A pilot of couple HOPES within the U.S. Veterans Affairs Healthcare System: PTSD and relationship outcomes in veteran couples.

IF 1.9 3区心理学 Q3 PSYCHOLOGY, CLINICAL

Psychological Services Pub Date : 2024-08-01 Epub Date: 2023-06-19 DOI:10.1037/ser0000773

Leslie A Morland, Tamara Wachsman, Katelyn Webster, Skye Fitzpatrick, Robert Valela, Alexander O Crenshaw, Candice M Monson, Kayla C Knopp

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引用次数: 0

Abstract

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 g'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).

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在美国退伍军人事务医疗保健系统内开展的 "夫妻 HOPES "试点项目：退伍军人夫妇的创伤后应激障碍和关系结果。

针对创伤后应激障碍（PTSD）的联合干预为针对症状的更广泛社会影响（包括夫妻关系满意度）提供了机会。技术辅助干预措施可能有助于克服夫妻获得护理的障碍。帮助夫妻克服创伤后应激障碍并提高满意度（HOPES）是一种基于互联网的创伤后应激障碍夫妻辅导干预方法，它改编自认知行为联合疗法，这是一种以证据为基础的创伤后应激障碍夫妻疗法。这项试点研究在退伍军人事务（VA）医疗中心的环境中，以 15 名患有创伤后应激障碍的美国退伍军人及其恋爱伴侣为样本，考察了 "情侣希望 "疗法的实施可行性、可接受性和初步疗效。退伍军人的创伤后应激障碍症状（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了明显改善，尽管效应大小很小（所有 g 均小于 0.40）。重要的是，73% 的保留率和参与者在评估后的反馈表明，这种在线调整可以帮助夫妻克服获得护理的障碍。从更广泛的意义上讲，这项试点研究有助于回答退伍军人事务部系统内创伤后应激障碍持续护理中数字健康干预措施的定位问题。(PsycInfo Database Record (c) 2024 APA，保留所有权利）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychological Services PSYCHOLOGY, CLINICAL-

CiteScore

4.20

自引率

13.00%

发文量

216

期刊介绍： Psychological Services publishes high-quality data-based articles on the broad range of psychological services. While the Division"s focus is on psychologists in "public service," usually defined as being employed by a governmental agency, Psychological Services covers the full range of psychological services provided in any service delivery setting. Psychological Services encourages submission of papers that focus on broad issues related to psychotherapy outcomes, evaluations of psychological service programs and systems, and public policy analyses.