Brief family involvement enhances veteran homework quality during trauma-focused psychotherapy.

IF 2.7 2区 心理学 Q2 PSYCHIATRY
Michelle Fernando, Robert E Fite, Johanna Thompson-Hollands
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引用次数: 0

Abstract

Objective: Homework has been shown to improve outcomes in cognitive-behavioral therapy, though less is known about the importance of homework during trauma-focused psychotherapy. Similarly, prior research suggests family context plays a key role in posttraumatic stress disorder (PTSD)-related distress and treatment engagement. One potential way that families can facilitate better treatment outcomes is by promoting homework engagement. This study examined the impact of a brief family intervention (BFI) for PTSD toward this aim. We hypothesized that veterans with PTSD whose family members (FMs) received the BFI would have better homework completion and quality than those who did not receive the BFI.

Method: This mixed-methods analysis examined 24 veteran-family dyads enrolled in a randomized clinical trial examining the BFI. All veterans were currently engaged in trauma-focused psychotherapy. Each veteran's clinician rated their homework quality and completion after each therapy session. A subset of dyads also completed semistructured interviews posttreatment. A rapid qualitative analysis approach was used to examine themes in shifting family behavior post-BFI.

Results: Quantitative analyses yielded partial support for our hypotheses: those in the BFI condition had significantly higher clinician-rated homework quality. While participants in the BFI condition had a higher homework completion rate, this difference did not reach statistical significance. Qualitative analyses suggested that the BFI prompted meaningful discussions about PTSD and increased FMs' use of supportive (rather than accommodative) behavior when responding to PTSD-related distress.

Conclusions: Involving FMs in PTSD treatment appears to shift the family context in a manner that improves homework quality in veterans. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

在以创伤为重点的心理治疗过程中,短暂的家庭参与可提高退伍军人的家庭作业质量。
目的:家庭作业已被证明可以改善认知行为疗法的疗效,但人们对以创伤为重点的心理疗法中家庭作业的重要性却知之甚少。同样,先前的研究表明,家庭环境在创伤后应激障碍(PTSD)相关的痛苦和治疗参与中起着关键作用。家庭能够促进更好治疗效果的一个潜在方法就是促进家庭作业的参与度。本研究考察了简短家庭干预(BFI)对创伤后应激障碍的影响。我们假设,与未接受 BFI 的创伤后应激障碍退伍军人相比,其家庭成员(FMs)接受 BFI 的创伤后应激障碍退伍军人的家庭作业完成情况和质量会更好:这项混合方法分析研究了 24 个参加 BFI 随机临床试验的退伍军人家庭组合。所有退伍军人目前都在接受以创伤为重点的心理治疗。每位退伍军人的临床医生都会在每次治疗后对他们的家庭作业质量和完成情况进行评分。一部分家庭还在治疗后完成了半结构化访谈。我们采用快速定性分析方法来研究 BFI 后家庭行为转变的主题:定量分析结果部分支持了我们的假设:在 BFI 条件下,临床医生评定的家庭作业质量明显更高。虽然 BFI 条件下参与者的家庭作业完成率更高,但这一差异未达到统计学意义。定性分析表明,BFI 引发了关于创伤后应激障碍的有意义的讨论,并增加了家庭医生在应对创伤后应激障碍相关困扰时使用支持性(而非迁就性)行为的机会:结论:让家庭主妇参与创伤后应激障碍治疗似乎能改变家庭环境,从而提高退伍军人的家庭作业质量。(PsycInfo Database Record (c) 2024 APA, 版权所有)。
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来源期刊
CiteScore
11.20
自引率
3.20%
发文量
427
期刊介绍: Psychological Trauma: Theory, Research, Practice, and Policy publishes empirical research on the psychological effects of trauma. The journal is intended to be a forum for an interdisciplinary discussion on trauma, blending science, theory, practice, and policy. The journal publishes empirical research on a wide range of trauma-related topics, including: -Psychological treatments and effects -Promotion of education about effects of and treatment for trauma -Assessment and diagnosis of trauma -Pathophysiology of trauma reactions -Health services (delivery of services to trauma populations) -Epidemiological studies and risk factor studies -Neuroimaging studies -Trauma and cultural competence
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