention with a waitlist control. The sample was UK treatment-seeking veterans engaged in a mental health charity. A total of 196 military partners (1 male and 195 females; aged mean 42.28, SD 10.82 years) were randomly allocated to the intervention (n=97) or waitlist (n=99) condition. Outcome measures were self-reported measures of common mental health difficulties, secondary trauma symptoms, and overall quality of life rating.

RESULTS

Compared with the waitlist, military partners in the TTP-Webinar had reduced common mental health difficulties (P=.02) and secondary trauma symptoms (P=.001). However, there was no difference in quality-of-life ratings (P=.06).

CONCLUSIONS

The results suggest that TTP-Webinar is an effective intervention to support the mental health difficulties of military partners. This study provides promising evidence that webinars may be an appropriate platform for providing group-based support.

TRIAL REGISTRATION

ClinicalTrials.gov NCT05013398; https://clinicaltrials.gov/ct2/show/NCT05013398.

摘要

背景

尽管心理问题风险增加,但针对军人配偶心理健康需求仍缺乏循证支持。

目的

本研究旨在调查为期6周的结构化远程访问团体干预“共同网络研讨会计划”(TTP - 网络研讨会)是否能减少军人配偶常见心理健康问题和继发性创伤症状。

方法

采用一项试点随机对照试验,将TTP - 网络研讨会干预与等待名单对照组进行比较。样本为向英国一家心理健康慈善机构寻求治疗的退伍军人。总共196名军人配偶(1名男性和195名女性;平均年龄42.28岁,标准差10.82岁)被随机分配到干预组(n = 97)或等待名单组(n = 99)。结局指标为常见心理健康问题、继发性创伤症状及总体生活质量评分的自我报告测量。

结果

与等待名单组相比,TTP - 网络研讨会组的军人配偶常见心理健康问题(P = 0.02)和继发性创伤症状(P = 0.001)有所减少。然而,生活质量评分无差异(P = 0.06)。

结论

结果表明,TTP - 网络研讨会是支持军人配偶心理健康问题的有效干预措施。本研究提供了有前景的证据,表明网络研讨会可能是提供团体支持的合适平台。

试验注册

ClinicalTrials.gov NCT05013398;https://clinicaltrials.gov/ct2/show/NCT05013398

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62d8/8548968/493de506b685/mental_v8i10e25622_fig1.jpg

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