Acceptance and Commitment Therapy to Improve Social Support for Veterans With PTSD
概览
- 阶段
- 不适用
- 干预措施
- Acceptance and Commitment Therapy to Improve Social Support for Veterans with PTSD
- 疾病 / 适应症
- Post-traumatic Stress Disorder
- 发起方
- VA Office of Research and Development
- 入组人数
- 107
- 试验地点
- 3
- 主要终点
- Change in the Social Adjustment Scale-Self Report
- 状态
- 已完成
- 最后更新
- 2个月前
概览
简要总结
Veterans with PTSD often have impaired social relationships and poor social support. The negative outcomes associated with poor social support are of particular concern for Veterans with PTSD, who often perceive the world to be dangerous, view their social support network as a threat to their safety, and avoid members of their support network in order to increase their perceived safety. The goal of this project is to evaluate the efficacy of Acceptance and Commitment Therapy to Improve Social Support for Veterans with PTSD (ACT-SS), a treatment focused on helping Veterans with PTSD to increase social support with family relationships, partners, and peers by targeting maladaptive patterns of interpersonal difficulties, feelings of detachment from others, irritability, and avoidance of social situations. The primary aim of this study is to conduct a two-site randomized controlled trial of ACT-SS (n=75) vs. PCT (n=75), a common treatment for social support difficulties. If positive, this study will provide a critically-needed treatment for Veterans with PTSD to improve their social functioning and social reintegration in the community.
详细描述
Veterans with PTSD often have substantial interpersonal problems and low perceived social support from family, partners, and peers. Interpersonal problems result in poor social reintegration, which in turn permeates all aspects of their functioning and is associated with greater suicidal ideation. The problems emerge rapidly, with one study showing a fourfold increase in rates of self-reported interpersonal conflict within six months of returning from deployment. Veterans with PTSD report considerable avoidance in relationships, marital stress, intimacy difficulties, and parenting problems. Low social support is a key factor related to poor physical health, emotional functioning, and increased mortality risk. Given the importance of social relationships in buffering against negative outcomes and suicidal ideation for persons with PTSD, there is a strong need for more research and treatment development to improve the social functioning of these Veterans. The proposed project will focus on evaluating an innovative treatment for improving the social relationships and social support among Veterans with PTSD. The goal of this project is to evaluate the efficacy of Acceptance and Commitment Therapy to Improve Social Support for Veterans with PTSD (ACT-SS), a treatment focused on helping Veterans with PTSD to increase social support with family relationships, partners, and peers by targeting maladaptive patterns of interpersonal difficulties, feelings of detachment from others, irritability, and avoidance of social situations. ACT-SS provides Veterans with PTSD with more adaptive coping skills (i.e., acceptance and mindfulness, focus on values-based living) to improve social relationships, social support, and help manage PTSD-related distress. The investigators' pilot data of ACT-SS indicates that ACT-SS results in improved social relationships and reduced PTSD symptoms, with preliminary data showing that ACT-SS results in significantly better improvement in social functioning outcomes compared to Present-Centered Therapy (PCT). The primary aim of this study is to conduct a two-site randomized controlled trial of ACT-SS (n=75) vs. PCT (n=75), a common treatment for social support difficulties. Study outcomes will include measures of social support, social relationships, quality of life, and PTSD symptoms. This proposal, supported by the promising pilot data, represents an important step in examining the potential efficacy of ACT-SS, including social functioning and quality of life in Veterans with PTSD. If positive, results from this study may provide a new treatment approach for improving the social reintegration of Veterans with PTSD.
研究者
入排标准
入选标准
- •Current DSM-5 PTSD diagnosis
- •Minimum score of 31 on the PCL-5
- •Clinically significant difficulties in interpersonal relationships
- •Competent to provide written informed consent
- •Ages 18 and older
- •If being treated with psychoactive medication, no change in drugs or dose for the past 2 months
- •Willingness to be audio-taped
排除标准
- •Any current or lifetime DSM-5 psychotic disorder
- •Current or recent (within 1 month of study entry) DSM-5 substance use disorder
- •Cognitive impairment that would interfere with study participation
- •Current manic episode
- •Recent clinically significant suicidality (past 3 months)
- •Moderate to severe domestic violence (measured by the Conflict Tactics Scale-2)
- •Current PTSD psychotherapy
研究组 & 干预措施
Acceptance and Commitment Therapy to Improve Social Support
This treatment is designed to help Veterans with PTSD increase social support in family, partner, and peer relationships by reducing experiential avoidance. ACT-SS is specifically designed to address deficits in the entire social support network for Veterans with PTSD.
干预措施: Acceptance and Commitment Therapy to Improve Social Support for Veterans with PTSD
Present-Centered Therapy
PCT is designed to provide the emotional support for individuals with PTSD that will assist with recovery. The focus of PCT is on the "here and now," including current life difficulties that are directly or indirectly related to the experience of trauma. PCT aims to help the patient consider ways to react to these difficulties.
干预措施: Present-Centered Therapy
结局指标
主要结局
Change in the Social Adjustment Scale-Self Report
时间窗: Baseline, End of Treatment (12 weeks), 3-month follow-up, and 6-month follow-up
The Social Adjustment Scale-Self Report (SAS-SR) is a 54-item measure of current social functioning in 6 domains: Work; Social and Leisure; Extended Family; Primary Relationship; Parental; and Family Unit. The Social and Leisure scale is the primary measure of change in social functioning for the study. Lower scores indicate better functioning. Scores on this scale range from 1-5.
Change in the MOS Social Support Survey
时间窗: Baseline, End of Treatment (12 weeks), 3-month follow-up, and 6-month follow-up
Social Support: The MOS Social Support Survey is a 19-item multidimensional, self-administered survey of social support for individuals with chronic conditions. It includes four functional support scales, including emotional/informational, tangible, affectionate, and positive social interaction. A higher score for an individual scale or for the overall support index indicates more support. Scores range from 1-5.
次要结局
- Change in the Clinician Administered PTSD Scale (CAPS-5)(Baseline, End of Treatment (12 weeks), 3-month follow-up, and 6-month follow-up)
- Change in the PTSD Checklist (PCL-5)(Baseline, End of Treatment (12 weeks), 3-month follow-up, and 6-month follow-up)
- Change in the Quality of Life, Enjoyment, and Satisfaction Questionnaire(Baseline, End of Treatment (12 weeks), 3-month follow-up, and 6-month follow-up)