Was it helpful? Treatment outcomes and practice assignment adherence and helpfulness among U.S. service members with PTSD and MDD.

IF 4.3 2区心理学 Q1 PSYCHOLOGY, CLINICAL

Cognitive Behaviour Therapy Pub Date : 2025-03-26 DOI:10.1080/16506073.2025.2482155

Kristen H Walter, Nicholas P Otis, Alexander C Kline, Erin L Miggantz, W Michael Hunt, Lisa H Glassman

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引用次数: 0

Abstract

Practice assignments (i.e. homework) are a key component in cognitive behavioral therapies that predict treatment outcomes for posttraumatic stress disorder (PTSD) and major depressive disorder (MDD) separately. However, research has not explored these variables among individuals with comorbid PTSD and MDD. This study evaluated whether practice assignment adherence and helpfulness predicted PTSD (Clinician-Administered PTSD Scale for DSM-5; CAPS-5) and MDD (Montgomery-Åsberg Depression Rating Scale; MADRS) outcomes at posttreatment and 3-month follow-up. Data were derived from a randomized clinical trial comparing cognitive processing therapy (CPT) and behavioral activation-enhanced CPT (BA+CPT) among 83 U.S. active duty service members with comorbid PTSD and MDD. Participants reported greater assignment adherence in BA+CPT than CPT (p = .008), primarily due to higher adherence to BA assignments within BA+CPT. Multilevel models indicated helpfulness ratings were significantly related to decreased CAPS-5 scores (p = .044) but not MADRS scores (p = .074); service members with the highest helpfulness ratings achieved the best outcomes. Adherence was not significantly related to CAPS-5 (p = .494) or MADRS (p = .114) outcomes. Findings provide clinical insights regarding compliance in integrated treatments and highlight the value in assessing helpfulness of practice assignments during treatment.

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有帮助吗？创伤后应激障碍和重度抑郁症美国军人的治疗结果、实践任务依从性和帮助性。

练习作业（即家庭作业）是认知行为疗法的一个关键组成部分，它可以分别预测创伤后应激障碍（PTSD）和重度抑郁症（MDD）的治疗结果。然而，研究还没有在患有PTSD和重度抑郁症的个体中探索这些变量。本研究评估实践作业依从性和帮助性是否能预测PTSD (DSM-5临床管理PTSD量表；CAPS-5)和MDD (Montgomery-Åsberg抑郁评定量表；MADRS)治疗后和3个月随访的结果。数据来源于一项随机临床试验，比较了83名美国患者的认知加工疗法（CPT）和行为激活增强CPT （BA+CPT）同时患有PTSD和重度抑郁症的现役军人。与CPT相比，BA+CPT的参与者报告了更高的作业依从性（p = 0.008），主要是由于BA+CPT中更高的BA作业依从性。多水平模型显示，帮助评分与CAPS-5评分下降显著相关（p = 0.044），但与MADRS评分无关（p = 0.074）；帮助评级最高的服务人员取得了最好的结果。依从性与CAPS-5 （p = .494）或MADRS （p = .114）结果无显著相关。研究结果提供了关于综合治疗依从性的临床见解，并强调了评估治疗期间实践作业的有用性的价值。

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

Cognitive Behaviour Therapy PSYCHOLOGY, CLINICAL-

CiteScore

9.20

自引率

0.00%

发文量

期刊介绍： Cognitive Behaviour Therapy is a peer reviewed, multidisciplinary journal devoted to the application of behavioural and cognitive sciences to clinical psychology and psychotherapy. The journal publishes state-of-the-art scientific articles within: - clinical and health psychology - psychopathology - behavioural medicine - assessment - treatment - theoretical issues pertinent to behavioural, cognitive and combined cognitive behavioural therapies With the number of high quality contributions increasing, the journal has been able to maintain a rapid publication schedule, providing readers with the latest research in the field.