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针对患有创伤后应激障碍(PTSD)和危险饮酒问题的退伍军人的个性化反馈干预及无物质活动补充的开放性试验。

Open trial of a personalized feedback intervention and substance-free activity supplement for veterans with PTSD and hazardous drinking.

作者信息

Luciano Matthew T, McDevitt-Murphy Meghan E, Murphy James G, Zakarian Rebecca J, Olin Cecilia C

机构信息

The University of Memphis, Memphis, TN 38152, United States.

San Diego State University, San Diego, CA 92104, United States.

出版信息

J Behav Cogn Ther. 2022 Jun;32(2):136-144. doi: 10.1016/j.jbct.2022.02.004. Epub 2022 Mar 19.

DOI:10.1016/j.jbct.2022.02.004
PMID:35872748
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9307063/
Abstract

This study reports findings from an open trial of a two-session intervention for veterans with symptoms of PTSD and hazardous drinking. Rooted in behavioral economic theory, this intervention aimed to decrease alcohol use and increase alcohol-free activities through personalized and normative feedback. This trial assessed the feasibility and acceptability of the intervention in a sample of 15 veterans. Participants completed assessments at baseline and post-intervention (1-month and 3-months). Thirteen participants (86.6%) were retained between the baseline assessment and second intervention session. Acceptability data indicated that veterans overwhelmingly viewed the intervention positively with little dropout between the two sessions. Further, participants in our study reduced alcohol consumption from 37.30 (SD = 17.30) drinks per week at baseline to 22.50 ( = 27.75) drinks per week at the 1-month assessment and then to 14.60 ( = 18.64) at the 3-months assessment, representing medium to large effects. PTSD severity also decreased from 57.20 ( = 16.72) at baseline to 48.90 ( = 18.99) at the 1-month assessment, representing a small effect. Though effect sizes from pilot trials should be interpreted with caution, findings suggest that this intervention was well-received, feasible to deliver, and may have resulted in improvements in intervention targets.

摘要

本研究报告了一项针对有创伤后应激障碍(PTSD)症状和危险饮酒行为的退伍军人进行的两阶段干预开放性试验的结果。该干预基于行为经济学理论,旨在通过个性化和规范性反馈来减少酒精使用并增加无酒精活动。本试验评估了该干预在15名退伍军人样本中的可行性和可接受性。参与者在基线和干预后(1个月和3个月)完成评估。在基线评估和第二次干预阶段之间,有13名参与者(86.6%)被保留。可接受性数据表明,退伍军人对该干预的评价绝大多数是积极的,两个阶段之间的退出率很低。此外,我们研究中的参与者每周饮酒量从基线时的37.30(标准差 = 17.30)杯减少到1个月评估时的22.50(= 27.75)杯,然后在3个月评估时减少到14.60(= 18.64)杯,显示出中等到较大的效果。PTSD严重程度也从基线时的57.20(= 16.72)降至1个月评估时的48.90(= 18.99),显示出较小的效果。尽管对试点试验的效应大小应谨慎解释,但研究结果表明,该干预受到好评,实施可行,并且可能使干预目标得到改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd51/9307063/dd82d539cd81/nihms-1791266-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd51/9307063/dd82d539cd81/nihms-1791266-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd51/9307063/dd82d539cd81/nihms-1791266-f0001.jpg

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