An investigation into the effectiveness of Mood Lifters in the context of trauma exposure.

IF 1.9 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Psychological Services Pub Date : 2024-08-01 Epub Date: 2023-08-24 DOI:10.1037/ser0000789
Tanya Garg, Cecilia M Votta, Neema Prakash, Patricia J Deldin
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Abstract

A large proportion of adults experiencing mental health problems do not receive care due to structural and attitudinal barriers. Mood Lifters (ML) is an evidence-based mental wellness program designed to reduce depression, anxiety, and stress symptoms. This study aims to extend the literature by examining whether ML reduces posttraumatic stress disorder (PTSD) symptoms, and if childhood trauma (CT) affects treatment outcomes. We hypothesized that ML will be effective for all symptoms. However, we predicted that those who endorse higher levels of CT would experience a diminished impact of ML on their symptoms. Graduate students and young professionals (N = 221), a demographic that is known to have greater mental health concerns, were randomly assigned to either the waitlist condition (n = 78) or the intervention condition (n = 143). Before and after ML participation, participants completed a series of questionnaires about their symptoms. ML reduced symptoms of PTSD for participants who received the intervention relative to the waitlist. Further, we also observed that while the overall regression models with CT predict posttreatment scores for all the clinical symptoms, the CT variable itself was predictive of only posttreatment anxiety. Unexpectedly, given that CT is often associated with less improvement, we found that those at all levels of CT experienced similar reductions in depression, anxiety and PTSD symptoms. Taken together, ML is a viable option to help people reduce depression, anxiety, stress, and PTSD regardless of the level of CT exposure. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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调查情绪提升剂在创伤暴露情况下的有效性。
由于结构和态度上的障碍,很大一部分有心理健康问题的成年人得不到治疗。Mood Lifters(ML)是一项以证据为基础的心理健康计划,旨在减轻抑郁、焦虑和压力症状。本研究旨在通过考察 ML 是否会减轻创伤后应激障碍(PTSD)症状,以及童年创伤(CT)是否会影响治疗效果,来扩展相关文献。我们假设 ML 对所有症状都有效。但是,我们预测那些认可较高 CT 水平的人将会感受到 ML 对其症状的影响减弱。我们将研究生和年轻专业人士(人数=221)随机分配到候补名单条件(人数=78)或干预条件(人数=143)中,众所周知,这些人群对心理健康的关注度更高。在参与 ML 之前和之后,参与者填写了一系列有关其症状的问卷。与等待者相比,接受干预的参与者的创伤后应激障碍症状有所减轻。此外,我们还观察到,虽然带有 CT 的整体回归模型可以预测治疗后所有临床症状的得分,但 CT 变量本身只能预测治疗后的焦虑。令人意想不到的是,考虑到 CT 通常与改善程度较低有关,我们发现所有 CT 水平的患者在抑郁、焦虑和创伤后应激障碍症状方面的减轻程度相似。综上所述,无论接触 CT 的程度如何,ML 都是帮助人们减轻抑郁、焦虑、压力和创伤后应激障碍的可行选择。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
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来源期刊
Psychological Services
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.
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