Effects of a mobile mindfulness smartphone app on posttraumatic stress disorder symptoms and alcohol use problems for veterans: A pilot randomized controlled trial.

IF 4.5 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of consulting and clinical psychology Pub Date : 2025-02-01 DOI:10.1037/ccp0000940

Jordan P Davis, Eric R Pedersen, Brian Borsari, Sarah Bowen, Jason E Owen, Angeles Sedano, Denise D Tran, Shaddy Saba, Reagan E Fitzke, Joannalyn Delacruz, Liv Canning

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引用次数: 0

Abstract

Objective: Veterans returning from deployment have high rates of posttraumatic stress disorder (PTSD) and co-occurring alcohol use disorder (AUD). Current treatments for PTSD and AUD report high dropout rates, and many veterans report alcohol misuse to cope with symptoms of PTSD. The present study is a pilot randomized controlled trial in which veterans (N = 201) were randomized to receive a mobile mindfulness-based intervention enhanced with brief alcohol intervention content (Mind Guide) or an active stress management program.

Method: To be eligible for the study, veterans had to have served after September 11, 2001 (post-9/11 veteran) and screen positive for PTSD and AUD. All participants were asked to complete a baseline and four monthly follow-up assessments (two during treatment phase and two posttreatment phase). Primary outcomes were PTSD symptoms, frequency of alcohol use, and alcohol use consequences.

Results: Engagement with Mind Guide was excellent (averages of over 31 logins and 5 hr of app usage). Those assigned to Mind Guide showed significant reductions in PTSD symptoms (d = -0.36; 16-week follow-up). No differences emerged for frequency of alcohol use (d = -0.12; 16-week follow-up) or consequences (d = -0.12; 16-week follow-up).

Conclusions: Mind Guide may be a valuable adjunct to more intensive in-person PTSD treatment by facilitating interest in services, integration into care, and/or sustainment of posttreatment improvements. Further development of Mind Guide may enhance efficacy at reducing alcohol use and consequences. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

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移动正念智能手机应用程序对退伍军人创伤后应激障碍症状和酒精使用问题的影响：一项随机对照试验。

目的：退伍军人的创伤后应激障碍（PTSD）和合并酒精使用障碍（AUD）的发生率高。目前对创伤后应激障碍和澳元的治疗报道高辍学率，许多退伍军人报告滥用酒精来应对创伤后应激障碍的症状。本研究是一项随机对照试验，在该试验中，退伍军人（N = 201）被随机分为两组，一组是基于移动正念的干预，另一组是简短的酒精干预（心理指南），另一组是积极的压力管理计划。方法：符合研究条件的退伍军人必须在2001年9月11日之后服役（9/11后退伍军人），并且PTSD和AUD筛查呈阳性。所有参与者被要求完成基线和四个月随访评估（两个在治疗阶段和两个治疗后阶段）。主要结局是PTSD症状、酒精使用频率和酒精使用后果。结果：《Mind Guide》的用户粘性非常好（平均超过31次登录和5小时的应用使用时间）。那些被分配到心灵指南的人显示出PTSD症状的显著减少(d = -0.36；16周随访)。酒精使用频率没有差异(d = -0.12；16周随访)或结果(d = -0.12；16周随访)。结论：通过促进对服务的兴趣，融入护理，和/或维持治疗后的改善，心灵指南可能是更密集的PTSD面对面治疗的有价值的辅助手段。心灵指南的进一步发展可能会提高减少酒精使用和后果的功效。（PsycInfo Database Record (c) 2025 APA，版权所有）。

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来源期刊

Journal of consulting and clinical psychology PSYCHOLOGY, CLINICAL-

CiteScore

9.00

自引率

3.40%

发文量

期刊介绍： The Journal of Consulting and Clinical Psychology® (JCCP) publishes original contributions on the following topics: the development, validity, and use of techniques of diagnosis and treatment of disordered behaviorstudies of a variety of populations that have clinical interest, including but not limited to medical patients, ethnic minorities, persons with serious mental illness, and community samplesstudies that have a cross-cultural or demographic focus and are of interest for treating behavior disordersstudies of personality and of its assessment and development where these have a clear bearing on problems of clinical dysfunction and treatmentstudies of gender, ethnicity, or sexual orientation that have a clear bearing on diagnosis, assessment, and treatmentstudies of psychosocial aspects of health behaviors. Studies that focus on populations that fall anywhere within the lifespan are considered. JCCP welcomes submissions on treatment and prevention in all areas of clinical and clinical–health psychology and especially on topics that appeal to a broad clinical–scientist and practitioner audience. JCCP encourages the submission of theory–based interventions, studies that investigate mechanisms of change, and studies of the effectiveness of treatments in real-world settings. JCCP recommends that authors of clinical trials pre-register their studies with an appropriate clinical trial registry (e.g., ClinicalTrials.gov, ClinicalTrialsRegister.eu) though both registered and unregistered trials will continue to be considered at this time.