Massed written exposure therapy delivered to veterans with posttraumatic stress symptoms on an acute inpatient mental health unit

IF 2.4 3区 医学 Q2 PSYCHIATRY
Chelsea R. Ennis, Amanda M. Raines, Joseph W. Boffa, Mary O. Shapiro, Allison Dornbach-Bender, Mara L. Ferrie, Alana H. Fondren, Desirae N. Vidaurri, Jessica L. Walton, Jessica L. Chambliss, C. Laurel Franklin
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Abstract

Written exposure therapy (WET) is a brief, manualized trauma-focused treatment typically delivered in five individual weekly sessions. Given the brevity and effectiveness of WET, researchers have begun to focus on its delivery in a massed format. However, only one case study examining massed delivery has been published to date. As such, the objective of the current study was to examine the acceptability, feasibility, and preliminary effectiveness of massed WET among veterans with a trauma- and stressor-related disorder receiving care on an acute inpatient mental health unit. Veterans (N = 26) were assessed prior to, immediately after, and 1 month following massed WET. Most veterans found massed WET to be useful and acceptable. Recruitment and retention rates suggested that the treatment was feasible. Notably, the results revealed statistically significant reductions in overall posttraumatic stress symptoms, ηp2 = .81, p < .001; depressive symptoms, ηp2 = .71, p < .001; and functional impairment, ηp2 = .42, p = .002. These findings add to a growing body of literature highlighting the preliminary effectiveness of WET across various settings, populations, and delivery formats. Limitations include the small sample size and uncontrolled design.

在心理健康急诊住院病房为有创伤后应激症状的退伍军人提供大规模书面暴露疗法
书面暴露疗法(WET)是一种以创伤为重点的简短手册化治疗方法,通常每周单独进行五次治疗。鉴于书面暴露疗法的简短性和有效性,研究人员开始关注其大规模实施的形式。然而,迄今为止,只有一项研究大规模实施的案例研究发表过。因此,本研究的目的是考察在急性精神疾病住院病房接受治疗的患有创伤和压力相关障碍的退伍军人对大规模 WET 的接受度、可行性和初步有效性。退伍军人(26 人)分别在大规模 WET 前、刚开始和一个月后接受了评估。大多数退伍军人认为大规模 WET 是有用的、可接受的。招募率和保留率表明该疗法是可行的。值得注意的是,研究结果显示,总体创伤后应激症状(ηp2 = .81,p < .001)、抑郁症状(ηp2 = .71,p < .001)和功能障碍(ηp2 = .42,p = .002)均有统计学意义的显著减轻。这些发现为越来越多的文献增添了新的内容,这些文献强调了 WET 在不同环境、人群和授课形式下的初步有效性。该研究的局限性包括样本量较小和设计缺乏控制。
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来源期刊
CiteScore
5.80
自引率
6.10%
发文量
125
期刊介绍: Journal of Traumatic Stress (JTS) is published for the International Society for Traumatic Stress Studies. Journal of Traumatic Stress , the official publication for the International Society for Traumatic Stress Studies, is an interdisciplinary forum for the publication of peer-reviewed original papers on biopsychosocial aspects of trauma. Papers focus on theoretical formulations, research, treatment, prevention education/training, and legal and policy concerns. Journal of Traumatic Stress serves as a primary reference for professionals who study and treat people exposed to highly stressful and traumatic events (directly or through their occupational roles), such as war, disaster, accident, violence or abuse (criminal or familial), hostage-taking, or life-threatening illness. The journal publishes original articles, brief reports, review papers, commentaries, and, from time to time, special issues devoted to a single topic.
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