Effectiveness of telehealth-delivered massed trauma-focused psychotherapy among veterans with posttraumatic stress disorder.

IF 1.8 3区心理学 Q3 PSYCHOLOGY, CLINICAL Psychological Services Pub Date : 2025-05-01 Epub Date: 2024-10-10 DOI:10.1037/ser0000913

Erin K Verdi, Michael A Gramlich, Greg M Reger, Sherry Yelland

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Abstract

Trauma-focused psychotherapies can be effectively delivered using a massed delivery format. Telehealth treatment for posttraumatic stress disorder (PTSD) using evidence-based interventions has been shown to be as effective as in-person treatment. However, the effectiveness of evidence-based treatments for PTSD over telehealth using the massed delivery format requires further examination. To examine the effectiveness of telehealth massed PTSD treatment, we report on a quality improvement study of 33 veterans (75.8% male; M_Age = 42.3, SD = 11.0) who participated in a virtual 4-week massed PTSD program at a Department of Veterans Affairs (VA) medical center. Twenty-seven (81.8%) veterans completed the treatment and reported large reductions in PTSD (d = 1.48) and depressive symptoms (d = 1.08) at Week 4 and at 1-month follow-up (PTSD, d = 1.34; depression, d = 0.70). Results suggested that evidence-based treatment for PTSD can be effectively delivered in a massed format over telehealth in a VA medical setting. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

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在患有创伤后应激障碍的退伍军人中开展远程医疗大规模创伤心理治疗的效果。

以创伤为重点的心理疗法可以通过大规模交付的形式有效实施。使用循证干预对创伤后应激障碍（PTSD）进行远程保健治疗已被证明与面对面治疗同样有效。然而，还需要进一步研究通过远程保健采用大规模交付形式对创伤后应激障碍进行循证治疗的有效性。为了检验远程医疗大规模创伤后应激障碍治疗的有效性，我们报告了一项质量改进研究，33 名退伍军人（75.8% 为男性；最大年龄 = 42.3，最小年龄 = 11.0）参加了退伍军人事务部（VA）医疗中心为期 4 周的创伤后应激障碍虚拟大规模治疗项目。27名退伍军人（81.8%）完成了治疗，在第4周和1个月的随访中，他们的创伤后应激障碍（PTSD）（d = 1.48）和抑郁症状（d = 1.08）均有显著减轻（创伤后应激障碍，d = 1.34；抑郁症，d = 0.70）。结果表明，在退伍军人事务部的医疗环境中，可以通过远程医疗以大规模的形式有效提供创伤后应激障碍的循证治疗。(PsycInfo Database Record (c) 2024 APA，保留所有权利）。

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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.