VA San Diego Healthcare System.
Department of Psychology, York University.
Psychol Serv. 2024 Aug;21(3):509-517. doi: 10.1037/ser0000773. Epub 2023 Jun 19.
Conjoint interventions for posttraumatic stress disorder (PTSD) offer an opportunity to target symptoms' broader social impact, including couples' relationship satisfaction. Technology-assisted interventions may help overcome access to care barriers for couples. Couple Helping Overcome PTSD and Enhance Satisfaction (HOPES) is a coached internet-based couples' intervention for PTSD adapted from cognitive behavioral conjoint therapy, an evidence-based dyadic therapy for PTSD. This pilot study examined the implementation feasibility, acceptability, and preliminary efficacy of Couple HOPES in a sample of 15 United States veterans with PTSD and their romantic partners within a Veterans Affairs (VA) Medical Center setting. There were significant improvements in veterans' PTSD symptoms (self- and partner-reported) and both veterans' and partners' relationship satisfaction, though the effect sizes were small (all 's < .40). Importantly, the 73% retention rate and participant feedback at postassessment suggest this online adaptation may help couples overcome barriers to accessing care. More broadly, this pilot study helps answer questions regarding where digital health interventions fit into the continuum of PTSD care within the VA system. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
创伤后应激障碍（PTSD）的联合干预提供了一个机会，可以针对症状更广泛的社会影响，包括夫妻关系满意度。技术辅助干预可能有助于克服夫妻获得护理的障碍。夫妻共同克服 PTSD 和增强满意度（HOPES）是一种基于认知行为联合疗法改编的、针对 PTSD 的基于互联网的夫妻干预方法，这是一种针对 PTSD 的循证二元疗法。这项试点研究在美国退伍军人事务部（VA）医疗中心的 15 名 PTSD 退伍军人及其浪漫伴侣中，考察了夫妻 HOPES 的实施可行性、可接受性和初步疗效。退伍军人的 PTSD 症状（自我报告和伴侣报告）以及退伍军人和伴侣的关系满意度都有显著改善，尽管效果大小较小（所有's <.40）。重要的是，73%的保留率和参与者在评估后的反馈表明，这种在线改编可能有助于夫妻克服获得护理的障碍。更广泛地说，这项试点研究有助于回答数字健康干预措施在 VA 系统内 PTSD 护理连续体中的位置问题。（PsycInfo 数据库记录（c）2024 APA，保留所有权利）。
