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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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.</p><p><strong>Method: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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. 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引用次数: 0
摘要
目的：这篇文章提出了一个随机候补对照试验，测试夫妇希望，一个教练指导的，在线干预夫妇，其中一个成员有创伤后应激障碍（PTSD）症状。目的包括检查与等候名单相比，夫妻希望是否在PTSD症状、关系满意度和次要结果方面取得了更大的改善，在3个月的随访中是否保持了结果，以及如果PTSD与covid -19相关，结果是否有所不同。方法：招募67对夫妇，其中一方符合可能的PTSD标准，要么是军人、退伍军人、急救人员、卫生保健工作者，要么是PTSD症状与COVID相关的人。夫妇们被随机分为两组，一组立即接受“夫妇希望”治疗，另一组在8周后接受治疗。在“夫妇希望”/等待期的开始、中期和结束以及“夫妇希望”后的1个月和3个月测量结果。创伤后应激障碍和关系满意度的测量也在七个模块中完成。结果：意向治疗分析显示，与等待治疗相比，接受“夫妇希望”治疗的患者在自我和自述创伤后应激障碍方面有更大的改善，效果分别为大效和中等效。在“夫妇希望”中，没有PTSD症状的伴侣在关系满意度方面比等候名单中的伴侣有更大的改善，效果较小，但有PTSD症状的人没有。非控制随访显示一些结果的收益逆转。创伤后应激障碍是否与covid -19相关并没有显着降低结果。结论：研究结果支持这种低成本、可扩展的干预措施对改善创伤后应激障碍的有效性，无论其获得途径如何（与covid -19相关与否）。需要更大样本量的进一步测试。（PsycInfo Database Record (c) 2025 APA，版权所有）。
A randomized controlled trial testing couple HOPES: An online, self-help couples' intervention for posttraumatic stress disorder.
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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