Feasibility, acceptability, and outcomes: A pilot trial of the enhancing social function in older veterans with PTSD (ESVP) group intervention.

IF 1.8 3区心理学 Q3 PSYCHOLOGY, CLINICAL

Psychological Services Pub Date : 2025-06-26 DOI:10.1037/ser0000962

Anica Pless Kaiser, Molly Ream, Avron Spiro, Denise M Sloan, Joan M Cook, Dawne Vogt, Jennifer A Moye

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引用次数: 0

Abstract

Poor social function is associated with negative health outcomes and premature mortality in older veterans with posttraumatic stress disorder (PTSD). This pilot randomized trial evaluated a nine-session group-based intervention (Enhancing Social Function for Older Veterans with PTSD [ESVP]) to enhance social function in older veterans with PTSD compared with a support group condition. Participants were 36 U.S. military veterans aged 60 years or older who had experienced military-related trauma and endorsed symptoms of PTSD. Feasibility, acceptability, and changes in social function were assessed across baseline, postintervention, and 6-month follow-up. Enrollment and engagement metrics supported feasibility. Participant ratings of session relevance and satisfaction were high and did not significantly differ between conditions. Veterans under the ESVP condition were significantly more likely to rate themselves as feeling "better" (t = 3.81, p < .001), less angry (t = 3.59, p < .001) and less distressed (t = 3.44, p < .001), and were more likely to report having used coping (C = .21, p < .05) and anger management skills (C = .33, p < .001) than veterans under the support condition. ESVP demonstrated a stronger effect on intimate relationship (η² = 0.07) and family function (η² = 0.11) subscales of the Inventory of Psychosocial Function, and both conditions reported improvement in friends and socializing (η² = 0.13) and did not significantly differ (η² = 0.009). These findings are encouraging regarding ESVP but require further replication. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

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可行性、可接受性和结果：老年退伍军人创伤后应激障碍（ESVP）群体干预增强社会功能的试点试验。

社会功能低下与创伤后应激障碍（PTSD）老年退伍军人的负面健康结果和过早死亡有关。本随机试验评估了一种基于9个阶段的小组干预（增强PTSD老年退伍军人的社会功能[ESVP]），与支持小组条件相比，它能增强PTSD老年退伍军人的社会功能。参与者是36名60岁或以上的美国退伍军人，他们经历过与军事有关的创伤，并有PTSD的症状。可行性、可接受性和社会功能的改变在基线、干预后和6个月的随访期间进行评估。注册和参与指标支持可行性。参与者对会话相关性和满意度的评分很高，在不同条件下没有显著差异。ESVP条件下的退伍军人比支持条件下的退伍军人更有可能认为自己感觉“更好”（t = 3.81, p < .001），更少生气（t = 3.59, p < .001）和更少痛苦（t = 3.44, p < .001），更有可能报告使用应对（C = .21, p < .05）和愤怒管理技能（C = .33, p < .001）。ESVP对心理社会功能量表亲密关系（η²= 0.07）和家庭功能（η²= 0.11）的影响更强，两种情况在朋友和社交方面均有改善（η²= 0.13），差异无统计学意义（η²= 0.009）。这些发现在ESVP方面令人鼓舞，但需要进一步的复制。（PsycInfo Database Record (c) 2025 APA，版权所有）。

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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.