VISN 17 Center of Excellence for Research on Returning War Veterans, Central Texas Veterans Affairs Healthcare System.
Henry Ford Health.
J Fam Psychol. 2023 Dec;37(8):1294-1302. doi: 10.1037/fam0001131. Epub 2023 Sep 14.
Trauma exposure and posttraumatic stress disorder (PTSD) are highly prevalent in military and veteran populations and are associated with parenting difficulties. Unfortunately, there is a lack of accessible, trauma-informed, and evidence-based parenting support interventions within the Department of Veterans Affairs (VA). Strength at Home-Parents (SAHP) is a trauma-informed psychotherapy group that aims to improve parenting behaviors and overall parent-child and family functioning among U.S. military veterans with PTSD symptoms. SAHP was developed to maximize ease of use by VA providers and accessibility for parents. Here we report data from an uncontrolled trial of SAHP delivered using synchronous video technology in a sample of veterans using VA care ( = 53) who met the criteria for PTSD and parent-child functioning difficulties. Enrollment and retention rates met study goals and suggest feasibility and acceptability of study methods. Significant pre- to postintervention improvements were observed in measures of dysfunctional discipline, parenting stress, general family functioning, child psychosocial functioning, and parental PTSD and depression symptoms. Coupled with high satisfaction ratings, findings support further study of the intervention, including in an efficacy trial. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
创伤暴露和创伤后应激障碍(PTSD)在军人和退伍军人中非常普遍,并且与育儿困难有关。不幸的是,退伍军人事务部(VA)缺乏易获取、以创伤为中心且基于证据的育儿支持干预措施。“家庭力量-父母”(SAHP)是一种以创伤为中心的心理治疗团体,旨在改善 PTSD 症状的美国军人退伍军人的育儿行为以及亲子和家庭功能的整体状况。SAHP 的开发旨在最大限度地提高 VA 服务提供者的易用性和父母的可及性。在这里,我们报告了一项使用同步视频技术在接受 VA 护理的退伍军人(n = 53)中进行的 SAHP 非对照试验的数据,这些退伍军人符合 PTSD 和亲子功能障碍的标准。入组和保留率达到了研究目标,表明研究方法具有可行性和可接受性。在功能失调的纪律、育儿压力、一般家庭功能、儿童心理社会功能以及父母 PTSD 和抑郁症状方面,观察到了从干预前到干预后的显著改善。再加上高满意度评分,研究结果支持对干预措施的进一步研究,包括在功效试验中。(PsycInfo 数据库记录(c)2023 APA,保留所有权利)。