Suppr超能文献

蒙森等人(2022年)对《夫妻HOPES的非对照试验:一种用于创伤后应激障碍和关系改善的在线夫妻引导干预》的勘误

Correction to "An uncontrolled trial of couple HOPES: A guided online couple intervention for PTSD and relationship enhancement" by Monson et al. (2022).

出版信息

J Fam Psychol. 2025 Aug;39(5):602. doi: 10.1037/fam0001286.

Abstract

Reports an error in "An uncontrolled trial of couple HOPES: A guided online couple intervention for PTSD and relationship enhancement" by Candice M. Monson, Anne C. Wagner, Alexander O. Crenshaw, Kristen M. Whitfield, Cait Martin Newnham, Robert Valela, Sonya Varma, Alyssa A. Di Bartolomeo, Lindsay Fulham, Alexis Collins, Victoria Donkin, Desiree H. Mensah, Meredith S. H. Landy, Christina Samonas, Leslie Morland, Brian D. Doss and Skye Fitzpatrick (, 2022[Sep], Vol 36[6], 1036-1042; see record 2022-41008-001). In the article, analyses involving the anger variable were originally excluded because the α reliability of the scale was unacceptably low. However, it was discovered that the measure contained errors, making the scale invalid. As a result, Footnote 2, cited in the second paragraph of the Measures section, was changed to read "We preregistered to test changes in drug use via the ASI (McLellan et al., 1980) and in anger via the State-Trait Anger Expression Inventory-2, Trait Anger Subscale (Spielberger, 2010). However, the internal reliability for ASI drug use was unacceptably low (α = .42), and we discovered that there were errors in the anger scale, causing it to be invalid. The cause of poor reliability for drug use is likely due to floor effects, as most responses were nil, and the preintervention mean was .014 on a 0-1 scale. As we could not be confident in the measurement of these constructs, results regarding the treatment effect on anger and drug use are excluded. The α for ASI alcohol misuse (.62) was also suboptimal, but, unlike drug use, was not low enough to warrant exclusion from reported results as a preregistered outcome." (The following abstract of the original article appeared in record 2022-41008-001.) Novel interventions that overcome limited access to empirically supported psychotherapies for posttraumatic stress disorder (PTSD) are sorely needed. Couple helping overcome PTSD and enhance relationships (HOPES), a guided, online couple intervention drawing from cognitive-behavioral conjoint therapy (CBCT) for PTSD (Monson, 2012), was designed to decrease PTSD symptoms and improve relationship satisfaction. The present study is the first uncontrolled trial of 17 couples in which one partner was a military member, veteran, or first responder and had probable PTSD (PTSD + partner) based on self-report assessment. Intent-to-intervene analyses revealed significant improvements from pre- to postintervention in PTSD + partners' self-reported PTSD symptoms ( = .72), as well as their intimate partner's relationship satisfaction ( = .34) and behavioral accommodation of PTSD symptoms ( = .84). There were also significant improvements in PTSD + partners' depression ( = .43) and perceived relationship arguments ( = .62). There were similar results found in the completer sample. There were no adverse events and high satisfaction with the intervention in those who completed the evaluation. These findings provide additional initial data on the safety, feasibility, and efficacy of Couple HOPES. The similarities of intent-to-intervene and completer results, as well as the need for randomized controlled trial designs to test Couple HOPES, are discussed. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

摘要

报告坎迪斯·M·蒙森、安妮·C·瓦格纳、亚历山大·O·克伦肖、克里斯汀·M·惠特菲尔德、凯特·马丁·纽纳姆、罗伯特·瓦莱拉、索尼娅·瓦尔马、阿莉莎·A·迪·巴托洛梅奥、林赛·富勒姆、阿列克西斯·柯林斯、维多利亚·唐金、德西蕾·H·门萨、梅雷迪思·S·H·兰迪、克里斯蒂娜·萨莫纳斯、莱斯利·莫兰、布莱恩·D·多斯和斯凯·菲茨帕特里克所著的《夫妻HOPES的非对照试验:一种用于创伤后应激障碍和关系改善的在线夫妻引导干预》(, 2022[9月], 第36卷[6], 1036 - 1042页;见记录2022 - 41008 - 001)中的一处错误。在该文章中,涉及愤怒变量的分析最初被排除,因为该量表的α信度低到不可接受。然而,后来发现该测量存在误差,导致该量表无效。因此,“测量”部分第二段引用的脚注2修改为:“我们预先登记通过成瘾严重程度指数(ASI;麦克莱伦等人,1980年)测试药物使用变化,并通过状态 - 特质愤怒表达量表 - 2的特质愤怒子量表(斯皮尔伯格,2010年)测试愤怒变化。然而,ASI药物使用的内部信度低到不可接受(α = .42),并且我们发现愤怒量表存在误差,导致其无效。药物使用信度差的原因可能是地板效应,因为大多数回答为零,干预前在0 - 1量表上的均值为.014。由于我们对这些构念的测量缺乏信心,关于愤怒和药物使用治疗效果的结果被排除。ASI酒精滥用的α值(.62)也不理想,但与药物使用不同,它没有低到足以作为预先登记的结果而被排除在报告结果之外。”(原始文章的以下摘要出现在记录2022 - 41008 - 001中。)迫切需要新的干预措施来克服创伤后应激障碍(PTSD)患者获得实证支持的心理治疗的机会有限的问题。夫妻帮助克服创伤后应激障碍并增强关系(HOPES)是一种从用于PTSD的认知行为联合疗法(CBCT;蒙森,2012年)改编而来的在线夫妻引导干预,旨在减轻PTSD症状并提高关系满意度。本研究是对17对夫妻进行的首次非对照试验,其中一方是军人、退伍军人或急救人员,根据自我报告评估可能患有PTSD(PTSD + 伴侣)。意向性干预分析显示,PTSD + 伴侣自我报告的PTSD症状( = .72)、其亲密伴侣的关系满意度( = .34)以及对PTSD症状的行为适应( = .84)从干预前到干预后有显著改善。PTSD + 伴侣的抑郁( = .43)和感知到的关系争吵( = .62)也有显著改善。在完成样本中也发现了类似结果。完成评估的人对干预没有不良事件且满意度高。这些发现为夫妻HOPES的安全性、可行性和有效性提供了更多初步数据。讨论了意向性干预和完成样本结果的相似性,以及测试夫妻HOPES所需的随机对照试验设计。(PsycInfo数据库记录 (c) 2025美国心理学会,保留所有权利)

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验