Feasibility of Multimodal Group Treatment for Veterans With PTSD, Depression, and High-Risk Drinking: A Pilot Study

被引:1
作者
Liese, Bruce S. [1 ,2 ,4 ]
Monley, Corey M. [2 ,3 ]
机构
[1] Univ Kansas, Med Ctr, Dept Family Med & Community Hlth, Kansas City, KS USA
[2] Univ Kansas, Cofrin Logan Ctr Addict Res & Treatment, Kansas City, KS USA
[3] SUNY Albany, SUNY Albany, Dept Educ & Counseling Psychol, Albany, NY USA
[4] Univ Kansas, Med Ctr KUMC, Dept Family Med & Community Hlth, 3901 Rainbow Blvd Mailstop 4010, Kansas City, KS 66160 USA
关键词
military veterans; PTSD; cognitive-behavioral therapy; emotion-focused therapy; group therapy; POSTTRAUMATIC-STRESS-DISORDER; EMOTION-FOCUSED THERAPY; GENERALIZED ANXIETY DISORDER; ALCOHOL-USE DISORDERS; BEHAVIORAL ACTIVATION; SUBSTANCE USE; PSYCHOLOGICAL TREATMENTS; EXPERIENCES; DROPOUT; HEALTH;
D O I
10.1037/int0000309
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
U.S. military veterans experience a wide range of postdeployment psychological problems, including disproportionate rates of posttraumatic stress disorder (PTSD), depression, and high-risk drinking. First-line psychological treatments for these conditions (e.g., cognitive-behavioral therapy) are effective but can be lengthy and intensive, leading many veterans to drop out of treatment. A novel brief multimodal group treatment (MMGT) program has been developed as an alternative to these first-line treatments. It was hoped that this brief treatment would exhibit lower dropout compared to lengthier first-line treatments, while still helping veterans learn emotion-regulation and interpersonal skills to reduce symptoms of PTSD, depression, and high-risk drinking. Cohorts of up to 18 group members meet for this 5-day program that integrates cognitive-behavioral instruction, mindfulness practice, and emotion-focused principles into didactic and experiential group activities. For several years pretreatment and posttreatment follow-up data have been collected from group members, including symptoms of moral injury, posttraumatic stress, depression, and high-risk drinking. We report pilot data from 50 veterans who participated in this program and completed a posttreatment follow-up survey and program evaluation. Scores on measures of posttraumatic stress, depression, and high-risk drinking were significantly reduced at posttreatment follow-up. The dropout rate for this program (2.9%) was lower than veterans' average dropout rate across all types of PTSD treatment (36%). Veterans' perceptions of the program are discussed. Based on these findings, we discuss implications for working with veterans in brief MMGTs and conducting research on these interventions.
引用
收藏
页码:402 / 421
页数:20
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