创伤中心创伤敏感瑜伽与认知处理疗法,适用于患有创伤后应激障碍并经历过军队性创伤的女性退伍军人:可行性研究。

IF 1.5 4区 医学 Q3 NURSING Journal of the American Psychiatric Nurses Association Pub Date : 2024-04-01 Epub Date: 2022-07-14 DOI:10.1177/10783903221108765
Belle Zaccari, Athena D F Sherman, Melinda Higgins, Ursula Ann Kelly
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引用次数: 0

摘要

背景:创伤后应激障碍(PTSD)是女性退伍军人中常见的军事性创伤(MST)后遗症。目的:本研究的目的是评估创伤中心创伤敏感瑜伽(TCTSY)随机对照试验(RCT)对患有创伤后应激障碍(PTSD)的女性退伍军人的可行性:在这项可行性研究中,最终样本包括在美国东南部退伍军人事务医疗保健系统就医的患有创伤后应激障碍(PTSD)的女性退伍军人(n = 41);其中大多数是非裔美国人(n = 33;80.5%)。干预采用既定方案,即每周 10 次集体 TCTSY 与每周 12 次集体认知处理疗法 (CPT)。创伤后应激障碍通过临床访谈和参与者报告进行评估。其他数据收集包括与创伤后应激障碍和心理生理测量相关的多种参与者报告结果。我们还收集了有关参与者满意度的数据以及参与者和提供者对可行性的反馈:结果:可行性和可接受性通过需求、实用性、忠实性和可接受性进行评估。衡量标准包括表达的兴趣、出席情况、计划完成情况、护理障碍和治疗满意度,以及对干预措施和数据收集的满意度:结果表明,RCT 设计和 TCTSY 的实施是可行的;随后进行了全面的 RCT,以确定实验干预的有效性。为成功的研究策略提供了建议。
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Trauma Center Trauma-Sensitive Yoga Versus Cognitive Processing Therapy for Women Veterans With PTSD Who Experienced Military Sexual Trauma: A Feasibility Study.

Background: Posttraumatic stress disorder (PTSD) is a common sequela to military sexual trauma (MST) among women veterans. Yoga has shown promise in research examining its benefit for symptoms and sequela of PTSD.

Aims: The objective of this study was to evaluate the feasibility of a randomized controlled trial (RCT) of Trauma Center Trauma-Sensitive Yoga (TCTSY) for women veterans with PTSD related to MST.

Method: In this feasibility study, the final sample included women veterans (n = 41) with PTSD related to MST accessing health care in a Veterans Affairs Health Care System in the southeast United States; the majority were African American (n = 33; 80.5%). Interventions used established protocols of 10 weekly sessions of group TCTSY versus 12 weekly sessions of group Cognitive Processing Therapy (CPT). PTSD was assessed via clinical interview and participant report. Additional data collection included multiple participant-reported outcomes commonly associated with PTSD and psychophysiological measures. We also collected data regarding participant satisfaction and feasibility-related feedback from participants and providers.

Results: Feasibility and acceptability were evaluated via demand, practicality, fidelity, and acceptability. This was measured by expressed interest, attendance, program completion, barriers to care and satisfaction with treatment, and satisfaction with interventions and data collection.

Conclusions: Results indicate the RCT design and TCTSY implementation were feasible; a full-scale RCT was subsequently conducted to determine efficacy of the experimental intervention. Recommendations for successful research strategies are provided.

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来源期刊
CiteScore
5.30
自引率
0.00%
发文量
65
期刊介绍: The Journal of the American Psychiatric Nurses Association (JAPNA) is a peer-reviewed bi-monthly journal publishing up-to-date information to promote psychiatric nursing, improve mental health care for culturally diverse individuals, families, groups, and communities, as well as shape health care policy for the delivery of mental health services. JAPNA publishes both clinical and research articles relevant to psychiatric nursing. This journal is a member of the Committee on Publication Ethics (COPE).
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