Skye Fitzpatrick, Alexander O Crenshaw, Robert Valela, Christina Samonas, Elizabeth A Earle, Sophie Goss, Kristen M Hernandez, Julianne Bushe, Sonya Varma, Don Proctor, Anne C Wagner, Kamya Goenka, Omega Luxor, Alexis Collins, Leslie Morland, Norman Shields, Maya Roth, Brian D Doss, Jeremiah Schumm, Candice M Monson
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引用次数: 0
Abstract
Objective: This article presents a randomized waitlist-controlled trial testing Couple HOPES, a coach-guided, online intervention for couples wherein one member had posttraumatic stress disorder (PTSD) symptoms. Aims involved examining whether Couple HOPES resulted in greater improvements in PTSD symptoms, relationship satisfaction, and secondary outcomes compared to a waitlist, whether outcomes were maintained over a 3-month follow-up, and whether outcomes differed if PTSD was COVID-19-related.
Method: Sixty-seven couples were recruited, where one partner met criteria for likely PTSD and was either a military member, veteran, first responder, health care worker, and/or whose PTSD symptoms were related to COVID. Couples were randomized to receive Couple HOPES immediately or after 8 weeks. Outcomes were measured at the beginning, middle, and end of Couple HOPES/the waiting period, and 1- and 3-months after Couple HOPES. Measures of PTSD and relationship satisfaction were also completed during each of seven modules.
Results: Intent-to-treat analyses showed greater improvements in self- and informant-reported PTSD in those receiving Couple HOPES relative to waiting, with large- and medium-effect sizes, respectively. Partners without PTSD symptoms reported greater improvements in relationship satisfaction in Couple HOPES compared to the waitlist with a small effect size, but people with PTSD symptoms did not. Uncontrolled follow-up showed reversion of gains in some outcomes. Whether PTSD was COVID-19-related did not significantly moderate outcomes.
Conclusions: Findings support the efficacy of this low-cost, scalable intervention for improving PTSD, regardless of the means through which it was acquired (COVID-19-related or not). Further testing with larger sample sizes is needed. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
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.
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